Influência do Alfabetismo em Saúde Bucal de Pais e Cuidadores e sua Participação em Programas de Saúde Bucal na Tomada de Decisões Clínicas no Atendimento Odontopediátrico: Estudo Transversal

Carlos Eduardo Lopes Albuquerque; Ana Cristina Bevilaqua Batista Pedrosa; Fernanda Urbini Romagnolo; Marinilza Soares Mota Sales; Sarah Mendes de Sousa Macedo Silva; Renata Freitas de Lemos Oliveira; Evyllen Ponte Aguiar; Victor Cavallaro Bottesini; Danilo Antonio Duarte

Autores

Carlos Eduardo Lopes Albuquerque Doutor. Departamento de Cirurgia Oral e Maxilofa- cial. UNINTA. Sobral, Ceará, Brasil. https://orcid.org/0000-0003-1843-1530
Ana Cristina Bevilaqua Batista Pedrosa Doutora. Departamento de Odontopediatria. UNINTA. Sobral, Ceará, Brasil. https://orcid.org/0000-0002-9904-9001
Fernanda Urbini Romagnolo Doutora. Departamento de Odontopediatria. Fa- culdade São Leopoldo Mandic. Campinas, São Paulo, Brasil. https://orcid.org/0000-0001-8500-4681
Marinilza Soares Mota Sales Mestre. Departamento de Saúde Coletiva. Univer- sidade Estadual de Montes Claros (UNIMONTES). https://orcid.org/0000-0002-4987-3879
Sarah Mendes de Sousa Macedo Silva Mestre. Departamento de Odontopediatria. UNIN- TA. Sobral, Ceará, Brasil. https://orcid.org/0000-0002-0913-0085
Renata Freitas de Lemos Oliveira Mestre. Departamento de Pediatria Médica. Uni- versidade Federal do Ceará (UFC). Sobral, Ceará, Brasil. https://orcid.org/0009-0009-1596-1289
Evyllen Ponte Aguiar Cirurgiã Dentista. UNINTA. Sobral, Ceará, Brasil. https://orcid.org/0009-0000-3154-1510
Victor Cavallaro Bottesini Universidade Estadual Paulista (UNESP) https://orcid.org/0000-0002-9904-9001
Danilo Antonio Duarte Doutor. Departamento de Odontopediatria. Facul- dade São Leopoldo Mandic. Campinas, São Paulo, Brasil. https://orcid.org/0000-0002-2291-5434

Palavras-chave:

Promoção da Saúde, Letramento em saúde, Saúde Bucal

Resumo

Introdução: O alfabetismo em saúde bucal (ASB) auxilia o indivíduo a compreender e implementar boas práticas de saúde bucal, influenciando diretamente a saúde do próprio paciente como também a de seus filhos. Além disso, o nível ASB dos pais ou cuidadores pode estar relacionado com a escolha do tratamento clínico adotado na consulta odontopediátrica. Objetivo: O presente estudo visou avaliar o nível de ASB de pais e cuidadores atendidos em programas de saúde e o reflexo deste sobre o procedimento clínico odontopediátrico a ser escolhido. Material e método: Trata-se de um estudo analítico e transversal, que avaliou 423 pais/cuidadores os quais os filhos eram atendidos em clínica escola odontopediátrica no período de 2022 a 2023. Esses foram avaliados frente a três instrumentos, sendo eles questionário de perfil sociodemográfico, o BREALD-30 e o instrumento de escolha de imagens de tratamento (IETs). Resultados: A análise sociodemográfica indica que 76% dos participantes eram do sexo feminino e pertenciam a classe C ou inferior. Os resultados gerais obtidos pelo questionário BREALD-30 e IETS revelam que 58% dos indivíduos optaram por tratamentos invasivos, sendo essa escolha diretamente relacionada a indivíduos com baixo nível de ASB. Conclusão: Os programas de saúde bucal aumentaram significativamente o nível de alfabetismo em saúde bucal, refletindo na melhora dos comportamentos de saúde bucal dos pais/cuidadores e suas crianças. Assim como na tomada de decisão em relação aos tratamentos disponíveis para os dentes decíduos com lesões cariosas.

Referências

Brown UT, Spivakovsky S, Janal M. An Epistemic Look at Parental Conceptual Knowledge and Oral Health Outcomes in Children. Glob Pediatr Health. 2024 Jan 7;11.

Horowitz AM. Oral Health Literacy is in Our Lane. J Dent Hyg. 2024 Aug;98(4):4–6.

Junkes MC, Fraiz FC, Sardenberg F, Lee JY, Paiva SM, Ferreira FM. Validity and reliability of the Brazilian version of the Rapid Estimate of Adult Literacy in Dentistry - BREALD-30. PLoS One. 2015 Jul 9;10:1–11.

Alzahrani AY, El Meligy O, Bahdila D, Aljawi R, Bamashmous NO, Almushayt A. Health and oral health literacy: A comprehensive literature review from theory to practice. Int J Paediatr Dent. 2024 Aug 3;10.1111/ipd.13255.

de Buhr E, Tannen A. Parental health literacy and health knowledge, behaviours and outcomes in children: a cross-sectional survey. BMC Public Health. 2020 Dec 13;20(1):1096.

Alayadi H, Bernabé E, Sabbah W, Alsadon O, Alsiwat F. Validating parental reports of child dental visits against treatment received among children. International Journal of Medicine in Developing Countries. 2024;2787–93.

Ramos-Gomez F, Kumar G, Mathur VP, Goswami M, Upadhyay S, Goyal V, et al. Visit to the Dentist for Oral Health Prevention at “Age One”: A proposed policy report from the Indian perspective. Journal of Indian Society of Pedodontics and Preventive Dentistry. 2024 Jan;42(1):3–8.

Menoncin BLV, Crema AF de A, Ferreira F de M, Zandoná AF, Menezes JVNB de, Fraiz FC. Parental oral health literacy influences preschool children’s utilization of dental services. Braz Oral Res. 2023;37:e090.

Rekha MU, Gomasani S, Kumar RVSK, Prasanth PS. Effectiveness of oral health education on caregivers in improving oral health status among 3-6 years old school children in Nellore city – A randomized controlled trial. International Journal of Oral Health Dentistry. 2024 Dec 28;10(4):271–7.

Ludovichetti FS, Zuccon A, Casagrande C, Gallo M, Favero R, Cavallari F, et al. Investigating parents’ and prospective parents’ knowledge of oral hygiene for infants and children. Journal of Clinical Pediatric Dentistry. 2025;49(1):87–96.

Moghbeli M, Shahravan A, Salajegheh M. Relationship between parents’ oral hygiene information literacyand oral hygiene of public elementary school children in Education of Kerman, District 2 in 2017-2018. Caspian J Dent Res. 2021;10(1):48–56.

Silva BNS, de Campos LA, Maroco J, Campos JADB. The oral health impact profile and well-being on mothers and preschool children. BMC Oral Health. 2024 Mar 22;24(1):372.

Khafaji SY Al, Salman OL, Hussain ZM. The Role of Mothers’ Socioeconomic Class on their Children’s Dental Health. Pesqui Bras Odontopediatria Clin Integr. 2024;24:e220164.

Albuquerque CEL, Imparato JCP, Pedroza ACBB, Fontineles CFF, Oliveira RFL, Bottesini VC, et al. The Impact Of Oral Health Literacy On The Perception Of Parents And/Or Caregivers About The Treatment Of Carious Lesions In Primary Teeth: A Cross-Sectional Study. IOSR Journal of Dental and Medical Sciences. 2023;11(1):33–40.

Pitts N, Ekstrand K. International Caries Detection and Assessment System (ICDAS) and its International Caries Classification and Management System (ICCMS) - methods for staging of the caries process and enabling dentists to manage caries. Community Dent Oral Epidemiol. 2013 Feb;41(1):e41–52.

Nieri M, Martini D, Giani M, Pagliaro U, Franchi L, Romanelli V. Use of hawthorne and spoon-feeding effects to modify oral hygiene habits. A Two-Factorial Randomized Controlled Trial. Clinical Trials in Dentistry. 2021 Jun;03(02):32.

Heller LS, Pithavadian R, Micheal S, Chandio N, Sanagavarapu P, Parmar J, et al. Parental perceptions of an oral health promotion program in early childhood education and care settings: A qualitative study. J Public Health Dent. 2024 Dec 29;84(4):407–19.

Aslan Gonul B, Cicek B. The Effect of Parents’ Nutrition Literacy on Children’s Oral-Health-Related Quality of Life. Int J Environ Res Public Health. 2024 Sep 8;21(9):1190.

Wu K, yin W, Liang X, Zou L, Yang Z. The influence of parents’ oral health literacy and behavior on oral health of preschool children aged 3–6 years- evidence from China. BMC Oral Health. 2024 Nov 28;24(1):1445.

Vianna R, Prado M, Prado M, Athias L, Pereira G. Do non-clinical subjective factors influence the treatment decision- making of Brazilian dentists? Acta Odontológica Latinoamericana. 2022 Apr 29;35(1):58–66.

Henderson E, Dalawari P, Fitzgerald J, Hinyard L. Association of Oral Health Literacy and Dental Visitation in an Inner-City Emergency Department Population. Int J Environ Res Public Health. 2018 Aug 15;15(8):1748.

Barasuol JC, Assunção LR da S, Fraiz FC, Menezes JVNB. Oral Health Literacy as a Predictor of Dental Anxiety in Parents of Children Undergoing Dental Treatment. J Dent Child. 2017;84:125–31.

WHO (World Health Organization). Noncommunicable Disease Surveillance, Monitoring and Reporting - Global school-based student health survey. https://www.who.int/teams/noncommunicable-diseases/surveillance/systems-tools/global-school-based-student-health-survey.

ARORA A, McNAB MA, LEWIS MW, HILTON G, BLINKHORN AS, SCHWARZ E. ‘I can’t relate it to teeth’: a qualitative approach to evaluate oral health education materials for preschool children in New South Wales, Australia. Int J Paediatr Dent. 2012 Jul 10;22(4):302–9.

Chandio N, Micheal S, Tadakmadla SK, Sohn W, Cartwright S, White R, et al. Barriers and enablers in the implementation and sustainability of toothbrushing programs in early childhood settings and primary schools: a systematic review. BMC Oral Health. 2022 Dec 18;22(1):242.

Andrew L, Wallace R, Wickens N, Patel J. Early childhood caries, primary caregiver oral health knowledge and behaviours and associated sociological factors in Australia: a systematic scoping review. BMC Oral Health. 2021 Dec 13;21(1):521.

Chawłowska E, Karasiewicz M, Lipiak A, Cofta M, Fechner B, Lewicka-Rabska A, et al. Exploring the Relationships between Children’s Oral Health and Parents’ Oral Health Knowledge, Literacy, Behaviours and Adherence to Recommendations: A Cross-Sectional Survey. Int J Environ Res Public Health. 2022 Sep 8;19(18):11288.

Finlayson TL, Cabudol M, Liu JX, Garza JR, Gansky SA, Ramos-Gomez F. A qualitative study of the multi-level influences on oral hygiene practices for young children in an Early Head Start program. BMC Oral Health. 2019 Dec 26;19(1):166.

Bozorgmehr E, Hajizamani A, Malek Mohammadi T. Oral Health Behavior of Parents as a Predictor of Oral Health Status of Their Children. ISRN Dent. 2013 May 8;2013:1–5.

Yang GR, Dye TD, Li D. Effects of pre-gestational diabetes mellitus and gestational diabetes mellitus on macrosomia and birth defects in Upstate New York. Diabetes Res Clin Pract. 2019 Sep;155:107811.

Ghaffari M, Rakhshanderou S, Ramezankhani A, Noroozi M, Armoon B. Oral Health Education and Promotion Programmes: Meta‐Analysis of 17‐Year Intervention. Int J Dent Hyg. 2018 Feb 24;16(1):59–67.

Batayneh OB Al, Khader TSNYS. Effectiveness of a tooth - brushing programme using the picture exchange communication system ( PECS ) on gingival health of children with autism spectrum disorders. European Archives of Paediatric Dentistry [Internet]. 2020;21(2):277–83. Available from: https://doi.org/10.1007/s40368-019-00485-x

Gerreth K, Ari T, Bednarz W, Nowicki M, Borysewicz-Lewicka M. Dental Health Status and Oral Health Care in Nursery School-Aged Children and their Parents Living in Poznan (Poland). Medical Principles and Practice. 2020;29(3):211–8.

Marquillier T, Trentesaux T, Pierache A, Delfosse C, Lombrail P, Azogui-Levy S. Which determinants should be considered to reduce social inequalities in paediatric dental care access? A cross-sectional study in France. PLoS One. 2021 Aug 4;16(8):e0255360.

Burgette JM, Lee JY, Baker AD, Vann WF. Is Dental Utilization Associated with Oral Health Literacy? J Dent Res. 2016 Feb 13;95(2):160–6.