Made available in DSpace on 2015-07-15T13:31:39Z (GMT). No. of bitstreams: 1 Rejane Oliveira.pdf: 1599274 bytes, checksum: c629b135eccc51045fc99dc864689219 (MD5) Previous issue date: 2007-12-18 / The Atraumatic Restorative Treatment (ART) is a treatment alternative for the caries disease, which remains with high prevalence, and constitutes a serious public health problem. The ART consists in the removal of the carious tissue with manual instruments and later closing of its cavities with glass-ionomer cement (GIC). It is important to develop a health promotion program associated with the clinical procedure. The World Health Organization (WHO) recommends the utilization of such technique for several groups, including pregnant women. The aim of this clinical essay was to check the use of the Atraumatic Restorative Treatment in pregnant women of the public system in Feira de Santana Bahia. The sample consisted of 35 pregnant women who underwent 84 class-I restorations and 71 dental sealants with GIC Ketac Molar EasyMix. After anamnesis and clinical examinations, a semi-structured form was filled out on oral hygiene and dietary practices, and on the extent of the technical acceptance. This group was inserted into a health promotion program with speeches, supervised brushings and plaque rate collection. An examiner carried out clinical evaluation of the restorations and of the sealants after a six-month period, through standard scores (0-9) which were later turned into success (0, 1 and 7) and unsuccess (2, 3, 4, 5, 6 and 8). It has been used the successful criterion for the sealants (present or partial loss) and the unsuccessful one (total loss). After the systematization of the collected data, it was observed success in 90,5% for ART and 85,9% for sealants. With regard to the program, 71,4% pregnant women reported changes in oral hygiene and 54,3% in dietary habits. A significant difference occurred between the initial and final averages of the plaque rates, being such reduction, on average, 17,71%. The extent of technical acceptance was 100%. It has been concluded that ART is feasible as a tooth decay treatment alternative in pregnant women inserted in a preventive educational program. It has been inferred that more researches have to be carried out, promoting the development of public policies which increase the use of ART in pregnant women. / A c?rie dent?ria constitui-se em um grave problema de sa?de p?blica, com alta preval?ncia em diversas popula??es. O Tratamento Restaurador Atraum?tico (ART) ? uma alternativa de interven??o para esta patologia, consiste na remo??o do tecido cariado com instrumentos manuais e posterior fechamento das cavidades com cimento de ion?mero de vidro (CIV). Aliado ao procedimento cl?nico, ? importante se desenvolver um programa de promo??o de sa?de. A Organiza??o Mundial de Sa?de (OMS) recomenda a utiliza??o do ART para diversos grupos, entre eles, as gestantes. Este ensaio cl?nico teve como objetivo avaliar um protocolo de Tratamento Restaurador Atraum?tico em gestantes da rede p?blica de Feira de Santana - BA. A amostra consistiu de 35 gestantes, nas quais foram realizados 84 restaura??es e 71 selantes com CIV Ketac Molar Easymix. Ap?s anamnese e exame cl?nico, foi aplicado um formul?rio semi-estruturado sobre as pr?ticas de higiene bucal e dieta, e sobre o grau de aceita??o da t?cnica. Esse grupo foi inserido em um programa educativo-preventivo de sa?de, com palestras, escova??o supervisionada e coleta de ?ndice de placa. Ap?s seis meses, a avalia??o cl?nica das restaura??es e dos selantes foi realizada por um examinador. As restaura??es foram analisadas pelos escores padronizados (0-9) que posteriormente foram transformados em sucesso (0, 1 e 7) e insucesso (2, 3, 4, 5, 6 e 8). Para os selantes utilizou-se o crit?rio sucesso (presente ou perda parcial) e insucesso (perda total). Ap?s a sistematiza??o dos dados coletados observou-se sucesso de 90,5% para ART e 85,9% para selantes. Em rela??o ao programa, 71,4% das gestantes referiu mudan?as de h?bitos na higiene bucal e 54,3% mudaram h?bitos na dieta. Ocorreu uma diferen?a significativa entre as m?dias dos ?ndices de placa inicial e final, sendo essa redu??o em m?dia de 17,71%. O grau de aceita??o da t?cnica foi de 100%. Concluiu-se que o ART ? uma alternativa de tratamento vi?vel para c?rie em gestantes, inseridas em um programa educativo preventivo. Este estudo aponta para a necessidade de mais pesquisas que fomentem o desenvolvimento de pol?ticas p?blicas e ampliem a utiliza??o do ART em gestantes.

?rea de concentra??o: Odontopediatria. / Submitted by Nivaldo Melo (nivaldo.melo@ufvjm.edu.br) on 2015-11-16T16:57:42Z No. of bitstreams: 2 ana_clara_sa_pinto.pdf: 998607 bytes, checksum: b17518e3d148cf4bd704371c7260c785 (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-11-16T17:02:03Z (GMT) No. of bitstreams: 2 ana_clara_sa_pinto.pdf: 998607 bytes, checksum: b17518e3d148cf4bd704371c7260c785 (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) / Made available in DSpace on 2015-11-16T17:02:03Z (GMT). No. of bitstreams: 2 ana_clara_sa_pinto.pdf: 998607 bytes, checksum: b17518e3d148cf4bd704371c7260c785 (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) Previous issue date: 2015 / Funda??o de Amparo ? Pesquisa do estado de Minas Gerais (FAPEMIG) / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES) / O Tratamento Restaurador Atraum?tico (ART) ? uma t?cnica minimamente invasiva na qual remove-se somente o tecido cariado necrosado, utilizando-se instrumentos manuais. O Cimento de Ion?mero de Vidro (CIV) ? o material eleito para selar as cavidades na t?cnica do ART devido ?s suas propriedades f?sicas, qu?micas e biol?gicas favor?veis. O objetivo do presente estudo foi comparar a performance cl?nica do Cimento de Ion?mero de Vidro (CIV) de alta viscosidade (Ketac Molar Easymix?3M? ESPE, Seefeld, Germany) com um CIV convencional de baixa viscosidade (Vidrion R?SS White, Rio de Janeiro, RJ, Brasil) acrescido de nanocristais de celulose (NC)- (CIVNC) em cavidades classe I de molares dec?duos usando a t?cnica do Tratamento Restaurador Atraum?tico (ART). Sessenta crian?as de 4 a 7 anos de idade, residentes na cidade de Diamantina- Minas Gerais, que apresentaram no m?nimo dois molares dec?duos com les?es de c?rie classe I em dentina foram inclu?das. Um ensaio cl?nico randomizado duplo cego foi realizado no qual os dois materiais (Ketac Molar e CIVNC) foram aleatoriamente inseridos nas cavidades, ap?s sorteios do dente a ser restaurado e do material a ser utilizado. A performance cl?nica das restaura??es foi avaliada ap?s 3 meses usando o crit?rio de Frencken. Considerou-se insucesso de uma restaura??o quando a mesma apresentava defeito marginal ?0,5 mm, desgaste gradual >0,5 mm, quando a restaura??o foi perdida ou substitu?da por outra e a extra??o do dente. A an?lise de sobrevida das restaura??es foi feita usando o teste Qui-quadrado com tend?ncia linear. Adotou-se o valor de p<0,05 como significativamente estat?stico. A taxa de sobrevida das restaura??es para o Ketac Molar foi de 96,7% e para o CIVNC 94,7%. Uma diferen?a estatisticamente significativa (p=0,034) foi observada entre os dois cimentos em rela??o ? presen?a de defeitos marginais menores que 0,5 mm encontrados em 18,3% dos dentes tratados com CIVNC e em 6,5% das restaura??es realizadas com Ketac Molar. A performance cl?nica de ambos os cimentos de ion?mero de vidro foi satisfat?ria ap?s tr?s meses. A maior diferen?a entre os dois materiais foi observada em defeitos marginais menores que 0,5 mm. / Disserta??o (Mestrado) ? Programa de P?s-Gradua??o em Odontologia, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2015. / ABSTRACT Atraumatic Restorative Treatment (ART) is a minimally invasive technique that involves only the removal of necrotic dentin, using manual instruments. The glass ionomer cement (GIC) is the material chosen to seal the cavities at the ART approach due to their physical, chemical and biological favorable properties. The aim of this study was to compare the clinical performance of a high viscosity glass ionomer cement (GIC) (Ketac Molar Easymix/3M? ESPE, Seefeld, Germany) with a conventional low viscosity GIC (Vidrion R?SS White River de Janeiro, RJ, Brazil) added cellulose nanocrystals (NC)- (GICCN) in class I cavities of primary molars using the Atraumatic Restorative Treatment (ART) technique. Sixty children aged 4-7 years, residents in the city of Diamantina-Minas Gerais, who had at least two primary molars with carious lesions class I in dentin were included. A randomized double-blind clinical trial was conducted and the two materials (Ketac Molar and GICCN) were randomly inserted into the cavities, after raffles of the tooth to be restored and the material to be used. The clinical performance of the restorations was evaluated after 3 months using the criteria of Frencken. It was considered failure of a restoration when it presented a marginal defect ?0.5 mm, gradual wear >0.5 mm, when the restoration was lost or replaced by another treatment and the tooth extraction. Restorations survival analysis were made using the Chi-square test with linear trend. The value of p<0.05 was adopted as statistically significant. The survival rate of restorations for Ketac Molar was 96.7% and 94.7% for the GICCN. A statistically significant difference (p=0.034) was observed between the two cements in relation to the presence of marginal defects lower than 0.5 mm found in 18.3% of the treated teeth with the modified cement (GICCN) and in 6.5% of the restorations with Ketac Molar. The clinical performance of both glass ionomer cements was satisfactory after three months. Increased difference between the two materials was observed on marginal defects lower than 0.5 mm.