Mestrado em Odontologia (FO)
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Navegando Mestrado em Odontologia (FO) por Por Orientador "Freire, Maria do Carmo Matias"
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Item Fatores psicossociais maternos e a saúde bucal de pré-escolares(Universidade Federal de Goiás, 2019-02-26) Ferreira, Juliana Borges da Silva; Costa, Luciane Ribeiro de Rezende Sucasas da; http://lattes.cnpq.br/9906371509661305; Freire, Maria do Carmo Matias; http://lattes.cnpq.br/6056344372250078; Freire, Maria do Carmo Matias; Jordão, Lídia Ribeiro; Oliveira, Ana Cristina Borges deIntroduction: The psychosocial determinants of oral health are more frequently investigated in adults and there are still gaps in knowledge with regard to preschool children. Objective: To investigate whether maternal psychosocial factors (Religiosity and Sense of Coherence) are associated with the oral health of children aged 4 to 6 years. Methodology: Cross-sectional study of 85 children attended in dental clinics of two schools of specialization in Paediatric Dentistry of Goiás, the Central-West region of Brazil, and their mothers. The dependent variables were related to the children’s oral health: behaviour in the dental clinic, dental health condition (caries experience) and oral health behaviours (oral hygiene and consumption of foods containing sugar). The explanatory variables were the maternal Religiosity and Sense of Coherence (SOC). Other independent variables were related to the children (sociodemographic and oral health characteristics), the families (socioeconomic condition, parents living together and care of the child) and the mothers (age, schooling, number of children, perception of the children's teeth and oral health variables). The data were collected through interview and questionnaire with the mothers and the children's clinical records. For the data analysis bivariate tests and Poisson regression were performed. This study protocol was approved by the Research Ethics Committee (CAAE: 81203317.5.0000.5083). Results: Children’s caries prevalence was 83.5%, most of them brushed their teeth from one to two times a day (91.4%) and made daily use of dental floss (63.8%). Regarding the children’s diet, 68.2% of them had low frequency of sweets consumption, 87.1% of soft drinks and 67.1% of artificial juice. Nearly 21% of the children showed negative behaviour during the dental care. Most of the mothers had high levels of SOC (51.8%) and of Religiosity (65.5%). There was association between maternal SOC and the children's behaviour in dental clinic (p= 0.004; PR= 0,26; 95%CI= 0.09-0.64). The prevalence of negative behaviour was nearly 4 times lower in the group of children whose mothers had higher SOC, and nearly 3 times lower among children whose mothers perceived their children’s teeth as good or very good. The other outcome variables were not associated with maternal psychosocial factors. Conclusion: The SOC was independently associated with the children's behaviour in the dental clinic, showing to be a protection factor to this behaviour. The perception of mothers about their children's teeth also showed to be a protective factor for their behaviour. Maternal religiosity was not associated with the outcome variables.Item Determinantes individuais e contextuais das alterações periodontais, má-oclusão e fluorose em escolares de 12 anos do município de Goiânia-GO(Universidade Federal de Goiás, 2013-12-20) Jordão, Lidia Moraes Ribeiro; Freire, Maria do Carmo Matias; http://lattes.cnpq.br/6056344372250078; Freire, Maria do Carmo Matias; Costa, Luciane Ribeiro de Rezende Sucasas da; Lemos, Cristiane Lopes SimãoInformation on social inequities in health is valuable when allocating resources for public services and formulating health strategies. Research is needed to deepen the understanding of the determinants that lead to inequities in oral health. This cross-sectional study aimed to analyze the association between individual and contextual factors and the prevalence of adverse periodontal condition, malocclusion and dental fluorosis among Brazilian 12- year-old schoolchildren. This study included data from an oral health survey carried out in 2010 in the city of Goiania, Brazil (n = 2,075) and secondary data obtained from the files of the local health authority. Data were collected through oral clinical examinations. For assessment of periodontal status two components of the Community Periodontal Index (CPI) were used: calculus and bleeding after probing. The Dental Aesthetic Index (DAI) was used to assess occlusion and the Dean Index to assess fluorosis. Dependent variables were presence of any periodontal condition, presence of malocclusion (DAI>25) and presence of fluorosis, analyzed separately. Independent individual variables were the children’s sex and color/race, and their mother’s level of schooling. Contextual variables were related to the schools (type and existence of toothbrushing program) and its geographic location in the health districts. Rao-Scott tests were performed for each of the three outcomes and multilevel analysis was performed for periodontal condition (Poisson regression) and malocclusion (Logistic regression). The results are presented in three original articles. The prevalence of calculus and/or bleeding was 7% and higher (P<0.05) in brown pupils, from public schools, and those located in health districts with intermediate socioeconomic indicators. The prevalence of malocclusion was 40.1%. Significantly higher rates of malocclusion were found among children from public schools, those located in less affluent health districts, and whose mothers had less years of education. The prevalence of fluorosis was 18.7%, predominantly of the very mild degree (11.2%). No significant association was found between fluorosis and the investigated variables. It was concluded that the inequalities in the distribution of adverse periodontal condition and malocclusion were determined by individual as well as contextual factors. Appropriate strategies addressed to the areas of socioeconomic deprivation are needed to reduce the disparities.Item Fatores psicossociais e a percepção familiar sobre a saúde dental de crianças pré-escolares(Universidade Federal de Goiás, 2020-02-13) Rigo, Danielle Cristina Alves; Freire, Maria do Carmo Matias; http://lattes.cnpq.br/6056344372250078; Freire, Maria do Carmo Matias; http://lattes.cnpq.br/6056344372250078; Abreu, Mauro Henrique Nogueira Guimarães de; Sacono, Nancy TomokoIntroduction: Maternal perception of children's dental health has been investigated, however, knowledge about children in pre-school age is still scarce and the influence of maternal psychosocial factors is not known. Objective: To analyze the maternal perception about the dental health of his/her child at preschool age and associated factors. Methodology: Cross- sectional study. The sample consisted of 146 mother-child dyads from 4 to 6 years old, attending dental clinics of two specialization courses in Pediatric Dentistry in Goiânia, Goiás, in 2018 and 2019. Data collection instruments were an structured interview form and a questionnaire with dental and psychosocial scales for mothers, as well as a form to register data from the children's clinical records. Maternal perception about the child's dental health was the outcome variable, categorized as positive (very good and good) and negative (neither good nor bad, bad and very bad). The independent variables were related to mothers (sociodemographic, oral health-related and psychosocial) and children (sociodemographic and oral health-related). Data analysis consisted of descriptive statistics, bivariate tests and Poisson Regression. Results: Most mothers had a negative perception of their child's dental health (54.8%). In the bivariate analysis, the perception was associated with the child's caries experience (ceo-d index) and the report of dental pain at some time in life (p <0.05). In the non-adjusted regression these variables were included as well as the other independent variables associated to the outcome with p values <0,25. In the adjusted regression model, Organizational Religiosity (RO) and the child's caries experience were associated with the outcome, regardless of the other variables (p <0.05). The proportion of mothers with negative perception of their children's dental health was 1.45 higher in the group with low OR (PR = 1.45; 95% CI 1.10-1.91) and 2.31 higher in the group of children with high caries experience (PR = 2.31; 95% CI 1.50-3.54). The other variables were not associated with the outcome. Conclusions: The maternal perception about the dental health of the preschool child was predominantly negative and associated with the mother's religiosity and the child's caries experience.