Incorporation of the atraumatic restoration technique by oral health teams from the basic health care of Recife/PE
DOI:
https://doi.org/10.7308/aodontol/2018.54.e06Keywords:
Primary Health Care, Oral Health, Glass Ionomer Cements, Dental cariesAbstract
Aim: This study aimed to assess the incorporation of the Atraumatic Restoration Technique (ART) in the planned activities for dental caries control and treatment performed by dentists in public healthcare services in Sanitary District IV of Recife, Pernambuco, Brazil. Methods: The professional profile of dentists and aspects related to the use of ART was investigated. This is an observational and descriptive study. The sample (23) consisted of a universe of dentists of Sanitary District IV in the first half of 2017. Data was collected through a semi-structured questionnaire that was validated face to face. Statistical analysis was performed using descriptive statistics calculations. Results: Only two dentists were not interviewed, because they were away from work, resulting in a drop out sample of 8.69%. Most of the participants were between 41 to 57 years of age (52.83%), female (80.95%), while 80.95% entered in the public service by a selective process; 90.48% had a postgraduate degree with a specialization in family health (80.95%). The majority claimed to use ART and its recommendation in the public health service (85.75%). The technique was used for provisional and definitive restorations (61.11%), and almost 50% of the respondents reported that the quality of the dental material interfered in the execution, longevity, and adhesion of the restorations. The respondents recommended ART for different ages and life conditions, mainly in children (42.86%) and pregnant women (42.86%). The great majority of dentists claimed to be qualified but needed training (95.24%). Conclusion: It was concluded that ART was recommended and incorporated in the dental care practices of most of the interviewed dentists, highlighting the need for investments in ongoing training of dental professionals in public healthcare services and the provision of recommended materials for the effective use of ART.
References
Ely HC, Abegg C, Rosa AR, Pattussi MP. Dental caries reduction among adolescents: temporal and spatial distribution in 36 Southern Brazilian municipalities. 2003 and 2011. Epidemiol Serv Saúde. 2014;23:421-3.
Dobloug A, Grytten J. A ten-year longitudinal study of caries among patients aged 14-72 years in Norway. Caries Res. 2015;49:384-9.
Carvalho, FS, Carvalho AP, Bastos RS, Xavier A, Merlini SP, Bastos JRM. Dental caries experience in preschool children of Bauru, SP, Brazil. Braz J Oral Sci. 2016;97-100.
Cruz MGB, Narvai PC. Cárie e água fluoretada em dois municípios brasileiros com baixa prevalência da doença. Rev Saúde Pública. 2018; 52:28.
Agnelli, PB. Variação do índice CPOD do Brasil no período de 1980 a 2010. Rev Bras Odontol. 2015;72:10-5.
Ministério da Saúde. Secretaria de Atenção à Saúde. Projeto SB Brasil 2003: condições de saúde bucal da população brasileira 2002-2003: resultados principais. Brasília, DF: 2004.
Ministério da Saúde. Secretaria de Atenção à Saúde. Secretaria de Vigilância em Saúde. SB Brasil 2010: pesquisa nacional de saúde bucal: resultados principais. Brasília, DF: 2012.
Pucca GA, Gabriel M, de Araujo ME, de Almeida FCS. Ten years of a national oral health policy in Brazil: innovation, boldness, and numerous challenges. J Dent Res. 2015;94:1333-7.
Silvestre JAC, Martins P, Silva JRV. O tratamento restaurador atraumático da cárie dental como estratégia de prevenção e promoção da saúde bucal na estratégia saúde da família. Rev Sanare. 2010;9:81-5.
Kuhnen M, Buratto G, Silva MP. Uso do tratamento restaurador atraumático na estratégia saúde da família. Rev Odontol Unesp. 2013;42:291-7.
Frencken JE. Evolution of the ART approach: high lights and achievements. J. Appl Oral Sci. 2009;17:78-8.
Ministério da Saúde. Saúde Bucal. Brasília: Ministério da Saúde; 2006. (Cadernos da Atenção Básica; 17)
Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Coordenação Nacional de Saúde Bucal. Diretrizes da Política Nacional de Saúde Bucal. Brasília: Ministério da Saúde; 2004.
Chibinski AC, Baldani MH, Wambier DS, Martins AS, Kriger L. Tratamento restaurador atraumático: percepção dos dentistas e aplicabilidade na atenção primária. Rev Bras Odontol. 2014;71:89-92.
Busato IMS, Gabardo MCL, França BHS, Moysés SJ, Moysés ST. Avaliação da percepção das equipes de saúde bucal da Secretaria Municipal da Saúde de Curitiba (PR) sobre o tratamento restaurador atraumático (ART). Ciênc Saúde Coletiva. 2011;16:1017-22.
Recife. Secretaria de Saúde do Recife. Plano Municipal de Saúde 2014 – 2017. Recife: Secretaria de Saúde do Recife; 2014.
Recife. Prefeitura. Relatório anual de gestão – 2013. Versão preliminar. Recife: 2014.
Freire MCM, Silva SA. Instrumentos de coleta de dados em epidemiologia da saúde bucal. In: Antunes, JLF, Peres MA. Epidemiologia da saúde bucal. Rio de Janeiro: Guanabara Koogan; 2006. p. 376-83.
Boynton PM, Greenhalgh T. Selecting, designing, and developing your questionnaire. BMJ. 2004;328:1312-5.
Carlotto CA, Raggio DP, Bonini GAVC, Imparato JCP. Aceitabilidade do tratamento restaurador atraumático pelos cirurgiões-dentistas do serviço público em São Paulo. Rev Assoc Paul Cir Dent. 2014;68:35-41.
Schünke HM, Knorst J, Teixeira G, Reckziegel M, Alves L, Braun K, et al. Perception and knowledge of dentists in southern Brazil related to use of atraumatic restorative treatment in the public health service. Pesqui Bras Odontopediatria Clín Integr. 2016; 16:331-338
Matos, IB, Toassi, RFC, Oliveira MC. Profissões e ocupações de saúde e o processo de feminização: tendências e implicações. Athenea digital. 2013;13: 239-44.
Cericato GO, Garbin D, Fernandes APS. A inserção do cirurgião-dentista no PSF: uma revisão crítica sobre as ações e os métodos de avaliação das Equipes de Saúde Bucal. RFO-UPF. 2007;12:18-23.
Holmgren CJ, Roux D, Doméjean S. Minimal intervention dentistry: part 5. Atraumatic restorative treatment (ART) – a minimum intervention and minimally invasive approach for the management of dental caries. Br Dent J. 2013;214:11-8.
Grossi JA, Cabral RN, Ribeiro APD, Leal SC. Glass hybrid restorations as an alternative for restoring hypomineralized molars in the ART model. BMC Oral Health. 2018;18:65.
Frencken JE, Leal SC, Navarro MF. Twenty-five-year atraumatic restorative treatment (ART) approach: a comprehensive overview. Clin Oral Investig. 2012; 16:1337-46.
Hilgert LA, de Amorim RG, Leal SC, Mulder J, Creugers NH, Frencken JE. Is high-viscosity glass-ionomer-cement a successor to amalgam for treating primary molars? Dent Mater. 2014;30:1172-8.
Mickenautsch S. High-viscosity glass-ionomer cements for direct posterior tooth restorations in permanent teeth: The evidence in brief. J Dent. 2016; 55:121-3.
Smales RJ, Ngo HC, Yip KH, Yu C. Clinical effects of glass ionomer restorations on residual carious dentin in primary molars. Am J Dent. 2005;18: 188-93.
Da Franca C, De Góes MPS, Domingues MC, Colares V. A utilização do tratamento restaurador atraumático por odontopediatras. Arq Odontol. 2016;44: 30-4.