Avaliação das condições de saúde bucal em pacientes com síndrome de Rett

• Autor(a) principal: Yasui, Érika Miti
• Data de Publicação: 2006
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações do Mackenzie
• Texto Completo: http://dspace.mackenzie.br/handle/10899/22654
• topic: síndrome de Rett; manifestações bucais; bruxismo; saúde bucal; biofilme dental; Rett syndrome; oral manifestations; bruxism; oral health; dental biofilm; CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA

To study the oral manifestations of Rett syndrome and the oral health conditions of female patients with Rett syndrome diagnosis and to evaluate the necessity of specific preventive and therapeutic dental treatment. Clinical evaluation of 21 patients from Associação Brasileira de Síndrome de Rett (ABRE-TE) classified according to the syndrome stage. The collected data came from a questionnaire about general and oral health for the caretakers and clinical and radiographic examination (panoramic radiography). These data were loaded and analysed statiscally in the EPI6 6.04d, 2001 program. The used indexes for the oral health conditions evaluation were: carie experience index (DMFT), simplified hygiene index (IHO-S) and dental treatment needs index (INTO). The diurnal excentric bruxism was observed in 17 patients (80,9%) and it was the main reason for the dental visits. Alterations in shape, size or chronological eruption of the teeth were not detected. Only 7,6% of the dental surfaces were plaque free and 12 patients presented gingival bleeding (57,1%). The person responsible for the oral hygiene of the patients, in most cases was the mother (n=17), who presented high level of education and reported have not been given professional advice to performed it. Although 14 patients did not show dental treatment needs, it increases with age. In the present study clinical and radiographic oral alterations specific to the Rett syndrome were not detected, and the diurnal excentric bruxism was the main oral manifestation. The oral hygiene conditions were not satisfactory and the clinical characteristics presented by the patients with Rett syndrome make the oral hygiene performance by the caretakers difficult. This fact stresses the necessity of the implementation of a preventive and therapeutic dental program as well the education and training of professionals capable to work in a multidisciplinary way and then, to provide dental treatment according to the patients needs.