masterThesis
Assistência odontológica diferenciada para crianças de 0 a 3 anos: avaliação de impacto no Serviço Público Municipal em Natal-RN
Fecha
2009-09-24Registro en:
CÂMARA, Adriana Costa de Souza Martins. Assistência odontológica diferenciada para crianças de 0 a 3 anos: avaliação de impacto no Serviço Público Municipal em Natal-RN. 2009. 81 f. Dissertação (Mestrado em Odontologia Preventiva e Social; Periodontia e Prótese Dentária) - Universidade Federal do Rio Grande do Norte, Natal, 2009.
Autor
Câmara, Adriana Costa de Souza Martins
Resumen
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