Factors associated with negative self-perception of oral health among institutionalized elderly. / Fatores associados à autopercepção negativa da saúde bucal em idosos institucionalizados.

The aim of this study was to determine self-perception of oral-health in institutionalized elderly, and look into the sociodemographic and clinical aspects associated with negative self-perception. One hundred and sixty-six elderly were assessed by answering a self-perception question that predicts the GOHAI (Geriatric Oral Health Assessment Index). Sociodemographic data was obtained from a previously validated questionnaire and clinical data taken from the WHO file and QST-TMD used to check the existence of TMD (temporomandibular disturbance). The data gathered was submitted to Mann-Whitney, Fisher's Exact and Chi-squared tests with a 5% significance level. The average age of the study population was 80.5, and 75.9% were women. The mean DMFT (decayed, missing, and filled teeth in permanent teeth) was 28.9, the majority of the sample subject (65%) reported good to excellent teeth, gums and prostheses (dentures and bridges). Three questions in the TMD questionnaire (QST-DTM) were associated with negative self-perception. Those claiming that their jaws "lock" when they open or close their mouth, who always have pain at the front or side of their jaw, or whose jaws get tired during the course of the day are less satisfied with their oral health. We conclude that clinical and sociodemographic conditions have little influence on self-perception of oral health, possibly because pain is the main factor associated with negative self-perception in these individuals.

Fatores associados à autopercepção negativa da saúde bucal em idosos institucionalizados / Factors associated with negative self-perception of oral health among institutionalized elderly

Resumo Objetivou-se identificar a autopercepção da saúde bucal em idosos institucionalizados e investigar se aspectos sociodemográficos e clínicos estão associados à autopercepção negativa. Foram avaliados 166 idosos, os quais responderam a uma questão de autopercepção que prediz o GOHAI. Os dados sociodemográficos foram obtidos a partir de questionários previamente validados, assim como os clínicos, que se fundamentaram na ficha da OMS e no QST-DTM, utilizado para verificar a presença de DTM. Os dados obtidos foram submetidos aos testes de Mann-Whitney, Exato de Fisher e Qui-quadrado com nível de significância de 5%. Em média, os idosos tinham 80,5 anos e 75,9% eram do sexo feminino. O CPO-D médio foi de 28,9, tendo a maioria, 65%, relatado uma boa ou excelente condição de seus dentes, gengivas e próteses. Três questões do questionário QST-DTM se mostraram associadas à autopercepção negativa. Os que dizem que sempre sua mandíbula “trava” quando abre ou fecha a boca, sempre têm dor na fronte ou lateralmente a ela e sempre seus maxilares ficam cansados ao longo dia, estão mais insatisfeitos com a sua saúde bucal. Concluiu-se que a autopercepção em saúde bucal teve pouca influência das condições clínicas e sociodemográficas, provavelmente por ser a dor o principal fator associado à autopercepção desfavorável nestes indivíduos.

Abstract The aim of this study was to determine self-perception of oral-health in institutionalized elderly, and look into the sociodemographic and clinical aspects associated with negative self-perception. One hundred and sixty-six elderly were assessed by answering a self-perception question that predicts the GOHAI (Geriatric Oral Health Assessment Index). Sociodemographic data was obtained from a previously validated questionnaire and clinical data taken from the WHO file and QST-TMD used to check the existence of TMD (temporomandibular disturbance). The data gathered was submitted to Mann-Whitney, Fisher’s Exact and Chi-squared tests with a 5% significance level. The average age of the study population was 80.5, and 75.9% were women. The mean DMFT (decayed, missing, and filled teeth in permanent teeth) was 28.9, the majority of the sample subject (65%) reported good to excellent teeth, gums and prostheses (dentures and bridges). Three questions in the TMD questionnaire (QST-DTM) were associated with negative self-perception. Those claiming that their jaws “lock” when they open or close their mouth, who always have pain at the front or side of their jaw, or whose jaws get tired during the course of the day are less satisfied with their oral health. We conclude that clinical and sociodemographic conditions have little influence on self-perception of oral health, possibly because pain is the main factor associated with negative self-perception in these individuals.

Concentração alcoólica de antissépticos bucais comercializados no brasil no início da segunda década do Séc. XXI / Alcohol concentration of oral antiseptics marketed in Brazil at the beginning of the second decade of the century XXI / Alcohol concentration of oral antiseptics marketed in Brazil at the beginning of the second decade of the century XXI

Introdução: Os antissépticos bucais costumam ser utilizados pela população de forma indiscriminada comométodo auxiliar na higiene bucal. A maioria desses produtos contém o álcool (etanol) na sua composição, quepode provocar lesões à mucosa bucal. Objetivo: Esse estudo visa determinar qualitativamente e quantitativamente a presença de etanol nos enxaguatórios e avaliar se a concentração alcoólica encontrada está de acordo com a concentração alcoólica informada pelos fabricantes dos bochechos mais disponíveis no Brasil. Métodos: A amostra foi composta por 26 colutórios, que foram submetidos ao método de Cordebard modificado para determinação da média das concentrações alcoólicas. Resultados: Dos 26 produtos testados, apenas 5 (19,23%) realmente não continham etanol na sua composição. Um dado preocupante é o fato de ter sido encontrado álcool, mesmo que em baixa concentração, em 2 (7,69%) colutórios que afirmam não possuírem etanol na sua composição. Nesse estudo, também foi observado que 11 (42,31%) bochechos apresentaram uma concentração alcoólica superior a 10% (Concentração alcoólica máxima recomendada para pessoas acima de 10 anos pela Food and Drug Administration) Conclusões: Recomenda-se que os níveis de álcool, quando utilizados nos antissépticos bucais, devem ser apenas o suficiente para desempenhar o seu papel de solvente e estabilizador

Introduction: Oral antiseptics are usually used by the population indiscriminately as an auxiliary method in oral hygiene. Most of these products contain alcohol (ethanol) in its composition, which can damage the oralmucosa. Objective: This study aims to determine qualitatively and quantitatively the presence of ethanol inmouthwashes and assess whether the alcohol concentration found in oral rinses is in accord with the alcoholconcentration reported by the manufacturers of the most available mouthwashes in Brazil. Methods: Thesample consisted of 26 mouthwashes, which underwent Cordebard modified method to determine the averagealcohol concentrations. Results: Of the 26 products tested, only 5 (19.23%) actually contained no ethanol inits composition. A worrying statistic is the fact that it was found alcohol, even if in low concentration, in 2 (7.69%) mouthwashes that claim they have no ethanol in its composition. In this study, it was also observed that 11 (42.31%) mouthwashes showed alcohol concentration superior to 10% (maximum alcohol concentration recommended for people over 10 years of age by the Food and Drug Administration). Conclusions: It is recommended that the levels of alcohol, when used in oral antiseptics, be just enough to play their role of solvent and stabilizer