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1.
Cient. dent. (Ed. impr.) ; 17(2): 99-106, mayo-ago. 2020. ilus, graf
Artigo em Espanhol | IBECS | ID: ibc-193054

RESUMO

INTRODUCCIÓN: La aparición del nuevo virus del síndrome respiratorio agudo severo Coronavirus 2 (SARS-CoV-2) ha causado una pandemia mundial llamada enfermedad del coronavirus (COVID-19) y se ha convertido en uno de los desafíos más grandes entre los profesionales dedicados a la salud. Dado que el sector sanitario bucodental es una de las poblaciones de riesgo, se debe tener especial cuidado para minimizar dicho riesgo de infección así como evitar el contagio entre profesionales y pacientes. Los síntomas respiratorios de esta enfermedad en los niños parecen ser más leves que los que experimentan los adultos, se conoce que transmiten la enferme-dad, pero los datos emergentes sobre la propagación en niños afectados por CO-VID-19 no es conocida aún en detalle. El propósito de este artículo es analizar a través de una encuesta online si los odontopediatras prevén cambios en la forma habitual de trabajo para evitar el riesgo de contagio por COVID-19 durante el trata-miento dental con pacientes infantiles. MATERIAL Y MÉTODO: se realizó una en-cuesta online dirigida a odontopediatras y odontólogos que trabajaran con niños, con preguntas sobre el conocimiento y actitud frente al COVID-19 en la consulta dental. Se registraron las variables sexo, edad, años de profesión y posesión de título en Odontopediatría. RESULTADOS: se recogieron 93 cuestionarios y se analizaron los resultados estadísticamente para cada ítem del cuestionario, representados en gráficas de porcentajes de respuesta. La mayoría de los encuestados fueron mujeres, edad media de 34,5 años, que utilizan a diario instrumental rotatorio, pero a favor de tratamientos mínimamente invasivos; cumplen con las medidas de protección, pero a veces para el manejo de la conducta infantil no es posible. CONCLUSIONES: en general, el odontopediatra deberá adaptarse a la nueva situación con el niño con respecto a las técnicas de tratamiento, así como todos los miembros del equipo dental, ya que tienen la responsabilidad profe-sional de mantenerse informados y actualizados respecto a los nuevos datos que vayan surgiendo sobre COVID-19, no solo para protegerse de posibles contagios sino tam-bién para evitar la propagación a los pacientes infantiles que acudan a realizarse un tratamiento odontológico


INTRODUCTION: The coronavirus disease (COVID-19) pandemic has been caused by appearance of a new virus called the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2); and has become one of the greatest challenges for health professionals. The oral health sector is one of the populations at risk, so special care must be taken to minimise the risk of infection and prevent contagion between professionals and patients.The respiratory symptoms of this disease in children appear to be milder than those experienced by adults. Children are known to transmit the disease, but emerging data on the spread in children affected by COVID-19 is not yet known in detail.The purpose of this article is to analyse whether paediatric dentists foresee changes in their usual way of working to minimise the risk of COVID-19 infection during treatment of their patients through conducting an online survey. MATERIAL AND METHOD: An online survey was conducted of paediatric dentists and dentists working with children, with questions about their knowledge of and attitude towards COVID-19 in the dental clinic. The variables of sex, age, years of profession and having a paediatric dentistry qualification were recorded. RESULTS: 93 questionnaires were collected, the results for each item on the questionnaire were represented graphically with the percentage response and analysed statistically. Most of the respondents were women, mean age 34.5 years, who used rotary instruments daily, but were in favour of minimally invasive treatments; they usually complied with the protective measures, but sometimes this was not possible when managing child behaviour. CONCLUSIONS: In general, paediatric dentists are adapting to the new situation with children regarding treatment techniques and with other dental team members, as they have the professional responsibility to keep themselves informed and updated regarding new information about COVID-19; not only to protect themselves from possible infection but also to prevent spreading the infection to children undergoing dental treatment


Assuntos
Humanos , Atitude do Pessoal de Saúde , Assistência Odontológica para Crianças/organização & administração , Infecções por Coronavirus/epidemiologia , Pneumonia Viral/epidemiologia , Betacoronavirus , Pandemias/prevenção & controle , Odontopediatria/estatística & dados numéricos , Assistência Odontológica para Crianças/métodos , Assistência Odontológica para Crianças/estatística & dados numéricos , Inquéritos e Questionários , Infecções por Coronavirus/prevenção & controle , Pneumonia Viral/prevenção & controle , Estudos Transversais
2.
Acta Odontol Latinoam ; 33(1): 38-44, 2020 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-32621598

RESUMO

The aim of this study is to assess the prevalence of odontogenic infection in low-income Brazilian schoolchildren and evaluate its association with the subjective variables of oral health-related quality of life and dental pain. In this cross-sectional study, 230 schoolchildren aged eight to ten years old underwent a clinical oral survey in which the DMFT/dmft and PUFA/pufa indexes were measured. Afterward, children responded individually to the Child Perceptions Questionnaire (CPQ8-10) and self-reports of dental pain were collected. Data were statistically analyzed using MannWhitney or Kruskal-Wallis test with a post-test by Dunn's and Pearson correlation. Of the children evaluated, 42.6% had odontogenic infection and 80% reported experiencing dental pain. Children's age (p = 0.034) and past experience of dental pain (p < 0.002) were associated with odontogenic sepsis, in addition to impairment of their emotional well-being (p = 0.008), social welfare (p = 0.009) and overall impact on quality of life (p = 0.019). Toothache intensity (p < 0.001), frequency (p < 0.001) and duration (p < 0.001) were correlated to the overall impact on children's quality of life. The prevalence of odontogenic infection remains high among low-income Brazilian schoolchildren. Pediatric infection and its related pain induce not only various biological disorders but also impair children's self-perception of quality of life.


Assuntos
Cárie Dentária/psicologia , Infecções/epidemiologia , Qualidade de Vida , Odontalgia/epidemiologia , Brasil/epidemiologia , Criança , Estudos Transversais , Assistência Odontológica para Crianças/estatística & dados numéricos , Cárie Dentária/epidemiologia , Humanos , Infecções/etiologia , Saúde Bucal , Pobreza/estatística & dados numéricos , Prevalência , Fatores Socioeconômicos , Estudantes/psicologia , Estudantes/estatística & dados numéricos , Inquéritos e Questionários , Odontalgia/psicologia
3.
Braz Oral Res ; 34: e066, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32520076

RESUMO

The aim of this study was to evaluate the knowledge of and attitudes toward coronavirus disease 2019 (COVID-19) among the parents of child dental patients in Shenzhen during the outbreak. A structured questionnaire containing 10 questions was used, and each question had 2 or 3 possible answers. The parents of children (aged 0-14 years) who visited the dental department of our hospital last year were eligible to participate in this study. A total of 148 parents were interviewed by telephone in February 2020 by research staff. A total of 94.59% of the parents said they paid high attention to COVID-19 and explained it to their children; 66.22% thought the dental department environment was more dangerous than other public places; 91.89% believed the dental department had a higher risk of virus infection; and 83.78% said they would take their children to a dental department if the children had a severe toothache. Approximately 81.08% of the parents expressed confidence after we informed them about the preventive measures taken in the dental department to ensure safe treatment for their children. In conclusion, all parents were concerned about COVID-19, and most of them had talked about it with their children often. In addition, a considerable percentage of them would not take their children to the dental department even if they had severe dental pain and thought that the dental environment could be more dangerous than other environments. More information about this topic should be delivered to this population.


Assuntos
Betacoronavirus , Infecções por Coronavirus , Assistência Odontológica para Crianças/estatística & dados numéricos , Conhecimentos, Atitudes e Prática em Saúde , Pandemias , Pais , Pneumonia Viral , Adolescente , Adulto , Distribuição por Idade , Criança , Pré-Escolar , China , Infecções por Coronavirus/prevenção & controle , Escolaridade , Feminino , Humanos , Lactente , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Fatores de Risco , Distribuição por Sexo , Inquéritos e Questionários , Adulto Jovem
4.
Cient. dent. (Ed. impr.) ; 17(1): 27-34, ene.-abr. 2020. ilus, tab
Artigo em Espanhol | IBECS | ID: ibc-189746

RESUMO

INTRODUCCIÓN: El objetivo del presente trabajo fue evaluar las técnicas convencionales más utilizadas por el odontólogo para el manejo de la conducta del paciente infantil en la consulta dental. Diversas técnicas pueden ser aplicadas dependiendo del desarrollo físico y emocional del paciente y de la capacidad del profesional. La Academia Americana de Odontopediatría, en su guía sobre técnicas del comportamiento, las divide en: técnicas de comunicación, otras técnicas básicas y técnicas avanzadas, recomendando las pertenecientes al primer grupo. MATERIAL Y MÉTODO: Se realizó un cuestionario en la plataforma de Google, remitido vía email a 190 odonto/estomatólogos que tratasen pacientes infantiles, obteniendo un total de 115 respuestas adecuadas para el análisis de 8 técnicas convencionales de manejo de la conducta. El estudio estadístico se realizó en el programa SPSS aplicando el test de ANOVA para una significación de p= 0,05. RESULTADOS: La técnica más utilizada por los diferentes profesionales fue la técnica decir-mostrar-hacer seguida de refuerzo positivo y control de voz. Técnicas de modificación de la conducta ocuparon un segundo término: desensibilización seguida muy de cerca por imitación. La técnica menos empleada fue la anestesia general. No encontramos diferencias significativas en relación al sexo en ninguna de las técnicas analizadas excepto en el uso de premedicación (p: 0,027), siendo los varones los que más frecuentemente la utilizaban. No se encontraron diferencias significativas en relación a la especialidad ni con la edad de los profesionales. CONCLUSIONES: Las técnicas comunicativas fueron las preferidas por los odontoestomatólogos siendo las técnicas avanzadas las menos utilizadas


INTRODUCTION: The objective of this work was to evaluate the conventional techniques most used by the dentist for the management of the behavior of the child patient in the dental office. Various techniques can be applied depending on the physical and emotional development of the patient and the professional's ability. The American Academy of Pediatric Dentistry, in its guide on behavioral techniques, divides them into: communication techniques, other basic techniques and advanced techniques, recommending those belonging to the first group. MATERIAL AND METHOD: A questionnaire was carried out on the Google platform, sent via email to 190 dentists / stomatologists who treated child patients, obtaining a total of 115 appropriate responses for the analysis of 8 conventional behavior management techniques. The statistical study was carried out in the SPSS program by applying the ANOVA test for a significance of p = 0.05. RESULTS: The technique most used by different professionals was the say-show-do technique followed by positive reinforcement and voice control. Behaviour modification techniques occupied a second term: desensitization followed closely by imitation. The least used technique was general anesthesia. We found no significant differences in relation to sex in any of the techniques analyzed, except in the use of premedication (p: 0.027), with men being the most frequently used. No significant differences were found in relation to the specialty or the age of the professionals. CONCLUSIONS: The communication techniques were preferred by the professionals, with the advanced techniques being the least used


Assuntos
Humanos , Masculino , Feminino , Adulto , Comportamento Infantil/psicologia , Odontólogos/psicologia , Assistência Odontológica para Crianças/psicologia , Odontólogos/estatística & dados numéricos , Inquéritos e Questionários , Análise de Variância , Odontopediatria/estatística & dados numéricos , Assistência Odontológica para Crianças/estatística & dados numéricos
5.
Medicina (Kaunas) ; 56(3)2020 Mar 02.
Artigo em Inglês | MEDLINE | ID: mdl-32131417

RESUMO

Background and Objectives: Early detection of dental caries lesions at active stages of development can facilitate their monitoring and reduce needs for restorative dental care. This study aimed to describe the prevalence and caries treatment needs in first permanent molars of pre-school children, based on a caries lesion activity assessment, and in relation to participants' ages, dental plaque levels and toothbrushing habits. Materials and Methods: Large cross-sectional dental caries survey using multistage cluster sampling was conducted among Lithuanian 4-6-year-old children attending kindergartens. For the present study purpose, all individuals presenting erupted permanent molars were selected. Thus, only 5-6-year-olds (n = 453) took part in this study. They were examined for caries by one calibrated examiner using Nyvad clinical diagnostic criteria that differentiate between active and inactive caries lesions. Dental plaque was assessed by the Silness-Löe index, and parents' reports about toothbrushing frequency were collected. Results: Overall, 41% of permanent molars were affected by caries; 6-year-olds had more caries lesions than 5-year-olds (p <0.05). Mean number of decayed and filled surfaces (DF-S) of all participants was 1.79 (SD 2.93), half of lesions were noncavitated, more than one-third were cavitated and fillings comprised less than one surface per child. Majority of lesions were active; prevalence of inactive lesions (all noncavitated) was 1% and 6% in 5- and 6-year-olds, respectively. Prevalence of active lesions increased with age; it correlated with plaque levels and with toothbrushing frequency (<0.001). Likelihood to detect active lesions was up to nine times higher in teeth with abundant plaque (odds ratio (OR) 8.73; confidence interval (CI) 5.35-14.25), and up to seven times higher in individuals brushing teeth irregularly (OR 6.88; CI 2.21-21.41). Conclusions: The obtained data indicate high treatment needs in the erupted permanent molars of the Lithuanian pre-school population and imply that caries management should primarily focus on improved biofilm removal, accompanied with regular use of fluoridated toothpaste.


Assuntos
Assistência Odontológica para Crianças/estatística & dados numéricos , Cárie Dentária/epidemiologia , Cárie Dentária/terapia , Determinação de Necessidades de Cuidados de Saúde/estatística & dados numéricos , Criança , Pré-Escolar , Estudos Transversais , Índice CPO , Feminino , Humanos , Lituânia/epidemiologia , Masculino , Dente Molar , Razão de Chances , Prevalência , Escovação Dentária/estatística & dados numéricos
6.
BMC Oral Health ; 20(1): 51, 2020 02 14.
Artigo em Inglês | MEDLINE | ID: mdl-32059720

RESUMO

BACKGROUND: Adverse childhood experiences, including physical, sexual or emotional abuse, can have detrimental impacts on child and adult health. However, little research has explored the impact that such early life experiences have on oral health. This study examines whether experiencing adverse childhood experiences before the age of 18 years is associated with self-reported poor dental health in later life. METHODS: Using stratified random probability sampling, a household survey (N = 5307; age range 18-69 years) was conducted in the South of England (Hertfordshire, Luton and Northamptonshire). Data were collected at participants' homes using face-to-face interviews. Measures included exposure to nine adverse childhood experiences, and two dental outcomes: tooth loss (> 8 teeth lost due to dental caries or damage) and missing or filled teeth (direct or indirect restorations; > 12 missing or filled teeth). RESULTS: Strong associations were found between exposure to childhood adversity and poor dental health. The prevalence of tooth loss was significantly higher (8.3%) in those with 4+ adverse childhood experiences compared to those who had experienced none (5.0%; p < 0.05). A similar relationship was found for levels of missing or filled teeth (13.4%, 4+ adverse childhood experiences; 8.1%, none; p < 0.001). Exposure to 4+ adverse childhood experiences was associated with a higher level of tooth loss and restorations at any age, compared to individuals who had not experienced adversity. Demographically adjusted means for tooth loss increased with adverse childhood experience count in all age groups, rising from 1.0% (18-29 years) and 13.0% (60-69 years) in those with none, to 3.0% and 26.0%, respectively in those reporting 4+. CONCLUSIONS: Exposure to childhood adversity could be an important predictive factor for poor dental health. As oral health is an important part of a child's overall health status, approaches that seek to improve dental health across the life-course should start with safe and nurturing childhoods free from abuse and neglect. Given the growing role that dental professionals have in identifying violence and abuse, it seems appropriate to raise awareness in the field of dentistry of the potential for individuals to have suffered adverse childhood experiences, and the mechanisms linking childhood adversity to poor dental health.


Assuntos
Experiências Adversas da Infância/estatística & dados numéricos , Assistência Odontológica para Crianças/estatística & dados numéricos , Saúde Bucal , Adolescente , Adulto , Idoso , Criança , Cárie Dentária/epidemiologia , Inglaterra/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Estudos Retrospectivos , Autorrelato , Perda de Dente/epidemiologia , Adulto Jovem
7.
Pediatrics ; 144(4)2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31501238

RESUMO

BACKGROUND AND OBJECTIVES: Fifteen percent of US children live in households with inadequate food. Children who are food insecure often experience worse physical, emotional, and developmental health outcomes. Authors of previous studies have not examined the quality and cost implications of food insecurity in children. METHODS: This is a retrospective study of 7959 nationally representative US children (aged 1-17 years) in the 2016 Medical Expenditure Panel Survey. Households with food insecurity were identified by ≥3 positive responses to the 30-day, 10-item US Food Security Survey. Main outcomes were annual health expenditures and quality of care indicators: emergency department (ED) and inpatient use, primary care and specialist visits, routine medical and dental care, patient experience measures, and school absenteeism. Logistic and 2-part regression models were constructed to estimate outcomes conditional on sociodemographic and medical covariates. RESULTS: Children in households with food insecurity were more often publicly insured and had special needs compared with all other children. In multivariable logistic regression, household food insecurity was associated with significantly higher adjusted odds of an ED (adjusted odds ratio [aOR] = 1.37) or primary care treatment visit (aOR = 1.24) during the year. Household food insecurity was associated with significantly higher school absenteeism (aOR = 1.74) and lower access to care for routine (aOR = 0.55) or illness (aOR = 0.57) care. There were no differences in annual health expenditures, hospitalizations, or receipt of routine medical or dental care. CONCLUSIONS: Household food insecurity is associated with higher ED use and school absenteeism and lower access to care; however, it was not associated with higher annual health expenditures in children.


Assuntos
Abastecimento de Alimentos/estatística & dados numéricos , Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Atenção Primária à Saúde/estatística & dados numéricos , Absenteísmo , Adolescente , Criança , Pré-Escolar , Assistência Odontológica para Crianças/estatística & dados numéricos , Serviço Hospitalar de Emergência/estatística & dados numéricos , Feminino , Abastecimento de Alimentos/economia , Gastos em Saúde , Necessidades e Demandas de Serviços de Saúde/economia , Hospitalização/estatística & dados numéricos , Humanos , Lactente , Modelos Logísticos , Masculino , Razão de Chances , Atenção Primária à Saúde/economia , Indicadores de Qualidade em Assistência à Saúde , Estudos Retrospectivos , Instituições Acadêmicas/estatística & dados numéricos , Estados Unidos
8.
Niger Postgrad Med J ; 26(3): 158-163, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31441453

RESUMO

Background: An early first dental clinic appointment offers the prospect of prompt preventative care and parental education regarding the oral health of the child. The evidence-based recommendation by dental professionals all over the world is that a child should visit a dentist before or by 1 year of age. Aim: This study aimed to determine the chronological age at and the purpose for a first dental clinic visit amongst children aged 16 years and below attending the Paediatric Dental Clinic at the Lagos University Teaching Hospital (LUTH). Materials and Methods: This was a retrospective study conducted amongst children who attended the Paediatric Dental Clinic at the LUTH between January 2017 and December 2018. Data on age at first dental visit, reasons for attending and other information relevant to the study were collected. Descriptive statistics and Chi-square analysis were conducted, and the level of significance was set at P < 0.05. Results: A total of 1157 children were studied, comprising 580 (50.5%) males and 577 (49.9%) females. Their mean age on their first dental visit was 7.9 ± 3.7 years. Most of the children (31.4%) had their first dental visits at 7 and 9 years, and 0.8% of the children had their first dental visit below the age of 1 year. The most common reason for visiting the dental clinic was dental pain (33.1%). A higher proportion of the children (911 [79.0%]) had their first dental visit for therapeutic purposes, whereas 246 (21.0%) children visited the dental clinic for preventive care. Sex and age at first dental visit were statistically significantly associated with the reason for attendance (P < 0.001). Conclusion: Most children had their first dental visit between the ages of 7 and 9 years, mainly because of pain. It is necessary to create more awareness among parents/caregivers and to establish the concept of dental home.


Assuntos
Assistência Odontológica para Crianças/estatística & dados numéricos , Clínicas Odontológicas/estatística & dados numéricos , Visita a Consultório Médico/estatística & dados numéricos , Saúde Bucal , Pediatria/estatística & dados numéricos , Adolescente , Criança , Pré-Escolar , Feminino , Hospitais de Ensino , Humanos , Masculino , Nigéria , Estudos Retrospectivos
9.
Artigo em Inglês | MEDLINE | ID: mdl-31311179

RESUMO

Dental care under general anaesthesia (GA) is an option when normal treatment cannot be accomplished due to un-cooperation and systemic or cognitive/intellectual disabilities. The purpose of this retrospective cohort study was to analyse the dental treatment under GA in medically compromised and healthy children. The data were collected from the medical records of children who received their dental treatment under GA. The data regarding patient age, sex, general health, and type of treatment were analysed. This clinical trial included 229 study subjects (138 males, 91 females) with an average age of 8.34 (SD 3.78). Counts and relative counts were used for description of qualitative data. The association between the variables was analysed using contingency tables. The significance of the findings was tested by the chi-square test. Most of the children were older pre-school 63 (27.51%) and young school children 102 (44.54%). Medical disability (systemic or intellectual) was diagnosed in 142 children (62.01%); the remaining 87 (37.99%) were healthy children. Dental treatment of primary teeth was more commonly performed in healthy children (65.52%) compared to medically compromised children (58.45%) (p = 0.287). The total number of medically compromised children and the total number of healthy children were both considered to be 100% for the purpose of the following calculations. In terms of permanent dentition, medically compromised children required more extractions and fillings (38.03%, 57.04%) compared to healthy children (14.94%, 17.24%, respectively). The results of this study revealed that dental treatment under GA was more commonly performed in medically compromised children in permanent teeth only in comparison to healthy children. Based on these findings, both health professionals and state authorities should focus more on preventive care in medically compromised children in order to improve their oral health.


Assuntos
Anestesia Dentária/estatística & dados numéricos , Anestesia Geral/estatística & dados numéricos , Assistência Odontológica para Crianças/métodos , Utilização de Instalações e Serviços/estatística & dados numéricos , Padrões de Prática Médica/estatística & dados numéricos , Adolescente , Estudos de Casos e Controles , Criança , Saúde da Criança , Pré-Escolar , Doença Crônica , República Tcheca , Assistência Odontológica para Crianças/estatística & dados numéricos , Feminino , Nível de Saúde , Humanos , Masculino , Avaliação de Resultados em Cuidados de Saúde , Estudos Retrospectivos
10.
Community Dent Oral Epidemiol ; 47(5): 424-430, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31148232

RESUMO

OBJECTIVES: This study aimed to assess the psychometric properties of Child Oral-care Performance Assessment Scale (COPAS). METHODS: Items for the instrument were developed and pilot tested. This questionnaire was implemented in the Australian National Child Oral Health Study 2012-2014, whose aims included the assessment of oral care performance. This nationally representative sample of 23 538 respondents with complete data was divided into five groups: a main validation group and four cross-validation groups, using blocked randomization. Two scales were constructed, full scale with 37 items (COPAS) and a partial scale with a subset of 31 items (COPAS-Partial). Internal consistency was assessed using Cronbach's alpha. Construct validity was assessed using correlation coefficients, and structural validity was ascertained in the main validation group and confirmed in the cross-validation groups using structural equation models. RESULTS: Cronbach's alpha for COPAS was 0.95, and for COPAS-Partial was 0.94. The convergent validity of global satisfaction with oral care and the subscales was r = 0.29-0.51, and that with the overall scales was r = 0.59 for COPAS and r = 0.59 for COPAS-Partial. COPAS (Root mean squared error of approximation (RMSEA) = 0.06, Comparative fit index (CFI) = 0.90, Tucker-Lewis index (TLI) = 0.89, and Coefficient of determination(COD) = 0.99) and COPAS-Partial (RMSEA = 0.07, CFI = 0.91, TLI = 0.90, COD = 0.97) had adequate fit. Structural invariance was present (P-value = 0.97). CONCLUSION: There was acceptable structural validity, construct validity and internal consistency in the models tested for COPAS and COPAS-Partial. COPAS has potential use in the evaluation of the delivery of dental services to children.


Assuntos
Assistência Odontológica para Crianças , Psicometria , Austrália , Criança , Assistência Odontológica para Crianças/estatística & dados numéricos , Humanos , Reprodutibilidade dos Testes , Inquéritos e Questionários/normas
11.
Acta Odontol Scand ; 77(6): 468-473, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30983483

RESUMO

Objective: The aim of this study was to follow attendance patterns longitudinally by exploring length of intervals between routine dental examinations in children at the ages of 5 and 12 years, and study associations between length of recall intervals and caries prevalence, controlled for gender, parent's background and parent's education. Materials and methods: The study included 2960 children in one Norwegian county monitored from 5 to 12 years of age. Data were collected at clinical examinations, from dental records and by parental questionnaires. Length of recall intervals was dichotomized into short (shorter than 18 months) and long (18 months and longer). Data were analysed and tested using Chi-square statistics, correlation coefficient and multivariate regression. The study was ethically approved. Results: Recall intervals were individualized and varied from 4 to 30 months. The most frequent used recall intervals were 12, 18, 20 and 24 months. A majority of children at both ages were given long recall intervals. Multivariate logistic regression showed that the probability of having short interval was higher in children having caries experience than in caries-free children at both 5 years (OR 12.6 CI 9.9-16.0) and 12 years (OR 2.7 CI 2.3-3.1). At 5 years of age, length of recall intervals was associated with parents' background (OR 1.8 CI 1.4-2.4) and parents' education (OR 1.3 CI 1.0-1.5). Conclusions: The results showed that routine intervals were individualized and extended, indicating that more resources were spent on children with the highest need of dental care, aiming at reducing health inequalities.


Assuntos
Agendamento de Consultas , Assistência Odontológica para Crianças/estatística & dados numéricos , Assistência Odontológica/estatística & dados numéricos , Cárie Dentária/prevenção & controle , Serviços de Saúde Bucal/estatística & dados numéricos , Cuidado Periódico , Criança , Pré-Escolar , Cárie Dentária/epidemiologia , Feminino , Humanos , Masculino , Noruega/epidemiologia , Visita a Consultório Médico/estatística & dados numéricos , Fatores de Tempo
12.
Cien Saude Colet ; 24(3): 953-961, 2019 Mar.
Artigo em Português, Inglês | MEDLINE | ID: mdl-30892516

RESUMO

The goal was to assess the access and factors connected to dental visits in children up to age five in the city of Porto Alegre, Brazil. The cross-sectional study was conducted in 10 Basic Health Units through a questionnaire and clinical examination on 560 children. Clinical (visible plaque, gingival bleeding and defs), socio-demographic, and visit access variables were assessed. Poisson Regression was used to calculate the Prevalence Ratios (PR), with a 95% confidence interval. Results showed that 68.2% of children had never gone to a dentist. The main reason reported for not visiting a dentist was not feeling the need (48.7%) and difficult access to a health clinic (15.8%). The purpose of going to the dentist was for prevention/revision (55.8%), and the most sought-after places for visits were the private office (43.9%) and health clinic (39.5%). The final multivariate model showed that age of the child (95%CI, PR = 1.03 (1.02-1.05)), household income (PR = 1.05; (1.01-1.08)), and the mother having completed high school (PR = 1.69 (1.15-2.56)) were associated with seeking dental consultation. Thus, it is crucial to recognize the importance of the family setting during the first years of life.


Assuntos
Assistência Odontológica para Crianças/estatística & dados numéricos , Serviços de Saúde Bucal/estatística & dados numéricos , Acesso aos Serviços de Saúde , Saúde Bucal/estatística & dados numéricos , Adulto , Fatores Etários , Brasil/epidemiologia , Pré-Escolar , Estudos Transversais , Serviços de Saúde Bucal/organização & administração , Placa Dentária/epidemiologia , Escolaridade , Feminino , Hemorragia Gengival/epidemiologia , Humanos , Renda , Lactente , Masculino , Análise Multivariada , Distribuição de Poisson , Inquéritos e Questionários , Adulto Jovem
13.
Ciênc. Saúde Colet ; 24(3): 953-961, mar. 2019. tab
Artigo em Português | LILACS | ID: biblio-989581

RESUMO

Resumo O objetivo foi avaliar o acesso e fatores associados à consulta odontológica em crianças de até 5 anos no município de Porto Alegre, Brasil. Estudo transversal realizado em 10 Unidades Básicas de Saúde, através de questionário e exame clínico em 560 crianças. Foram avaliadas variáveis clínicas (placa visível, sangramento gengival e ceo-s), sociodemográficas, e de acesso à consulta. Regressão de Poisson foi utilizada para cálculo de Razões de Prevalência (RP), com intervalo de confiança de 95%. Os resultados mostraram que 68,2% das crianças nunca haviam ido ao dentista. O principal motivo relatado para a não realização de consulta odontológica foi não ter sentido necessidade (48,7%) e dificuldade de acesso ao posto de saúde (15,8%). A procura pelo dentista teve como propósito a prevenção/revisão (55,8%) e os locais mais procurados para consultas foi o consultório particular (43,9%) e o posto de saúde (39,5%). O modelo multivariado final mostrou que a idade da criança (IC95%, RP = 1,03 (1,02-1,05)), a renda familiar (RP = 1,05; (1,01-1,08)) e a mãe ter concluído o ensino médio (RP = 1,69 (1,15-2,56)) estiveram associados com a procura por consulta odontológica. Assim, torna-se fundamental reconhecer a importância do contexto familiar durante os primeiros anos de vida.


Abstract The goal was to assess the access and factors connected to dental visits in children up to age five in the city of Porto Alegre, Brazil. The cross-sectional study was conducted in 10 Basic Health Units through a questionnaire and clinical examination on 560 children. Clinical (visible plaque, gingival bleeding and defs), socio-demographic, and visit access variables were assessed. Poisson Regression was used to calculate the Prevalence Ratios (PR), with a 95% confidence interval. Results showed that 68.2% of children had never gone to a dentist. The main reason reported for not visiting a dentist was not feeling the need (48.7%) and difficult access to a health clinic (15.8%). The purpose of going to the dentist was for prevention/revision (55.8%), and the most sought-after places for visits were the private office (43.9%) and health clinic (39.5%). The final multivariate model showed that age of the child (95%CI, PR = 1.03 (1.02-1.05)), household income (PR = 1.05; (1.01-1.08)), and the mother having completed high school (PR = 1.69 (1.15-2.56)) were associated with seeking dental consultation. Thus, it is crucial to recognize the importance of the family setting during the first years of life.


Assuntos
Humanos , Masculino , Feminino , Lactente , Adulto , Adulto Jovem , Saúde Bucal/estatística & dados numéricos , Assistência Odontológica para Crianças/estatística & dados numéricos , Serviços de Saúde Bucal/estatística & dados numéricos , Acesso aos Serviços de Saúde , Brasil/epidemiologia , Distribuição de Poisson , Hemorragia Gengival/epidemiologia , Estudos Transversais , Análise Multivariada , Inquéritos e Questionários , Fatores Etários , Serviços de Saúde Bucal/organização & administração , Placa Dentária/epidemiologia , Escolaridade , Renda
14.
Acta Odontol Scand ; 77(5): 359-363, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30789085

RESUMO

OBJECTIVE: To test the association between maternal perception about child's oral health and child dental caries experience and maternal self-perception about oral health. MATERIALS AND METHODS: A cross-sectional study was performed with mothers and their children aged six to 13 years. A questionnaire was applied to mothers. Children were dentally examined using the DMF-T/dmf-t Index. For analysis, Poisson regression models with robust variance were employed for each variable of interest (child dental caries experience and maternal self-report about oral health). Magnitudes of associations were estimated through Prevalence Ratio (PR) as effect measure with 95% confidence intervals (CI). A significant level of p ≤ .05 was adopted. RESULTS: Overall, 131 mothers-children dyads were included. Most of children were girls (52.7%) and aged between 10 to 13 years (60.3%). Negative maternal perception about child's oral health was associated to maternal negative self-perception about oral health (PR 2.54; 95%CI 1.54-4.30) and to higher child dental caries experience (PR 2.21; 95%CI 1.41-3.47). CONCLUSION: Maternal perception about child oral health was associated to child dental caries and to maternal self-report about oral health.


Assuntos
Assistência Odontológica para Crianças/estatística & dados numéricos , Cárie Dentária/psicologia , Relações Mãe-Filho , Mães/psicologia , Saúde Bucal/estatística & dados numéricos , Higiene Bucal/psicologia , Adolescente , Criança , Estudos Transversais , Índice CPO , Cárie Dentária/epidemiologia , Feminino , Humanos , Masculino , Higiene Bucal/estatística & dados numéricos , Autorrelato , Inquéritos e Questionários
15.
Pediatr Dent ; 41(1): 40-46, 2019 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-30803476

RESUMO

Purpose: The purpose of this study was to assess the prevalence of and factors that contribute to sibling-recurrent dental general anesthesia (DGA) at the Department of Pediatric Dentistry, Virginia Commonwealth University, Richmond, Va., USA. Methods: Subjects were recruited from July 25, 2017 to March 15, 2018. The guardian of patients with siblings who attended a university pediatric dental clinic were provided a questionnaire to assess the prevalence and factors associated with recurrent DGA. A provider survey was completed to ensure inclusion/exclusion criteria were met. Results: A total of 40 families with a child presenting for general anesthesia (GA) and who had at least one sibling were included in the study. Of these, 45 percent had sibling-recurrent GA treatment; 20 percent of patients had one sibling; and 25 percent had two or more sibling-recurrent DGA (P<.05). Additionally, 13 percent of the children currently presenting for GA had already been treated under GA, and 15 percent of the siblings previously treated with GA had recurrent caries after GA. Conclusions: Sibling-recurrent general anesthesia is high at Virginia Commonwealth University's Pediatric Dentistry Clinic. This increased prevalence could be due to parental acceptance and positive experiences with DGA. Dental providers should be proactive with prevention of recurrent DGA.


Assuntos
Centros Médicos Acadêmicos/estatística & dados numéricos , Anestesia Dentária/estatística & dados numéricos , Anestesia Geral/estatística & dados numéricos , Assistência Odontológica para Crianças/estatística & dados numéricos , Irmãos , Criança , Pré-Escolar , Cárie Dentária/epidemiologia , Cárie Dentária/terapia , Feminino , Humanos , Lactente , Masculino , Pais , Prevalência , Fatores Socioeconômicos , Inquéritos e Questionários , Virginia/epidemiologia
16.
Eur J Oral Sci ; 127(2): 147-155, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30724404

RESUMO

The aim of this study was to investigate whether there is an association between temperament characteristics of preschool children, dental anxiety, and their dental behaviour. A total of 100 children, aged 3-5 yr, who were attending their initial dental visit accompanied by a parent, were included in this cross-sectional study. Dental anxiety of children was measured using the Facial Image Scale. The behaviour of children during the initial oral examination and oral prophylaxis was assessed using Frankl's behaviour rating scale. Temperament was assessed using Emotionality, Activity, Shyness Temperament Survey for Children (parental ratings). Statistically significant weak linear positive correlations were seen between the following: the percentage duration of definitely negative behaviour and shyness scores (rs  = 0.28); anxiety level and emotionality scores (rs  = 0.28); and anxiety level and shyness scores (rs  = 0.26). Multinomial logistic regression analysis revealed that children with higher anxiety had higher odds of showing definitely negative behaviour, which decreased with increasing age of the child. Emotionality and shyness temperaments may be weakly associated with dental anxiety, and shyness may be weakly associated with the dental behaviour of the preschool child. Definitely negative dental behaviour is associated with dental anxiety and age of the child.


Assuntos
Comportamento Infantil , Ansiedade ao Tratamento Odontológico/psicologia , Assistência Odontológica para Crianças/estatística & dados numéricos , Temperamento , Pré-Escolar , Estudos Transversais , Ansiedade ao Tratamento Odontológico/diagnóstico , Consultórios Odontológicos , Emoções , Humanos , Índia , Relações Interpessoais , Masculino , Pais , Timidez , Inquéritos e Questionários
17.
Rev Saude Publica ; 53: 15, 2019 Jan 31.
Artigo em Inglês, Português | MEDLINE | ID: mdl-30726496

RESUMO

OBJECTIVE: To evaluate whether characteristics of health services, oral health team and dental surgeon are associated with provision of dental care for children up to five years old in Brazilian Primary Health Care. METHODS: A cross-sectional study was conducted with data from 18,114 oral health teams in Brazil, evaluated in 2014 by the National Program for Access and Quality Improvement in Primary Care. The study outcome was the proven performance of dental procedures on children up to five years old. Statistical analysis was performed by Poisson regression based on a hierarchical model, where the first level was composed of service organization variables, the intermediate level composed of unit planning characteristics, and the proximal level composed of variables related to dental surgeon characteristics. RESULTS: Prevalence of dental care performed by oral health teams was 80.9% (n = 14,239). Scheduled appointments and activities of education in health were positively associated with the outcome, as well as planning and programming activities for the population and monitoring and analysis of oral health indicators. Complementary training in public health, continuing education activities and career plan were variables related to dental surgeons associated with the service provision. CONCLUSIONS: One fifth of health units in Brazil do not provide dental care for children in early childhood. Health units' well-structured organization and planning protocols are associated with the provision of this service, as well as better employment relationship and graduate activities for dental surgeons.


Assuntos
Assistência Odontológica para Crianças/estatística & dados numéricos , Padrões de Prática Odontológica/estatística & dados numéricos , Atenção Primária à Saúde/estatística & dados numéricos , Brasil , Pré-Escolar , Estudos Transversais , Feminino , Humanos , Masculino , Distribuição de Poisson
18.
Clinics (Sao Paulo) ; 73: e721, 2018 12 03.
Artigo em Inglês | MEDLINE | ID: mdl-30517306

RESUMO

The aim of this study was to provide an updated review of dental procedures undertaken at the dental unit of the Onco-hematology service of the Instituto da Criança at the Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (ICr/HC-FMUSP). We retrospectively reviewed 565 of 1902 medical and dental records of patients diagnosed with onco-hematological diseases who were seen in a 3-year study (January 2015 to December 2017). We assessed data regarding population characteristics, onco-hematological diagnosis and dental procedures performed. Of the selected medical records, preventive dentistry was the most common procedure undertaken in this population, followed by oral maxillofacial surgeries, restorative dentistry and oral mucositis treatment. The most prevalent malignant diagnosis was acute lymphocytic leukemia, and the most prevalent nonmalignant diagnosis was sickle-cell anemia. Preventive dental procedures represent most of the dental procedures undertaken in hospitalized onco-hematological pediatric patients.


Assuntos
Assistência Odontológica para Crianças/estatística & dados numéricos , Neoplasias/terapia , Doenças Estomatognáticas/prevenção & controle , Adolescente , Criança , Pré-Escolar , Prestação Integrada de Cuidados de Saúde , Serviços de Saúde Bucal , Humanos , Lactente , Recém-Nascido , Registros Médicos , Estudos Retrospectivos , Doenças Estomatognáticas/terapia
19.
Eur J Paediatr Dent ; 19(4): 265-270, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30567441

RESUMO

AIM: The aim of this study was to determine the age at and the reasons for the child's first dental visit, and to assess the oral health status and treatment needs in the analysed group of paediatric patients. MATERIALS AND METHODS: The study involved 320 children (154 girls and 166 boys) aged between 0.7 months and 13.5 years, visiting the dentist for the first time. All parents/legal guardians of the study participants gave written informed consent for participation in the study. Data on the child's age and reason for the dental visit were collected from interviews with parents. The state of oral health and dental treatment needs were assessed based on clinical examination, according to recommendations of the World Health Organization. STATISTICAL ANALYSIS: collected data were entered into an Excel spreadsheet and analysed using IBM SPSS software (version 24). Research hypotheses were verified using the Chi-square independence test at the level of statistical significance p<0.05. RESULTS: The mean age of children at their first dental visit was 3.79 years (+/- 1.82 years). The most common reasons (60%) for the first dental visit were pain followed by dental caries (33.1%) and the presence of decayed teeth (26.9%). The frequency of caries in the population was 75.9%, which means that only one out of four examined children was free from dental caries. Only 23.1% of patients did not require dental treatment and as many as 76.9% of the studied population needed dental treatment. CONCLUSION: Polish children make their first dental visit too late (usually at the age of 4 years) in relation to medical recommendations (between 6 and 12 months of life). The predominant reason for the child's first dental visit is caries and its complications. The results of this study indicate the bad oral health of Polish children making their first dental visit and low health awareness of parents and guardians.


Assuntos
Assistência Odontológica para Crianças/estatística & dados numéricos , Adolescente , Fatores Etários , Criança , Pré-Escolar , Necessidades e Demandas de Serviços de Saúde , Humanos , Lactente , Entrevistas como Assunto , Saúde Bucal , Polônia , Fatores de Tempo
20.
Int J Paediatr Dent ; 28(6): 624-632, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30175414

RESUMO

BACKGROUND: Early-life dental service utilization could improve child dental health. AIM: Identify contextual, socioeconomic, and child characteristics associated with dental visitation by age 3 years. DESIGN: Within a Brazilian birth cohort (N = 435), multivariable regression models were fitted to identify independent predictors of having made a dental visit at age 3 years. Contextual variables considered included health center type (Traditional vs. Family Health Strategy, which perform home visits) and composition of oral health teams at the heath center where mothers accessed prenatal care. RESULTS: Dental visitation was positively associated with Family Health Strategy health centers (36% vs. 23%) and with higher maternal education and family social class. Visitation was lowest among families served by a health center without a dentist, but number of dentists and oral health team composition were not associated with visitation among facilities with ≥1 dentists. Dental visitation was not statistically significantly associated with caries experience but was higher if parents reported worse oral health-related quality of life. The vast majority of dental decay remained untreated. CONCLUSIONS: Dental visits were underutilized, and socioeconomic inequalities were evident. Dental visitation was more common when mothers received prenatal care at Family Health Strategy health centers, suggesting a possible oral health benefit.


Assuntos
Assistência Odontológica para Crianças/estatística & dados numéricos , Saúde da Família , Visita a Consultório Médico , Saúde Bucal , Brasil , Pré-Escolar , Assistência Odontológica para Crianças/psicologia , Cárie Dentária/prevenção & controle , Consultórios Odontológicos , Odontólogos , Escolaridade , Feminino , Humanos , Masculino , Mães/educação , Mães/psicologia , Análise Multivariada , Saúde Bucal/estatística & dados numéricos , Pais , Cuidado Pré-Natal , Qualidade de Vida , Classe Social , Fatores Socioeconômicos , Inquéritos e Questionários
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