Proposta de intervenção para o atendimento odontológico dos portadores de diabetes no Centro de Saúde Glória

Abstract

The debilitating and degenerative characteristics of diabetes and its interference in the living way of the patient and its intractions with other systemic conditions make this disease a priority. This study had the purpose of including diabetic patients of Centro de Saúde Glória (CSG) in the dentist serving, as well as working the integrality of the serving together with the whole health team, developing activities of promotion and health education. At the beginning the researcher participates of meetings of the health teams, where she presents the importance of oral health for the diabetes control. Later on, the oral health team will participate in the activities of education for health, coding activities and the scheduling of diabetic patients for dentist appointment. The diabetic patients will do the clinical file and clinical exam by the dentist and supervising teeth brush by the oral healt technician. For the periodontal evaluation will be used the Community Index of Periodontal Necessities (ICNTP). The patient will do all the necessary treatment and after concluded will be carried maintenance consultations for disease contol at a periodic time in accordance with each case. The cases with specialties will be direct to specific health centers. After the initial contact with the health team, were direct to dentist appointment 17 patients with diabetes diagnostic. It was observed that the patients were in their majority of the female gender, with age between 50 and 59 (47%) and with age between 60 and 69 (29.4%). The majority presented diabetes type 2 (94.04%) and had teeth (82.35%). Regarding the periodontal exam, it was observed that the presence of calculus was the prevalence condition (43%), followed condition of sextant excluded, where the lost of teeth happened in 28.5% and presence of periodontal bag of more than 6mm in 14.5% of the patients. This is a pilot study that after observing that the results were satisfactory will be extended to the remaining health oral tems of CSG. The conclusion is that the dentist must know the oral and systemic alterations of the diabetic patients and keep a effective dalog with all family health team.