Adequação do meio bucal através de tratamento restaurador atraumático modificado em pacientes pediátricos infectados pelo Vírus da Imunodeficiência Humana Adquirida (SIDA) / Adequacy of the oral cavity by means of modified atraumatic restorative treatment in pediatric patients infected with the Acquired Human Immunodeficiency Virus (AIDS)
Pesqui. bras. odontopediatria clín. integr
; 7(1): 21-27, jan.-abr. 2007. tab
Article
in Portuguese
| LILACS
| ID: lil-526691
Responsible library:
BR1264.1
RESUMO
Objetivo:
Descrever os procedimentos realizados em crianças infectadas pelo vírus da imunodeficiência humana (HIV), pacientes do ambulatório de imunologia do Hospital Universitário Gafrée e Guinle (UNI-RIO) e constatar a efetividade da adequação do meio bucal comparando os níveis de Streptococcus mutans (S mutans) e Lactobacillus.Método:
Realização de procedimentos de adequação do meio bucal; instrução de higiene bucal, melhorando a técnica já utilizada, orientação de dieta (para as crianças e seus responsáveis); fluorterapia nos dentes onde havia presença de manha branca ativa (aplicação de verniz fluoretado) e tratamento restaurador atraumático modificado utilizando cimento ionômero de vidro (FUJI IX®).Resultados:
Os pacientes que participaram da pesquisa se encontravam em diferentes níveis de imunossupressão, graves (50,0%), moderados (33,0%) e ausente (17,0%), todos apresentando fluxo salivar abaixo de 0,7ml/min. Quanto à contagem de S. mutans e Lactobacillus, 33,0% mantiveram os valores encontrados na primeira avaliação de colônias/ml, devido à presença de restos radiculares que preservam os sítios de colonização destes microorganismos. Constatou-se que 67,0% das crianças apresentaram, na 2ª avaliação, uma diminuição do número de colônias/ml.Conclusão:
Os procedimentos realizados se mostraram eficientes na diminuição dos valores de colônias/ml de Streptococcus mutans e Lactobacillus na cavidade bucal das crianças, melhorando a saúde bucal dos participantes da pesquisa.ABSTRACT
Purpose:
To describe the procedures performed in children infected with the human immunodeficiency virus (HIV) under treatment at the Immunology Outpatient Service of the UniversityHospital Gafre and Guinle (UNI-RIO) and to verify the effectiveness of the adequacy of the oral cavity comparing the levels of Streptococcus mutans (S mutans) and Lactobacillus.Method:
The protocol consisted of procedures for adequacy ofthe oral cavity; oral hygiene instruction, improving the toothbrushing technique already used; diet counseling (for children and parents/guardians); fluoride therapy in the teeth with active white spotlesions (application of fluoridated varnish); and modified atraumatic restorative treatment using glass ionomer cement (FUJI IX©).Results:
The patients enrolled in this study were in different levels of immunosuppression, namely severe (50%), moderate (33%) orabsent (17%), and all of them presented salivary flow <0.7 mL/min.Regarding S. mutans and Lactobacillus counting, 33% maintainedthe values recorded in the first evaluation of the number of colonies/mL, due to the presence of root remnants that preserve thecolonization sites of these microorganisms. It was observed that 67% of the children presented, at the second evaluation, a decrease in the number of colonies/mL.Conclusions:
The procedures performed in this study were effective in decreasing the numbers of colonies/mL of S. mutansand Lactobacillus in the oral cavity of the children, improving theiroral health.
Full text:
Available
Collection:
International databases
Health context:
SDG3 - Target 3.7 Universal access to health services related to reproductive and sexual health
/
SDG3 - Health and Well-Being
Health problem:
Sexually Transmitted Infections: Prevention and Care
/
Target 3.8 Achieve universal access to health
/
Target 3.3: End transmission of communicable diseases
Database:
LILACS
Main subject:
Oral Hygiene
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HIV Infections
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Public Health Dentistry
/
Acquired Immunodeficiency Syndrome
/
Dental Care
/
Dental Care for Chronically Ill
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Dental Caries
/
Diet, Cariogenic
/
Health Services Accessibility
Type of study:
Practice guideline
Aspects:
Social determinants of health
Limits:
Child
/
Female
/
Humans
/
Male
Language:
Portuguese
Journal:
Pesqui. bras. odontopediatria clín. integr
Journal subject:
Dentistry
Year:
2007
Document type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade Regional da Blumenau/BR