Therapeutic itineraries of children with the early loss of primary teeth: A qualitative phenomenological study

Fernando Valentim Bitencourt, Cristiane Falcão Gaspar, Carolina Scheffler, Jonas Almeida Rodrigues, Ramona Fernanda Ceriotti Toassi
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Abstract

Background: Children with untreated dental caries tend to have a higher prevalence of early tooth loss, causing physical, psychosocial, and financial impacts on children and their families. The present study aims to understand the therapeutic itineraries of children with the early loss of primary teeth due to caries by analyzing the access to and integrality of care. Methods: This was a qualitative phenomenological study. Participants were caregivers, aged 18 years or older, of children up to 12 years of age who attended the University Dental Clinic of a Public University in Southern Brazil. Analysis of medical records and interviews were performed. The saturation criterion defined the sample size (n=44). Results: Public and private health services were accessed by families in the search for treatments for children's oral health conditions until they reached the University Dental Clinic. Children experiencing suffering and pain, who had had multiple extractions, and families affected financially and emotionally by the oral health condition of their children highlighted these itineraries. The resilience of these families in overcoming the challenges experienced and their continuous efforts to find solutions for the oral health care of their children were emphasized. Their relations with students and teachers at the University Dental Clinic were also discussed. Conclusion: The study showed a range of paths taken by children and their families and suggested weaknesses in ensuring the integrality of care for children in the Brazilian National Health System. Qualitative analysis of the therapeutic itineraries of children’s families presented in this study is proposed as a complementary tool for health care. This study has the potential to contribute to the evaluation of health services in the country, strengthening children's oral health.
儿童早期乳牙缺失的治疗方案:一项定性现象学研究
背景:患有未经治疗的龋齿的儿童往往有较高的早期牙齿脱落率,对儿童及其家庭造成身体、社会心理和经济影响。本研究旨在通过分析护理的可及性和完整性,了解早期乳牙因蛀牙而脱落的儿童的治疗方案。方法:定性现象学研究。参与者是在巴西南部一所公立大学牙科诊所就诊的12岁以下儿童的看护者,年龄在18岁或以上。进行了病历分析和访谈。饱和度标准定义了样本量(n=44)。结果:在到达大学牙科诊所之前,家庭在寻找儿童口腔健康问题的治疗方法时使用了公共和私人保健服务。经历痛苦和痛苦、多次拔牙的儿童,以及因儿童口腔健康状况在经济上和情感上受到影响的家庭,都是这些行程的重点。他们强调了这些家庭在克服所遇到的挑战方面的复原力,以及他们不断努力寻找解决其子女口腔保健问题的办法。他们与大学牙科诊所的学生和老师的关系也被讨论。结论:该研究显示了儿童及其家庭采取的一系列途径,并提出了巴西国家卫生系统在确保儿童护理完整性方面的弱点。在本研究中提出的儿童家庭治疗行程的定性分析作为卫生保健的补充工具。这项研究有可能有助于评估该国的卫生服务,加强儿童的口腔健康。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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