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Abstract(s)
Introdução: A medicina dentária é muitas vezes descurada, principalmente quando se trata de indivíduos com necessidades especiais. Este tipo de população, por dificuldades de acesso e acompanhamento na área da medicina dentária, apresenta caracteristicamente índices de saúde oral muito baixos, com alta prevalência de cárie e doença periodontal.
Materiais e Métodos: Foram contactadas 11 instituições das quais 5 participaram no estudo (APERCIM, CRINABEL, CERCI Lisboa, IVF e Sto. Estevão). Após a assinatura do consentimento informado foi preenchida uma ficha clínica com o auxílio de um funcionário da instituição de forma a ser possível a caracterização da amostra. Foi realizada posteriormente uma primeira avaliação extra e intra-oral onde foram medidos: índice CPO, índice de placa, índice de COPI, índice de COHI e índice de COCNI. Foi realizada uma sensibilização junto dos utentes e cuidadores com o objetivo de promoção de higiene oral. Após 7 dias desta sensibilização foi realizada nova avaliação intra-oral com os mesmos parâmetros da primeira. Ao fim de 30 dias realizou-se a última avaliação intra-oral.
Resultados: A maioria da população estudada (53,1%, n=76) é do género masculino e em 57,4% apresentavam idades compreendidas entre os 35 e os 55 anos. A média de IP1 é 62,3%, de IP2 é 59,6% e de IP3 60,1%. A correlação das médias dos valores de IP nos 3 momentos apresenta um p<0,001. Existe ainda forte correlação entre os valores de IP1 e de CPO (p=0,003) e entre os valores de CPO e o número total de medicação que os utentes tomam (p=0,005). Um aumento no número total de medicamentos traduz-se, assim, num aumento do valores de CPO.
Conclusão: A sensibilização realizada junto dos utentes e funcionários da instituição melhorou a sua higiene oral. No entanto esta sensibilização deveria ser feita com periodicidade curta pois observou-se que existiu uma melhoria a curto prazo (após 7 dias) mas a higiene oral a médio prazo (após 30 dias) piorou em relação à segunda avaliação.
Introduction: Dental Medicine is many times neglected especially as far as individuals with special needs are concerned. This type of population due to difficulties of access or follow-up appointments in the dental medicine area, presents characteristically very low rates of oral health with high prevalence of cavities and periodontal disease. Methods: From the 11 institutions contacted, 5 participated in the study (APERCIM, CRINABEL, CERCI Lisboa, IVF e Sto. Estevão). After signing the informed consent, a clinical file was filled with the aid of an employee of the institution in order to make possible the characterization of the sample. Later on a first evaluation both extra- and intra-oral measured: DMFT index, plaque index, COPI index COHI index and COCNI index. An attempt to raise the awareness of the patients and caretakers was put in place in order to promote oral hygiene. After 7 days a new intra-oral awareness campaign was performed with the same parameters as the first one. At the end of 30 days the last intra-oral evaluation took place. Results: The majority of the studied population (53,1%, n=76) is of the male gender and in 57,4% were between 35 and 55 years old. The IP1 average is 62.3%, the IP2 is 59,6% and the IP3 is 60.1%. The correlation of the average values of IP in the 3 moments presents p<0,00,1. There is also a strong correlation between the values of IP1 and DMFT (p=0,003) and between the values of DMFT and the total amount of medication that the users take (p=0,005). An increase in the number of total intake of medication expresses an increase in the number of DMFT values. Conclusion: The awareness campaign performed among users and staff of the institution improved their oral hygiene. However, this awareness should be done on a short-term period of time because an improvement was observed in a short term (after 7 days) but the oral hygiene in medium term (after 30 days) decreased when compared to the second evaluation.
Introduction: Dental Medicine is many times neglected especially as far as individuals with special needs are concerned. This type of population due to difficulties of access or follow-up appointments in the dental medicine area, presents characteristically very low rates of oral health with high prevalence of cavities and periodontal disease. Methods: From the 11 institutions contacted, 5 participated in the study (APERCIM, CRINABEL, CERCI Lisboa, IVF e Sto. Estevão). After signing the informed consent, a clinical file was filled with the aid of an employee of the institution in order to make possible the characterization of the sample. Later on a first evaluation both extra- and intra-oral measured: DMFT index, plaque index, COPI index COHI index and COCNI index. An attempt to raise the awareness of the patients and caretakers was put in place in order to promote oral hygiene. After 7 days a new intra-oral awareness campaign was performed with the same parameters as the first one. At the end of 30 days the last intra-oral evaluation took place. Results: The majority of the studied population (53,1%, n=76) is of the male gender and in 57,4% were between 35 and 55 years old. The IP1 average is 62.3%, the IP2 is 59,6% and the IP3 is 60.1%. The correlation of the average values of IP in the 3 moments presents p<0,00,1. There is also a strong correlation between the values of IP1 and DMFT (p=0,003) and between the values of DMFT and the total amount of medication that the users take (p=0,005). An increase in the number of total intake of medication expresses an increase in the number of DMFT values. Conclusion: The awareness campaign performed among users and staff of the institution improved their oral hygiene. However, this awareness should be done on a short-term period of time because an improvement was observed in a short term (after 7 days) but the oral hygiene in medium term (after 30 days) decreased when compared to the second evaluation.
Description
Keywords
Pacientes especiais Higiene oral Índice CPO Índice IP Índice COPI Índice COHI Índice COCNI Special patients Oral hygiene DMFT index Plaque index COPI index Índex COHI Index COCNI