Oral Health of Hospitalized Brazilian Children: A Cross-Sectional Study

Emily Souto Martins, Eloiza Gonçalves Campos Oliveira, Karyne Gabriele Leite Alves, Lorenna Fonseca Braga de Oliveira, Naiara Gonçalves Fonseca Maia, Verônica Oliveira Dias, Carolina de Castro Oliveira, Maria José Lages de Oliveira


Objective: To evaluate the oral health conditions of hospitalized children, as well as describe the knowledge and practices of oral health care adopted by their parents/guardians. Material and Methods: The sample was composed of 46 children who had been hospitalized for at least five days, who had erupted teeth in the oral cavity and were accompanied by their parents/guardians. Information was collected in relation to: the oral health status of children (DMFT/DEF), the socioeconomic profile and access to information on health and oral hygiene of the parents/guardians and data regarding the hospitalization of the children. The data were analyzed using the Fisher, Pearson's and Mann Whitney's Chi-squared tests, with a confidence level of 95%. Results: 47.8% of the hospitalized children had experienced caries, and the most relevant component for the determination of the experience of caries was the presence of decayed teeth (0.50 to 1.94). A total of 97.8% of parents/guardians said they had not received information on oral health and hygiene, 100.0% had not received guidance on the sugar contained in medicines or the salivary decrease caused by the medications. 34.8% of the children did not perform oral hygiene during hospitalization. According to medical records, 58.7% took liquid medication orally. Conclusion: The hospitalized children had precarious oral health conditions, with the occurrence of carious lesions of the teeth. The presence of risk factors for dental caries in hospitalized children was observed (poor oral hygiene, low schooling and income of parents/guardians, limited knowledge of parents/guardians regarding health care and oral hygiene, consumption of medicines with cariogenic potential).


Patients; Child, Hospitalized; Health Education; Oral Health.

Full Text:



Lima MCPS, Lobo INR, Leite KVM, Muniz GRL, Steinhauser HC, Maia PRM. Oral health status of children admitted to the Children’s Municipal Hospital of Imperatriz – Maranhão. Rev Bras Odontol 2016; 73(1): 24-9.

Silva MJCN, Costa, CPS, Sá FAO, Borges, LO, Sauáia TS. Why should we care about hospitalized children’s oral health? Interagir: Pensando a Extensão 2009; (14):17-20. https://doi.org/10.12957/interag.2009.1817

Morais TMN, Silva A, Avir ALRO, Souza PHR, Knobel E, Camargo LFA. Importance of dental work in patients under intensive care unit. Rev Bras Ter Int 2006; 18(4):412-7.


Faiçal AMB, Mesas AE. Oral health care of hospitalized patients: knowledge and practices of nurses' aides. Espaço Saúde 2008; 10(1):1-6.

Ximenes RCC, Aragão DSF, Colares V. Evaluation of oral health care in hospitalized children. Rev Fac Odontol Porto Alegre 2008; 49(1):21-5.

Darela AC, Longhinoti LB, Peres AS, Lethusa C, Gimaräes LMR, Romano AR, et al. Habits and behavior families and the promotion of the oral health. Rev Paul Pediatr 1999; 17(2):68-73.

Oliveira LB, Sheiham A, Bonecker M. Exploring the association of dental caries with social factors and nutritional status in Brazilian preschool children. Eur J Oral Sci 2008; 116(1):37-43. https://doi.org/10.1111/j.1600-0722.2007.00507.x

Altamirano EHD, Jereissati L. Respiratory physiotherapy and mother/child hospitalization. Psicol Teor Prát 2002; 4(2):57-65.

Barbosa AM, Ribeira DM, Teixeira ASC. Knowledge and practices of oral health on hospitalized children with cancer. Ciênc Saúde Coletiva 2010; 15(1):1113-22.


Medeiros Júnior a, Alves MSCF, Nunes JP, Costa ICC. Outside clinical setting experience in a public hospital and oral health promotion. Rev Saúde Pública 2005; 39(2):305-10.


Molina YH. Oral epidemiological diagnosis to the child hospitalized at "Dr. Ignacio Morones Prieto" Central Hospital. Rev ADM 1994; 51(4):189-92.

Figueiredo PBA, Nogueira AJS. Prevalence of neoplasia, caries and gingivitis in pediatric cancer patients in the City of Belém, PA, Brazil. Pesqui Bras Odontopediatria Clin Integr 2013; 13(2):141-6. https://doi.org/10.4034/PBOCI.2013.132.01

Brasil. Agencia Nacional de Vigilância Sanitária. Available from: http://www.anvisa.gov.br/datavisa/fila_bula/index.asp. [Accessed November 18, 2015].

Organização Mundial da Saúde. Levantamentos Básicos em Saúde Bucal. 4. ed. São Paulo: Santos; 1999. 66p.

Rodrigues VP, Lopes FF, Abreu TQ, Neves MIR, Cardoso NC. Evaluation of oral hygiene habits of children during hospitalization. Odontol Clín Cient 2011; 10(1):49-55.

Prochnow AG, Santos JLG, Pradebon VM, Schimith, MD. Embracement in hospital environment: Perspectives of companions of hospitalized patients. Rev Gaúcha Enferm 2009; 30(1):11-8.

Stamm AMNF, Osellame R, Duarte F, Cecato F, Medeiros LA, Marasciulo AC. Perfil socioeconômico dos pacientes atendidos no Ambulatório de Medicina Interna do Hospital Universitário da UFSC. Arq Catarin Med 2002; 31(1-2):17-24. [In Portuguese]

Ballestreri R, Dal Santo GW, Freddo SL, Lucietto DA. Oral health habits in children admitted to the Children’s Hospital in the city of Chapecó, Santa Catarina, Brazil. RFO 2016; 21(3):300-5.

Gebran MP, GebertT APO. Controle químico e mecânico de placa bacteriana. Tuiuti: Ciência e Cultura 2002; 26(3):45-58. [In Portuguese]

Alves VS. A health education model for the Family Health Program: towards comprehensive health care and model. Interface 2005; 9(16):39-52. https://doi.org/10.1590/S1414-32832005000100004

Marquezan M, Marquezan M, Pozzobon RT, Oliveira MDM. Medicines used by pediatric dentistry patients and its cariogenic potential. RPG Rev Pós-Grad 2007; 13(4):334-9.

Neves BG, Pierro VSS, Maia LC. Perceptions and attitudes among parents and guardians on the use of pediatric medicines and their cariogenic and erosive potential. Ciênc Saúde Coletiva 2007; 12(5): 1295-1300. https://doi.org/10.1590/S1413-81232007000500027

Xavier AF, Moura EF, Azevedo WF, Vieira FF, Abreu MH, Cavalcanti AL. Erosive and cariogenicity potential of pediatric drugs: Study of physicochemical parameters BMC Oral Health 2013, 13:71. https://doi.org/10.1186/1472-6831-13-71

Leal WMS, Lambrecht J, Almeida LS, Rehbein KD, Silva TF, Almeida LHS. Understanding the relationship between medicinal products for pediatric use and dental caries. Rev Pediatr 2015; 15(2):16-21.

Batista LRV, Moreira EAM, Corso ACT. Food, nutritional status and oral condition of the child. Rev Nutr 2007; 20(2):191-6. https://doi.org/10.1590/S1415-52732007000200008

Douglass CW. Risk assessment in dentistry. J Dent Educ 1998; 62(10):756-61.

Santos YM, Ramos-Jorge ML, Paiva SM, Ferreira MC. Assessment of knowledge and practices of the parents regarding the oral health of three to nine-year-old children: A pilot study. Arq Odontol 2011; 47(4):219-29.

Leite F, Leite C, Correia AA, Pinto ME. Pediatric medicine and tooth decay – perceptions and attitudes among caregivers in Vila Nova de Gaia. Rev Port Estomatol Med Dent Cir Maxilofacial 2011; 52(4):193-9. https://doi.org/10.1016/j.rpemd.2011.10.003

Feigal R, Jensen ME, Mensing CA. Dental caries potential of liquid medications. Pediatrics 1981; 68(3):416-9.

Silveira ER, Costa FS, Azevedo MS, Schardosim LS. Oral health status of children in the pediatric unit of a teaching hospital. Ped Mod 2014; 50(12):546-52.

Tomita NE, Bijella VT, Lopes ES, Franco LJ. Prevalence of dental caries in preschool children attending nursery: the influence of socioeconomic factors. Rev Saúde Pública 1996; 30(5):413-20. https://doi.org/10.1590/S0034-89101996000500003

Melo NB, Neto JAF, Barbosa JS, Bernardinho IM, Neto AF, Barbosa JS, et al. Oral health of hospitalized children and adolescents: Challenges and perspectives. Arch Health Invest 2017; 6(6):264-8. https://doi.org/10.21270/archi.v6i6.2073

DOI: http://dx.doi.org/10.4034/PBOCI.2019.191.09