Zanata Régia Luzia, Fernandes Karen Barros Parron, Navarro Patrícia Silva Lopes
Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil.
J Appl Oral Sci. 2008 May-Jun;16(3):194-200. doi: 10.1590/s1678-77572008000300006.
The purpose of this study was to assess the current knowledge and recommendations of obstetricians and dentists as to the dental care to pregnant patients in the cities of Londrina/PR and Bauru/SP, Brazil. Questionnaires were distributed to professionals of both cities, arguing on the following issues: oral health during pregnancy; contact between prenatal care and dental care providers; prenatal fluoride supplementation; selection of therapeutic agents for local anesthesia, pain control and treatment of infection; and dental procedures that can be performed during each trimester. Data were analyzed by frequency of responses and statistical analyses were carried out using X(2) (type of workplace/service) and t test (time since graduation), significant if p<0.05. Seventy-nine obstetricians and 37 dentists responded the questionnaires. Most physicians referred the patient to dental care only when a source of dental problem was mentioned, limiting the adoption of a preventive approach. Forty-three percent of dentists and 34% of obstetricians did not know the potential contribution of periodontal infection as a risk factor for preterm low birth-weight babies. There was divergence from scientific literature as to the recommendation of local anesthetics (dentists and obstetricians), prenatal fluoride supplementation (obstetricians) and dental radiographs (dentists). The findings of this survey with dentists and obstetricians showed that dental management during pregnancy still presents some deviations from scientific literature recommendations, indicating the need to update these health care professionals in order to establish guidelines for prenatal dental care.
本研究的目的是评估巴西隆德里纳市/巴拉那州和鲍鲁市/圣保罗州的产科医生和牙医对于为孕妇提供牙科护理的当前知识及建议。向这两个城市的专业人员发放了问卷，探讨以下问题：孕期口腔健康；产前护理与牙科护理提供者之间的联系；孕期补充氟化物；局部麻醉、疼痛控制和感染治疗的治疗药物选择；以及在每个孕期可进行的牙科程序。通过回应频率对数据进行分析，并使用X(2)（工作场所/服务类型）和t检验（毕业时间）进行统计分析，p<0.05则具有显著性。79名产科医生和37名牙医回复了问卷。大多数医生仅在提及牙科问题来源时才将患者转介至牙科护理，限制了预防性方法的采用。43%的牙医和34%的产科医生不知道牙周感染作为早产低体重儿风险因素的潜在影响。在局部麻醉建议（牙医和产科医生）、孕期补充氟化物（产科医生）和牙科X光检查（牙医）方面，与科学文献存在分歧。对牙医和产科医生的这项调查结果表明，孕期的牙科管理仍与科学文献建议存在一些偏差，这表明需要更新这些医疗保健专业人员的知识，以便制定产前牙科护理指南。
