Preditores da realização de consultas odontológicas de rotina e por problema em pré-escolares

Abstract

OBJECTIVE:To estimate the prevalence of dental visits among preschool children and determine the factors associated with using dental services. METHODS:A cross-sectional study was conducted with 1,129 fi ve-year-old children from the Pelotas Birth Cohort Study in Pelotas (Southern Brazil) 2004, from September 2009 to January 2010. Use of dental services at least once in the child's life and the reason for the child's fi rst dental visit were recorded. The categories assigned for the fi rst dental visit were: routine checkup, resolution of a problem, or never saw a dentist. The oral examinations and interviews were performed in the children's homes. Socioeconomic aspects and independent variables related to the mother and child were analyzed using multivariable logistic regression. RESULTS:The prevalence of dental visits (both categories combined) was 37.0%. The main predictors for a routine visit were higher economic status, mothers with more schooling, and mothers who had received guidance about prevention. Major predictors for a visit because of a problem were having felt pain in the previous six months, mothers with higher education level, and mothers who had received guidance about prevention. Approximately 45.0% of mothers received information about how to prevent cavities, usually from the dentist. Children of mothers who adhered to health programs were more likely to have had a routine dental visit. CONCLUSIONS:The rate of preschool visits to dental services was lower than the rate for medical appointments (childcare). In addition to income and education, maternal behavior plays an important role in routine visits. Pain reported in the last six months and a high number of teeth affected by tooth decay, independent of other factors, were associated with visits for a specifi c problem. It is important to integrate oral health instruction into maternal and child health programs.

Uso de serviços odontológicos de forma regular na população de Montes Claros, MG, Brasil

“…A variável dependente deste estudo é intermediária, uma vez que as características pessoais da população influenciam o uso dos serviços odontológicos e estes resultam em desfechos de saúde que são a autopercepção da saúde e a satisfação do paciente com os serviços prestados 5 . Ressalta-se que a associação das questões socioeconômicas e subjetivas de saúde está relacionada ao uso, em estudos prévios 6,13,14 , de serviços odontológicos de forma regular. No entanto, numa ampla caracterização dos serviços odontológicos utilizados, considerando seus diferentes domínios e a avaliação da associação destes com o uso regular, não tem sido relatada na literatura, fato constatado no presente estudo.…”

“…O uso regular dos serviços pode ser um importante preditor da saúde bucal, podendo levar à execução de tratamentos de caráter preventivo 11 , evitando, assim, a ocorrência de problemas bucais e, consequentemente, reduzindo a propensão a perdas de horas de trabalho, decorrentes desses problemas 12 . Diferentes contingentes populacionais têm sido avaliados quanto ao uso regular de serviços odontológicos, tais como: pré-escolares 13 , adultos 14 e idosos 6 , sendo esse uso associado, principalmente, a melhores condições socioeconômicas, características do serviço e condições subjetivas de saúde 6,13,14 . O modelo teórico mais utilizado, que tem como objetivo avaliar os fatores associados ao uso de serviços odontológicos, foi proposto por Andersen e Davidson 10 .…”

Access to information on how to avoid oral health problems among elderly persons registered with the Family Health Strategy

“…32 Access to information on how to avoid oral problems was higher among those elderly individuals who described routine care as their reason for using the dental service. Such a service is an important predictor of oral health, 33 presenting a beneficial association with oral health status, 34,35 as it focuses less on the treatment of a condition and more on the preventative approach through the provision of information on oral health care. Unfortunately, the prevalence of such usage is low among elderly Brazilians.…”

<b>Knowledge of pediatricians and the importance of interdisciplinarity in attention to oral health in early childhood

“…According to Camargo et al (2012) the actions for health care in the first year of life must be performed in such a way and the guidelines on children's oral health should not be the sole task of the dentist, but of all the professionals who have contact with the child. All members of health teams, when qualified, can guide the parents and/or those responsible for the children on oral care in early childhood (Reis, Luvison, & Faustino-Silva, 2015).…”