Altera??es bucais em crian?as escolares: influ?ncia dos sintomas do TDAH e fun??es executivas

• Main Author: Veloso, Isabella Mota Pereira
• Other Authors: Ferreira, Fernanda Oliveira
• Language: Portuguese
• Published: UFVJM 2015
• Subjects: Odontologia; Odontopediatria; TDAH; Sa?de bucal; C?rie; Trauma dent?rio e fun??o executiva
• Online Access: http://acervo.ufvjm.edu.br:8080/jspui/handle/1/473

Submitted by Rodrigo Martins Cruz ([e-mail]) on 2015-01-23T16:14:43Z No. of bitstreams: 5 isabella.pdf: 2438155 bytes, checksum: 8849537d67c505387dbeb111a0c0a616 (MD5) license_url: 52 bytes, checksum: 3d480ae6c91e310daba2020f8787d6f9 (MD5) license_text: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) license.txt: 2109 bytes, checksum: aa477231e840f304454a16eb85a9235f (MD5) === Approved for entry into archive by Rodrigo Martins Cruz ([e-mail]) on 2015-02-10T11:06:43Z (GMT) No. of bitstreams: 5 isabella.pdf: 2438155 bytes, checksum: 8849537d67c505387dbeb111a0c0a616 (MD5) license_url: 52 bytes, checksum: 3d480ae6c91e310daba2020f8787d6f9 (MD5) license_text: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) license.txt: 2109 bytes, checksum: aa477231e840f304454a16eb85a9235f (MD5) === Made available in DSpace on 2015-02-10T11:06:43Z (GMT). No. of bitstreams: 5 isabella.pdf: 2438155 bytes, checksum: 8849537d67c505387dbeb111a0c0a616 (MD5) license_url: 52 bytes, checksum: 3d480ae6c91e310daba2020f8787d6f9 (MD5) license_text: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) license.txt: 2109 bytes, checksum: aa477231e840f304454a16eb85a9235f (MD5) Previous issue date: 2013 === Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES) === O transtorno de d?ficit de aten??o e hiperatividade (TDAH) ? o dist?rbio de desenvolvimento mais comum entre os escolares, podendo desencadear altera??es em toda a trajet?ria de vida do indiv?duo e de seus familiares. Objetivos: Investigar se o TDAH pode ser considerado fator de risco para altera??es bucais. Metodologia: A disserta??o foi desenvolvida em dois estudos independentes. No primeiro estudo foi desenvolvido um artigo de revis?o em que dois pesquisadores realizaram as buscas, de forma independente, nas bases de dados MEDLINE e Web of Science. Foram analisados todos os artigos originais sobre o tema, independente do tipo de estudo, publicados desde o in?cio do banco de dados at? agosto de 2012. Estudos de revis?es foram exclu?dos. No segundo estudo foi desenvolvido uma pesquisa transversal com amostra representativa de 851 crian?as com idades entre 7 e 12 anos, selecionadas aleatoriamente nas escolas da cidade de Diamantina. Informa??es socioecon?micas foram coletadas atrav?s de question?rios enviados aos pais das crian?as. Todas as crian?as participaram do exame cl?nico de c?rie dent?ria e da avalia??o neuropsicol?gica utilizando o teste das Matrizes Progressivas Coloridas de Raven, Cubos de Corsi e Digit Span. Os sintomas de desaten??o e hiperatividade foram investigados pelo preenchimento da escala SNAP pelos pais e professores. Resultados: No estudo de revis?o, os resultados foram divergentes com rela??o ? associa??o entre TDAH e sa?de bucal, sendo que cinco estudos encontraram associa??o entre c?rie dent?ria e TDAH, no entanto, dois n?o estabeleceram essa associa??o. Em rela??o, a associa??o entre trauma dent?rio e TDAH, cinco estudos encontraram associa??o positiva, enquanto outros 3 n?o encontraram associa??o. E, somente um estudo mostrou associa??o entre c?rie dent?ria e gengivite. A maioria dos estudos existentes apresentaram limita??es metodol?gicas, tais como n?o padroniza??o dos crit?rios diagn?sticos para o TDAH, aus?ncia de c?lculo amostral e falta de representatividade amostral. No segundo estudo da disserta??o, crian?as relatadas como desatentas e/ou hiperativas pelos pais apresentaram maior probabilidade de possuir dentes cavitados. Maior escolaridade materna e melhor desempenho no subteste Cubos de Corsi (ordem inversa) foram fatores protetores em rela??o ? ocorr?ncia de c?rie dent?ria. Conclus?o: O estudo de revis?o indicou que n?o h? consenso sobre a associa??o entre TDAH e sa?de bucal, por?m, a maioria das evid?ncias indicam a favor da exist?ncia dessa associa??o. Os dados do artigo original revelaram que a escolaridade materna, desaten??o e hiperatividade relatadas pelos pais e o desempenho nas fun??es executivas foram as vari?veis explicativas para a ocorr?ncia de dentes cavitados. === ABSTRACT The attention deficit and hyperactivity disorder (ADHD) is the most common developmental disorder among students and may trigger changes across the life course of the individuals and their families. Objectives: To investigate whether ADHD can be considered a risk factor for oral alterations. Methods: The dissertation was developed in two independent studies. In the first study, a review article was developed in which two researchers conducted the searches independently, in the MEDLINE and Web of Science databases. We analyzed all original articles on the subject, regardless the type of the study, published since the beginning of the database to August 2012. In the second study we developed a cross-sectional study with a representative sample of 851 children aged between 7 and 12 years, randomly selected from schools of Diamantina city. Socioeconomic data were collected through questionnaires sent to parents. All children participated in the clinical examination of dental caries and neuropsychological assessment, using the Raven Coloured Progressive Matrices test, Corsi Blocks and Digit Span. Inattention and hyperactivity symptoms were assessed by the filling of the SNAP scale by parents and teachers. Results: In the first study, the results were conflicting regarding the association between ADHD and oral health. Five studies found an association between dental caries and ADHD, however two have not established this association. Regarding the association between dental trauma and ADHD, five studies found a positive association, while 3 others found no association. And, only one study showed an association between dental caries and gingivitis. Most existing studies had methodological limitations, such as non-standardization of the diagnostic criteria for ADHD, no sample size calculation and lack of representativeness. In the second study of this dissertation, children reported as inattentive and / or hyperactive by their parents were more likely to have cavitary teeth. Higher maternal education and better performance on the Corsi Blocks subtest (backward) were protective factors to dental caries. Conclusion: The review study indicated that there is no consensus about the association between ADHD and oral health, but most evidences point to the existence of this association. The data of the original article revealed that maternal education, inattention and hyperactivity reported by parents and performance in executive functions were the explanatory variables for the occurrence of dental caries.