Perfil E Condição Bucal Do Paciente Portador De Doenças Infectocontagiosas Atendidos No Hospital Oswaldo Cruz - Curitiba/Pr

Abstract

RESUMOA saúde bucal afeta a qualidade de vida e dignidade pessoal dos pacientes. Esse impacto parece ser mais grave em indivíduos medicamente comprometidos ou hospitalizados. O projeto intitulado "Atenção estomatológica em pacientes hospitalizados e portadores de doenças infectocontagiosas" desenvolveu atividades de atenção primária à saúde por meio de ações educativas e preventivas das doenças bucais nos indivíduos portadores de doenças infectocontagiosas que estavam em tratamento no Hospital Oswaldo Cruz (Curitiba/PR). Os indivíduos que participaram deste projeto foram submetidos a exame odontológico sob o auxílio de luz artificial nas enfermarias. Quando necessário, biópsias foram realizadas nos pacientes com lesões bucais sem diagnóstico clínico definitivo. 289 homens (65,38%) e 153 mulheres (34,62%) foram examinados. A média de idade dos indivíduos foi de 41 anos. As condições bucais mais frequentemente diagnosticadas nestes pacientes foram: doença periodontal, cárie, língua saburrosa e a candidose bucal. Este grupo de pacientes apresenta um risco elevado ao desenvolvimento de doenças bucais, especialmente as infecções oportunistas e as neoplasias. O diagnóstico precoce, o tratamento e a prevenção destas entidades promovem uma melhoria na saúde e na qualidade de vida destes indivíduos e o cirurgião-dentista desempenha um papel fundamental neste processo.

A prática da odontologia hospitalar no Brasil: uma revisão integrativa da literatura

“…As much as 17 (60.7%) [3][4][5][6][7]10,18,19,[21][22][23][26][27]29,33 studies were published between 2014 and 2017, 4 (14.3%) 2,16,30,32 in 2011, 3 (10.7%) 24,25,28 in 2010, 2 (7.1%) 17,20 in 2013, and 1 (3.6%) in 2008 and 1 in 2012. 15,31 Most of the studies were conducted in São Paulo state, with 7 (25%) 2,15,17,19,22,24,26 publications, followed by the states of Santa Catarina (n=4, 14.3%), 7,25,28,32 Paraná (n=3, 10.7%) 6,13,30 and Mato Grosso (n=2, 5.6%). 18,23 The states of Bahia, Goiás, Mato Grosso do Sul, Minas Gerais, Pará, Paraíba, Pernambuco, Piauí, Rio Grande do Norte and Rio Grande do Sul had 1 (2.8%) publication each, accounting to 28% of the sample.…”

“…In order to identify the scenario of hospital dentistry in Brazil through published studies, it was found that 6 (21.4%) [13][14][15]17,23,26 studies had a control group; 17 (60.7%) [4][5][6]16,18,19,[20][21][22]24,[27][28][29][30][31][32][33] were related to patients' oral health profile and 5 (17.9%) 2,3,7,10,25 were questionnaire-based studies of which 4 3,7,10 involved only patients and 1 25 involved patients, caregivers and healthcare professionals.…”

“…Among the studies addressing the patients' oral health profile, 8 (47%) 4,6,22,24,27,29,30,32 were performed with patients admitted to conventional hospital beds, 6 (35.3%) 16,18,19,21,31,33 with ICU patients, 2 5,28 (11.8%) with patients admitted to ICUs and conventional hospital beds and 1 (5.9%) 20 did not mention. Twelve (70%) [4][5][6]16,18,19,22,28,29,[31][32][33] of the studies addressing the oral health profile were carried out with adult patients only, 2 hygiene kits while in hospital stays, how often daily they performed oral hygiene and whether it was done by the patients themselves or by their companions.…”

“…); provide expert opinions and explanations regarding stomatognathic alterations; provide complex care (clinical and/ or surgical) to special needs patients; train and supervise the dental assistant team to maintain the oral health of inpatients, perform dental and periodontal prophylaxis, encourage oral hygiene of inpatients, constantly examine their mouth and adjacent structures, create protocols for oral hygiene of inpatients, as well as notify the dentist if changes occur in or related to the patient's oral structures. 5,6 Oral health care in hospitalized patients is of paramount importance and mandatory and thus oral hygiene should be performed routinely. 6 Poor oral hygiene results in greater accumulation of oral biofilm favoring the proliferation of pathogenic microorganisms, which makes the patients more susceptible to biofilm-dependent oral pathologies in combination with systemic diseases and infections.…”

“…5,6 Oral health care in hospitalized patients is of paramount importance and mandatory and thus oral hygiene should be performed routinely. 6 Poor oral hygiene results in greater accumulation of oral biofilm favoring the proliferation of pathogenic microorganisms, which makes the patients more susceptible to biofilm-dependent oral pathologies in combination with systemic diseases and infections. 3 These biofilm-dependent pathologies may be aggravated when related to other oral conditions such as caries, periodontal disease, tooth fractures, oral lesions and necrotic pulp, which also can exacerbate systemic complications.…”