146.03 Oral health status in Cabo Verde, Africa: Partnership with a Brazilian educational institution

Thursday, April 30, 2009
Sadrivaan A and B (The Hilton Istanbul Hotel )
Antônio Carlos Frias São Paulo University Dental School, Brazil
Simone Rennó Junqueira São Paulo University Dental School, Brazil
Celso Zilbovicius São Paulo University Dental School, Brazil
Maria Ercilia Araujo São Paulo University Dental School, Brazil
Maristela Vilas Boas Fratucci São Paulo University Dental School, Brazil
Objective: To fix up a project of education and prevention in partnership with the Cabo Verde (Africa) Consulate in São Paulo, Brazil, and dental students of a Brazilian private educational institution.
Methods: In the first stage, during three weeks of July 2007, dental students and faculty developed educational activities in oral health and supervised brushing with distribution of toothbrushes to 1000 children aged between 5 and 12 years old in the islands of São Vicente and Santo Antão, Cabo Verde, Africa. An epidemiological examination was held, in the children of 5-6 years old (n=314) and 12 years old (n=209). According WHO criteria, two dentists previously calibrated (Kappa=0.96)  evaluated dental caries prevalence (dmft/DMFT) in both ages. For 12 years of age treatment need, periodontal disease and the access to oral health services were also evaluated. In January 2009 the second phase is expected to be held with Atraumatic Restorative Treatment (ART).
Results: In the Island of São Vicente dmft for 5-6 years was 3,3 (CI95% 2.76-3.81; 89% decayed teeth). In the Island of Santo Antão the dmft index was 2,5 (CI95% 2.04-2.81;  97% decayed teeth). For 12 years the DMFT index was 1,9 (CI95% 1.47-2.31) and 2,0 (IC95% 1.60-2.43),and the decayed component decreased 76% e 89% in the islands respectively. Almost half of treatment needs (49,0%) were of 1 face restorations but 16% were condemned to exodontia. Bleeding and calculus were present in 49% e 55% of the children sextants in each island. Respectively 30.2% e 41.0% of the children have never visited a dentist.
Conclusions: As for the difficulties of water treatment and access to dental services in the health system, salt fluoridation was suggested in order to decrease dental caries prevalence and maintenance of health education activities in partnership with other institutions.

Learning Objectives: 1. Evaluate the oral status of a community through epidemiological accepted index. 2. Recognize the importance of partnerships between educational institutions and public health systems. 3. Create pedagogical experiences for dental students outside school.

Sub-Theme: Successful partnerships between academia and practice