Pp-626 Oral Health Promotion In Infancy

Tania Almeida1, Manuel Rodrigues Pereira2, Claudia Antao1, Manuela Rodrigues1, Ana Serrao2
1 Centro de Saude da Povoa de Santa Iria - Unidade de Saude de Vialonga
2 Centro de Saude de Arruda dos Vinhos - Extensiio de Arranho
3 Centro de Saude de Alhandra - Extensiio de Alverca
Introduction: Caries are between the most prevalent chronic diseases in infancy and it's known that the majority of the children don't receive oral health care till 3 years old. Nevertheless, caries are a problem possible of prevention.
Objectives: Review present knowledge about promotion means of oral health on children, particularly on Primary Health Care. Methods: It has been done a search for review articles, meta-analysis and guidelines on Pubmed/Medline, published in English and Portuguese at the last 5 years. Used passwords were "oral health", "caries", "children" and "prevention".
Review: Dental caries has a bacterial aetiology, being streptococcus mutans and lactobacilli the most common. The age when colonization occurs is controversial but it is believed to be during dental eruption. Transmission, usually is done by the child's mother or other person who takes care of him. Oral examination must be done by routine to every pregnant woman and child. Risk evaluation is meant to identify mothers with a high number of caries, with an inadequate dental hygiene, diet mistakes and a low social class. Scientific evidence show that preventive strategies must include education about brushing with fluoride tooth-paste after dental eruption, an healthy diet and dental vigilance. Systemic supplementation with fluor is only recommended after 3 years old in children with · high risk for caries.
Conclusion: The Family Physician has a central role on the promotion of healthy routines, risk evaluation, early diagnosis and orientation when in presence of caries by doing an intelligent pregnancy and children care.