Condições da cavidade bucal e acompanhamento odontológico de crianças com leucemia linfocítica aguda / Conditions of the oral cavity and of dental attendance of children with acute lymphocytic Leukemia
Rev. méd. Minas Gerais
; 18(4,supl.1): S25-S32, nov. 2008. ilus, tab
Article
in Pt
| LILACS
| ID: lil-557657
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RESUMO
Objetivos:
avaliar as condições da cavidade bucal de crianças com leucemia linfocítica aguda (LLA) e as complicações decorrente da quimioterapia e, verificar se um acompanhamento odontológico promove melhoria nas condições bucais.Métodos:
estudo clínico, prospectivo, envolvendo 31 crianças, com idade entre 2 e 14 anos, com diagnóstico de LLA, tratadas em um hospital universitário de Belo Horizonte (MG). O plano de tratamento odontológico consistiu de avaliação inicial e urgência, adaptação comportamental e adequação do meio bucal, tratamento reabilitador e manutenção preventiva.Resultados:
a mediana do período de acompanhamento foi de 11 meses. Das 31 crianças, 20 não haviam recebido atendimento odontológico prévio. Na avaliação odontológica inicial, 21 (67,7%) pacientes apresentavam atividade de cárie, 18 tinham necessidade de abordagem odontológica invasiva e 19 tinham gengivite. O índice de necessidades invasivas (INI) variou de 0% a 22,5% e 13 pacientes tinham INI=0. Dezoito apresentaram algum tipo de lesão em mucosa, sendo as mais freqüentes, úlceras, herpes labial e mucosite. Na avaliação odontológica final, 25 (80,6%) estavam sem atividade de cárie, três apresentavam necessidade de abordagem odontológica invasiva e 13 tinham gengivite. O INI variou de 0% a 4,3% e 28 pacientes tinham INI = 0. As medidas do índice de placa visível e INI iniciais foram significativamente maiores do que as finais (p<0,001).Conclusão:
um programa de atendimento odontológico durante o tratamento quimioterápico favoreceu o equilíbrio e a manutenção da saúde bucal dessas crianças.ABSTRACT
Objectives:
To evaluate the conditions of the oral cavity of children with acute lymphocytic leukemia (ALL) and the current oral complications of the chemotherapy and, to verify whether the introduction of the dental attendance promotes an improvement in the oral conditions.Methods:
It was a clinical, prospective study, involving 31 children, with age between 2 and 14 years, with diagnosis of LLA, treated in a university hospital. The dental treatment consisted of initial evaluation and urgency, behavioral adjustment and adaptation of the oral environment, rehabilitator treatment and preventive maintenance.Results:
The medium one of the period of attendance was of 11 months. From the 31 children, 20 had not received any previous dental service. At the initial dental evaluation, 21 (67.7%) patients had decay activity of caries, 18 had necessity of invasive dental approach and 19 they had gingivitis. The index of invasive needs (INI) varied of 0% to 22.5% and 13 patients had IN equal zero. Eighteen had some type of lesion an the mucosa, having been the most frequent, ulcers, herpes labial and mucosite. In the final dental evaluation, 25 (80.6%) were without decay activity, three presented necessity of invasive dental approach and 13 had gingivitis. The INI varied of 0% to 4.3% and 28 patients had INI equal zero. The measures of the index of initial visible plaque and INI were significantly higher than the final ones (p<0.001).Conclusion:
In accordance with the results of this study, can be concluded that the establishment of a dental service program during the chemotherapic treatment favored the balance and the maintenance of those children's oral health.Key words
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Index:
LILACS
Main subject:
Dental Care for Children
/
Drug Therapy
/
Precursor Cell Lymphoblastic Leukemia-Lymphoma
/
Mouth
Type of study:
Diagnostic_studies
/
Observational_studies
/
Risk_factors_studies
Limits:
Adolescent
/
Child
/
Child, preschool
/
Humans
Language:
Pt
Journal:
Rev. méd. Minas Gerais
Journal subject:
MEDICINA
Year:
2008
Type:
Article