LEVANTAMENTO EPIDEMIOLÓGICO DAS DOENÇAS CÁRIE E PERIODONTAL EM ALUNOS COM NECESSIDADES ESPECIAIS DAS APAE NA REGIÃO METROPOLITANA DE CURITIBA - PARANÁ

Abstract

The purpose of this study was to determine the oral health status in students with special needs that attend to special schools, the Handicapped Parents’ and Friends’ Associations (APAE) in fourteen municipalities of the greater Curitiba (the capital of Paraná state, in southern Brazil). For this research, a survey determined the dental caries prevalence and the periodontal disease, using the dmft and DMFT index, the Community Periodontal Index (CPI) for permanent or mixed denture, and the Gingival Alteration Index (GA), in accordance to the OMS (Organização Mundial da Saúde, 1999) criteria. There were examined 298 individuals aged 4-15 yr. The students were evaluated by a calibrated examiner (kappa = 0.93) in agreement to the biosecurity precepts. To analyze the data, the students were divided in three groups, according to their ages: 4-5 yr, 6-12 yr, and 13-15 yr. The mean ceod and CPOD for these age groups were 22.67, 2.64 and 1.74 respectively. Concerning the CPI, 70.12% of the sites examined of the tooth 46 were healthy, as well as 49% of the tooth 16. The teeth 11 and 31 presented the major amount of sites with bleeding, 20.32% and 23.90% respectively. Regarding the primary teeth, using the Gingival Alteration Index, 45 of the 47 students didn’t present an evident signs of inflammation (GA = 0). The results of this research confirm the importance of stimulation of the dental services and the preventive programs towards students with special needs, wishing do reduce the dental caries and the periodontal disease and making clear the necessity of a more proper dental care in the special schools where they attend to.