Celestino Mariana Laís Silva, Carneiro Natália Cristina Ruy, Prado Heloisa Vieira, Cabral Glória Maria Pimenta, Abreu Mauro Henrique Nogueira Guimarães, Borges-Oliveira Ana Cristina
School of Dentistry, Department of Social and Preventive Dentistry, Universidade Federal de Minas Gerais, Avenida Antônio Carlos, 6627, Belo Horizonte 31270-901, MG, Brazil.
Faculty of Dentistry, Anhanguera, Rua dos Timbiras, 1375, Funcionários, Belo Horizonte 30140-060, MG, Brazil.
J Pers Med. 2025 Jul 18;15(7):323. doi: 10.3390/jpm15070323.
To identify factors associated with the referral by a multiprofessional team to dental services for children and adolescents with rare genetic diseases. A cross-sectional study was developed with 87 children/adolescents with mucopolysaccharidosis ( = 26) and osteogenesis imperfecta ( = 61) and their caregivers. Recruitment took place at reference centers for rare genetic conditions in five Brazilian states. The caregivers answered a questionnaire on the children. They were examined for malocclusion, dental anomalies, caries experience, and gingivitis. Bivariate and multivariate analyses of the data were performed, considering a 95% confidence level. The average age of children/adolescents was 10.4 years (±5.6) and 17.3% had never gone to a dentist. Among those with past dental experience, the reason for most appointments was oral prophylaxis/preventive maintenance (62.1%). With regard to referrals to a dentist by the multidisciplinary team, 29.9% had never received a referral. The likelihood of having been referred to a dentist by the multiprofessional team was 2.67 times greater for female patients (95% CI: 0.96-7.42) and 7.74 times greater for children/adolescents with a history of toothache (95% CI: 1.61-37.14). : Female children/adolescents with mucopolysaccharidosis and osteogenesis imperfecta and those with a history of dental pain were more likely to have been advised by the multiprofessional team to seek dental treatment.
确定多专业团队将患有罕见遗传病的儿童和青少年转诊至牙科服务机构的相关因素。对87名患有黏多糖贮积症（n = 26）和成骨不全症（n = 61）的儿童/青少年及其照顾者开展了一项横断面研究。研究在巴西五个州的罕见遗传病参考中心进行招募。照顾者回答了一份关于儿童的问卷。对他们进行了错牙合、牙齿异常、龋齿经历和牙龈炎检查。考虑到95%的置信水平，对数据进行了双变量和多变量分析。儿童/青少年的平均年龄为10.4岁（±5.6），17.3%的人从未看过牙医。在有过看牙经历的人中，大多数就诊原因是口腔预防/预防性维护（62.1%）。关于多学科团队将患者转诊至牙医处，29.9%的人从未接受过转诊。女性患者被多专业团队转诊至牙医处的可能性高2.67倍（95%可信区间：0.96 - 7.42），有牙痛病史的儿童/青少年被转诊的可能性高7.74倍（95%可信区间：1.61 - 37.14）。结论：患有黏多糖贮积症和成骨不全症的女性儿童/青少年以及有牙痛病史的儿童/青少年更有可能被多专业团队建议寻求牙科治疗。
