Avaliação de prescrição de suplementos de flúor pré-natal em Curitiba e região metropolitana

Abstract

Objetivo: avaliar a prescrição de suplementos de flúor durante o pré-natal por ginecologistas e obstetras na cidade de Curitiba e região metropolitana. Métodos: foram enviados questionários a 223 médicos especialistas em ginecologia e obstetrícia. As perguntas abordavam a prescrição ou não de flúor a gestantes, tempo de formado e local de trabalho, entre outros parâmetros. Para análise estatística empregou-se o teste t de Student, análise de variância (ANOVA), teste do χ 2 ou teste exato de Fisher. Resultados: foram devolvidos 137 questionários, correspondendo a 30% (137/441) dos profissionais da área de atuação e a 61,4% (137/223) dos questionários enviados. O flúor pré-natal é prescrito por 47,5% dos profissionais, dos quais 60% prescrevem porque acreditam em uma formação dentária melhor e na prevenção de cárie dos filhos. Os profissionais que não prescrevem possuem menor tempo de formado (t=2,27; p<0,05), sendo que os que trabalham exclusivamente no serviço público prescrevem menos do que os do setor privado (teste de Fisher, p<0,05). Conclusão: é grande o número de profissionais ginecologistas-obstetras que prescrevem flúor no pré-natal, apesar de os estudos recentes não indicarem qualquer vantagem para a criança. Portanto, existe a necessidade de uma maior divulgação da abordagem do mecanismo de ação, indicação e uso clínico do flúor para estes profissionais.

Prenatal dental care: evaluation of professional knowledge of obstetricians and dentists in the cities of Londrina/PR and Bauru/SP, Brazil, 2004

“…Systemic prenatal fluoride was routinely recommended by nearly 47% of dentists interviewed in this study, as also reported by Losso and Ramalho 14 in the metropolitan region of Curitiba, and close to the findings of Menoli and Frossard 16 (52%). The main issue considered to contraindicate prescription was fluoridation of the public water supply, as reported elsewhere 14 .…”

“…Systemic prenatal fluoride was routinely recommended by nearly 47% of dentists interviewed in this study, as also reported by Losso and Ramalho 14 in the metropolitan region of Curitiba, and close to the findings of Menoli and Frossard 16 (52%). The main issue considered to contraindicate prescription was fluoridation of the public water supply, as reported elsewhere 14 . However, prescription is not indicated due to the lack of scientific evidences that prenatal fluoride supplementation might bring any additional benefits to the teeth of the fetus 13 , especially as most commonly recommended by obstetricians, i.e.…”

Inter-relationship between intrauterine dentistry and dentistry for babies: a literature review

“…Pizi et al (2009) [27] affirm that pregnant women recognize that oral health care is extremely important, but they complain about the lack of access to information in the Intrauterine dentistry and dentistry for babies | Cazuza & Takahashi public system. According to Losso and Ramalho (2001) [36], many pregnant women seek dental care, but mainly for curative treatments. Dental care programs for pregnant women are really necessary, like a dental prenatal, and require multidisciplinary involvement.…”

“…Moura et al (2007) [23] understand that an educational health program helps in the search to expand the existing and practiced knowledge by families or social groups and, through dialogues, seek for the construction of new learning, creating a social environment of development. Losso and Ramalho (2001) [36], Bastiani et al (2010) [29], Poletto et al (2008) [37] and Serpa and Freire (2012) [31] emphasize that another quite controversial point in dentistry is regarding the prescription of fluorides in pregnant women. The current knowledge about the fluoride mechanism of action shows that its effect is predominantly topical, occurring mainly at the plaque-enamel interface, through remineralization of initial caries lesions and reduction of dental enamel solubility.…”