RESUMO Objetivo: Avaliar a eficácia de estratégias lúdicas para interrupção do hábito de sucção de chupeta e a autocorreção da mordida aberta anterior na dentição decídua. Métodos: A coleta dos dados ocorreu na clínica de Odontopediatria de uma instituição pública de ensino. Participaram 03 crianças, de 3-4 anos de idade, em uso de chupeta e apresentando mordida aberta anterior. Foi efetuada orientação para conscientização da família e estratégias lúdicas para a criança, com um livro ilustrado sobre a fada da chupeta. Resultados: Após primeiro atendimento, duas crianças interromperam o hábito de chupeta. As consultas seguintes foram para reforço positivo e acompanhamento da autocorreção da mordida aberta anterior. A terceira criança necessitou de quatro atendimentos para interromper o hábito da chupeta, porém outros hábitos persistiram e a correção da mordida aberta ocorreu após intervenções da equipe multidisciplinar. Conclusão: Após orientação profissional, os pais/responsáveis colaboraram para estimular a criança e os recursos lúdicos foram eficientes para incentivar a criança a interromper a sucção de chupeta, possibilitando autocorreção da mordida aberta anterior. Uso de mamadeira, interposição lingual e respiração bucal podem dificultar a correção espontânea desta má oclusão após abandono da chupeta, sendo necessária intervenção multidisciplinar.

ABSTRACT Objective: To evaluate the effectiveness of play strategies to break the pacifier-sucking habit and induce self-correction of the anterior open bite in the primary dentition. Methods: Data collection took place at the Pediatric Dentistry clinic of a public education institution. Three children, aged between 3 and 4 years old, using a pacifier and presenting with a 2 to 5 mm anterior open bite, participated in the research. Pediatric dental guidance was imparted to educate the family and to provide play strategies for the child by means of an illustrated book about the pacifier fairy. Results: After the first consultation, two children quit their pacifier habit. Subsequent consultations were devoted to positive reinforcement and follow-up of the self-correction of the anterior open bite. The third child required four visits to stop the pacifier habit, but other habits persisted and the open bite was only corrected after intervention by a multidisciplinary team. Conclusions: After receiving orientation from the professionals, the parents/guardians cooperated in stimulating the child, and the play activities were effective in encouraging the child to stop sucking on the pacifier, permitting self-correction of the anterior open bite. Bottle feeding, tongue interposition and mouth breathing may hinder the spontaneous correction of the anterior open bite after the pacifier habit is abandoned, requiring multidisciplinary intervention.

RESUMO Objetivo Esta pesquisa observacional transversal objetivou verificar a percepção de pais, frente à pressuposição de um traumatismo dentoalveolar, quanto às principais sequelas, relacionamentos sociais, reações esperadas dos filhos e sentimentos da criança. Métodos Foram selecionados 74 pais, aleatoriamente, e foram apresentadas seis fotografias coloridas, extraídas de livro, com aspectos clínicos de lesões traumáticas. As respostas foram registradas com auxílio de gravador de voz, transcritas e categorizadas por aproximação semântica. Os dados foram tabulados no programa SPSS e avaliados por estatística descritiva. Resultados As principais sequelas atribuídas pelos pais ao traumatismo dentoalveolar foram: perder o dente (43%) e prejudicar o dente permanente (18%). A maioria dos pais acreditava que não haveria alteração no relacionamento das crianças com os pais (68,9%), enquanto para 54,1% haveria afastamento das crianças da vizinhança e para 90,5% as crianças da escola poderiam ridicularizar ou zombar. Das reações esperadas, 86,5% dos pais acreditavam que o filho se sentiria diferente em relação aos amigos devido à aparência. Quanto aos sentimentos, para 85,1% o traumatismo poderia ocasionar no filho sentimentos de vergonha ou constrangimento, 79,7% timidez ou introversão e 60,8% tristeza. Conclusão Concluiu-se que a perda do dente e o risco de envolvimento do germe do permanente sucessor foram as principais sequelas atribuídas pelos pais. O traumatismo dentoalveolar pode influenciar de maneira desfavorável os relacionamentos sociais das crianças com outras da vizinhança e principalmente da escola e podem se sentir diferentes em relação aos amigos devido à aparência. Além disso, as crianças poderiam sentir vergonha ou constrangimento, timidez ou introversão e tristeza.

ABSTRACT Objective: This cross-sectional, observational study sought to ascertain the perception of parents vis-à-vis the presumption of a dentoalveolar trauma, with regard to the main sequelae, social relationships, expected reactions of the children, and the feelings of the child. Methods: A total of 74 parents were selected at random, who were presented with six color photographs taken from a book, having the clinical appearance of traumatic injury. The responses were recorded with the aid of a voice recorder and were transcribed and stratified using semantic approximation. The data were tabulated using the SPSS software program and evaluated using descriptive statistics. Results: The main sequelae ascribed to dentoalveolar trauma by the parents were as follows: loss of the tooth (43%) and damage to the permanent tooth (18%). The majority of parents believed there would be no change in terms of the children’s relationship with their parents (68.9%), while for 54.1%, there might be some alienation by children in the neighborhood, and for 90.5%, schoolchildren might tease or make fun of them. Of the expected reactions, 86.5% of parents believed their child would feel differently in relation to their friends, because of their appearance. With regard to feelings, for 85.1%, the trauma could lead to the children experiencing shame or embarrassment, 79.7% replied shyness or introversion, and 60.8% sadness. Conclusion: It was concluded that the loss of a tooth and the risk of involvement of the permanent successor tooth germ were the main sequelae ascribed by the parents. Dentoalveolar trauma may have a detrimental effect on the social relationships of the children with others in the neighborhood, and mainly at school, and they may feel differently towards their friends on account of their appearance. Moreover, the children may experience shame or embarrassment, shyness or introversion, and sadness.

Abstract Objective: To verify the relationship of feeding practices of potential risk to dental caries in early childhood with sociodemographic variables, prematurity and Neonatal Intensive Care Unit admission (NICU). Material and Methods: Data from medical records of infants and preschool children, including feeding practices (breastfeeding, bottle feeding, feeding during sleep, introduction and frequency of sugar use), sociodemographic variables, prematurity and NICU admission were collected. Chi-square, Fisher and Maximum Likelihood Ratio tests were used. Results: The number of medical records was 222 in the age group of 01-45 months. Breastfeeding was not present in 66.7% of preterm infants (p=0.003) and 66.1% of infants admitted at NICU (p=0.011). The use of feeding bottle occurred in 58.4% of infants whose mothers work / study; 58.4% of preterm infants and 60.9% of children admitted at NICU (p<0.001). Feeding during sleep occurred in 70.5% of infants aged 1-24 months (p<0.001); 51.4% were single children (p=0.010) and 76.7% did not attend daycare centers (p=0.003). The introduction of sugar occurred in 60.6% in the age group of 01-24 months. The use of sugar more than 3x / day occurred in 52.6% of infants aged 25-45 months (p=0.003) and; 51.8% with mothers whose schooling corresponded to elementary school (p=0.039). Conclusion: Among caries-risk feeding practices, there was relationship between breastfeeding and prematurity and NICU admission; use of feeding bottle and mothers who worked and / or studied, prematurity and NICU admission; feeding during sleep and younger children, single child and those who did not attend daycare centers; and higher frequency of sugar use and older infants, and maternal schooling corresponding to elementary school.

RESUMO O baixo peso ao nascer e a prematuridade podem estar associados ao atraso na erupção dental na dentição decídua; não obstante esta relação, têm sido relatados na literatura casos de recém-nascidos pré-termo apresentando dentes natais ou neonatais, embora isto seja uma ocorrência rara. O objetivo foi apresentar o relato de dente natal em um recém-nascido pré-termo, analisando a singularidade deste caso em contraponto ao atraso na erupção dental usualmente observado em associação à prematuridade. Relato do caso: O recém-nascido, sexo feminino, com idade gestacional de 36 semanas e 3 dias, peso ao nascimento de 2.300g, foi atendido no projeto de extensão “Estratégias de Promoção de Saúde Bucal para Bebês” vinculado à disciplina de Odontopediatria da Universidade Federal do Espirito Santo, encaminhado pelo setor de neonatologia e pediatria do hospital universitário por apresentar um dente erupcionado desde o nascimento. Ao exame clínico constatou-se, na região correspondente aos incisivos centrais inferiores, a presença de um dente natal erupcionado e um dente homólogo recoberto pelo tecido gengival. A radiografia periapical evidenciou os elementos 71 e 81. Como estavam bem implantados e não interferiam na amamentação, estes dentes foram mantidos. A mãe foi orientada a retornar à clínica caso ocorressem ulcerações na língua do bebê ou fissuras mamilares, havendo relato negativo quanto à ocorrência de alterações, até os dois meses de idade. A ocorrência de dente natal é rara, mas pode estar presente em recém-nascido pré-termo, apesar da associação entre prematuridade e atraso na erupção dental na dentição decídua.

ABSTRACT Low birth weight and prematurity may be associated with delayed dental eruption in the deciduous dentition; notwithstanding this relationship, cases of preterm newborns presenting natal or neonatal teeth have been reported in the literature, although this is a rare occurrence. The objective was to present the report of natal tooth in a preterm newborn, analyzing the uniqueness of this case in contrast to the delayed dental eruption usually observed in association with prematurity. Case report: The newborn infant girl, with a gestational age of 36 weeks and 3 days and birth weight of 2,300 g, was attended to as part of the “Strategies for Oral Health Promotion for Infants” project, linked to the Pediatric Dentistry course at the Federal University of Espírito Santo. The newborn infant was referred by the neonatology and pediatric department of the university hospital as she presented an erupted tooth at birth. Clinical examination, in the region corresponding to the lower central incisors, revealed the presence of an erupted natal tooth and homologous tooth covered in gingival tissue. The periapical radiograph confirmed teeth 71 and 81. Since they were well implanted and did not interfere with breastfeeding, these teeth were retained. The mother was instructed to return if there were ulcerations in the infant’s tongue or nipple fissures, with the use of negative reporting regarding the occurrence of alterations up to two months of age. The occurrence of natal tooth teeth is rare, but they may be present in the preterm newborn, despite the association between prematurity and delayed dental eruption in the deciduous dentition.