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1.
Rev. salud pública Parag ; 10(1): [P66-P73], mar. 2020.
Artigo em Espanhol | LILACS, BDNPAR | ID: biblio-1087933

RESUMO

Introducción: Los pacientes con trastornos mentales están sometidos a un mayor número de factores de riesgo de enfermedades bucodentales y temporomandibulares. Ello debido a los efectos secundarios de las medicaciones que consumen, la falta de autocuidado, la dificultad para acceder a atención, la actitud hacia los profesionales sanitarios y también la falta de cooperación en los tratamientos dentales. Objetivo: Determinar la frecuencia de los trastornos temporomandibulares (TTM) y el índice de dientes cariados, perdidos y obturados (CPO-D) en pacientes con discapacidad psicosocial crónica internados en el Hospital Psiquiátrico de la ciudad de Asunción, Paraguay. Material y Métodos: El estudio tuvo un diseño observacional descriptivo de corte transversal y fue aprobado por el comité de ética institucional. Participaron 139 personas con discapacidad psicosocial crónica de ambos sexos, mayores de 18 años, en el mes de mayo, 2018. Como instrumentos de medición se utilizaron: un cuestionario de 3 preguntas, el examen clínico con 5 indicadores para la variable presencia de TTM, el odontograma para el índice CPO-D y los expedientes clínicos. Resultados: Se encontró una población en su mayoría masculina, con un rango de edad entre 40-50 años, y un alto porcentaje de fumadores activos. Se observó que el 83,5 % de los examinados presentaba TTM. El índice CPO-D fue 22,8. Entre los signos de TTM, el ruido articular fue el más común. Conclusión: Se observó una elevada frecuencia de TTM en las personas con discapacidad psicosocial y un elevado índice CPO-D. Palabras Claves: Salud bucal, trastornos ATM, índice CPO, salud mental, psiquiatría, trastorno psicosocial.


Introduction: Patients with mental disorders are subject to a greater number of risk factors for oral and temporomandibular diseases. This is due to the side effects of the medication they consume, the lack of self-care, the difficulty in accessing medical help, the attitude of the patients towards health professionals and also the lack of cooperation in their dental treatments. Objective: To determined the frequency of temporomandibular disorders (TMD) and the decayed, missing and filled teeth index (DMFT) in people with chronic psychosocial disability admitted to the Psychiatric Hospital of the city of Asunción. Material and Methods: This descriptive, observational and cross-sectional study was approved by the local ethics committee. One hundred and thirty-nine people with chronic psychosocial disabilities, of both sexes, over 18 years of age participated during May, 2018. The instruments used were a 3-item questionnaire, clinical examination with 5 indicators for presence of TMD, the odontogram for the DMFT index and the clinical charts. Results:A predominantly male population, with an age range between 40-50 years, and a high percentage of active smokers was found. TMD was found in 83.5% and the DMFT index was 22.8. Among the signs of TMD, joint noise was the most common. Conclusion:A high frequency of TMD was observed in people with psychosocial disabilities and a high CPO-D index. Key words: Oral health TMJ , disorder, DMF index, mental health, psychiatry


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Transtornos da Articulação Temporomandibular/terapia , Assistência Odontológica para Pessoas com Deficiências , Serviços de Saúde Mental , Paraguai , Saúde Bucal , Assistência Odontológica , Impacto Psicossocial , Transtornos Mentais , Doenças da Boca/tratamento farmacológico , Doenças da Boca/terapia
2.
West Afr J Med ; 37(1): 13-18, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32030706

RESUMO

OBJECTIVES: To assess and compare caries prevalence among institutionalized visually impaired and sighted 10dash;19 year old children in Lagos State, Nigeria. METHODS: A cross sectional study of institutionalized visually impaired and sighted 10-19-year-old adolescents was carried out using the World Health Organisation (WHO) Basic Oral Methods caries diagnostic criteria. A random sample of 10-19-year-old visually impaired and sighted institutionalised children was carried out. The mean decayed, missing, filled teeth (dmft/DMFT) and significant caries (SiC) indices of both groups were obtained and compared with Chi-square test using SPSS version 20. RESULTS: Mean age of visually impaired participants was 16 years while that of sighted was 12.5 years. The male to female ratio was 1:1 among the visually impaired participants and 1:1.5 among the sighted. Caries prevalence of 28.8% (64/222), mean dmft/DMFT 1.98±1.25 and 27.5% (63/229), mean dmft/DMFT 1.90±1.28 were obtained for the sighted and visually impaired 10dash;19 years old children respectively. The significant caries (SiC) indices for both groups were 3.3. CONCLUSION: Caries prevalence among the visually impaired and sighted adolescents in this study was considerable with no significant differences between them. Both populations had significant caries experiences. There is therefore need for oral health promotion among both sighted and visually impaired institutionalized adolescents in this environment.


Assuntos
Adolescente Institucionalizado , Assistência Odontológica para Pessoas com Deficiências/estatística & dados numéricos , Cárie Dentária/epidemiologia , Pessoas com Deficiência Visual , Adolescente , Adulto , Cegueira/complicações , Criança , Estudos Transversais , Cárie Dentária/complicações , Feminino , Humanos , Masculino , Nigéria/epidemiologia , Prevalência , Adulto Jovem
3.
Rev. Soc. Odontol. La Plata ; 29(57): 25-31, dic. 2019. graf
Artigo em Espanhol | LILACS | ID: biblio-1049947

RESUMO

El síndrome de Down (SD) es un trastorno genético que se caracteriza por la presencia de un grado variable de discapacidad cognitiva, rasgos y características físicas peculiares, que también, repercuten a nivel estomatognático. Los autores presentamos un estudio clínico y descriptivo, detallando las características odontológicas y estomatognáticas más prevalentemente diagnosticadas en ochenta (80) pacientes que presentan SD, atendidos durante el lapso de 2 años en el consultorio externo del Hospital Bollini, ubicado en el Instituto Psicopedagógico Especial de la Ciudad de La Plata. Nuestro objetivo fue evaluar las manifestaciones clínico­epidemiológicas del paciente con SD, y cómo estas repercuten en el funcionamiento y estructura del sistema estomatognático


Down syndrome (DS) is a genetic disorder characterized by the presence of a variable degree of cognitive disability, features and peculiar physical characteristics, affecting them at the stomatognathic level. We present a clinical and descriptive study, detailing the dental and stomatognathic characteristics most prevalently diagnosed in 80 eighty patients with SD, treated during a period of 2 years in the outpatient clinic of Hospital Bollini, located in The Special Psycopedagogical Institute of the city of La Plata Our the objetive was evaluate the clinical and epidemiological manifestastations of the patient's of SD, and how these affect functioning and structure of the stomatognatic system


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Criança , Adolescente , Anormalidades Dentárias , Síndrome de Down/complicações , Assistência Odontológica para Pessoas com Deficiências , Síndrome de Down
4.
Rev. Soc. Odontol. La Plata ; 29(57): 25-31, dic. 2019. ilus, tab
Artigo em Espanhol | LILACS | ID: biblio-1051032

RESUMO

El síndrome de Down (SD) es un trastorno genético que se caracteriza por la presencia de un grado variable de discapacidad cognitiva, rasgos y características físicas peculiares, que también, repercuten a nivel estomatognático. Los autores presentamos un estudio clínico y descriptivo, detallando las características odontológicas y estomatognáticas más prevalentemente diagnosticadas en ochenta (80) pacientes que presentan SD, atendidos durante el lapso de 2 años en el consultorio externo del Hospital Bollini, ubicado en el Instituto Psicopedagógico Especial de la Ciudad de La Plata. Nuestro objetivo fue evaluar las manifestaciones clínico­epidemiológicas del paciente con SD, y cómo estas repercuten en el funcionamiento y estructura del sistema estomatognático (AU)


Down syndrome (DS) is a genetic disorder characterized by the presence of a variable degree of cognitive disability, features and peculiar physical characteristics, affecting them at the stomatognathic level. We present a clinical and descriptive study, detailing the dental and stomatognathic characteristics most prevalently diagnosed in 80 eighty patients with SD, treated during a period of 2 years in the outpatient clinic of Hospital Bollini, located in The Special Psycopedagogical Institute of the city of La Plata Our the objetive was evaluate the clinical and epidemiological manifestastations of the patient's of SD, and how these affect functioning and structure of the stomatognatic system (AU)


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Criança , Adolescente , Sistema Estomatognático , Síndrome de Down/complicações , Assistência Odontológica para Pessoas com Deficiências , Argentina , Anormalidades Dentárias , Epidemiologia Descritiva , Unidade Hospitalar de Odontologia
5.
Prensa méd. argent ; 105(9 especial): 596-600, oct 2019.
Artigo em Inglês | LILACS, BINACIS | ID: biblio-1046692

RESUMO

One of the reasons for early tooth loss in the population is dental caries and periodontal diseases. Programs for the prevention of these diseases and delivery of dental care are planned on the basis of a study of dental disease incidence in various groups of the population, including the disadvantaged groups. Russian medical care system is in dire need of socially-oriented assistance to various groups of the country's population. Patients with hearing impairments constitute one of the aforementioned groups. Creating a program for the prevention of dental diseases for people with hearing disabilities is one of the important tasks of dental care. Currently, there are several directions of dental disease prevention: use of fluoride-enriched toothpaste, fluoridation of drinking water, correction of daily rations using foods rich in natural fluorine or artificially enriched with fluorine, and the use of fluoride-containing food additives.


Assuntos
Humanos , Planos e Programas de Saúde/organização & administração , Assistência Odontológica/organização & administração , Assistência Odontológica para Pessoas com Deficiências/organização & administração , Saúde da Pessoa com Deficiência
6.
Matern Child Health J ; 23(12): 1587-1594, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31552578

RESUMO

OBJECTIVES: To investigate the impact of adaptive functioning and oral hygiene practices on tooth-brushing performance among preschool children with special health care needs (SHCN). METHODS: A cross-sectional study was conducted in Special Child Care Centers. Children's tooth-brushing performance was assessed by a standardized 13-step pro forma. Information regarding children's socio-economic status, adaptive skills, and oral hygiene practices were collected. Bivariate analysis and ANCOVA were used to explore the potential factors which might be associated with children's tooth-brushing performance. RESULTS: The tooth-brushing assessment was provided to 379 children with SHCN. Approximately 3% of the recruited children performed the whole tooth-brushing procedure independently. The number of tooth-brushing steps practiced by those children was 4.47 ± 3.56. Children who had established tooth-brushing habit before age one practiced more tooth-brushing steps than children who brushed their teeth after age one (p = 0.029). When children's age, gender, and socio-economic status were adjusted, children who had established regular tooth-brushing habit or children who had high levels of adaptive skills showed better tooth-brushing performance than their peers. Children who used gauze, cotton swab, or dental floss to clean their teeth practiced fewer key tooth-brushing steps than their peers who had never used additional cleaning approaches (p = 0.038). CONCLUSIONS FOR PRACTICE: Children's tooth-brushing performance was associated with adaptive skills and oral hygiene practices. Tooth-brushing training should be provided to children with SHCN in early childhood. For children who had limitations in adaptive functioning, parental assistance or supervision is recommended to guarantee the efficacy and safety of daily tooth brushing.


Assuntos
Assistência Odontológica para Pessoas com Deficiências , Higiene Bucal , Escovação Dentária , Criança , Pré-Escolar , China , Estudos Transversais , Feminino , Serviços de Saúde para Pessoas com Deficiência , Humanos , Masculino , Saúde Bucal
7.
Orv Hetil ; 160(35): 1380-1386, 2019 Sep.
Artigo em Húngaro | MEDLINE | ID: mdl-31448643

RESUMO

Introduction: Dental care for mentally disabled people poses a growing challenge for healthcare. In Hungary, the number of mentally disabled people needing special dental care is ca. 100 000. Aim: The aim of our retrospective analysis is to provide a summary of the demographic data and the treatment outcomes of patients with mental disorders treated at the Department of the Oral and Maxillofacial Surgery of the Semmelweis University in the past five years. Method: Dental care for patients with a severe level of mental disability can be carried out in general anaesthesia only. At Semmelweis University, in the Oral and Maxillofacial Department, 1717 mentally disabled adults received dental care during the past five years. (Patients included people with a mild, medium or severe level of mental disability, patients with Down's syndrome, autism, epilepsy or panic disorder.) Results: The single biggest achievement seems to be the fact that the issue of acute dental care and oral surgery has basically been settled. A workable relationship has been forged with foundations and organizations dealing with the problems of these patients. It has been realized, however, that in the case of mentally disabled patients there is an enormous need for prevention and ongoing care. Conclusions: Up to now no survey has been carried out in Hungary with the aim of objectively revealing the dental care needs of these patients. Internationally, however, several surveys have been published. It can be stated on the basis of these that both caries frequency and the presence of parodontal diseases increase in correlation with age and the level of disability. Oral hygiene is insufficient, patients or their caretakers do not get proper information, only a few of them receive adequate training and they are not motivated to keep up oral health. Dental care, except for tending acute cases, is not satisfactory. For the sake of prevention, cooperation is needed with non-governmental organizations, foundations, special education teachers and psychiatrists specialized in this field. Orv Hetil. 2019; 160(35): 1380-1386.


Assuntos
Assistência Odontológica para Pessoas com Deficiências/estatística & dados numéricos , Cárie Dentária/cirurgia , Pessoas com Deficiência Mental/estatística & dados numéricos , Doenças Periodontais/cirurgia , Cirurgia Bucal/estatística & dados numéricos , Adulto , Assistência Odontológica para Pessoas com Deficiências/tendências , Cárie Dentária/epidemiologia , Humanos , Hungria/epidemiologia , Doenças Periodontais/epidemiologia , Estudos Retrospectivos , Cirurgia Bucal/tendências
8.
Br Dent J ; 227(4): 311-315, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31444449

RESUMO

Diagnostic overshadowing can be described as a concept whereby symptoms of physical ill health are mistakenly attributed by healthcare professionals to either a mental health or behavioural problem, or as being inherent in the person's disability. This can lead to a failure to diagnose and treat appropriately. Although widely discussed in medicine, this issue has not been previously highlighted in the dental speciality, yet it can lead to significantly detrimental general and oral health outcomes for vulnerable patients. This article focuses on the care of patients with learning disabilities and the prevention of diagnostic overshadowing in dentistry through the application of reasonable adjustments to care and education within the dental team.


Assuntos
Assistência Odontológica para Pessoas com Deficiências , Pessoas com Deficiência , Deficiências da Aprendizagem , Odontologia , Humanos
9.
Br Dent J ; 227(1): 15-18, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31300774

RESUMO

Special care dentistry (SCD) provides holistic oral service provision for people with complex health and care needs. These can include physical, sensory, intellectual, mental, medical, emotional or social impairment or disability or, more often, a combination of these factors. The level of disability within these population groups can vary, and a proportion of people will have multiple and overlapping impairments and/or medical conditions. This paper explores a number of possible research methods that may better reflect the diversity and challenges of this population group, where the emphasis is placed on co-production and co-design.


Assuntos
Assistência Odontológica para Pessoas com Deficiências , Pessoas com Deficiência , Odontologia , Humanos
11.
BMC Oral Health ; 19(1): 63, 2019 04 27.
Artigo em Inglês | MEDLINE | ID: mdl-31029116

RESUMO

BACKGROUND: Visual impairment is an important disability affecting a substantial proportion of people globally. The aim of this study was to assess the oral health status of visually impaired schoolchildren in northeast China, and to investigate the influencing factors. METHODS: The study was performed in 2015, according to the criteria and methods used in the Third National Oral Health Epidemiological Survey in China. One hundred and three visually impaired schoolchildren from the only special school for the blind in northeast China were included in the study. Oral examinations were performed to assess the caries of deciduous and permanent teeth, periodontal disease, malocclusion. A questionnaire-based survey was conducted to investigate oral health-related behaviors, knowledge and attitude about oral care. RESULTS: The overall prevalence of caries was 78.64%, and mean number of caries was 2.43 ± 2.75. The prevalence of caries in deciduous and permanent teeth was 65.22 and 71.84%, respectively. The rates of gingival bleeding and dental calculus were 44.66 and 67.96%, respectively. Malocclusion was observed in 49.51% of the children with visual impairment. The prevalence of caries was significantly higher in girls than boys (P < 0.05). The logistic regression analysis identified the knowledge level of parents and the toothache experience as risk factors for oral health, while the daily use of fluoride toothpaste could reduce the caries incidence. CONCLUSIONS: This group of visually impaired schoolchildren exhibited a high prevalence of dental caries, poor periodontal health, and severe malocclusion. Oral health status is relatively poor among visually impaired schoolchildren in northeast China. Factors that significantly affected the prevalence of dental caries included education level of the mother, experience of toothache, and use of fluoride toothpaste.


Assuntos
Cegueira/epidemiologia , Cárie Dentária/epidemiologia , Saúde Bucal , Doenças Periodontais , Cegueira/complicações , Cegueira/psicologia , Criança , China/epidemiologia , Estudos Transversais , Índice CPO , Assistência Odontológica para Pessoas com Deficiências , Cárie Dentária/complicações , Feminino , Nível de Saúde , Humanos , Masculino , Índice de Higiene Oral , Prevalência , Qualidade de Vida , Perfil de Impacto da Doença
12.
J Dent Educ ; 83(6): 669-678, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30910924

RESUMO

The aim of this study was to explore dental students' attitudes about treating populations that are low-income rural, non-white, and with special needs. All 259 students in all four years at one U.S. dental school were invited in January 2018 to participate in a survey with questions about treating these three populations in the following areas: personal value, perceived preparedness, comfort, future intent to treat, and professional responsibility. A total of 227 students completed the survey, for an overall 87.6% response rate. By class, participants were as follows: D1 n=63, 100% response rate; D2 n=60, 98.4% response rate; D3 n=67, 98.5% response rate; and D4 n=37, 53.6% response rate. The results showed that dental school class did not predict willingness to treat the specified populations. Regarding populations that are rural and non-white, personal value and professional responsibility significantly correlated with intent to treat. Women perceived stronger professional responsibility regarding treatment of populations that are low-income rural (M=1.97, SD=1.09; p=0.004) and non-white (M=1.95, SD=1.07; p=0.013) than did men (M=2.44, SD=1.23; M=2.34, SD=1.22, respectively). More advanced students reported greater preparedness regarding populations that are rural and non-white, but not patients with special needs. Preparedness correlated with intent to treat for patients with special needs only. Women were less comfortable than men in treating patients with special needs (χ2=6.10, p=0.014). Hometown residence had a limited effect for patients with special needs only. Rural residence did not predict students' attitudes about serving rural patients. Overall, the students reported positive intentions to serve populations that are low income, but showed less confidence and willingness in treating patients with special needs, especially among women. These results suggest that the students' comfort in serving patients with low income was more static and less malleable than preparedness. As preparedness and personal value were positively correlated, students may have found worthwhile what they felt prepared to do.


Assuntos
Atitude do Pessoal de Saúde , Assistência Odontológica para Pessoas com Deficiências , Assistência Odontológica , Grupos Minoritários , Pobreza , População Rural , Estudantes de Odontologia/psicologia , Assistência Odontológica para Pessoas com Deficiências/psicologia , Feminino , Humanos , Masculino , Faculdades de Odontologia/estatística & dados numéricos , Estudantes de Odontologia/estatística & dados numéricos , Inquéritos e Questionários , Estados Unidos
14.
Oral Dis ; 25(4): 1221-1228, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30725497

RESUMO

OBJECTIVE: To investigate the oral health status and associated factors among preschool children with special healthcare needs. SUBJECTS AND METHODS: This was designed as a cross-sectional study. Dental examination was provided to 383 children at Special Child Care Centres. Covariates of interest included children's age, developmental profile, oral health-related behaviours and family social-economic status. The association between children's dental caries experiences, dental plaque deposition and gingival health status were analysed by negative binomial regression, multiple factor ANOVA and binary logistic regression when appropriate. RESULTS: The proportion of children with caries, gingival inflammation and plaque were 30.3%, 89.6% and 95.0%, respectively. Final regression models indicated that (a) tooth decay was associated with dental visit experiences, night bottle-feeding habit, fluoridated toothpaste and monthly income; (b) plaque deposition was associated with intellectual functioning, practical skills, night bottle-feeding habit, use of toothpaste, initiation of toothbrushing habit, toothbrushing duration and additional cleaning habit; (c) gingival status was associated with children's intellectual functioning and toothbrushing frequency. CONCLUSIONS: Poor oral hygiene status existed among preschool children with special healthcare needs. Children's oral health status was associated with their developmental profile, oral health-related behaviours and social-economic status.


Assuntos
Assistência Odontológica para Pessoas com Deficiências , Saúde Bucal , Higiene Bucal , Escovação Dentária , Pré-Escolar , China , Estudos Transversais , Índice CPO , Cárie Dentária , Placa Dentária , Feminino , Serviços de Saúde para Pessoas com Deficiência , Humanos , Masculino
15.
Bull Tokyo Dent Coll ; 60(1): 53-60, 2019 Feb 28.
Artigo em Inglês | MEDLINE | ID: mdl-30700644

RESUMO

The purpose of this study was to survey parental satisfaction with ambulatory anesthesia during dental treatment in disabled patients. Factors associated with parental preference for general anesthesia during future dental treatment in such patients were also investigated. A questionnaire was mailed to the parents of 181 disabled individuals who underwent dental treatment under ambulatory anesthesia at Tokyo Dental College Suidobashi Hospital between 2012 and 2016. A total of 71 responses were received (39.2%). The mean patient age was 18 years, and disabilities included autism spectrum disorder, intellectual disability, cerebral palsy, and epilepsy. The items surveyed included dental treatment details, number of times patients received general anesthesia, type of anesthetic used, anesthesia induction method, durations of treatment and anesthesia, and the presence or absence of intraoperative or postoperative complications. Questionnaire items queried problems related to dental care, anesthesia history, preoperative anxiety, length of fasting period, induction of general anesthesia, nursing and hospital room environment, postoperative anxiety, overall evaluation, and whether the parent would prefer general anesthesia during future dental treatment. The patients were divided into 2 groups: those whose parents preferred general anesthesia during future dental treatment and those whose parents did not. The results revealed that, where disabled individuals had previously received general anesthesia during dental treatment, the parents were more likely to prefer general anesthesia during future dental treatment.


Assuntos
Anestesia Dentária/métodos , Assistência Odontológica para Pessoas com Deficiências/métodos , Pais , Satisfação do Paciente , Adolescente , Adulto , Assistência Ambulatorial/métodos , Assistência Ambulatorial/psicologia , Anestesia Dentária/psicologia , Transtorno do Espectro Autista/complicações , Paralisia Cerebral/complicações , Criança , Assistência Odontológica para Pessoas com Deficiências/psicologia , Epilepsia/complicações , Feminino , Humanos , Deficiência Intelectual/complicações , Masculino , Pessoa de Meia-Idade , Pais/psicologia , Inquéritos e Questionários , Adulto Jovem
16.
Spec Care Dentist ; 39(2): 180-187, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30729554

RESUMO

AIMS: This was a pilot study assessing the impact of a sensory adapted dental environment (SADE) on children with developmental disabilities (DD) receiving routine dental care. METHODS: A crossover study of 22 children with DD, aged 6 through 21, was conducted at a University Pediatric Dental clinic. Each participant was randomized to a sequence of two dental cleanings on a 3- to 4-month recall schedule, one with a regular dental environment (RDE) and one with SADE. Outcomes included physiological measures (heart rate and oxygen saturation) and cooperation (Frankl scores). RESULTS: Study subjects completed 36 visits. None of the physiological measures differed at either time point between the two treatment settings. The Frankl scores were significantly higher with SADE setting than RDE (P = 0.0368). Forty-six percent of parents strongly agreed that they would prefer the SADE for their child's next visit. CONCLUSION: SADE may be associated with improved behavior in children with DD.


Assuntos
Ansiedade ao Tratamento Odontológico/prevenção & controle , Assistência Odontológica para Crianças/métodos , Assistência Odontológica para Pessoas com Deficiências/métodos , Deficiências do Desenvolvimento , Crianças com Deficiência , Ambiente de Instituições de Saúde , Adolescente , Criança , Estudos Cross-Over , Feminino , Humanos , Masculino , Projetos Piloto , Adulto Jovem
17.
Pesqui. bras. odontopediatria clín. integr ; 19(1): 4057, 01 Fevereiro 2019. tab, graf
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-998006

RESUMO

Objective: To characterize the profile of patients with special needs assisted at a Dentistry School of a Brazilian University. Material and Methods: A retrospective and descriptive study was carried out through the analysis of 329 dental records from individuals with special needs assisted at the Dentistry for Special Needs Patients discipline between 2012 and 2017. Data on gender, age, race, monthly family income, schooling, medical diagnosis of the disabling condition, drug used and type of dental procedures performed were reviewed. Data were analyzed by descriptive and inferential statistics (Shapiro-Wilk and t-student tests) with 5% significance level. Results: There was higher prevalence of females (50.5%) aged 45-54 years (18.7%), low schooling (36.2%) and monthly income of 1 minimum wage (61.9%). Most special needs were chronic systemic diseases (67.2%) and endocrine-metabolic diseases (16.7%). Among patients investigated, 66.3% used anti-hypertensive (38.3%) and anti-inflammatory (20.6%) drugs. Of dental procedures performed, curative procedures were the most prevalent in the majority of patients (90.6%). Conclusion: The profile of most patients with special needs was characterized by females with chronic systemic diseases and mean age of 39.6 years, low schooling and monthly family income of up to 1 minimum wage, whose main reason for the visit was the search for curative dental treatment.


Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Universidades , Brasil , Pessoas com Deficiência , Assistência Odontológica para Pessoas com Deficiências , Serviços de Saúde Bucal , Registros Médicos , Estudos Transversais/métodos , Estudos Retrospectivos , Estatísticas não Paramétricas
18.
Odontoestomatol ; 21(33): 28-36, ene.-jun. 2019.
Artigo em Espanhol | LILACS, InstitutionalDB | ID: biblio-1008392

RESUMO

El objetivo de la presente investigación fue evaluar la percepción de los estudiantes de la Facultad de Odontología de la Universidad Federal de Rio Grande do Sul (FO-UFRGS), que cursaron la disciplina electiva de Atención Odontológica para Pacientes con Necesidades Especiales (PNE), en relación a dicho curso. Se realizó un estudio longitudinal, observacional y analítico, en el cual se aplicó un cuestionario con 20 preguntas abiertas y cerradas a 64 estudiantes de 9º y 10º semestre que habían cursado la disciplina antes mencionada. El 98,4% (n=63) de los alumnos se sintió conmovido y obtuvo una lección de vida con los pacientes; el 86% (n=55) se identificó con la atención odontológica a PNE; el 67,2% (n=43) no mostró interés en especializarse en el área; sin embargo, el 76,6% (n=49) manifestó estar preparado para realizar atención a PNE; el 98,4% (n=63) recomendaría esta disciplina a sus compañeros; el 100% (n=64) consideró que el aprendizaje obtenido fue importante para su formación académica como cirujano dentista y que esta disciplina debería ser obligatoria en la malla curricular. Para los estudiantes encuestados, la disciplina de Atención Odontológica para PNE es importante para su formación y debe ser considerada obligatoria; les ha permitido conocer una nueva realidad y desmitificar sus miedos y preconceptos; además, los ha tornado profesionales más capacitados y con mayor empatía para atender dicha población.


The aim of this research was to evaluate the perception of the students of the School of Dentistry of the Federal University of Rio Grande do Sul (FO-UFRGS) who took the elective subject of Dental Care for Patients with Special Needs (PSN) in relation to said course. A longitudinal, observational and analytical study was carried out, in which a questionnaire with 20 open and closed questions was applied to 64 students of 9th and 10th semester who had taken this subject. A total of 98.4% (n = 63) of the students felt moved and learnt a life lesson with the patients; 86% (n = 55) identified with dental care for PSN; 67.2% (n = 43) showed no interest in specializing in the area; however, 76.6% (n = 49) said they were prepared to work with PSN; 98.4% (n = 63) would recommend this area to their peers; 100% (n = 64) considered that what they learned was important for their academic training as dental surgeons and that this discipline should be obligatory in the course curriculum. The students surveyed believe this area is important for their training and should be considered obligatory; it has allowed them to see a new reality and demystify their fears and preconceptions. In addition, it has made them more qualified professionals with greater empathy to serve this population.


Assuntos
Humanos , Estudantes de Odontologia , Assistência Odontológica para Pessoas com Deficiências , Educação em Odontologia
19.
Arch. Health Invest ; 8(1): 33-38, jan. 2019. ilus, tab
Artigo em Português | BBO - Odontologia | ID: biblio-995074

RESUMO

A microcefalia é uma condição onde o perímetro cefálico do bebê encontra-se consideravelmente menor quando comparada com o de outras crianças do mesmo sexo e idade. Em 2015 registrou-se um aumento no número de crianças nascidas com microcefalia, sendo esta associada ao Zika vírus (ZIKV). Os pacientes com microcefalia normalmente manifestam alterações neurológicas, craniofaciais e bucais. O objetivo deste estudo é descrever as características clínicas da microcefalia associada ao ZIKV e apresentar a abordagem odontológica preventiva e educativa em um paciente com esta patologia. Paciente do gênero masculino, 1 ano e 11 meses de idade, compareceu à Policlínica Odontológica da Universidade do Estado do Amazonas para atendimento. Na anamnese, o responsável relatou que o paciente apresentava microcefalia com atraso no desenvolvimento neuropsicomotor, diagnosticado desde o nascimento. No exame físico foi observada falta de sustentação e encurtamento do pescoço, testa estreita e nariz amplo. Ao exame intrabucal apresentava boa condição de higiene e sem cáries. Foi realizado tratamento preventivo com profilaxia e aplicação tópica de flúor e o responsável recebeu orientações educativas sobre higiene oral. O crescimento do número de pacientes com microcefalia, associado ao fato de que pacientes especiais têm um risco aumentado para desenvolver doenças bucais, mostram a importância da prevenção e educação em saúde odontológica pois estas possibilitarão o condicionamento do paciente, manutenção da saúde bucal, estreitamento do vínculo família-paciente-profissional além de novas perspectivas para a atuação profissional de outros colegas(AU)


Microcephaly is a medical condition in wich the baby's head circumference is considerably smaller when compared to other children of the same gender and age. In 2015 there was an increase in the number of children born with microcephaly, which was associated with the Zika virus. Microcephaly's patients usually presents neurological, craniofacial and oral alterations. The objective of this study is to describe the clinical characteristics of microcephaly associated with ZIKV and present the preventive and educational dental approach in a patient with this pathology. A male patient, 1 year and 11 months old, attended at Dental clinic of the Amazonas State University for assistance. In the anamnesis, the sponsor reported that the patient had microcephaly with delayed neuropsychomotor development, diagnosed from birth. At physical exam was observed lack of support and shortening the neck, narrow forehead and large nose. The intrabuccal examination showed good hygiene and no tooth decay. Preventive treatment was performed with prophylaxis and topical fluoride application and the sponsor received educational guidelines on oral hygiene. The increase in the number of patients with microcephaly, associated with disabled are increased risk for developing oral diseases, show us the importance of prevention and education in dental care, since these will enable patient conditioning, oral health maintenance, family-patient-professional link in addition to new perspectives for the professional performance of other colleagues(AU)


La microcefalia es una condición donde el perímetro cefálico del bebé se encuentra considerablemente menor cuando se compara con el de otros niños del mismo sexo y edad. En 2015 se registró un aumento en el número de niños nacidos con microcefalia, siendo esta asociada al Zika virus (ZIKV). Los pacientes con microcefalia normalmente manifiestan alteraciones neurológicas, craneofaciales y bucales. El objetivo de este estudio es describir las características clínicas de la microcefalia asociada al ZIKV y presentar el abordaje odontológico preventivo y educativo en un paciente con esta patología. Paciente del género masculino, 1 año y 11 meses de edad, compareció a la Policlínica Odontológica de la Universidad del Estado de Amazonas para atención. En la anamnesis, el responsable relató que el paciente presentaba microcefalia con retraso en el desarrollo neuropsicomotor, diagnosticado desde el nacimiento. En el examen físico se observó falta de sustentación y acortamiento del cuello, frente estrecho y nariz amplia. En el examen intrabucal presentaba buena condición de higiene y sin caries. Se realizó tratamiento preventivo con profilaxis y aplicación tópica de flúor y el responsable recibió orientaciones educativas sobre higiene oral. El crecimiento del número de pacientes con microcefalia, asociado al hecho de que pacientes especiales tienen un riesgo aumentado para desarrollar enfermedades bucales, muestran la importancia de la prevención y educación en salud odontológica pues éstas van a posibilitar el condicionamiento del paciente, mantenimiento de la salud bucal, estrechamiento del paciente, el vínculo familiar-paciente-profesional además de nuevas perspectivas para la actuación profesional de otros colegas(AU)


Assuntos
Humanos , Masculino , Lactente , Assistência Odontológica para Pessoas com Deficiências , Zika virus , Microcefalia , Saúde Bucal , Educação em Saúde , Promoção da Saúde
20.
Spec Care Dentist ; 39(1): 20-27, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30506821

RESUMO

AIM: Children with developmental and/or intellectual disabilities (DD/ID) are considered to be at greater risk of developing dental disease and are more likely to have unmet dental needs than other children. The purpose of this study was to determine the attitude and willingness of pediatric dentists and residents to provide dental care for children with DD/ID. METHODS: Two surveys were created and emailed via SurveyMonkey® to pediatric dentists and post-doctoral student members of the American Academy of Pediatric Dentistry. RESULTS: Five hundred and seventy-four pediatric dentists (9%) and 143 pediatric dentistry residents (13%) responded. Ninety-nine percent of the practicing pediatric dentists do provide dental care for children with DD/ID. Ninety-six percent of the practitioners are confident/very confident in treating these children with nonpharmacological methods, while 86% are confident/very confident with pharmacological methods. Among the residents, 99% are willing to provide dental care to children with DD/ID after they graduate. Eighty-six percent of the residents are confident/very confident in treating these children with nonpharmacological methods, while 70% are confident/very confident with pharmacological methods. CONCLUSION: Pediatric dentist and resident respondents to the survey were overwhelmingly willing to provide dental care for patients with DD/ID and are confident with pharmacological and nonpharmacological treatment modalities.


Assuntos
Atitude do Pessoal de Saúde , Assistência Odontológica para Crianças , Assistência Odontológica para Pessoas com Deficiências , Odontólogos/psicologia , Adulto , Criança , Feminino , Humanos , Internato e Residência , Masculino , Inquéritos e Questionários , Estados Unidos
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