Palabras clave
Salud oral
modelo de atención
revaluación de la salud
controles odontológicos
chequeos dentales
modelo de atención
revaluación de la salud
controles odontológicos
chequeos dentales
Cómo citar
Impacto del número de controles periódicos en la salud bucal de los pacientes atendidos en la Clínica de Odontopediatría. (2021). Odontoestomatología, 23(38). https://doi.org/10.22592/ode2021n37e209
Resumen
La Clínica de Odontopediatría desarrolla un modelo de atención con énfasis en promoción, educación y rehabilitación destacándose su control y mantenimiento. No hay información sobre el impacto de los controles periódicos.
Objetivo: Evaluar la asociación del número de controles y la salud bucal de niños entre 5 y 10 años. Estudio transversal, descriptivo (2017-18) y retrospectivo (hasta 2014) en dos subpoblaciones: G1=controles y G2=primera vez, evaluando diferencias de piezas afectadas
Resultados: 115 niños, 44 en G1 y 71 en G2. El 100% presentaron biopelícula. G1 presentó un valor significativamente menor del IPV>20% (p<0.001), de lesiones cavitadas (p<0.001). G1 con 2 o más controles el promedio de lesiones iniciales fue de 2,6 y G2 de 4,5 (p<0.001).
Conclusiones: Los niños con dos o más controles presentaron mejor situación de salud bucal que quienes consultaron por primera vez. Se confirma la importancia del control programado para el mantenimiento de la salud bucal.
Referencias
1.Bordoni N, Escobar A, Castilla R. Capítulo 42. En: Odontología Pediátrica. La salud bucal del niño y del adolescente en el mundo actual. 1º Ed. Buenos Aires: Médica Panamericana, 2010. 881p.
2.Deep P. Screening for Common Oral Diseases. J Can Dent Assoc. 2000; 66:298-9.
3.Wange NJ, Holts D. Individualizing recall intervals in child dental care. Community Dentistry and Oral Epidemiology. 1995; 23 (1): 1-7.
4.Frame PS, Sawai R, Bowen WH, Meyerowitz C. Preventive dentistry: practitioners’ recommendations for low-risk patients compared with scientific evidence and practice guidelines. Am J of Prev Med. 2000; 18 (2): 159–62.
5.Scott G, Brodeur JM, Olivier M, Benigeri M. Parental factors associated with regular use of dental services by second-year secondary school students in Quebec. J Can Dent Assoc. 2002; 68 (10): 604–8.
6.Mettes D. Insufficient evidence to support or refute the need for 6-monthly dental check-ups. What is the optimal recall frequency between dental checks? Evid Based Dent. 2005; 6 (3): 62-3.
7.NICE Guidance. Dental Checks: intervals between oral health reviews. October 2004. Disponible en: https://www.nice.org.uk/guidance/cg19
8.Gibson C, Moosajee A. Selecting appropriate recall intervals for patients in general dental practice an audit project to categorize patients according to risk. Dental Update. 2008; 35 (3): 188-190, 193-194.
9.Bordoni N, Doño R, Miraschi C. Preconc. Organización Panamericana de la Salud 1992.
10.ICDAS Foundation. International Caries Detection and Assessment System. 2016. Disponible en: https:// icdas.org/downloads.
11.Ekstrand KR, Gimenez T, Ferreira FR, Mendes F, Braga M. The International Caries Detection and Assessment System- ICDAS. A systemic review. Caries Res. 2018; 52 (5): 406-419.
12.Ainamo J, Bay I. Problems and proposals for recording gingivitis and plaque. Int Dent J. 1975; 25 (4): 229-35.
13.The R Project for Statistical Computing (OR), A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. URL: https://www.R project.org/
14.American Academy of Pediatric Dentistry (AADP). Guideline on Periodicity of Examination, Preventive Dental Services, Anticipatory Guidance/Counseling, and Oral Treatment for Infants, Children, and Adolescents. 2013. Disponible en: http://www.aapd.org/media/Policies_Guidelines/G_Periodicity.pdf
15.Davenport C, Elley K, Salas C, Taylor-Weetman CL, Fry-Smith A, Bryan S, Taylor R. The clinic effectiveness and cost of routine dental checks. NIHR Health Technology Assessment program. health Technol Access 2003.
Disponible en: http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0015130/
16.Maltz M, Jardim JJ, Alves LS. Health promotion and dental caries. Braz Oral Res. 2010; 24 (Suppl 1): 18-25.
17.Walsh L J, Brostek A M. Minimum intervention dentistry principles and objectives. Aust Dent J. 2013; 58 (Suppl 1): 3–16
18.Maltz M, Andaló Tenuta LM, Groisman S, Cury JA. Cariología: Conceitos Básicos, Diagnóstico e Tratamento nao Restaurador. Publisher: 1era ed. Porto Alegre: Artes Medicas; 2016 144p.
19.US. Dept of Health and Human Services Healthy People 2010: midcourse review. Disponible en: http://www.healthypeople.gov/data/midcourse
20.Andrade y col. Epidemiología de las Enfermedades Periodontales en el Uruguay. Pasado y presente. Odontoestomatología. 2017; 19(30): 14-28
21.Tickle M, Williams M, Jenner T, Blinkhorn A. The effects of socioeconomic status and dental attendance on dental caries' experience, and treatment patterns in 5- year-old children. Br Dent J. 1999; 186 (3): 135-7.
22.Mejàre I, Källest l C, Stenlund H. Incidence and progression of approximal caries from 11 to 22 years of age in Sweden: A prospective radiographic study. Caries Res. 1999; 33 (2): 93-100.
23.Lith A, Lindstrand C, Gröndahl HG. Caries development in a young population managed by a restrictive attitude to radiography and operative intervention: II. A study at the surface level. Dentomaxillofac Radiol. 2002; 31(4): 232-9.
24.Abanto J, Celiberti P, Minatel M, Alvarez E, Cordeschi, Haddad A E, Bonecker M. Effectiveness of preventive program based on caries risk assessment and recall intervals on incidence and regression of initial caries lesions in children. Int J Paediatr Dent. 2015; 25(4): 291-9.
25.Clarkson JE, Pitts NB, Goulao B, Boyers D, Ramsay CR, Floate R, et al. Risk-based, 6-monthly and 24-monthly dental check-ups for adults: the INTERVAL three-arm RCT. Health Technol Assess 2020;24(60).
26.WHO 2021. Seventy-fourth World Health Assembly. EB148/SR/8. Mayo 2021. Disponible en: https://apps.who.int/gb/ebwha/pdf_files/EB148/B148_8-en.pdf
2.Deep P. Screening for Common Oral Diseases. J Can Dent Assoc. 2000; 66:298-9.
3.Wange NJ, Holts D. Individualizing recall intervals in child dental care. Community Dentistry and Oral Epidemiology. 1995; 23 (1): 1-7.
4.Frame PS, Sawai R, Bowen WH, Meyerowitz C. Preventive dentistry: practitioners’ recommendations for low-risk patients compared with scientific evidence and practice guidelines. Am J of Prev Med. 2000; 18 (2): 159–62.
5.Scott G, Brodeur JM, Olivier M, Benigeri M. Parental factors associated with regular use of dental services by second-year secondary school students in Quebec. J Can Dent Assoc. 2002; 68 (10): 604–8.
6.Mettes D. Insufficient evidence to support or refute the need for 6-monthly dental check-ups. What is the optimal recall frequency between dental checks? Evid Based Dent. 2005; 6 (3): 62-3.
7.NICE Guidance. Dental Checks: intervals between oral health reviews. October 2004. Disponible en: https://www.nice.org.uk/guidance/cg19
8.Gibson C, Moosajee A. Selecting appropriate recall intervals for patients in general dental practice an audit project to categorize patients according to risk. Dental Update. 2008; 35 (3): 188-190, 193-194.
9.Bordoni N, Doño R, Miraschi C. Preconc. Organización Panamericana de la Salud 1992.
10.ICDAS Foundation. International Caries Detection and Assessment System. 2016. Disponible en: https:// icdas.org/downloads.
11.Ekstrand KR, Gimenez T, Ferreira FR, Mendes F, Braga M. The International Caries Detection and Assessment System- ICDAS. A systemic review. Caries Res. 2018; 52 (5): 406-419.
12.Ainamo J, Bay I. Problems and proposals for recording gingivitis and plaque. Int Dent J. 1975; 25 (4): 229-35.
13.The R Project for Statistical Computing (OR), A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. URL: https://www.R project.org/
14.American Academy of Pediatric Dentistry (AADP). Guideline on Periodicity of Examination, Preventive Dental Services, Anticipatory Guidance/Counseling, and Oral Treatment for Infants, Children, and Adolescents. 2013. Disponible en: http://www.aapd.org/media/Policies_Guidelines/G_Periodicity.pdf
15.Davenport C, Elley K, Salas C, Taylor-Weetman CL, Fry-Smith A, Bryan S, Taylor R. The clinic effectiveness and cost of routine dental checks. NIHR Health Technology Assessment program. health Technol Access 2003.
Disponible en: http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0015130/
16.Maltz M, Jardim JJ, Alves LS. Health promotion and dental caries. Braz Oral Res. 2010; 24 (Suppl 1): 18-25.
17.Walsh L J, Brostek A M. Minimum intervention dentistry principles and objectives. Aust Dent J. 2013; 58 (Suppl 1): 3–16
18.Maltz M, Andaló Tenuta LM, Groisman S, Cury JA. Cariología: Conceitos Básicos, Diagnóstico e Tratamento nao Restaurador. Publisher: 1era ed. Porto Alegre: Artes Medicas; 2016 144p.
19.US. Dept of Health and Human Services Healthy People 2010: midcourse review. Disponible en: http://www.healthypeople.gov/data/midcourse
20.Andrade y col. Epidemiología de las Enfermedades Periodontales en el Uruguay. Pasado y presente. Odontoestomatología. 2017; 19(30): 14-28
21.Tickle M, Williams M, Jenner T, Blinkhorn A. The effects of socioeconomic status and dental attendance on dental caries' experience, and treatment patterns in 5- year-old children. Br Dent J. 1999; 186 (3): 135-7.
22.Mejàre I, Källest l C, Stenlund H. Incidence and progression of approximal caries from 11 to 22 years of age in Sweden: A prospective radiographic study. Caries Res. 1999; 33 (2): 93-100.
23.Lith A, Lindstrand C, Gröndahl HG. Caries development in a young population managed by a restrictive attitude to radiography and operative intervention: II. A study at the surface level. Dentomaxillofac Radiol. 2002; 31(4): 232-9.
24.Abanto J, Celiberti P, Minatel M, Alvarez E, Cordeschi, Haddad A E, Bonecker M. Effectiveness of preventive program based on caries risk assessment and recall intervals on incidence and regression of initial caries lesions in children. Int J Paediatr Dent. 2015; 25(4): 291-9.
25.Clarkson JE, Pitts NB, Goulao B, Boyers D, Ramsay CR, Floate R, et al. Risk-based, 6-monthly and 24-monthly dental check-ups for adults: the INTERVAL three-arm RCT. Health Technol Assess 2020;24(60).
26.WHO 2021. Seventy-fourth World Health Assembly. EB148/SR/8. Mayo 2021. Disponible en: https://apps.who.int/gb/ebwha/pdf_files/EB148/B148_8-en.pdf