Pediatric dentistry during rooming-in care: evaluation of an innovative project for promoting oral health

Abstract

ccording to the current paradigm for promoting health, dental care should be a consideration from the first months of life, or even before birth. The aim of this paper is to evaluate mothers' knowledge of and attitude toward their babies' oral health after receiving guidance during the neonatal period. Forty-six mothers were contacted and asked about the advice they had received and how they felt about the information provided. The mothers recruited for the study were divided into two groups, A (n=25) and B (n=21), according to the time elapsed since their participation in the project, that is, less than or equal to three months and more than three months, respectively. A Wilcoxom rank sum test did not show any statistically significant difference between the two groups (p>0.05). Guidance on the baby's oral hygiene, breastfeeding the baby exclusively until the sixth month, as well as the restrictions imposed on sugar intake were what the mothers remembered most. Recommendations concerning good arch development and the use of bottles were what mothers remembered least. Regarding infant oral health, it would be advisable to schedule prenatal and neonatal visits, with the second post-natal consultation no later than four months after childbirth. UNITERMS: Health promotion; Dental caries; Breastfeeding.egundo o paradigma atual de promoção de saúde, a atenção odontológica deve se iniciar ainda nos primeiros meses de vida ou então anteriormente ao nascimento, já que hábitos alimentares e de higiene bucal se estabelecem muito cedo. Avaliouse o grau de conhecimento e as atitudes das mães com relação à saúde bucal do bebê, após as mesmas terem recebido orientações no período neonatal (projeto "Odontopediatria no alojamento conjunto"/ UFG). Quarenta e seis mães com idades de 15 a 38 anos foram questionadas a respeito das orientações recebidas, bem como seu comportamento em relação às mesmas. Dividiu-se a casuística em dois grupos, A (n=25) e B (n=21), de acordo com o tempo decorrido após a implementação do projeto, ou seja, menor ou igual a três meses e maior que três meses, respectivamente. Frente às orientações recebidas (transmissibilidade da cárie dentária, hábitos alimentares, desenvolvimento das arcadas e higiene bucal), a análise de variância não mostrou diferenças estatisticamente significantes entre os dois grupos (p > 0,05), no que diz respeito ao conhecimento e atitudes das mães. As orientações de higiene bucal do bebê, de aleitamento materno exclusivo até seis meses e a restrição na ingestão de açúcar foram as mais lembradas pelas mães. Recomendações referentes à contribuição ao bom desenvolvimento das arcadas e às precauções quanto ao uso de mamadeiras foram menos recordadas. Considerando a saúde bucal do lactente, seria aconselhável que cuidadores sejam orientados nos períodos pré-e neonatal, sendo que a segunda consulta odontológica pós-nascimento deve idealmente ocorrer por volta do quarto mês de vida da criança.

Randomized trial of a photography‐aided behavioural intervention to reduce risk factors for caries and malocclusion in high‐risk infants

“…Our results corroborate the hypothesis that a second postnatal consultation within the first six months of the baby's life 27 aided by a strong visual educational component might be efficacious for oral health promotion in infants. The present study investigated the efficacy of a simple, photography‐aided, low‐cost educational programme aimed at reducing risk factors for dental caries and malocclusion in children within the ‘window of opportunity’, that is between the ages of 0 and 12 months, a period in which major risk factors for oral diseases start to develop.…”

Breastfeeding and non-nutritive sucking patterns related to the prevalence of anterior open bite in primary dentition

“…Supportive advice on breastfeeding should be intensified during pregnancy and puerperium, including preventive dental visits even before the child’s first tooth appears 18 . Prolonging breastfeeding is related to the gradual introduction of semisolid and solid foods in the child’s diet, as the dental eruption process takes place, but eliminates the need to use a feeding bottle.…”

Tratamiento restaurador atraumático para niños hospitalizados

“…De acuerdo con el concepto relativamente nuevo de promoción de la salud para niños y adolescentes en hospitales 6 , otro escenario posible para los cuidados de salud oral es el ambiente hospitalario. Niños internados pueden recibir orientaciones sobre salud oral mientras están internadas en enfermerías pediátricas 7,8 . Además, esos niños pueden beneficiarse con el Tratamiento Restaurador Atraumático (TRA) realizado en el propio lecho del paciente encamado.…”