Pesqui. bras. odontopediatria clín. integr; 10 (2), 2010
Publication year: 2010
Objetivo:
Verificar a percepcao de maes e pediatras sobre a presenca de sintomas sistemicos e/ou locais durante o periodo de erupcao da denticao decidua. Metodo:
Realizou-se um estudo observacional e transversal, sendo a amostra composta por 25 medicos pediatras e 118 maes de bebes de 03 a 36 meses de idade, de diferentes classes sociais, selecionados aleatoriamente, que se dirigiram as Unidades de Saude de Ponta Grossa/PR. Os dados foram coletados por meio de uma entrevista e o instrumento de pesquisa consisti u de um formulario incluindo as principais manifestacoes locais e sistemicas relatadas pelas maes e pediatras durante a erupcao dos dentes deciduos, entre as quais irritabilidade, salivacao aumentada, febre, irritacao local, sono agitado e reducao de apetite. Os dados foram organizados com auxilio do Software EPI Info, 6.04 e apresentados por meio da estatistica descritiva e inferencial. A analise bivariada foi feita atraves dos Testes Qui- Quadrado e Exato de Fischer sendo empregado um nivel de significancia de 5%. Resultados:
21 pediatras (84%) notaram alteracoes em seus pacientes durante a erupcao da denticao decidua enquanto que 113 maes (96%) tambem afirmaram observar algumas alteracoes. Os sintomas mais citados pelos pediatras foram:
irritabilidade (84%), inflamacao gengival e irritacao local (64%), salivacao aumentada (60%), e sono agitado (40%), enquanto que as maes relataram: salivacao aumentada (80%), irritabilidade (75%), irritacao local (66%), febre (55%) e diarreia (52%). Nao houve diferenca significativa p= 0,223 (teste qui-quadrado) em relacao a regiao da boca mais afetada sendo para os medicos a anterior (43%) e para as maes a posterior (39%). Conclusao:
A maioria dos medicos pediatras e maes ou responsaveis afirmaram observar a associacao entre a sintomatologia sistemica e/ou local com a erupcao dos dentes deciduos.
Objective:
To assess the perception of mothers and pediatricians about the presence of systemic and/or local symptoms during the period of eruption of the primary dentition. Method:
This study was an observational and cross-sectional investigation with a sample composed by 25 pediatricians and 118 mothers of infants aged 3 to 36 months from different social classes selected at random from users of the Public Health Centers of Ponta Grossa, PR, Brazil. Data were collected by means of an interview and the research instrument was a form including the main local and systemic manifestations reported by the mothers and pediatricians during the eruption of primary teeth, among which irritability, increased salivary flow, fever, local irritation, agitated sleep and reduced appetite. Data were organized using the EPI Info, 6.04 soft ware and were presented by descriptive and inferential statistics. A bivariate analysis was done by the chi-square test and Fischer?s exact test with a significance level of 5%. Results:
21 pediatricians (84%) noticed alterations in their patients during the eruption of the primary dentition, while 113 mothers (96%) also observed some alterations. The most commonly cited symptoms by the pediatricians were:
irritability (84%), gingival inflammation and local irritation (64%), increased salivary flow (60%), and agitated sleep (40%), while the mothers reported: increased salivary flow (80%), irritability (75%), local irritation (66%), fever (55%) and diarrhea (52%). There was no statistically significant difference (p= 0.223) regarding the most frequently affected region of the mouth, that is, anterior for the pediatricians (43%) and posterior for the mothers (39%). Conclusion:
Most pediatricians and mothers/caregivers affirmed that they observed an associati on between systemic and/or local symptomatology and eruption of primary teeth.