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Advisor(s)
Abstract(s)
Introdução: A Paralisia Cerebral (PC) é definida como uma perturbação não progressiva do movimento e da postura, devido a lesão cerebral ocorrida num período precoce do desenvolvimento do cérebro. Fornecer cuidados de saúde a indivíduos com necessidades especiais, requer conhecimentos adequados, habilidades e instalações que permitam o atendimento destes pacientes.
Material e Métodos: Este trabalho é um estudo epidemiológico observacional transversal com recurso a uma amostra de conveniência, tendo por este motivo incluído 29 indivíduos que frequentam o ambulatório na Associação de Paralisia Cerebral de Viseu (APCV). As idades variaram entre os 19 e os 55 anos. Realizámos um questionário e exame clínico intra-oral, para análise do índice de dentes cariados, perdidos e obturados (índice CPOD) e índice de placa de Silness & Loe. Os dados recolhidos, foram analisados recorrendo ao programa IBM-SPSS Statistics (versão 23.0).
Resultados: A média de idade foi de 33,14±10,54. 6 residem na instituição e 23 fora da instituição. Neste estudo, verificou-se que o valor médio de CPOD foi de 7,79± 8,38 variando entre 0 e 32. Relativamente ao índice de placa, a média foi 7,65± 5,09, sendo que os valores variaram entre 0 e 18. Relativamente às consultas ao médico dentista, 8 utentes fizeram a primeira consulta com menos de 6 anos e 9 consultaram com mais de 6 anos. Como dificuldades para a realização de uma consulta médico-dentária, 25% afirmam que as consultas são caras. 41,7% têm dificuldade em encontrar um médico dentista especializado, 45,8% afirmaram que os tutelados rejeitavam o tratamento dentário, 12,5% não sentem necessidade de consultar o médico dentista e 16,7% têm dificuldade na deslocação.
Conclusões: A APCV mostra uma grande preocupação na saúde geral dos seus utentes e tem cuidado em marcar consultas regulares ao médico dentista mesmo quando é necessária a deslocação para fora de Viseu.
Introduction: Cerebral Palsy (CP) is defined as a non-progressive movement and posture disturbance due to brain injury occurring at an early stage of brain development. Providing health care to individuals with special needs requires adequate knowledge, skills and facilities to allow the care of these patients. Methods: This study is an observational cross-sectional epidemiological study using a convenience sample, including 29 individuals attending the outpatient clinic at the Associação de Paralisia Cerebral de Viseu (APCV). Individuals ages ranged from 19 to 55 years. An intra-oral clinical examination was performed to analyze the decayed index, missing and filled teeth (DMFT index) and the Silness & Loe plaque index. The collected data were analyzed using the statistical program IBM-SPSS Statistics (version 23.0). Results: Patient mean age was 33.14 ± 10.54. Six reside in the institution and 23 spend the night at home. In this study, it was observed that the mean value of DMFT was 7.79 ± 8.38, ranging from 0 to 32. Regarding plate index, the mean value was 7.65 ± 5.09, with values varying between 0 and 18. Regarding dentist visits, 8 patients had their first visit with less than 6 years old, while 9 visited with more than 6 years old. As difficulties for a medical-dental consultation, 25% state that consultations are expensive. 41.7% had difficulty finding a specialized dental practitioner, 45.8% said that they were denied dental treatment, 12.5% did not feel the need to visit the dentist, and 16.7% have travelling difficulties. Conclusion: The APCV shows a great concern in the general health of its users and is aware to make regular visits to the dentist, even when it is necessary to travel outside Viseu.
Introduction: Cerebral Palsy (CP) is defined as a non-progressive movement and posture disturbance due to brain injury occurring at an early stage of brain development. Providing health care to individuals with special needs requires adequate knowledge, skills and facilities to allow the care of these patients. Methods: This study is an observational cross-sectional epidemiological study using a convenience sample, including 29 individuals attending the outpatient clinic at the Associação de Paralisia Cerebral de Viseu (APCV). Individuals ages ranged from 19 to 55 years. An intra-oral clinical examination was performed to analyze the decayed index, missing and filled teeth (DMFT index) and the Silness & Loe plaque index. The collected data were analyzed using the statistical program IBM-SPSS Statistics (version 23.0). Results: Patient mean age was 33.14 ± 10.54. Six reside in the institution and 23 spend the night at home. In this study, it was observed that the mean value of DMFT was 7.79 ± 8.38, ranging from 0 to 32. Regarding plate index, the mean value was 7.65 ± 5.09, with values varying between 0 and 18. Regarding dentist visits, 8 patients had their first visit with less than 6 years old, while 9 visited with more than 6 years old. As difficulties for a medical-dental consultation, 25% state that consultations are expensive. 41.7% had difficulty finding a specialized dental practitioner, 45.8% said that they were denied dental treatment, 12.5% did not feel the need to visit the dentist, and 16.7% have travelling difficulties. Conclusion: The APCV shows a great concern in the general health of its users and is aware to make regular visits to the dentist, even when it is necessary to travel outside Viseu.
Description
Keywords
Pacientes especiais Paralisia cerebral Saúde oral Índice CPOD Índice de Placa de Silness e Loe Special patients Cerebral palsy Oral health CPOD Index Silness and Loe Plate Index