Dissertação
Saúde bucal em gestantes: Percepção e aspectos clínicos subsidiando ações no serviço
Fecha
2015-08-13Autor
Angélica Maria Cupertino Lopes Marinho
Institución
Resumen
The pregnant dentistry assistance, seems still be realized at a incipient way and
it’s important that this kind of assistance occurs according to protocols. This
study aimed to perform data analysis once collected in the city of
Matozinhos/MG so that they were converted into instruments to improve the
oral health status of pregnant women. They evaluated caries and periodontal,
by only calibrated professional (Cohen Kappa coefficients equal to 0.94, 0.75
and 0.65 for decay, Community Periodontal Index - CPI and Attachment Loss
Index Periodontal – PIP, respectively) features sociodemographic,
autoperception and access to the service using the criteria of the SB Brazil
program. Pregnant women’s perceptions were evaluated before and after
operative groups. Besides analyzing statistically, the DMFT index dichotomized
by the median value was associated to the family incomes, the perception of
treatment necessity and the perception of health provided by the Pearson’s ChiSquare and linear trend Chi-square. McNemar’s Chi-Square tests were used for
comparisons before and after educational intervention. The significance level
adopted was p<0.05. The DMFT was 12.00 (±6.33), being teeth cavities
representing 52.2%. Most of the pregnant women presented some level of
periodontal disease or calculus. Dental caries has not been associated with
family incomes (p=0.469), need for dental treatment (p=0.161), nor with health
perception (p=0.506). The pregnant women in public covered in the study had
care needs in relevant oral health and simultaneously ignorance and fears
about prenatal dental approach, but after the educational activities , there was
improvement in these perceptions (p˂0.01 ). This information, built up an article
submitted to the journal and draft of educational brochure on oral health. The
version of the brochure, is an important resource for the democratization of health information and must still be validated externally by quantitative and
qualitative methods. It could be noted, given the lack of context and high oral
health rates among pregnant women, the need to increase the participation of
the dentist in the team of prenatal professionals.