O ato de cuidar tem sido atribuído ao gênero feminino. Na sociedade ocidental, a mãe é a principal cuidadora dos filhos no que se refere ao cuidado em geral, na alimentação, na vestimenta, na educação e na saúde. Na promoção da saúde bucal infantil, o cuidado materno, bem como uma boa relação dentista-mãe são essenciais. Objetivou-se compreender os significados atribuídos pelas as mães de crianças de 0 a 6 anos em tratamento odontológico acerca de seu papel como cuidadora da saúde bucal do filho. Constitui-se de uma pesquisa qualitativa com desenho metodológico de uma pesquisa estratégica. Participaram como sujeitos, dez mães com filhos em atendimento odontológico pelo Curso de Graduação em Odontologia, de Especialização em Odontopediatria e da Clínica de bebês da Universidade de Ribeirão Preto – UNAERP na cidade de Ribeirão Preto, estado de São Paulo/Brasil. Realizou-se entrevistas semi-estruturadas e observação durante o atendimento odontológico. Os dados foram analisados segundo a técnica de análise de conteúdo proposta por Bardin (1979). Considerando o perfil do grupo de mães a idade variou de 26 a 39 anos, todas eram casadas ou viviam em união consensual, nenhuma estava inserida no mercado de trabalho formal. Depreendeu-se dos dados seis categorias temáticas: a) Saúde: “quando não tem nada" ... “saúde é a base de tudo"; b) Saúde? É saúde da boca também!"; c) Saúde bucal é ter bons hábitos; d) O Processo saúde – doença e a relação com os cuidados maternos na saúde bucal; e) Cuidado à saúde bucal do filho: o sentido desse fazer; f) Profissional odontólogo: referência para o cuidado em saúde bucal. Percebeu-se que a saúde para essas mães reveste-se de um significado mais amplo, não restrito ao biológico, entretanto, ainda mostram-se ancoradas na idéia de saúde como ausência de doença e de corpo funcional. A saúde bucal apresenta-se dissociada da saúde geral e as práticas de manutenção da saúde bucal são voltadas para evitar uma única doença: a cárie, relacionando sua ocorrência na dependência dos cuidados prestados por elas como formadoras de hábitos. Em meio a essas práticas de cuidados reconhecem o profissional especializado como fonte do saber, estando prontas a auxiliá-los no tratamento independentemente de suas emoções mergulhadas no ideário do amor incondicional da mãe para com o filho e do dever materno, sentindo satisfação e realização em atender as necessidades do filho. Concluí- se que a mãe pode ser considerada como um agente multiplicador de ações educativas relacionadas a saúde bucal, uma vez que a atuação materna não fica circunscrita a ajudas momentâneas durante o atendimento clínico, perpassando as barreiras físicas, chegando aos cuidados diários na manutenção da saúde bucal do filho. Dentro dessa lógica há que se investir na capacitação dos profissionais que lidam diariamente com tais mães e todos os indivíduos da família, para que estes sintam-se responsáveis pela saúde das crianças menores. / Caring is an act attributed to feminine gender. Mothers are the main general caretaker of children. They care about food, clothing, education and health. Focusing the children’s oral health promotion the mothering care and a good relation between dentist and mothers are required. This survey aimed at understands mothering meanings about being a caretaker of small children (age from 0 to 6 years) oral health. It’s a qualitative research founded on strategic survey. The subjects were ten mothers from Dentistry Graduate Course, Pediatric Dentistry Specialization and Baby Clinic from Ribeirão Preto University – UNAERP in Ribeirão Preto City, São Paulo State/Brazil. Semi-structured interview and observation during the treatment were made. Data was analyzed by Content’s Analysis proposed by Bardin (1979). Considering the mother’s profile: age range from 26 to 39 years, all of them were married or lived with someone, none of them had an official job. Six thematic categories were identified: a) Health: “when you’re ok" … “health as a foundation"; b) Health? Oral health too! d) For a good oral health you must have good habits; d) Health – Illness process and its relation with maternal care on oral health; e) Caring about children oral health: what does it mean? And f) Dentist: a reference for oral health care. Mothers perceived health throw biological meanings, but they still emphasize the idea of health as illness absence based on the functional body construction. Oral health seems to be dissociated from general health. Practices toward a good oral health are directed to avoid just one disease – the Carie. Mothers also correlate caries’ occurrence with fails on habit formation. Among all these situations, mothers recognize the dentist as a knowledge resource. They are always ready to do anything to help the professional during the treatment. In this situation, they forget their emotions and fears based on ideas like unconditional mother’s love and mother’s duty. After all they experienced satisfaction and realization because they solved the child’s needs. We conclude that mothers can be multiplicative agents considering educational actions direct to oral health. Mother’s actions are not just circumscribed to short proceedings during the treatment, because they delivery daily oral health care at their homes. So we believe that improving the professional abilities, they’ll work better with mothers and family individuals. In this way all these people will be responsible for oral health of small children.

Thesis (M.P.H.)--University of Michigan, 1945.

Thesis (M.P.H.)--University of Michigan, 1945.

O ato de cuidar tem sido atribuído ao gênero feminino. Na sociedade ocidental, a mãe é a principal cuidadora dos filhos no que se refere ao cuidado em geral, na alimentação, na vestimenta, na educação e na saúde. Na promoção da saúde bucal infantil, o cuidado materno, bem como uma boa relação dentista-mãe são essenciais. Objetivou-se compreender os significados atribuídos pelas as mães de crianças de 0 a 6 anos em tratamento odontológico acerca de seu papel como cuidadora da saúde bucal do filho. Constitui-se de uma pesquisa qualitativa com desenho metodológico de uma pesquisa estratégica. Participaram como sujeitos, dez mães com filhos em atendimento odontológico pelo Curso de Graduação em Odontologia, de Especialização em Odontopediatria e da Clínica de bebês da Universidade de Ribeirão Preto – UNAERP na cidade de Ribeirão Preto, estado de São Paulo/Brasil. Realizou-se entrevistas semi-estruturadas e observação durante o atendimento odontológico. Os dados foram analisados segundo a técnica de análise de conteúdo proposta por Bardin (1979). Considerando o perfil do grupo de mães a idade variou de 26 a 39 anos, todas eram casadas ou viviam em união consensual, nenhuma estava inserida no mercado de trabalho formal. Depreendeu-se dos dados seis categorias temáticas: a) Saúde: “quando não tem nada” ... “saúde é a base de tudo”; b) Saúde? É saúde da boca também!”; c) Saúde bucal é ter bons hábitos; d) O Processo saúde – doença e a relação com os cuidados maternos na saúde bucal; e) Cuidado à saúde bucal do filho: o sentido desse fazer; f) Profissional odontólogo: referência para o cuidado em saúde bucal. Percebeu-se que a saúde para essas mães reveste-se de um significado mais amplo, não restrito ao biológico, entretanto, ainda mostram-se ancoradas na idéia de saúde como ausência de doença e de corpo funcional. A saúde bucal apresenta-se dissociada da saúde geral e as práticas de manutenção da saúde bucal são voltadas para evitar uma única doença: a cárie, relacionando sua ocorrência na dependência dos cuidados prestados por elas como formadoras de hábitos. Em meio a essas práticas de cuidados reconhecem o profissional especializado como fonte do saber, estando prontas a auxiliá-los no tratamento independentemente de suas emoções mergulhadas no ideário do amor incondicional da mãe para com o filho e do dever materno, sentindo satisfação e realização em atender as necessidades do filho. Concluí- se que a mãe pode ser considerada como um agente multiplicador de ações educativas relacionadas a saúde bucal, uma vez que a atuação materna não fica circunscrita a ajudas momentâneas durante o atendimento clínico, perpassando as barreiras físicas, chegando aos cuidados diários na manutenção da saúde bucal do filho. Dentro dessa lógica há que se investir na capacitação dos profissionais que lidam diariamente com tais mães e todos os indivíduos da família, para que estes sintam-se responsáveis pela saúde das crianças menores. / Caring is an act attributed to feminine gender. Mothers are the main general caretaker of children. They care about food, clothing, education and health. Focusing the children’s oral health promotion the mothering care and a good relation between dentist and mothers are required. This survey aimed at understands mothering meanings about being a caretaker of small children (age from 0 to 6 years) oral health. It’s a qualitative research founded on strategic survey. The subjects were ten mothers from Dentistry Graduate Course, Pediatric Dentistry Specialization and Baby Clinic from Ribeirão Preto University – UNAERP in Ribeirão Preto City, São Paulo State/Brazil. Semi-structured interview and observation during the treatment were made. Data was analyzed by Content’s Analysis proposed by Bardin (1979). Considering the mother’s profile: age range from 26 to 39 years, all of them were married or lived with someone, none of them had an official job. Six thematic categories were identified: a) Health: “when you’re ok” … “health as a foundation”; b) Health? Oral health too! d) For a good oral health you must have good habits; d) Health – Illness process and its relation with maternal care on oral health; e) Caring about children oral health: what does it mean? And f) Dentist: a reference for oral health care. Mothers perceived health throw biological meanings, but they still emphasize the idea of health as illness absence based on the functional body construction. Oral health seems to be dissociated from general health. Practices toward a good oral health are directed to avoid just one disease – the Carie. Mothers also correlate caries’ occurrence with fails on habit formation. Among all these situations, mothers recognize the dentist as a knowledge resource. They are always ready to do anything to help the professional during the treatment. In this situation, they forget their emotions and fears based on ideas like unconditional mother’s love and mother’s duty. After all they experienced satisfaction and realization because they solved the child’s needs. We conclude that mothers can be multiplicative agents considering educational actions direct to oral health. Mother’s actions are not just circumscribed to short proceedings during the treatment, because they delivery daily oral health care at their homes. So we believe that improving the professional abilities, they’ll work better with mothers and family individuals. In this way all these people will be responsible for oral health of small children.

Magister Chirurgiae Dentium (MChD) / An analysis of the oral health related quality of life (OHRQoL) of patients with orofacial clefts at the Wentworth Foundation in Durban, KZN is presented. Objectives: To assess whether the OHRQoL of orofacial cleft patients varies amongst different age groups, genders or cleft types as well as demographic factors. Method: 46 participants, aged 8- 18, completed a self-administered Child Oral Health Impact Profile (COHIP) questionnaire. Results: The most prevalent cleft type was the Unilateral Cleft Left, 45.7%. The COHIP mean score was 84.195 (SD 18.244) ranging from 35 to 110. The age related subscales which were statistically significant included Functional well-being (p value: 0.0456), School Environment (p value: 0.0145) and Treatment Expectancy. The subscale School Environment was statistically significant for: Transport (p value: 0.0267) and Place of accommodation (p value 0.028). The Oral Health subscale and the Educational level were statistically significant (p value 0.043). Conclusion: Statistically significant age-related differences and demographic factors were noted. The OHRQoL of cleft patients was low largely due to socioeconomic factors and difficulty accessing multidisciplinary care. Therefore, our findings highlight the importance of establishing a Cleft lip and palate multidisciplinary facility for these patients in the Wentworth foundation and subsidised transport to the Wentworth Foundation is recommended.

OBJECTIVES: This study investigates the relationships between maternal psycho-social factors and brushing practices in low-income children aged 1-5 years old. METHODS: Data from The Oral Health Advocates in Public Housing (OHAPH) study was used. Analyses were limited to 1–5 year old children and their mothers (n =941). Mothers were surveyed regarding their knowledge about child’s oral health, self-efficacy and self-motivation related to brushing their children’s teeth twice a day. The main outcome measure was children’s brushing frequency reported by their mothers. Analyses were conducted in SAS 9.4 to account for the complex sampling design. RESULTS: Maternal knowledge about child’s oral health was significantly associated with maternal self-efficacy (OR=1.95; 95% CI=1.44-2.64), significant association was also found with maternal self-motivation (OR=3.24; 95% CI=1.42-7.36). Self-efficacy and self-motivation were highly associated (p-value <0.0001), mothers who reported having high level of self-efficacy were highly motivated as well (77.8%). Most of the children in this sample had their teeth brushed twice or more a day (65.3%). Maternal self-efficacy was a strong and significant predictor of child’s brushing frequency (OR=10.51; 95% CI= 6.98-15.81). Maternal self-motivation has also showed a statistically significant association with child’s brushing frequency (OR=7.41; 95% CI=2.63-20.85). However, higher level of maternal knowledge about child’s oral health was not significantly associated with having the child’s teeth brushed twice or more a day (OR= 1.33, 95% CI= 0.96-1.84). Older children and those who had visited the dentist within the past year showed higher odds of having their teeth brushed twice a day in comparison with younger children and those who didn’t visit the dentist. Being a Hispanic child lowers the odds of brushing frequency. Mediation analysis showed that maternal self-efficacy and self-motivation are both mediators in the pathway between maternal knowledge about child’s oral health and child’s brushing frequency, full mediation was observed. CONCLUSION: Maternal self-efficacy and self-motivation are associated with children’s brushing practices. Since these factors are modifiable, designing tailored interventions targeting mothers with the aim of improving child’s brushing frequency could be the key to increase the oral health potential for young children from low-income families early in life. / 2018-09-28T00:00:00Z