Análise do processo de avaliação de risco em saúde bucal e desenvolvimento de software para apoio a gestão e decisão clínica

Abstract

The oral health risk assessment is an important element for the management of oral diseases. Given this aspect of this study proposed analyze the risk assessment process in oral health and the factors associated with the perspective of oral health coordinators of municipalities. In this sense the study was divided into stages, the first being carried out from data collection through semi-structured questionnaire administered to 86 oral health coordinators of municipalities in the northern region of Minas Gerais, Brazil, obtaining a response rate 95% (n = 82). This allowed to obtain data related to the risk assessment process in oral health in the assessed municipalities, noting that 76.8% of the municipalities did not perform or partially performed the risk rating, with 25.6% of the municipalities using the tool itself or adapted by the municipality. As for the factors associated with risk assessment municipalities cited self-care (14.6%), access to fluoride (13.4%), diet (9.8%), educadional level (7.3%) income and sanitary conditions (6.1%). The bivariate analysis AR was associated with the use of factors such as the presence of caries, conducting training and use of screening for scheduling. Taking into account that effective risk assessment is through the identification and observation of proper correlation between aggressors and host resistance factors, as well as the identification of various risk indicators, one has to consider that our study found a discrepancy in respect of these factors. Knowing the importance given to these factors in the proper conduct of planning and intervention in oral health, it is suggested that these factors are evaluated incipiently by municipalities. Given this situation took place the second stage of the study consisted of a review of the literature review, the main databases on the risk assessment theme in oral health without delimitation year of publication, in order to assess the overall picture of the process risk assessment in oral health. This study was conducted from the use of guidelines for conducting a systematic review of the report for Systematic Reviews and Meta-Analyses, PRISMA, and using the validated tool AMSTAR to evaluate the quality of these reviews. This process provided data for the third step was the development of SISO software, which aims to promote the process of systematization of risk assessment in oral health, assisting in the care management process with the disease. This software was based on a data record interface of the factors and risk factors and clinical conditions, customers, underlying a process of risk rating of oral health, while still allowing the registration information for the various oral lesions with cue diagnostic and conduct. The SISO identifies the caries risk factors and other oral diseases for the individual and community by providing elements to support the management of these diseases.