Parental influence and the development of dental caries in children aged 0–6 years: A systematic review of the literature

OBJECTIVE Identifying, through a systematic literature review, evidence of a possible association between obesity and dental caries. METHODS A search of articles published between 2005 and January 2012 was performed in the Medline/PubMed, LILACS and Web of Science databases. The quality of scientific evidence of the selected articles was assessed by the items proposed for observational studies in the Downs & Black instrument. RESULTS Initially, 537 references were found; after checking the titles and abstracts by two independent researchers, twenty-eight articles were selected for complete reading. Ten of them that assessed the primary and/or permanent dentition observed a positive association between obesity and dental caries and one study found an inverse association. According to the Downs & Black classification, thirteen articles with good scientific evidence were found. CONCLUSIONS The present review did not find sufficient evidence regarding the association between obesity and dental caries, and it did not clarify the possible role of diet and other possible effect modifiers on this association.

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Obesity and dental caries: systematic review

A avaliacao do grau de satisfacao dos usuarios do sistema de saude e um importante indicador a ser considerado no planejamento das acoes. O objetivo deste estudo foi avaliar o grau de satisfacao de usuarios dos servicos de saude publica municipal quanto aos servicos utilizados. Este estudo tipo inquerito foi conduzido em cinco municipios do Estado de Sao Paulo. A amostra foi selecionada de forma estratificada e aleatoria, sendo entrevistados 471 chefes de familia ou respectivos conjuges. Os dados qualitativos foram analisados pelo metodo de Analise de Conteudo, e os dados quantitativos foram processados utilizando-se o software estatistico Epi Info. Dentre os usuarios dos cinco municipios, 93,0% utilizam o servico municipal de saude. Para 72,0%, os servicos de saude prestados estao resolvendo os problemas e necessidades da populacao. Com base no acesso ao atendimento, 57,6% da populacao queixaram-se da presenca de filas para o atendimento. Mais da metade (69,5%) afirmou ter confianca na equipe de saude; no entanto, muitos relatos demonstraram a carencia de um atendimento humanizado. Em relacao aos servicos de saude, 61,7% classificaram-os como otimo ou bom. Conclui-se que a maior parte dos usuarios mostrou-se satisfeita com os servicos de saude municipais, apesar da grande quantidade de queixas quanto ao atendimento, falta de humanizacao e acolhimento, deficiencia de recursos fisicos e materiais. A percepcao do usuario e de extrema importância ao se dimensionar o reflexo das acoes que vem sendo desenvolvidas no setor saude, e serve como vetor de direcionamento e planejamento do servico.

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Satisfação e percepção do usuário do SUS sobre o serviço público de saúde

This research sought to identify the actions developed by the Community Health Worker (CHW) in the context of family health in Montes Claros, State of Minas Gerais, Brazil. The research was conducted under the Program of Education through Work for Health-PET-SAUDE, and is a quantitative study and census together with 241 CHWs. Most of them make family registrations and home visits, identify families with health risks and inform the health team. They also instruct families about available health services, arrange referrals and schedule consultations/exams, perform health education and teamwork reflections. Some also assist in the clinical environment. The majority who provide health education and those who are responsible for the referrals feel that they are professionally qualified for such tasks. CHWs are a core element of health actions, but the scope of performance requires investment in professional training to maintain the quality of the work executed by them in surveillance activities and teamwork reflection. In this way, the CHW can be jointly responsible for primary care and integrate the system of health care administration.

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Agente Comunitário de Saúde: elemento nuclear das ações em saúde

Objective To provide information with the purpose of helping pediatricians to recognize the risk factors for the onset of severe early childhood caries, allowing for early intervention and thus avoiding this preventable disease and its consequences. Sources Information was collected from scientific articles published on the databases SciELO, MEDLINE and PUBMED in last 25 years, as well as technical books and guidelines of international committees. The keywords used were: early childhood caries, severe early childhood caries, dental caries, and children. Summary of the findings Severe early childhood caries affects infants and children. It is infectious, has a multifactor etiology and fast development, starting soon after dental eruption. Due to the presence of local sociocultural risk factors, it must be regarded as a symptom of alteration in the child's health and lack of adequate care. Its manifestations include pain, abscesses and chewing difficulty, affecting the child's feeding and sleep. Furthermore, it also affects the child's general health, speech, and self-esteem. Conclusions Preventive methods to avoid severe early childhood caries have been developed and they should be used as early as possible by means of prevention programs carried out in the community and with families. Professionals responsible for providing care to babies and children should be aware of cases at risk for caries and interfere in order to improve their patients' health.

http://www.jped.com.br/conteudo/09-85-04-295/ing.pdf

Severe early childhood caries: an integral approach.

Health professionals should be concerned with the waste generated by their activities, and develop specific abilities and skills since graduation, requiring the same conscious positioning and willingness to collaborate in finding solutions. Verify the knowledge of dental undergraduate students of a Public Faculty in the State of São Paulo who were in clinical activity in the first half of 2012 about waste management of health service. We performed a cross-sectional descriptive study. The data collection instrument was a self-administered questionnaire, and after the collection was made tabulating the results through the Epi Info 6.04. Values were expressed by means of frequency in the form of graphs and tables. Of the 140 academic participants, the majority (96.4%) claims to know what RSS is. However, 45.7% answered incorrectly about disposing waste group A (suction system and gloves infected) and 6.4% on the disposal of the group E (sharps waste). Regarding the developer and fixer solutions and lead blades of the dental X-rays, 30% and 48.6%, respectively, not answered correctly. It is concluded that the knowledge of the students on the theme is still flawed, reflecting the need of teaching methodologies seek ways to sensitize future professionals, so that they develop a sense of responsibility and ethical commitment to the health of society and the environment.

Social and Environmental Responsibility in Academic Education

The teacher’s image causes high influence on students’ behavior, through daily contact during long time. The objective of this study was to examine the knowledge of teachers from state and municipal primary schools, about oral health. It was performed a descriptive and exploratory study with an quantitative and qualitative approach including 164 teachers, using as instrument, self-applied questions about the theme. The data was stored and analyzed by Epi Info Program version 3.5.1. Among the results, it was possible to observe that 94,5% related to work in primary schools that have activities about oral health education. In relation to information about necessary cares, 85,4% related to have received it during some moment. According to them, the information was given mainly by dentist (64,3%), students of Aracatuba Dental School (16,4%) and family (5,7%). 95,7% answered they know the meaning of dental caries and among them, 12,2% related it to food remaining on teeth, 88,4% said to know it. Among these perceptual, 50,3% attributed to the same role to protection of dental structure. It is possible to conclude that although the school is an important place for information, but it is not fully used; the teachers have little knowledge about the necessary care for maintenance of oral health, and need more information for approaching with security these themes during classes.

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Análise do conhecimento de professores de Educação Infantil sobre saúde bucal Analysis of teacher knowledge of early Childhood Education on oral health

Faculty of Dentistry Federal University of Uberlândia Unit of Social and Preventive Dentistry

Conhecimento sobre saúde bucal entre pré-escolares e seus cuidadores que receberam e que não receberam promoção de saúde

A figura do educador de ensino infantil se tornou importantissima na sedimentacao das informacoes a respeito de praticas educativo-preventivas em saude bucal para os pre-escolares. Desta forma, este trabalho objetivou avaliar a percepcao e atitude dos pedagogos do ensino infantil em relacao ao armazenamento de escovas dentarias. O instrumento de analise utilizado foi um questionario estruturado. O universo amostral deste trabalho foi composto por todos os professores de escolas estaduais e municipais de educacao infantil que lecionavam no ano letivo de 2010, no municipio de Aracatuba/SP (n= 232). Participaram da pesquisa 164 educadores. Os resultados foram analisados no Programa Epi Info 6.04 e mostraram que 55% dos educadores tinham recebido algum tipo de informacao a respeito do armazenamento adequado de escovas, mas apenas 35% acreditavam que as escovas estavam armazenadas de maneira inadequada. A grande maioria dos pedagogos (97%) relataram ser possivel a transmissibilidade de microrganismos por meio das escovas. Quanto a execucao da escovacao supervisionada, 93% dos educadores disseram realiza-la e a mesma porcentagem foi observada para a identificacao dos pre-escolares nas escovas. Logo, concluiu-se que a percepcao e a atitude dos professores em frente ao armazenamento de escovas dentarias sao deficientes e limitadas, havendo necessidade de programas educativos direcionados a esse grupo, para que esses profissionais tenham mais informacao a respeito do correto acondicionamento de escovas e continuem a executar metodos preventivos em saude bucal. paulinhacaetano@hotmail.com

https://periodicos.ufes.br/RBPS/article/download/1599/1199

P-o29G - Percepção e atitudes de pedagogos sobre aspectos relevantes do uso de escovas dentárias

A educacao em saude bucal para criancas e considerada fundamental pelo fato de que nessa fase da vida ha uma maior capacidade de interiorizar o aprendizado e assim prevenir futuros problemas bucais. O Projeto e desenvolvido no Centro de Atendimento Integral a Crianca e conta com a participacao de alunos da graduacao, pos-graduacao e docentes. Tem como objetivo proporcionar um conhecimento sobre saude bucal, melhorando a capacidade psicomotora, afetiva e cognitiva das criancas, alem de levar a experiencia vivenciada na escola para o seu ambiente familiar. Sao utilizados materiais ludicos- pedagogico, juntamente com palestras que visam ensinar aos escolares tecnicas de escovacao, bem como os problemas que podem ocorrer frente a habitos bucais de succao nao nutritivos, dieta alimentar e doencas bucais. Outra atividade desenvolvida constantemente e a escovacao supervisionada e a avaliacao da condicao bucal. Realiza-se em conjunto um trabalho com os professores e coordenadores, mostrando a importância da aquisicao desses conhecimentos, uma vez que as criancas passam a maior parte do dia no âmbito escolar. Alem disso, os pais recebem informacoes a respeito da manutencao da saude bucal de seus filhos. O Centro de Atendimento Integral a Crianca situa-se em um bairro de periferia, com condicoes socioeconomicas singulares. O projeto apresenta tambem o intuito de estreitar a relacao entre a Universidade e a comunidade, para proporcionar uma maior qualidade de vida para as pessoas que neste bairro reside. rafaelrocha_ss@hotmail.com

Renato Moreira Arcieri

Papers

Social and Environmental Responsibility in Academic Education

Análise do conhecimento de professores de Educação Infantil sobre saúde bucal Analysis of teacher knowledge of early Childhood Education on oral health

Conhecimento sobre saúde bucal entre pré-escolares e seus cuidadores que receberam e que não receberam promoção de saúde

P-o29G - Percepção e atitudes de pedagogos sobre aspectos relevantes do uso de escovas dentárias

P-oo6G - Promoção de saúde bucal: relato de experiência no Centro de Atendimento Integral à Criança