ANÁLISE DE ATUAÇÃO ODONTOLÓGICA E PERFIL DOS PACIENTES DA CLINICA MÉDICA EM UM HOSPITAL UNIVERSITÁRIO DO SISTEMA DE SAÚDE PÚBLICA DO BRASIL

Abstract

The Hospital Dentistry is the area of activity that is aimed at treating patients with altered systemic conditions with highly specialized practice through preventive, diagnostic, therapeutic and palliative actions in oral health, performed in a hospital environment, inserted in a multidisciplinary team. In Brazil, this insertion has been discussed in recent years in the clinical, scientific and national context, being related to a greater expectation of patient survival, possible reduction of hospital infections, hospitalization time, hospital expenses, and differentiation in integral care of the same. In 2004, the National Oral Health Policy (PNSB), aimed to the expansion of oral health actions in the different levels of care in full. In 2012, Bill nº363 made it mandatory to provide dental care to patients hospitalized and to patients with chronic diseases. And this insertion was reinforced by Resolution of the Federal Council of Dentistry (CFO) nº 162 of 2015. Currently, although most of hospitalized patients is devoid of oral health practices in Brazilian hospitals, dental work in this area is under increasing structuring. This study aims to analyze the dental operation and characterize the profile of patients who were treated by the resident dentist in years 2012 and 2013 in the Medical Clinic of the University Hospital of the Public Health System in Brazil. Through the retrieval of dental records, data were collected on the general characteristics, systemic changes, dental information, lifestyle and frequencies, oral situation in primary care, and dental care. Most patients treated brushed their teeth less than 3 times a day (54.3%) and reported no use dental floss (85.7%), highlighting the presence of biofilm (73.3%) and dental calculus (70.5%). The frequent oral change was denture stomatitis (8.6%), followed by ulcerative lesions (2.9%) and leukoplakia (2.9%). Among the patients treated, it highlight the use of prostheses (25, 7%), and most of all type (12.4%) and had poor hygiene (14.3%). Prior to admission, it was considerable amount of patients seen who had undergone any treatment (15.2%) and who reported had been negative dental experience (15.2%). There was a predominance of patients with the reason for the dental appointment for routine consultation (78.1%) and cardiology (21%) the main specialty of origin of all patients seen. Of total dental conduct and procedures recorded in the medical records of our study, there were oral hygiene guidelines (59%) and referral (1.9%); and they stood out basic periodontal therapy (71.4%), followed by extraction (39%). The predominant attended profile of hypertensive patients (37.1%) and heart problems (34.3%). The results demonstrate that the patients of the Medical Clinic attended had urgent needs relate to self-care of oral health and guidelines regarding care with the prostheses. The dental work was fundamental through oral xi health promotion, emphasizing the Oral Hygiene Guidance and Basic Periodontal Therapy. The characterization of the predominant profile of attended patients suggests the need for strategies to address common risk factors and prevention of chronic non communicable diseases. Moreover, there is need for greater inter-relationship between professionals, and better monitoring of external referrals of treatments, including better data record. All this ratifies the importance of the current and growing field of action of the dental surgeon in hospital environment.