Objective: To identify factors associated with the quality of oral hygiene in children with mental disabilities. Methods: A cross-sectional study was conducted with a sample of 181 mentally disabled children aged three to 12 years and their mothers. The study was conducted in two public hospitals of medical care for special children in the city of Rio de Janeiro, southeastern Brazil. The children were examined on the quality of oral hygiene and presence of caries lesions. The examiner was previously calibrated and were obtained kappa values of 0.90 to 0.87 for tooth decay and oral hygiene. The mothers answered a questionnaire addressing individual characteristics, behavioral and medical history of children. The study was approved by the Ethics Committee of UFMG. Data were analyzed using the chi-square test and multivariate logistic regression, considered to be a significant 90.0%. Results: Most of the children had mild intellectual disability (56.4%) and 43.6% had moderate mental disability. The quality of oral hygiene was considered adequate in 84.0% of children. A total of 172 mothers said that her son's teeth were brushed daily (95.0%). Among them, the majority reported difficulties in this task (53.0%). Those children diagnosed with mild intellectual disability {OR=2.82 [90% CI (1.15 to 6.86)]} and the absence of decay {OR=7.68 [90% CI (3:03 to 19:45)]} were more likely they belong to the group of children identified with an adequate oral hygiene. Conclusion:The quality of oral hygiene was associated with tooth decay and the degree of mental disability of children.
As Fissuras Labiopalatais sã o anomalias orofaciais congênitas muito frequentes no ser humano. Sua etiologia é considera da multi fatorial e inclui fatores here ditários e ambientais.Sabe-se que a ocorrência de Fissuras Labiopalatais é causa de anomalias dentárias e fator pre-disponente ao desenvolvimento de doenças bucais. Assim sendo, foi objetivo do presente estudo contribuir para a produção de conhecimento sobre o tratamento odontológico direcionado às crianças com fissura s labiopalatais. Levantou-se a importância do início do tratamento se dar o mais breve possível, a fim de evitar consequências funcionais e psicológicas nos indivíduos fissurados. A reabilitação de pacientes com fissuras labiopalatais deve ser feita por uma equipe multidisciplinar. A odontopediatria e a ortodontia são fundamentais em todas as fases do tratamento do portador de fissura labiopalatal, atuando na adequação do meio bucal e na preservação dos elementos dentários sadios ao término do tratamento ortopédico e ortodôntico.
Background The relevance of sense of coherence (SOC) is important to the wellbeing of parents, especially mothers of children and adolescents with osteogenesis imperfecta (OI). Objective Determine whether the oral health status of children/adolescents with OI is associated with mother's SOC. Materials and method A paired cross‐sectional study was conducted with 37 children/adolescents with OI, 37 without OI, and their respective mothers. The children/adolescents were between two and 19 years of age, mean age 7.2 years, being 47 male and 27 female. The mothers completed Antonovsky's SOC questionnaire (SOC‐13), and the oral status of the children/adolescents was investigated. The following clinical conditions were evaluated: dentinogenesis imperfecta, malocclusion, gingivitis, and dental caries experience. Results The genetic condition of the children was significantly associated with mother's SOC (P < .001). Mothers of children with OI had lower SOC scores (mean: 35.6 [± 4.9]) than mothers of children without OI (mean: 38.5 [± 4.3]). In the group with OI, a low socioeconomic status was associated with lower mother's SOC scores (P = .004). In both groups, dental caries experience was associated with lower mother's SOC scores (P = .007). Most individuals with OI presented malocclusion (78.3%) and experience of dental caries (59.4%). Conclusion Having a child with OI influenced the sense of coherence of the mothers. Socioeconomic status and dental caries experience in children and adolescents with OI were associated with mother's SOC.
No que se refere à Anquilose Dentária, é de conhecimento da literatura, que se trata de uma alteração que ocorre devido a algum movimento irregular, seja de características naturais, físicas ou químicas sobre o tecido cementoblástico que recobre as raízes, conhecido como ligamento periodontal. As causas da anquilose dentária ainda não estão completamente esclarecidas, o que provoca hipóteses como os distúrbios do metabolismo local, genética e traumas, estimulando novas pesquisas e debates na literatura para se chegar a um consenso O objetivo deste trabalho é apresentar de forma clara e atualizada sobre o diagnóstico, tratamento e prognóstico da anquilose dentária através da pesquisa em artigos encontrados em bases de dados como PUBMED, Scielo, Bireme e livros, usando como estratégia de análise agregações do estudo sobre o tema. Conclui-se, que a anquilose dentária é uma patologia dentaria, advinda da união do dente ao osso de maneira definitiva, sendo de extrema importância para o cirurgião dentista o conhecimento da etiologia e formas de tratamento para um correto diagnóstico, proporcionando então um melhor prognóstico.
A manutenção da saúde bucal em pacientes de Unidade de Terapia Intensiva (UTI) causa uma diminuição no tempo de internação, redução de indicadores de infecção hospitalar, maior rotatividade dos leitos, além de contribuir com a recuperação da saúde do paciente, evitando o aumentoda proliferaçãode fungos e bactérias anaeróbicas e gram negativas, consequentemente, a redução de doenças infecciosas e sistêmicas principalmente a pneumonia nosocomial. O objetivo desse estudo foi realizar uma revisão deliteratura quanto ao panorama da OdontologiaHospitalar no Brasil, principalmente emrelação à contribuição do cirurgião-dentista na diminuição do tempo de internação do paciente em UTI.
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