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Abstract(s)
Introdução: O paciente portador de necessidades especiais é todo o indivíduo que apresenta determinados desvios dos padrões de normalidade identificáveis ou não, e que, por isso, necessita de atenção e abordagem especial por um período da sua vida ou indefinidamente.
O médico dentista deve informar os pais e/ou cuidadores sobre a importância de manter uma boa saúde oral. Muitos pacientes especiais necessitam de ajuda para a execução da sua higiene oral. É possível adaptar as escovas de dentes mediante as suas necessidades.
Objetivos: Avaliar a eficácia da escovagem dentária, através do índice de placa (IP), antes e depois da alteração das escovas.
Materiais e Métodos: Este trabalho consiste num estudo experimental. Os resultados obtidos baseiam-se na observação da escovagem de 39 pacientes com necessidades especiais que frequentam a Associação Portuguesa de Pais e Amigos do Cidadão Deficiente Mental (APPACDM) e o Internato Victor Fontes, da cidade de Viseu, modificando as escovas de dentes consoante as suas dificuldades.
Resultados: Este estudo revelou que houve uma diminuição dos valores de IP em 35 indivíduos, comprovando-se que a alteração das escovas permite uma melhor higiene oral por parte dos pacientes, em modo autónomo. Os restantes 4 aumentaram-no por falta de adaptação à escova, falta de autonomia ou simplesmente por falta de colaboração.
Conclusão: Para além das adaptações, deve haver uma instrução sistemática e uma avaliação contínua regular da performance na escovagem, por parte do médico dentista.
Introduction: The patient with special needs is every individual that presents certain deviations from normal patterns, identifiable or not, and therefore require special attention for a period of their life or indefinitely. Dentists must inform parents and / or caregivers about the importance of maintaining a good oral health. Many patients need special assistance for the implementation of their oral hygiene. We can adapt toothbrushes according to their specific requirements. Objectives: Evaluate the toothbrushing effectiveness, by measuring the plaque index (PI) before and after toothbrush modification. Materials and Methods: This is an experimental study. Results are based on the observation of toothbrushing technique of 39 patients with special needs who attend APPACDM and Internato Victor Fontes, in the city of Viseu, modifying the toothbrushes according to their particular difficulties. Results: This study revealed that there was a decrease of IP values in 35 individuals. It proves that the change of toothbrushes allows a better oral hygiene by patients. The remaining 4 increased the IP values by not adapting to toothbrush, lack of autonomy or simply for lack of cooperation. Conclusion: In addition to the adaptations of toothbrushes, there must be a systematic instruction and regular ongoing evaluation of the performance of toothbrushing technique by the dentist.
Introduction: The patient with special needs is every individual that presents certain deviations from normal patterns, identifiable or not, and therefore require special attention for a period of their life or indefinitely. Dentists must inform parents and / or caregivers about the importance of maintaining a good oral health. Many patients need special assistance for the implementation of their oral hygiene. We can adapt toothbrushes according to their specific requirements. Objectives: Evaluate the toothbrushing effectiveness, by measuring the plaque index (PI) before and after toothbrush modification. Materials and Methods: This is an experimental study. Results are based on the observation of toothbrushing technique of 39 patients with special needs who attend APPACDM and Internato Victor Fontes, in the city of Viseu, modifying the toothbrushes according to their particular difficulties. Results: This study revealed that there was a decrease of IP values in 35 individuals. It proves that the change of toothbrushes allows a better oral hygiene by patients. The remaining 4 increased the IP values by not adapting to toothbrush, lack of autonomy or simply for lack of cooperation. Conclusion: In addition to the adaptations of toothbrushes, there must be a systematic instruction and regular ongoing evaluation of the performance of toothbrushing technique by the dentist.
Description
Keywords
Higiene oral Técnicas de escovagem Escovas modificadas Pacientes com necessidades especiais Oral hygiene Technical brushing Modified brushes Patients with special needs