ABSTRACT
BACKGROUND: There is a lack of evidence on the relationship between prematurity and palatal abnormalities. The aim of this study was to evaluate the incidence of palatal groove, the associated factors and the persistence time in preterm infants from birth to 24 months of age. METHODS: The children's data, medical history and eating habits were collected using a questionnaire answered by the legal guardian and updated every dental visit. Natal and neonatal data were obtained from the medical records. During the orofacial examination, the presence or absence of a palatal groove was observed. In order to evaluate for associations between independent variables and the palatal groove, descriptive analyses and bivariate analyses were conducted using the Mann-Whitney, Pearson's chi-squared and Fisher's exact tests, when appropriate. The Poisson regression analysis was used to determine risk and protective factors for the occurrence of palatal groove. The significance level was 0.05. For the persistence of palatal groove, a survival analysis was used (Kaplan Meier method). RESULTS: Seventy-four preterm infants were monitored. Palatal groove occurred in n = 19 (25.7 %) and persisted for an average time of 12 months. Bivariate analysis showed a significantly higher occurrence of palatal groove in girls (68.4 % vs 40 % with non-occurrence of palatal groove) as well as in infants that stayed longer in the neonatal intensive care unit (NICU) (median 37 days vs 20 days), that did not have exclusive breastfeeding (94.7 % vs 69.1 %), were intubated (median five days vs one day) or used an orogastric tube (median 33 days vs 15 days). The quantitative data for 'NICU', 'intubation' and 'orogastric tube' were correlated and estimated as risk factors for palatal groove formation in the unadjusted Poisson regression analysis. CONCLUSIONS: Palatal groove occur transiently in approximately one quarter of preterm infants, especially in infants that stay longer in the NICU, are intubated or use an orogastric tube.
Subject(s)
Infant, Premature, Diseases/etiology , Jaw Diseases/etiology , Mouth Diseases/etiology , Palate/pathology , Brazil/epidemiology , Child Development , Child, Preschool , Female , Follow-Up Studies , Humans , Incidence , Infant , Infant, Newborn , Infant, Premature , Infant, Premature, Diseases/diagnosis , Infant, Premature, Diseases/epidemiology , Intensive Care, Neonatal , Intubation, Gastrointestinal/adverse effects , Intubation, Intratracheal/adverse effects , Jaw Diseases/diagnosis , Jaw Diseases/epidemiology , Kaplan-Meier Estimate , Male , Mouth Diseases/diagnosis , Mouth Diseases/epidemiology , Palate/growth & development , Prospective Studies , Remission, Spontaneous , Risk Factors , Time FactorsABSTRACT
A atuação do cirurgião-dentista no ambiente hospitalar é uma perspectiva recente no contexto brasileiro, sendo pouco investigada e sistematicamente relatada. Este estudo descritivo retrospectivo objetivou descrever as atividades desenvolvidas por cirurgiões-dentistas residentes, inseridos em uma equipe multiprofissional de um hospital universitário de referência. Buscou-se os registros e fichas clínicas dos pacientes atendidos pelos residentes em Odontologia da área de Atenção à Saúde Materno-Infantil do Hospital das Clínicas, da Universidade Federal de Goiás, na cidade de Goiânia-GO, entre fevereiro de 2011 e julho de 2012, para caracterizar os pacientes e descrever os procedimentos odontológicos executados. Os dados foram analisados por meio de estatística descritiva. Foram atendidos 740 pacientes no período analisado e 1290 consultas odontológicas foram realizadas. Uma diversidade de alterações sistêmicas foi verificada em 29% da amostra atendida (n=207 pacientes). As atividades educativo-preventivas (n=706) foram mais frequentes do que as atividades curativas (n=66). No período analisado, as atividades multiprofissionais foram realizadas foram estudos de casos (n=18), grupos de educação em saúde (n=49) e reuniões de planejamento multiprofissional (n=17). Concluiu-se que: o cirurgião-dentista pode atuar de forma abrangente no contexto hospitalar; considerando a área materno-infantil, as atividades educativo-preventivas ocorreram em maior número do que as curativas; o cirurgião-dentista deve ser estimulado, desde a graduação, a compreender os aspectos diferencias do contexto hospitalar no planejamento do tratamento odontológico e no trabalho multiprofissional.
The responsibility of the dentist in the hospital environment is a recent perspective in the Brazilian context, and this subject is rarely systematically investigated and reported. This retrospective descriptive study aimed to describe the activities performed by dental residents, entered into a multidisciplinary team of a university hospital. We selected records of patients seen by dental residents in the area Maternal and Child Health, in the Clinical Hospital, Federal University of Goiás, Goiânia-GO, between February 2011 and July 2012, to characterize them and describe dental procedures performed. Data were analyzed using descriptive statistics. A total of 740 patients were seen in that specific period and 1,290 dental consultations were held. A variety of systemic disorders were observed in 29% of the sample (n = 207 patients). Educative-preventive activities (n = 706) were more frequent than curative activities (n = 66). Over that period, the multidisciplinary activities were case studies (n = 18), heal the education for particular groups (n = 49), and planning meetings (n = 17). We concluded that: dentists have a broad spectrum of activities in hospitals; regarding the maternal and child health, educational and preventive activities were more frequent than therapeutic ones; dentists should be encouraged since undergraduation to understand the aspects of the hospital context that influence in treatment planning and multidisciplinary work.