Ainda existem muitos tabus na sociedade sobre o acompanhamento odontológico durante a gestação e que, somado ao desconhecimento por parte dos profissionais, dificultam a difusão do conceito de pré-natal odontológico. O objetivo deste estudo foi sintetizar as principais evidências acerca do manejo da mulher durante a gestação, apontando as principais condutas que os profissionais devem adotar no estabelecimento de um protocolo holístico de pré-natal odontológico. No período de outubro/2020 a março/2021, as seguintes bases de dados foram acessadas: EMBASE, SCOPUS, MEDLINE (Entrez PubMed), Web of Science, BVS/LILACS, Cochrane Library e SCIELO. Foram incluídos estudos publicados entre janeiro/2000 a março/2021 em espanhol, inglês e português. O atendimento odontológico durante a gravidez é seguro e recomendado e os protocolos odontológicos preventivos devem ser adotados à todas as gestantes. Os procedimentos odontológicos clínicos podem ser realizados durante toda a gestação quando necessários, desde que existam justificativas plausíveis. Os profissionais devem realizar a anamnese e o exame clínico de maneira minuciosa a fim de evitar a exposição desnecessária das pacientes aos exames radiográficos e ao sobretratamento. É de suma importância que os cirurgiões-dentistas conheçam as indicações e contraindicações da radiografia odontológica, terapia medicamentosa e uso de anestésicos locais na gravidez, a fim de atuar com segurança, garantindo saúde para as mulheres e seus filhos.
Introduction: Prenatal care is a fundamental moment for health promotion to be carried out, since at that moment women are more receptive to new knowledge, with the aim of providing better healthcare for the baby. This study aimed to evaluate the knowledge, attitudes and practices of undergraduate students and professionals, both from the public and from private sectors in Brazil, regarding dental prenatal care.
Materials and Methods:This study corresponded to an online questionnaire survey, via Google Forms, consisting of 17 general questions for undergraduates (n = 103) and 16 for professionals (n = 227) for demographic and school mapping, and 18 specific questions about the importance and protocol of dental prenatal care. T-test, Mann-Whitney U-test and multiple linear regression were adopted (p < .05).
Results:The average total score of the questionnaire for students and professionals was 12.40 and 15.65, respectively (p < .0001), indicating moderate knowledge.Professionals showed a higher prevalence of moderate (77%) and high (2%) knowledge of the subject when compared to undergraduate students (51% and 0% respectively). The graduation period in which the students were enrolled was a predictor of the total score of the questionnaire [F (1, 101) = 21.21; p < .0001; R 2 = .165]. The female gender and the lower weekly workload were the main predictors of the total score of the questionnaire for professionals [F (3, 223) = 6.74; p < .0001; R 2 = .083].
Conclusions:Although professionals have greater knowledge about dental prenatal care than students, there are still deficiencies in the knowledge and practices of them in respect of dental management during pregnancy. Higher education institutions need to change the teaching-learning plan regarding the holistic dental approach for women during pregnancy.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.