Caracterização dos pacientes e procedimentos executados no serviço de atendimento a pacientes com necessidades especiais da Faculdade de Odontologia de Araraquara – UNESP

Abstract

ResumoObjetivo: Caracterizar os pacientes atendidos e os procedimentos realizados no Serviço de Atendimento a Pacientes com Necessidades Especiais da Faculdade de Odontologia de Araraquara (FOAr) -UNESP. Metodologia: A partir dos prontuários odontológicos dos pacientes atendidos em nível ambulatorial entre 2007 e 2013, foram obtidas informações em relação a idade no início do tratamento, tipo de deficiência, medicamentos usados, número de sessões de atendimento e número e tipo de procedimentos odontológicos realizados. Resultado: Dos 232 prontuários analisados, observou-se que mais da metade dos pacientes (56,0%) apresentava deficiência mental, paralisia cerebral ou anomalias congênitas determinadas por agentes infecciosos, com deficiência mental associada. Entre as anomalias congênitas, a mais prevalente foi a Síndrome de Down (9,9%). Apenas 20% dos pacientes iniciaram o tratamento antes dos dez anos de idade e 62,0% faziam uso de anticonvulsivantes, antipsicóticos, ansiolíticos, antiepilépticos e antidepressivos. Foram realizados 4.506 procedimentos odontológicos, sendo 37,6% preventivos e 62,4% curativos (Restauradores, 28,0%; Periodontais, 13,9%; Endodônticos, 9,7%; Cirúrgicos, 9,1%; Protéticos, 1,7%). Observou-se também que, para a maior parte dos pacientes (63%), foram necessárias até dez sessões para a realização do tratamento. Conclusão: Os pacientes que procuraram tratamento odontológico no Serviço de Atendimento a Pacientes com Necessidades Especiais da FOAr apresentavam, na sua maioria, deficiências com envolvimento neurológico. Apesar de esse serviço priorizar os procedimentos preventivos, a maior parte dos procedimentos executados foi curativa, o que está diretamente relacionado com a procura tardia pelo tratamento odontológico.Descritores: Pessoas com deficiência; assistência odontológica para pessoas com deficiências; uso de medicamentos. AbstractObjective: To characterize the patients and dental procedures performed in Service to Patients with Special Needs of Araraquara School of Dentistry (FOAr) -UNESP. Methodology: From the dental records of patients treated at outpatient basis between 2007 and 2013, information regarding age at the beginning of treatment, type of disability, controlled medications used, number of dental sessions, and number and type of dental procedures performed was obtained. Result: Of the 232 records analyzed, more than half of the patients (56.0%) had mental retardation, cerebral palsy or congenital abnormalities caused by infectious agents associated with mental retardation. Among the congenital abnormalities, the most prevalent was the Down syndrome (9.9%). Only 20% of patients started treatment before the age of ten and 62.0% used anticonvulsants, antipsychotics, anxiolytics, antidepressants and antiepileptics. A total of 4,506 dental procedures were performed, 37.6% were preventive procedures and 62.4% curative procedures (restorative, 28.0%; periodontal, 13.9%; endodontic, 9.7%; surgical, 9.1%, and prosthetic 1.7%). Also was observed that for most patients (63%) up t...

Demographic and dental profile of patients met in the Dental Center for Patients with Special Needs of the Brazilian Association of Dentistry – Rio de Janeiro

“…These data corroborate several other studies that also identified the profile of patients with special needs met in specialized centers, showing the inequity of access to oral health care of the population who does not live in the metropolis. 10,[14][15][16][17] This information reinforce the importance of establishing partnerships with universities outside the metropolitan region of Rio de Janeiro to promote greater inclusion of these patients, in addition to encourage education and motivation programs of oral hygiene to be held by undergraduate students in dentistry, which makes their academic training more complete and safe within an inclusive context.…”

Uma visão do tratamento multidisciplinar em alunos com Síndrome de Down na APAE/ Passo Fundo: relato de projeto de extensão

“…Esses medicamentos induzem alterações na composição eletrolítica e orgânica da saliva, reduzindo sua capacidade tampão com consequente aumento da perda mineral da estrutura dentária e comprometimento da remineralização, podendo aumentar o risco à cárie. (DOMINGUES et al, 2015). Exatamente como podemos verificar nos casos estudados na APAE, onde a totalidade dos alunos possuem prescrição e uso continuo dos medicamentosa citados acima.…”

Profile of Patients with Special Needs Assisted at a Brazilian University

“…Differentiated treatment should be dedicated in the management of patients whose general condition is often an aggravating factor for the oral condition, often impairing the introduction of adequate hygiene habits [7]. Factors such as poor brushing, unfavorable socioeconomic conditions, deleterious oral habits, occlusion, cariogenic diet and continuous use of some drugs may influence the onset of dental caries and periodontal disease, which require specific attention [8].…”

“…Thus, they become more vulnerable to the onset of oral diseases when compared to the general population. This requires the commitment of the family and / or caregivers in the maintenance of oral health and daily care with the intent to improve life expectancies [8].…”

“…Considering the scarcity of Brazilian studies describing the profile of PSNs that seek dental treatment in dental school clinics [3,5,[8][9][10], the knowledge of the profile and diagnosis of these patients are fundamental to minimize the oral problems of this population. Thus, it is of great importance to characterize this group and its main dental needs, so that professionals involved can develop adequate treatment plan, emphasizing the importance, in many cases, of a multidisciplinary team, and establish care protocols, providing Dentistry students a differentiated learning, not only in scientific and technical terms, but also in emotional terms and directed to the needs of this population, preparing them in the future to deal with the physical and emotional well-being of this population.…”