Aspectos sistêmicos e odontológicos de portadores de paralisia cerebral

A paralisia Cerebral (PC) pode ser considerada um grupo de desordens do desenvolvimento do movimento e da postura, e é atribuída a distúrbios não progressivos que ocorreram no cérebro durante o período fetal e no bebê, resultando em dificuldades nas habilidades funcionais. Estes déficits funcionais, via de regra, provocam repercussões na qualidade da saúde bucal e na qualidade de vida destes pacientes. O presente artigo realiza uma revisão de literatura sobre os aspectos sistêmicos e odontológicos de indivíduos portadores de paralisia cerebral, enfatizando aspectos conceituais, epidemiológicos e clínicos, com a finalidade de transmitir conhecimento aos profissionais da saúde e com isso tentar melhorar atenção à saúde geral nesse grupo populacional. Entretanto concluiu-se que não basta transmitir conhecimento faz-se necessário também a implementação de políticas públicas que contemplem a promoção, prevenção e melhoria dos serviços especializados para esses pacientes, conjuntamente com ações interprofissionais da saúde que contribuam para a integralidade da assistência e aprimoramento dos serviços.

Analysis of the relation of intrauterine digital sucking with the permanence of the habit in the post birth child

AIM: This research aims to investigate the development of this habit's appearance, which may be observed even at the intrauterine stage and which also persists for a long time. MATERIAL AND METHODS: 25 gestations that presented children practicing intrauterine digital sucking habits were followed-up. The initial analysis was accomplished through routine ultrasound examination, using pregnant women between the 4th and 8th gestation months who visited João de Barros Barreto University Hospital. Detecting this habit, every quarter an afterbirth accessory was carried out,over a 1 year period, in order to observe the habit's persistence. This phase was developed in the Dental Office of the Brasil Sorridente Program. Statistical analysis were carried out regarding the obtained outcomes using the described statistics and inferential methods, and the Chi-square test with 5% significance level was applied. RESULTS: This research observed that 72% of babies were male gender and 28% female gender, 68% of babies persisted with the digital sucking habit 1 month afterbirth, 72% until the second month, 56% until the fifth month and 48% until one year old. Assessing the habit's post natal persistence according to gender, the binominal test was applied which was significant (p=0.0186). It was concluded that the number of male babies with digital sucking habit was above the female gender (p=0.0455), the habit's persistence was reduced by 50% when compared with the first month, however, the p=0.2474 indicates that the reduction was not significant. CONCLUSION: Our outcomes cannot be generalized; however they can be used as a base for future research in this area.