Dental assessment of patients in paediatric intensive care unit (ICT)

Abstract

Introduction and Objective: There is need for papers involving children undergoingdental approach in hospital environment to report the clinical characteristics of thechildren attended by the Pediatric Intensive Care Unit Dentistry Service of a referencehospital of the Unified Health System (SUS) To record the oral conditions of the childrenand treatments performed by the team of professionals in Dentistry. Materialsand methods: retrospective descriptive study, through retrieval of medical recordsand results were tabulated and analyzed by means of percentage difference. Thesample consisted of 145 patients from 0 to 15 years of age attended and followed upby the UTIPed Dentistry service from September 2016 to November 2017. Patientswere analyzed for gender, age, reason for hospitalization, level of consciousness,condition of the airways, pathological processes in the oral cavity, dental proceduresperformed, oral hygiene material used and presence of PAV. Results: Patients werein the age range of less than 1 year up to 17 years, with females being more frequent(54.48%). Regarding the origin 94 (64.23%) were internal patients of the UniversityHospital and 51 (35.77%) were transferred from other hospitals. When we evaluatedthe oral health conditions, 45.83% of the patients presented satisfactory oral hygiene,45.14% regular and 9.03% deficient. Regarding oral mucosa conditions, only5.52% of the patients presented alterations, of which, 3.45% were already on admission. Conclusion: It was verified that the children hospitalized in Pediatric ICU may presentchanges in the oral mucosa from the moment of admission, being mandatory theconstant presence of the dentist in the ICU team to treat and provide a greater adherenceto the oral care of these patients.