Impacto da condição bucal na qualidade de vida relacionada à saúde bucal de crianças com a síndrome congênita pelo Zika vírus

Abstract

The Congenitial Syndrom caused by Zika Virus (CSZV) might cause alterations not only in the development, but also in the functioning of the maxillofacial structures. It is possible that those alterations have a negative impact on the welfare of the children whose oral health (QVRSB) has been affected by CSZV. There is a lack of studies about the oral health (OH) conditions of this population. The results are important to get information on the oral health (OH) conditions and their impacts on the welfare of the children, making it possible to direct the dental treatment to the children's needs. This dissertation was built on na alternative format, presented in the form of an analytical cross manuscript. The objective of this study is to acess the impact of the oral care conditions and of the socialdemographic aspetcs on the welfare of the children whose oral health (QVRSB) has been affected by the CSZV and their families. A cross study has been conducted with children between the ages of 2 and 6 the CSZV and their mothers. The data was collected from a specialized reahabilitation Center in the city of Goiânia - Goiás within the months of July and September of 2021. The ECOHIS-B was the instrument used to acess the impact of the oral conditions on the welfare of the children whose oral health (QVRSB) has been affected by the CSZV, and the information about the children (gender, age, pregnancy, birth, sistemic condition) were obtained by interviewing the mothers. The total score of the B-ECOHIS was compared in the categories of the variants using the Mann-Whitney and KruskalWallis tests. A level of significance of 5% was established. In the study, 22 pairs of children affected by the syndrom (average of 4,5 years [Standard Deviation 0,7 years]) and their mothers (na average of 35,0 years [Standard Deviation 7,8]) were interviewed. Great parto of the children presented high-arched/atresic palate, hyperplastic/inflamed gums, open/deep bite, and great or moderate Oral Hygiene Index (OHI). The score of B-ECOHIS has presented an average of 3,36 (Standard Deviation 5,21; Confidence Interval-95% 1,05-5,67), the child impact session, average of 2,36 (Standard Deviation 4,61; Confidence Interval -95% 0,32-4,40) and the family session impact with average of 1,00 (Standard Deviation 1,54; Confidence Interval - 95% 0,31-1,68). The percentage of zero score on the dominium was of 59,1% in both. The percentage of zero score on the total punctuation B-ECOHIS was 45,5%. The answers were never the most frequent in all the questionnaires. The item 1 of the section, child's symptom dominium, refers to the presence of oral or dental pain presented greater variety of answers. The average of cavity experience was around 1,41 [2,42]. We found positive, significant and moderate correlation between the cavity exerience and the quality of life of the children affected by the syndrom