Suchergebnisse

RESUMO O objetivo deste estudo foi compreender a experiência de acesso a ações e serviços de saúde bucal de mulheres em situação de rua na cidade de Teresina, Piauí. Pesquisa qualitativa, norteada pelo paradigma interpretativo, desenvolvida com mulheres em situação de rua acompanhadas por instituições de referência. Os dados foram obtidos mediante entrevistas semiestruturadas, gravadas e transcritas. As análises foram baseadas na hermenêutica de Hans-Georg Gadamer (2015) associada às contribuições de Paul Ricoeur (1976). Foram realizadas 13 entrevistas, identificando-se duas unidades de significado: Sermulher em situação de rua; e Acesso a ações e serviços de saúde bucal. Diversas problemáticas cruzam as vidas das mulheres em situação de rua, sendo agravadas pela condição de gênero. Precárias condições de saúde bucal e dificuldade de acesso a ações e serviços de saúde bucal foram indicadas nas narrativas. É imperativo que as políticas existentes sejam postas em prática e contemplem as peculiaridades femininas. Apesar de todos os cirurgiões-dentistas da rede serem responsáveis pela atenção à saúde bucal das pessoas em situação de rua, a presença de um membro da saúde bucal dentro da equipe de consultório da rua foi apontada como necessária.

ABSTRACTIntroductionWest syndrome (WS) is a rare age‐related syndrome of epilepsy. The oral manifestations of WS are still unknown.ObjectiveTo assess the oral health status and oral findings of a sample of WS children being treated at a specialized referral center.Material and MethodsThe dental record forms of 528 children were searched at this center. Eight of the children had been diagnosed with WS.ResultsThe ages of those with WS ranged from 6 months to 13 years, and 62% of them were male. All of them were taking antiepileptic medication. Twenty‐five percent of them had tongue interposition between the dental arches and a deep palate. The mean DMFT was .25 and dmft was 1.12.ConclusionPatients with WS seem to have low caries experience, can have a deep palate, and may have their tongue positioned between the arches or on the incisive papilla.

ABSTRACTThe objective was to evaluate the history of traumatic dental injury (TDI) among children with and without autism spectrum disorders (ASD) at the Centro Integrado de Educação Especial (CIES), in Teresina, Brazil. The dental records of 228 children, 114 with ASD (SG = study group) and 114 without ASD (CG = control group), paired by age, gender and socioeconomic characteristics between January 2007 and September 2014 were reviewed. Data were analyzed using chi‐square test and multivariate logistic regression (alpha = 5.0%). Dental trauma in SG was lower than in the CG (24.6% and 41.2%, respectively, p = 0.007). The risk of trauma was lower among males in SG (OR: 0.35; 95%CI: 0.18 to 0.67). The likelihood of TDI in SG was 3.17 higher in females than that of males (p = 0.040). The prevalence of TDI was lower in ASD individuals compared to controls. Dental trauma was higher among ASD girls than ASD boys.

ABSTRACTThe objective was to assess the oral health status, the treatment needed, and the type of dental health services access of intellectually disabled (ID) subjects in Teresina, Brazil. The sample consisted of 103 ID subjects matriculated in centers for special needs people and 103 siblings. Results were analyzed using paired t‐test, chi‐square test, and odds ratio. ID subjects had fair (63.1%; p < .001) and their siblings had a good oral hygiene (n = 103 [55.3%]; p < .005). ID had more decayed (3.52; p < .005), and missing teeth (1.17; p = .001), fewer dental restorations (1.67; p = .012) and had a greater need for tooth extraction (21.4%; p = .002) than their siblings. Thirty percent of ID subjects had never received dental treatment and had difficulty accessing public health services. Their treatment needs were, therefore, higher than non‐ID subjects. The access to oral health services was unsatisfactory, thus it is important to implement educational and health promotion inclusion policies for people with ID.

AbstractAimTo evaluate the impact of dental treatment on the oral health‐related quality of life (OHRQoL) of children and adolescents with Autism Spectrum Disorder (ASD), through the perception of caregivers.Methods and resultsA prospective longitudinal study was conducted on 115 individuals with ASD, 6‐14 years of age, recruited from the referral centers for special needs individuals at Teresina, Brazil. A clinical examination was carried out and the OHRQoL was measured using the Brazilian version of the Parental‐Caregiver Perceptions Questionnaire (P‐CPQ) before and 3 months after dental treatment. Data were analyzed using Kolmogorov‐Smirnov, Levene, Mann‐Whitney, Kruskall‐Wallis, and Wilcoxon tests, and the Poison regression with backward method (P < .05). Treatment needs of children with ASD consisted of dental restorations (81.7%), oral prophylaxis (66.1%), endodontic treatment (10.4%), and tooth extractions (10.4%). The baseline P‐CPQ total score varied from 1 to 33 (mean score = 13.2 [±6.4]), and at 3 months after treatment it ranged from 0 to 10 (mean score 3.4 [±2.2] (P < .001). The effect magnitude varied between 0.55 and 0.56.ConclusionAccording to the perception of the caregivers, dental treatment had a positive impact on the OHRQoL of children and adolescents with ASD.