Objective: To evaluate the factors related to the time of exclusive breastfeeding (EBF) in infants from Pará de Minas and Três Corações (Minas Gerais) and Brumado (Bahia), Brazil. Material and Methods: All mothers attended in public and private hospitals of these cities between June and December 2012 (n=156) were invited to answer an interview related to EBF. Data were collected: (1) at maternity ward; (2) at 4 and (3) 6 months of the infant's life. In (2) and (3), data were collected by phone. Data were recorded in the SPSS software, and descriptive analyses and association of exposure and outcome variables related to the practice of EBF were performed. The chi-square test was used, considering p <0.05. Results: The total of women was in (1) 156, (2) 104 and (3) 123, and the EBF rate was 50.0%, 39.0% and 4.8%, respectively. In (1) mothers with lower schooling level have opted for EBF more frequently. In (1), the use of bottle did not interfere in EBF; on the other hand, in (2) and (3), the use of bottle has decreased the frequency of EBF (p < 0.05). Conclusion: The ideal frequency of EBF recommended by WHO to the six months of the infant's life is not followed in the evaluated cities. In addition, EBF can be influenced by the use of bottle and maternal schooling level.
The benign migratory glossitis (BMG), for having characteristics of a geographic map is popularly known as the geographic tongue. It is a pathology that affects the dorsum of the tongue, the lesions appear with irregular erythematous plates that have circular shapes with edge bounded by a white-yellowish line, slightly protruding or flat and well-defined, is benign and non-contagious. Its etiology is multifactorial, usually asymptomatic, and may vary from size, location, and duration. This work aimed to report an unusual BMG case. A male child, 3 years old, presented a single area of impapilation on the lingual dorsum, after suffering a period of stress, which is repeated every month in exactly the same area. Stress periods can be present at any time in life, and as with adults, can trigger injuries and variations in normality in children. The importance of diagnotic exercise has a direct correlation with the conduct to be taken by the dentist in favor of a good patient prognosis
Introdução: Dentre os materiais restauradores utilizados em odontopediatria, destacam-se o amálgama, a resina composta e mais recentemente os compômeros coloridos, sendo o último bastante popularizado entre as crianças, devido a sua apresentação em cores como azul, prata, rosa, verde, limão e ouro, o que o torna mais interessante para a realização de tratamentos nesse público se comparado aos materiais tradicionais, que por sua vez são as opções de escolha dos pais. Objetivo: Avaliar a percepção de crianças e seus responsáveis em relação ao uso de diferentes materiais utilizados para procedimentos restauradores em odontopediatria. Material e método: Foram recrutadas crianças e seus respectivos pais ou responsáveis, na clínica de Odontopediatria do Centro Clínico Odontológico - Unipam, bem como de consultórios particulares de Odontopediatras de Patos de Minas - MG. Para o desenvolvimento da pesquisa foi aplicado um formulário direcionado tanto às crianças, quanto aos seus pais/responsáveis. Este continha imagens, com opção de escolha do material restaurador preferido e um espaço para justificativa da sua preferência. Resultados e Conclusão: Os resultados dessa pesquisa evidenciam que o fator determinante para a escolha dos pais frente a um material restaurador é a estética, sendo o amálgama de prata rejeitado por 100% e a resina composta na cor natural dos dentes a opção de escolha da maioria dos pais/responsáveis entrevistados. Já as crianças possuem uma visão distinta sobre o que é “feio” ou “bonito” em especial àquelas em idade entre 4 e 7 anos de idade, que optaram maioritariamente pelos compômeros coloridos.
Introduction: the avulsion of primary teeth is a disturbing and unexpected event. Description: this report describes the clinical case of a three-year-old child who suffered an avulsion and replantation of the primary upper central incisors at the site of the injury. The guardians sought treatment for the child at the Federal University of Minas Gerais after the replantation. Four months later, the child suffered a new trauma and the replanted teeth presented advanced mobility, root resorption and fistula. The clinical conduct was extraction and rehabilitation with a fixed esthetic maintainer. Discussion: the literature describes two treatment options for avulsion of primary incisors: replantation and non-replantation. According to a recent systematic review, the difficulty in obtaining a consensus regarding the best clinical conduct is due, in part, to the scarcity of publications that present not only follow-ups with clinical success, but also with failures. The outcomes of replantation can be influenced by several factors. The time elapsed between replantation and splinting, and the new episode of trauma, negatively influenced the prognosis in the present case, leading to failure. Replantation of primary incisors is not yet evidence-based treatment. Therefore, this option must be chosen with caution and in ideal situations. It requires constant clinical and radiographic monitoring for evaluation of outcomes.
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