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Previous issue date: 2009-09-24 / In Brazil, 0-5 years old children just have an oral health care system since 1990 s.
Innumerable experiences of implantation of the attendance to the babies in the cities had
appeared throughout the years, but it hasn?t been evaluated the comparative effect between
children displayed and not displayed to the program. In this regard, the main of this research
was describe the Early Childhood Oral Health Care in public health service in Natal, Rio
Grande do Norte, Brazil and evaluate the impact of this specific oral health care for babies by
comparison of indicators between exposed and non-exposed children. It was created an
experimental group, formed by children covered by program which was paired, based on sex,
age and socioeconomic status, with a control group, formed by uncovered children. After
filling ethical application, the parents of children were questioned about some risk factors to
dental caries and, in sequence, it was accomplish an oral examination in the child. It was verified the Visible Plaque Index (VPI), Gingival Bleeding Index (GBI), dmf-s and
verification of caries activity. The sample was 40 children in each group. The results showed, for VPI, a difference of 7 percentile points for the experimental group, however this
difference had no statistical significance, obtained by Student s t test (p=0.314). In relation to GBI, the control group showed a low mean (0.8%) comparing with experimental group (2.77%) and this difference was statistically significant (p=0.003). The results for dmf-s and evaluation of caries activity showed no statistical difference between groups. Among the probable reasons for absence of impact of intervention, could be included: (a) the practice model was the same in two groups, or the difference was very weak and (b) the oral health
care has intrinsic limitations for to impact on oral health in low income populations / No Brasil, as crian?as menores de cinco anos passaram a ser uma popula??o alvo de aten??o odontol?gica p?blica sistematizada somente a partir dos anos 1990. In?meras experi?ncias de implanta??o do atendimento aos beb?s nos munic?pios surgiram ao longo dos anos, mas n?o se tem avaliado o efeito comparativo entre crian?as expostas e n?o expostas ao programa. Portanto, os objetivos desta pesquisa foram caracterizar a aten??o odontol?gica para beb?s no
servi?o p?blico de sa?de em Natal e avaliar o impacto de uma assist?ncia odontol?gica diferenciada para beb?s a partir da compara??o de indicadores de sa?de bucal em crian?as
expostas e n?o-expostas ao atendimento. O estudo constou de um grupo experimental (exposto ao atendimento diferenciado) e um grupo controle (n?o exposto ao atendimento diferenciado), havendo emparelhamento entre os grupos com rela??o ao sexo, idade e condi??o s?cio-econ?mica. Ap?s a obten??o do consentimento livre e esclarecido, foi realizado um question?rio com os respons?veis para detec??o de alguns fatores de risco para o desenvolvimento da doen?a c?rie e em seguida foi realizado o exame bucal da crian?a, verificando o ?ndice de Placa Vis?vel (IPV), ?ndice de Sangramento Gengival (ISG), ceo-s e atividade de c?rie. A amostra constou de 40 crian?as em cada grupo. Os resultados obtidos mostraram para o IPV uma diferen?a de 7 pontos percentuais para o grupo que sofreu
interven??o, contudo n?o houve diferen?a estat?stica significante pela aplica??o do teste t de Student (p=0,314) e para o ISG o grupo controle apresentou uma m?dia mais baixa (0,8%) em rela??o ao grupo experimental (2,77%), havendo diferen?a estat?stica segundo o teste de Mann-Whitney (p= 0,003). Com rela??o ao ceo-s e a atividade de c?rie n?o houve diferen?a estat?stica significativa entre os grupos. Entre as prov?veis explica??es para esta aus?ncia de impacto, podem ser inclu?das a aus?ncia de altera??o significativa no modelo de pr?tica entre os grupos, mesmo considerando que o grupo experimental se prop?e a ter como proposta uma aten??o diferenciada, al?m da limita??o da pr?pria assist?ncia odontol?gica em resolver problemas bucais em popula??o de baixa renda.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/17055 |
| Date | 24 September 2009 |
| Creators | C?mara, Adriana Costa de Souza Martins |
| Contributors | CPF:42313384420, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4794935P9&dataRevisao=null, Freitas, Cl?udia Helena Soares de Morais, CPF:54138222449, http://lattes.cnpq.br/8905654343063318, Ferreira, Maria ?ngela Fernandes, CPF:39817270459, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4767285D3, Oliveira, Angelo Giuseppe Roncalli da Costa |
| Publisher | Universidade Federal do Rio Grande do Norte, Programa de P?s-Gradua??o em Odontologia, UFRN, BR, Odontologia Preventiva e Social; Periodontia e Pr?tese Dent?ria |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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