Tratamiento restaurador atraumático para niños hospitalizados

L Rezende; C Daher; R Tolêdo; A Araujo de Oliveira

doi:10.47990/alop.v1i2.90

Authors

L Rezende
C Daher
R Tolêdo
A Araujo de Oliveira

DOI:

https://doi.org/10.47990/alop.v1i2.90

Keywords:

Dental service hospital, pediatric dentistry, dental care for chronically ill

Abstract

Objectives: The atraumatic restorative treatment (ART) has been recommended to restore teeth of people who would not normally have access to dental care, but it is not known if general hospitals would be a favorable setting to carry on ART. This retrospective study assessed the acceptance of the ART by patients and dental personnel in the Pediatric Ward of a University Hospital, Brazil. Material and methods: We analyzed 105 dental charts of children admitted to the hospital regarding child’s pain/discomfort (observational scale), behavior (Frankl scale), and perception of ART (faces scale), beside accompanying adults and operators reports on ART. Results: ART was performed in 35 teeth of 18 children. Observers classified 18 cases as ‘comfort’, 12 ‘minimal discomfort’, and 5 ‘moderate pain’. Children’s behavior was ‘definitely positive’ (n=10) or ‘positive’ (n=25). FRS scores did not change after the procedure (1.9±1.5, P=0.358). Children’s perception on ART was more favorable if they were older, had previous experience of dental treatment, did not report pain during the procedure, and had the procedure performed faster when compared with other ARTs from the same group (P<0.05). Accompanying persons (80.0%) had positive opinions of ART. Operators did not find any difficulty in performing 48.6% of ARTs. Conclusion: ART had a good acceptance by pediatric patients, accompanying persons and dental care providers. Health programs directed to low income population in hospital settings can include ART in interdisciplinary educational programs focusing on oral health.

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