Cárie dentária em crianças que frequentaram um programa odontológico de atenção materno-infantil

The main goal of this study was to evaluate the prevalence of caries in children that participate in a dental program attending mothers and children in Teresina, Piauí, Brazil. A selection was made of 343 children of both genders, from 3 to 6 years of age. The mothers answered questionnaires and children were examined at the Infant Dental Clinic of the Federal University of Piauí. The epidemiological index dmft was applied and active white spot lesions were included. The SPSS for Windows program, version 11.1 was used and non-parametric tests carried out (Friedman and Kruskal-Wallis). An alpha error of 5% (0.05) was considered for the null hypothesis of false rejection, with a confidence interval of 95%. The results showed that 57.5% (197) of the children were breast-fed for a period longer than 12 months. The mean dmft index and percentages of caries-free children at the age of 3 was 1.86 (58.82%); at 4 years of age 1.94 (57.60%); at 5 years of age 1.98 (56.86%) and at 6 years of age 2.42 (42.55%). The decay component (d) was prevalent at all ages. When active white spot lesions were added to the dmft index, there was an increase of 7.2% for children who had caries activity and/or previous caries experience and 2.61% for those with dmft equal to zero. The daily consumption of fermentable carbohydrates and free demand breast-feeding were factors increasing caries activity. Dental follow-up after the program and the number of daily brushings were shown to be factors providing protection against caries . Based on the results, the authors were able to conclude that the program caused a positive impact on caries disease control, as the number of dental appointments kept influenced the dmft index values in a statistically significant manner.O objetivo do presente estudo foi avaliar o impacto apresentado por um programa de atenção materno-infantill na prevalência de cárie de crianças participantes. Foram selecionadas 343 crianças, de ambos os gêneros, nas idades de 3 a 6 anos. As mães responderam a questionários e as crianças foram examinadas em consultórios da clínica odontológica infantil da Universidade Federal do Piauí (UFPI). Foi aplicado o índice epidemiológico ceod com acréscimo de lesões de manchas brancas ativas. Os dados foram analisados pelo programa SPSS para Windows, versão 11,1 e realizados os testes não paramétricos (Friedman e Kruskal-Wallis). Considerou-se um erro alfa de 5% (0,05) para hipótese nula de falsa rejeição, com um intervalo de confiança de 95%. Os resultados mostraram que 57,5% (197) das crianças foram amamentadas ao seio por um tempo superior a 12 meses. A média do índice ceo-d e percentuais de crianças livres de cárie para a idade de 3 anos foi de 1,86 (58,82%); aos 4 anos, de 1,94 (57,60%); aos 5 anos, de 1,98 (56,86%) e aos 6 anos de 2,42 (42,55%). O fator cariado (c) foi prevalente em todas as idades. Quando foram acrescentadas ao índice ceo-d lesões de manchas brancas ativas, houve um aumento de 7,2% para crianças com atividade e/ou experiência anterior de cárie e de 1,72% para aquelas com ceod igual a zero. O consumo diário de carboidratos fermentáveis e a amamentação em livre demanda se apresentaram como fatores incrementais da atividade de cárie. O acompanhamento odontológico posterior ao programa e o número de escovações diárias demonstraram ser fatores de proteção contra a instalação da doença cárie. Baseados nos resultados, os autores puderam concluir que o programa provocou impacto positivo no controle da doença cárie, uma vez que o número de consultas freqüentadas influenciou nos valores do índice ceod de maneira estatisticamente significativa

Knowledge of oral health and practices among mothers attending a mother-child dental care program

O objetivo do presente estudo foi avaliar a assimilação e as práticas preventivas em saúde bucal adotadas por mães de crianças que freqüentaram um programa odontológico de atenção materno infantil. O Programa Preventivo para Gestantes e Bebês (PPGB) é um programa de extensão vinculado à Universidade Federal do Piauí (UFPI), que tem como meta a conscientização de gestantes e mães de crianças de zero a 36 meses para a adoção de hábitos favoráveis à obtenção de saúde bucal. Realizou-se uma seleção aleatória de fichas clínicas de crianças que haviam participado do PPGB e, através destas fichas, foram enviadas cartas às mães. Houve um retorno de 281 mães, as quais foram submetidas a entrevistas envolvendo os temas abordados pelo programa. Pelos resultados obtidos, pôde-se concluir que as mães freqüentadoras do PPGB detêm um bom nível de informação e adotam, no âmbito familiar, práticas de saúde favoráveis ao controle e prevenção de doenças bucais.This study assesses the assimilation of knowledge and preventive practices in oral health among the mothers of children assisted by a mother-child dental care program. The Preventive Program for Pregnant Mothers and Babies (PPPMB) is an extension project run by the Piauí Federal University (UFPI), whose goal is to make pregnant women and mothers of children from zero to 36 months old more concerned about habits fostering oral health. After a random selection of clinical record cards for children who had participated in this Program, letters were sent to their mothers. Feedback was received from 281 mothers, who responded through interviews that included questions on matters addressed by the Program. The findings indicate that mothers attending this Program were properly informed, adopting hygienic practices in their families that underpin the control and prevention of oral diseases

Praeceptor, 1928

https://red.mnstate.edu/yearbooks/1011/thumbnail.jp

Is Low Income Associated with Malocclusion in Primary Dentition Among Preschoolers?

Objective: To determine the prevalence and factors associated with malocclusion in the primary dentition of preschool children in a city of Brazilian Northeast. Material and Methods: A cross-sectional study was conducted with 566 five-years-old preschool children who were enrolled in public and private preschools in the city of Teresina, Piauí, Brazil. Data were collected using a sociodemographic questionnaire administrated to parents/caregivers and clinical oral examination of the children was performed. Foster and Hamilton Index for primary teeth was used for the diagnosis of malocclusions. Descriptive analysis was carried out and Poisson regression was used to assesses the association with independent variables. Results: The prevalence of malocclusion was 51.2%. The most frequent types were Class II canines (17% and 16.8%), increased overjet (15.2%) and reduced overbite (14%). Anterior crossbite was present in 3.5% of the preschool children evaluated. There was an association between malocclusion and low family income (PR = 1.22; 95% CI = 1.01-1.47). Conclusion: The prevalence of malocclusion in the primary dentition was high and associated with a low family income

Capacidade para o trabalho de cirurgiões-dentistas da atenção básica: prevalência e fatores associados

Resumo Objetivo: avaliar os fatores associados à capacidade para o trabalho de cirurgiões-dentistas. Métodos: a amostra foi constituída por 167 cirurgiões-dentistas vinculados à Estratégia Saúde da Família. Foram aplicados questionários sobre a capacidade para o trabalho, dados sociodemográficos, caraterísticas relacionadas ao trabalho, aspectos de saúde autorreferidos, estilo de vida e fadiga. Na análise univariada utilizou-se a estatística descritiva; na bivariada, o teste Qui-quadrado de Pearson, e, na multivariada, a regressão de Poisson. Resultados: 46,7% da amostra mostrou capacidade inadequada para o trabalho, sendo as variáveis independentes associadas: sexo feminino (RP=1,12; IC95%: 1,01-1,23), limpeza não adequada (RP=1,14; IC95%: 1,01-1,29), ambiente úmido (RP=1,35; IC95%: 1,15-1,59), ambiente de trabalho com muito barulho (RP=1,10; IC95%: 1,01-1,30), tarefas repetitivas e monótonas (RP=1,36; IC95%: 1,20-1,55), insatisfação com sono (RP=1,15; IC95%: 1,05-1,25), estado de saúde regular (RP=1,25; IC95%: 1,10-1,41), apresentar de uma a quatro morbidades diagnosticadas (RP=1,14; IC95%: 1,04-1,26), cinco ou mais morbidades (RP=1,52; IC95%: 1,38-1,70) e níveis altos de percepção de fadiga (RP=1,15; IC95%: 1,04-1,26). Conclusão: A amostra estudada apresentou incapacidade para o trabalho, que foi associada a fatores sociodemográficos, características do trabalho, aspectos de saúde e altos níveis de fadiga

Is severe early childhood caries predictive of caries and fluorosis in permanent teeth? Ten-year follow-up

Abstract Introduction Severe early childhood caries is defined as the presence of any sign of decay in children younger than three years. Objective This retrospective longitudinal observational study investigated caries and fluorosis in children with S-ECC from a city with fluoridated water. Material and method We included children under the age of three years who followed a maternal and child dental care program between the years of 1997 and 2003. The children were divided into 2 groups: group 1 (S-ECC) and group 2 (no caries). Guardians were contacted by telephone or mail. Caregivers completed questionnaire on socio-demographic and behavioral variables. The clinical dental examinations were performed in a dental clinic to assess caries experience and dental fluorosis. Multiple linear regression was used to determine factors associated with DMFT, and multivariate analysis by multiple logistic regression was used to determine the possible independent factors associated with the occurrence of fluorosis. Result The sample consisted of 126 patients aged 8-12 years, of whom 52.4% were male. The presence of S-ECC increased the DMFT by an average of 0.84 (p = 0.02). Both the frequency of tooth brushing and the use of standard toothpaste were protective factors from the development of caries in the permanent dentition (p <0.05). Parents who reported that their children refused to brush their teeth had 70% less chance of developing fluorosis (p = 0.02). Conclusion The presence of S-ECC was a risk factor for the development of caries in the permanent dentition, but not for the development of fluorosis