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居家医疗照顾儿童的口腔健康状况。

Oral Health Status of Children Who Require In-Home Medical Care.

机构信息

Dr. França is a medical student, School of Medicine, Department of Pediatric Dentistry, Federal University of Uberlândia, Uberlândia, Minas Gerais, Brazil.

Dr. Batista is a graduate student, Department of Pediatric Dentistry, Federal University of Uberlândia, Uberlândia, Minas Gerais, Brazil.

出版信息

J Dent Child (Chic). 2021 Jan 15;88(1):29-34.

Abstract

To evaluate the oral health status of children who require in-home medical care, their oral hygiene and eating habits, and the association between oral health status and medical conditions.
Legal guardians of children who need in-home medical care were interviewed regarding their socioeconomic level and their children's medical and dental history, as well as their oral hygiene habits. An oral exam assessed the children's plaque level, caries experience, and periodontal disease. Descriptive and bivariate analyses were performed.
Fifty-six children participated. Almost 61 percent had never received dental care and 58.9 percent had fair or poor oral hygiene. The most observed oral problems were gingival hyperplasia (46.4 percent), calculus (46.4 percent), and gingivitis (30.3 percent). The use of anticonvulsants and type of food were factors that correlated to calculus, gingivitis, or hyperplasia ( <0.05).
A significant number of children who require in-home medical care presented with deficient oral hygiene and periodontal problems, which were correlated with the use of anticonvulsants and gastrostomy feeding.

摘要

为评估需要居家医疗护理儿童的口腔健康状况、口腔卫生和饮食习惯,以及口腔健康状况与医疗状况之间的关系。
对需要居家医疗护理的儿童的法定监护人进行了访谈,了解其社会经济水平、儿童的医疗和牙科史,以及其口腔卫生习惯。口腔检查评估了儿童的菌斑水平、龋齿经历和牙周病。进行了描述性和双变量分析。
共有 56 名儿童参与。近 61%的儿童从未接受过牙科护理,58.9%的儿童口腔卫生状况一般或较差。最常见的口腔问题是牙龈增生(46.4%)、牙石(46.4%)和牙龈炎(30.3%)。使用抗癫痫药和食物类型是与牙石、牙龈炎或增生相关的因素(<0.05)。
相当数量需要居家医疗护理的儿童口腔卫生状况不佳,存在牙周问题,这与使用抗癫痫药和胃造口喂养有关。

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