Percepções e condutas dos cirurgiões-dentistas da saúde da família acerca da cárie precoce na infância
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2018-12-19
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Universidade Federal de Goiás
Resumo
Early Childhood Caries (ECC) may affect the quality of life and bio-psycho-social development of children. It
is quite prevalent in Brazil and the measures proposed by the National Oral Health Policy have contributed
little to its reduction. Thus, it is important that professionals involved are voiced and heard whilst elaborating
action strategies. This work aims to acknowledge the perceptions and conducts, carried by dentists working
on Family Health, around ECC. Being an exploratory descriptive research that follows a qualitative approach,
the data collection was accomplished through semi structured interviews with 29 dentists acting on Family
Health. Data was taken through the analysis of thematic-categorical content with the formulation of emergent
categories. It was evidenced that most of the professionals perceived ECC as a problem in the area, because
of the early acometiment, high prevalence and great destruction caused to deciduous dentition. ECC was
perceived as a problem in the more peripheral city zones, under heavy influence of the Social Determinants
of Health. Even though the macroeconomic and life condition aspects were studied, emphasis was given to
the more proximal aspects, attached to family care. These children’s access to health and oral health is
limited and late, attending with pain and great damage. Noticing the social determinants did not prove itself
enough to promote new practices, which were centered on the privatist model. Dentists have shown difficulty
in acting with primary attention according to to the health promotion and and amplified clinic principles,
regardless of the health and prevention educative actions aimed towards early childhood. The largest noted
obstacles were the lack of adhesion by families, both in prevention and control actions, compromising the
continuity of attention. They presented as potentials, the priority and commitment as to child care. Reflection
over conducts, difficulties and potentials is important when planning actions to overcome challenges faced
while implementing local level health policies. Overcoming the fragmentation of tasks, as well as the isolation
of health care teams are urgent priorities. The need for permanent education which allows the capacitation for
pediatric dentistry attendance, empathy development and the comprehension of choices and habits
presented by families, and health education methodology were hereby presented.
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RODRIGUES, M. A. M. Percepções e condutas dos cirurgiões-dentistas da saúde da família acerca da cárie precoce na infância. 2018. 136 f. Dissertação (Mestrado em Saúde Coletiva) - Universidade Federal de Goiás, Goiânia, 2018.