Avaliação da condição bucal de pacientes portadores de paralisia cerebral na cidade de Uberaba
DOI:
https://doi.org/10.7308/aodontol/2016.52.2.04Palavras-chave:
Saúde bucal, Paralisia cerebral, Gastrostomia, FundoplicaturaResumo
Objetivo: O objetivo deste estudo foi avaliar as condições de saúde bucal através de parâmetros salivares e microbiológicos associados á cárie dental em pacientes com PC submetidas ou não à gastrostomia na cidade de Uberaba.
Métodos: Trata-se de um estudo observacional transversal, realizado com uma amostra selecionada por conveniência com 48 pacientes com idades entre 2 anos e 16 anos, pertencentes aos Ambulatórios de Cirurgia Pediátrica e da Neurologia do Hospital de Clínicas da UFTM e do Hospital da Criança da cidade de Uberaba, divididos em 3 grupos sendo, 16 pacientes sem deficiência (Grupo SD), 15 pacientes com Paralisia Cerebral (Grupo PC) e 17 pacientes com PC submetidas à gastrostomia e fundoplicatura de Nissen (Grupo PCG). Avaliou-se o índice de cárie (IC), o índice de placa (IP), contagem salivar do número de colônias de Streptococcus mutans (CB) e a capacidade de tamponamento salivar (CTS). Os dados obtidos de IP, CB e CTS foram submetidos à análise estatística One Way Anova (p<0,05), e os dados de IP ao Teste de Tukey (p<0,05). A avaliação do IC se deu através de análise estatística descritiva da porcentagem simples das faces cariadas em relação ao número total de faces.
Resultados: Observou-se diferença estatística apenas entre os grupos para o IP, sendo que o grupo PCG apresentou os maiores valores de índices de placa quando comparados aos demais.
Conclusão: Concluiu-se que a PC, associada ou não à gastrostomia, não é facilitador ou atenuante da doença cárie, nem atua como fator determinante da saúde bucal.
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