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22 de janeiro de 2009
Uso de serviços odontológicos por pacientes com síndrome de Down
Utilization of oral health care for Down syndrome patients
ABSTRACT
OBJECTIVE: From a perspective of comprehensive care, the purpose of
the study was to evaluate factors associated to dental care provided to Down
syndrome children and adolescents.
METHODS: A cross-sectional study was carried out including 112 pairs of
mothers/Down syndrome children aged between 3 and 18 years who attended
a public hospital genetics clinic in Rio de Janeiro, Southeastern Brazil, in
2006. Dental care was not provided at the clinic. Data were collected through
a questionnaire administered to the mothers and oral examinations of their
children. Multiple logistic regression was used for data analysis. The dependent
variable was “dental care of the Down syndrome child or adolescent” and the
independent variables included demographic, socioeconomic and behavioral
characteristics.
RESULTS: Most children (79.5%) had had at least one dental visit (90%
CI: 72.3; 87.8). Dental experience of the children was associated to the
following variables: mothers who reported being advised by their children’s
health provider to take them to the dentist’s (OR=6.1 [2.5; 15.1]); children
with prior history of surgery (OR=2.5 [0.9; 7.1]); and age between 12 and 18
years (OR=13.1 [2.0; 86.9]).
CONCLUSIONS: Dental care provided to Down syndrome children and
adolescents was associated to advice given by their health providers, a part
of comprehensive care.
DESCRIPTORS: Down Syndrome. Oral Health. Dental Care for
Disabled. Comprehensive Health Care. Cross-Sectional Studies
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