Incidência de Lesões de Cárie em Bebês Após 15 Meses de um Programa Educativo-Preventivo

Abstract

RESUMO DESCRIPTORS DESCRITORESSaúde bucal em bebês; Programa educativo/preventivo; Cárie dentária em bebês.Oral health in babies; Educative/preventive program; Dental caries in babies. Incidence of Carious Lesions in Infants After 15 Months of an EducativePreventive ProgramObjetivo: Avaliar um programa educativo/preventivo no controle da doença cárie em 160 bebês na faixa etária de 1 a 21 meses. Purpose:To evaluate an educative-preventive program in the control of caries disease in 160 infants aged 1 to 21 months. Method: Healthy and caries-free children were enrolled in the study and attended clinical visits at three-month intervals during 15 months. At each visit, depending on the child's age, the biofilm was removed with gauze or pediatric toothbrush. After visual examination, the number of teeth and eventual alterations were recorded. The mothers were instructed during adequate preventive practical activities using verbal instruction, posters and slide projection. Educative lectures were given at the beginning of the study and at 6-month intervals thereafter. The oral examination and maternal training were conducted at Basic Health Units, Community Centers and at the University. To verify the occurrence of changes in the dietary and hygiene habits, questionnaires were applied at the beginning of the study and after 12 months. Results: Most mothers have not completed the elementary education and their family income ranged from 1 to 3 minimum salaries. After 15 months, the withdrawal rate was 23.8%, totalizing an examined population of 122 babies. In these babies, caries incidence was 7.3% with 0.25 decayed teeth on average. Including the white spot lesions, caries incidence was 9.8% with 0.4 decayed teeth on average. Conclusions:The educative-preventive program contributed to lessen caries incidence by stimulating the adoption of healthier habits, as it was observed a reduction of 33% in nocturnal bottlefeeding and an increase of 20.9% in oral hygiene.

Intervenções educativas em serviços de saúde e saúde bucal: revisão sistemática

“…In this first stage, we excluded 800 articles after reading the title and abstract, thus leaving us with 30 articles for the reading of the full text. Subsequently, we excluded one study because it presented a small sample (n = 20) 3 , nine studies were not implemented by health professionals working in the service 12 , 13 , 17 , 21 , 27 , 28 , 33 , 45 , 51 , four studies had the preventive and curative treatment as the main intervention 16 , 24 , 38 , 44 , one study described the protocol and did not evaluate effects 53 , and one study was a duplicate 11 . At the end, fourteen studies considered all the criteria ( Figure 1 ) and were included in the qualitative synthesis 2 , 8 – 10 , 19 , 22 , 29 , 39 , 42 , 46 , 54 , 57 , 58 , 61 .…”

A atuação do residente em Odontologia Hospitalar neonatal na abordagem multidisciplinar do SUS: relato de experiência

“…Vale ressaltar que a educação dos sujeitos é um dos principais componentes da filosofia preventiva. Pode-se afirmar que a prevenção é primordialmente educação, a qual tem potencial de guiar os indivíduos à adoção de práticas indispensáveis e assumirem responsabilidades frente à manutenção da saúde bucal do núcleo familiar 22 .…”

Técnica Educativa para Mejorar los Conocimientos de Salud Oral de Madres y Reducir el Índice de Higiene Oral de Preescolares

“…Según Kuhn et al (2007), los programas educativos preventivos mediante charlas a las madres utilizando la orientación verbal, afiches y proyección de slides, contribuyen a disminuir la incidencia de caries, estimulando la adopción de hábitos más saludables. Ortiz et al (2009) realizaron una investigación cuasi experimental con el objetivo de determinar el comportamiento de escolares, padres de familia y docentes, en el mantenimiento de la salud oral del niño.…”