RESUMOObjetivo: verificar as respostas às estratégias de retirada dos hábitos orais deletérios de sucção nas crianças do Programa de Saúde da Família (PSF) em Olinda, PE. Em acréscimo, identificar a frequência e os principais tipos de hábitos orais deletérios presentes. Métodos: estudo longitudinal, com cortes transversais, intervencional e descritivo, com 90 crianças na faixa etária entre 2 aos 11 anos, acompanhadas pela equipe de Fonoaudiologia da Funeso, no PSF de Jardim Fragoso, em Olinda, durante o ano de 2007 e que apresentavam hábitos orais deletérios. Os instrumentos e etapas contempladas nesta pesquisa abrangeram a abordagem lúdica para a conscientaização sobre os malefícios originados pela utilização prolongada desses hábitos, a aplicação de questionário direcionado aos pais ou cuidadores e às crianças e a avaliação clínica, com controle da remoção dos hábitos nas crianças, em um período de 30 dias. Resultados: das crianças avaliadas, 53,3% eram do sexo masculino e 46,7% do sexo feminino. Todos os entrevistados apresentavam hábitos orais deletérios; em que 48,9% possuíam apenas um tipo de hábito; e 46,7% e 4,4%, respectivamente, dois e três tipos de hábitos associados. Hábitos nocivos de sucção foram os mais prevalentes, com 52,2% para o uso de chupetas; 50% para o uso de mamadeiras e 22,2% para a sucção digital. Trinta dias após a intervenção, 26 crianças ou 28,9% da amostra haviam removido esses hábitos. Conclusão: as estratégias empregadas alcançaram a remoção de todos os tipos de hábitos apresentados, na distribuição estabelecida, necessitando-se de controle por um tempo maior nesse sentido. DESCRITORES: INTRODUÇÃOHábitos orais, em padrões estabelecidos como normais para as funções de fonação, sucção, mastigação e deglutição e fala, têm papel importante no crescimento craniofacial e na fisiologia do sistema estomatognático 1 . Representam um ato neuromuscular complexo, que pode retardar ou deturpar o crescimento ósseo e associar-se a más oclusões, distúrbio respiratório, alterações na fala, desequilí-brio muscular e problemas psicológicos. O grau de
Background: Obesity has reached epidemic patterns and constitutes a serious public health problem due to co-morbidities and the impact on life quality of affected individuals. Bariatric surgery appears as one of the most recommended treatments; however much has been known about the effects of this intervention on the functional performance of the organism as a whole. Objective: To characterize the oral health of adults submitted to bariatric surgery, before and after the intervention, with emphasis on the performance of masticatory function. Methods: A prospective observational cohort study conducted in a public reference service to the treatment of obesity in the city of Recife, State of Pernambuco. The data were obtained during the first half of 2011, through interview, intraoral physical examination and evaluation of masticatory function. Statistical treatment adopted was a CI of 95% and the chi-square test. The collection was conducted in three stages, with initial assessment in the preoperative and follow-up at 60 and 180 days. Results: The sample consisted of 20 volunteers, aged between 23 and 58 years and mean BMI of 43.2 ± 2.8. When compared the pre-operative to the control periods, there were significant differences for variables with decreased tendency towards spontaneous gingival bleeding and increased tooth hypersensitivity and tooth mobility (p < 0.05). Regarding the masticatory function, we found significant differences for most of the variables investigated, except in the coordination of move-* Corresponding author. P. V. Tavares et al. 88 ments and breathing during this function. Conclusion: The performance of masticatory function shows differences in pre-and postoperative periods for bariatric surgery.
Among the birth defects commonly found in babies, cleft lip and palate, in general, is present in 1 in every 600 live births in the world. Individuals who are born with this condition deal in their daily lives with problems related to eating, speaking, listening, as well as psychological stresses in addition to problems with their social life, linked to aesthetic deformation. Treatment is performed through surgery followed by speech therapy sessions to correct speech. In this context, a mobile application was developed to assist speech therapy in patients with cleft lip and palate entitled FonApp. The use of this application as a tool during the speech therapy process can provide patients who have complications related to mobility or difficult access, the follow-up assisted by the speech therapist and allowing these patients to continue their care in a practical and efficient way at a distance. Among the features of the FonApp application, we can mention: creation of a record for the patient and the speech therapist, separation of complete and incomplete activities, recording of lessons by the speech therapist, exchange of support messages between the patient and the speech therapist, as well as an identity visual.
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