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1.
Braz Oral Res ; 33: e102, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31939495

RESUMO

The objective of this study was to evaluate the association between social inequality indicators and oral health conditions in an adult population. This prospective cohort study assessed a probabilistic sampling of adults (aged 20-64 years) living in Piracicaba, São Paulo, Brazil. Oral examinations were performed in 2011 and 2015, conducted at home, and used the decay-missing-filled (DMFT) index of permanent teeth, the Community Periodontal Index (CPI), and the visible biofilm criterion. A questionnaire was administered to determine demographic and socioeconomic aspects and dental services used, and collect oral health-related quality of life (OHRQoL) data. Social inequality indicators were evaluated according to social class (high, middle or low) and type of dental service used (public, health insurance or private), and compared with oral health conditions (visible biofilm, DMFT and incidence of tooth loss, periodontal pockets and bleeding, and OHRQoL), evaluated between 2011 and 2015. Analysis using chi-squared or Fisher tests (p < 0.05) and Cochran's Q test was conducted separately for each category analyzed between 2011 and 2015 (p < 0.05). A total of 143 adults who participated in an earlier study were examined after four years of follow-up. Although the occurrence of oral disease did not decrease over the study period (4 years), there was a reduction in inequality among lower social classes in regard to presence of tooth decay and oral health impact on self-perceived quality of life between 2011 and 2015 (p < 0.05). These results suggest that the Brazilian National Oral Health Policy has achieved its principles, especially that of greater equity.


Assuntos
Disparidades em Assistência à Saúde/estatística & dados numéricos , Saúde Bucal/estatística & dados numéricos , Adulto , Brasil/epidemiologia , Índice CPO , Feminino , Humanos , Seguro Saúde/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Índice Periodontal , Estudos Prospectivos , Qualidade de Vida , Autoimagem , Classe Social , Fatores Socioeconômicos , Inquéritos e Questionários , Adulto Jovem
2.
Rev Saude Publica ; 53: 105, 2019.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31826174

RESUMO

OBJECTIVE: To evaluate the factors associated with tooth loss in adults from the position and number of teeth lost in the dental arches. METHODS: This is a cross-sectional, population-based study with adults participating in the epidemiological survey of oral health of São Paulo in 2015. The outcome of the study was tooth loss, assessed by the proposed classification, namely: I) lost up to 12 back teeth; II) lost up to 12 teeth (including front teeth); and III) lost more than 12 teeth. A four-block analysis was conducted, supported by a conceptual theoretical model adapted for tooth loss. For the multinomial logistic regression, "individuals who did not lose teeth due to caries or periodontal disease" was used as reference (p < 0.05). RESULTS: Of 6,051 adults evaluated, 25.3% (n = 1,530) were classified in category I, 32.7% (n = 1,977) in II, 9.4% (n = 568) in III, and 1.9% (n = 117) were edentulous. Lower income and schooling, the perception of need for treatment and the last appointment motivated by routine, pain or extraction were associated with tooth loss, regardless of the classification. The negative evaluation of the dental service was associated with individuals who lost up to 12 teeth, both front and back. The presence of women and periodontal pocket were associated with tooth loss of up to 12 teeth, including front, and more than 12 teeth. Caries were associated with adults who lost up to 12 teeth, including front teeth. CONCLUSION: The proposed classification allowed the identification of differences between the associated factors. Thus, the need to consider such classification in future studies is evident.


Assuntos
Perda de Dente/epidemiologia , Adulto , Fatores Etários , Brasil/epidemiologia , Estudos Transversais , Cárie Dentária/epidemiologia , Cárie Dentária/fisiopatologia , Feminino , Humanos , Masculino , Saúde Bucal , Doenças Periodontais/classificação , Bolsa Periodontal/epidemiologia , Bolsa Periodontal/fisiopatologia , Fatores de Risco , Fatores Sexuais , Fatores Socioeconômicos , Perda de Dente/etiologia
3.
PLoS One ; 14(12): e0226794, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31841552

RESUMO

[This corrects the article DOI: 10.1371/journal.pone.0219240.].

4.
Braz Oral Res ; 33: e100, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31664362

RESUMO

It has been postulated that oral health-related quality of life (OHRQoL) may be affected by the sense of coherence (SOC), but there are no epidemiological studies investigating this association in Brazilian adults. The present study was conducted among adults of a mid-sized Brazilian city, with the aim of looking into this association. The probability sampling consisted of 342 adults aged 35-44 years old, from a mid-sized Brazilian city, who were examined at their homes for caries (Decayed, Missing and Filled Teeth [DMFT] Index) and periodontal disease (Community Periodontal Index - CPI), according to WHO criteria. The questionnaire applied included demographic factors, socioeconomic information, use of dental services, behavior, SOC and the Oral Health Impact Profile (OHIP). The OHIP outcome, measured by prevalence of the impact, was analyzed by binary logistic regression using a hierarchical approach, a conceptual model, and a 5% significance level. A total of 67.9% of the respondents had one or more impacts on OHRQoL, and 54.4% showed a high SOC. The impact on OHRQoL was more prevalent in adults who had a manual occupation (PR = 2.47, 95%CI 1.24-4.93), those who perceived the need for dental treatment (PR = 2.93, 95%CI 1.67-5.14), and those who had untreated caries (PR = 1.93, 95%CI 1.07-3.47). Those with a low SOC had a twofold higher prevalence of impact on OHRQoL (PR = 2.19, 95%CI 1.29-3.71). This impact on OHRQoL was associated with a low SOC, even after adjusted by socioeconomic, behavioral and clinical factors. Future studies should consider the SOC in determining the oral health impact on quality of life.


Assuntos
Inquéritos de Saúde Bucal , Saúde Bucal/estatística & dados numéricos , Qualidade de Vida , Senso de Coerência , Adulto , Brasil/epidemiologia , Estudos Transversais , Cárie Dentária/epidemiologia , Cárie Dentária/psicologia , Feminino , Humanos , Modelos Logísticos , Masculino , Análise Multivariada , Doenças Periodontais/epidemiologia , Doenças Periodontais/psicologia , Valores de Referência , Distribuição por Sexo , Perfil de Impacto da Doença , Fatores Socioeconômicos
5.
BMC Res Notes ; 12(1): 502, 2019 08 14.
Artigo em Inglês | MEDLINE | ID: mdl-31409372

RESUMO

The original publication of this article [1] did not include the funding acknowledgement of FAPESP. The authors would like to acknowledge the funding by FAPESP.

6.
PLoS One ; 14(7): e0219240, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31329623

RESUMO

The aim of this study was to identify the risk factors for tooth loss in an extended age group of adults over 4 years. The prospective cohort study assessed adults (20-64 years old) in 2011 and 2015, from Piracicaba, São Paulo, Brazil. The sample selection was planned based on the adult population in the city. The inclusion criteria were randomly selected residences per census tract unit (one adult per household). The exclusion criteria comprised of a physical or psychological state that prevented the achievement of clinical procedures or understanding of the questionnaire. The home oral examination was performed using the index of decayed, missing, and filled teeth (DMFT), the Community Periodontal Index according to the World Health Organization, and visible biofilm. Demographic and socio-economic data, information on health habits, and the use of dental services were obtained by questionnaire. The outcome was a presence incidence of tooth loss, assessed by the difference between Missing teeth (M>0) from DMFT in 2011 and that in 2015. The conceptual theoretical model 'Ethnicity, aging and oral health outcomes' was adapted for tooth loss and used in a Hierarchical multivariate Poisson Regression analysis (p<0.20). The reference category for the Poisson regression were individuals who had no missing teeth (M) due to caries or periodontal disease (p<0.05). There were a total of 143 (follow-up rate = 57.7%) participants in the four-year study, and there was incidence of tooth loss in 51 (35.7%) adults over this period. The risk factors for tooth loss were reason for seeking dental services by pain (RR = 2.72; 95.0% CI: 1.04-7.37), previous tooth loss (RR = 3.01; 95.0% CI: 1.18-7.73) and decayed teeth (RR = 2.87; 95.0% CI: 1.22-6.73). The risk factors for tooth loss were: reason for seeking dental services by pain, previous tooth loss and dental caries.

7.
BMC Res Notes ; 12(1): 221, 2019 Apr 11.
Artigo em Inglês | MEDLINE | ID: mdl-30971309

RESUMO

OBJECTIVE: To describe the methodological aspects of a Prospective Cohort Study of adult oral health in Piracicaba, Brazil. RESULTS: This Prospective Cohort Study evaluated adults (20-64 years old) between the years of 2011 and 2015, in Piracicaba, São Paulo, Brazil. The main objective was to evaluate the risk factors for tooth loss in adults. Data were collected at households and selected via probabilistic sampling, through clinical examination of caries, considering as variables the decayed, missing and filled permanent teeth index, need for caries treatment, periodontal disease (Community Periodontal Index and Periodontal Attachment Loss), use and need for dental prosthesis, and presence of visible biofilm. A questionnaire about demographic, socioeconomic and health habits, use of dental services, self-perceived quality of life (Oral Health Impact Profile-14) and health literacy (14-item Health Literacy Scale) was also employed. In 2011, 248 adults participated, and in 2015, 143 (follow-up rate = 57.7%). Despite the follow-up sample loss, most sociodemographic characteristics remained in the participant sample: for example, women (72.0%) (p = 0.534), family income between R$545,00 and R$1090,00 (63.9%) (p = 0.920), above 11 years of education (53.1%) (p = 0.200) and belonging to middle class (67.1%) (p = 0.909).


Assuntos
Cárie Dentária/epidemiologia , Conhecimentos, Atitudes e Prática em Saúde , Saúde Bucal/estatística & dados numéricos , Higiene Bucal/estatística & dados numéricos , Periodontite/epidemiologia , Perda de Dente/epidemiologia , Adulto , Biofilmes/crescimento & desenvolvimento , Brasil/epidemiologia , Cárie Dentária/economia , Cárie Dentária/fisiopatologia , Cárie Dentária/psicologia , Prótese Dentária/estatística & dados numéricos , Escolaridade , Características da Família , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Higiene Bucal/psicologia , Periodontite/economia , Periodontite/fisiopatologia , Periodontite/psicologia , Estudos Prospectivos , Qualidade de Vida/psicologia , Fatores Socioeconômicos , Inquéritos e Questionários , Perda de Dente/economia , Perda de Dente/fisiopatologia , Perda de Dente/psicologia
8.
RGO (Porto Alegre) ; 67: e2019006, 2019. tab, graf
Artigo em Inglês | LILACS-Express | ID: biblio-1002962

RESUMO

ABSTRACT Objective To analyze the spatial distribution of decayed and restored teeth in adults according to the Social Exclusion Index (SEI) and the proximity of public dental service. Methods: This ecological study used secondary data from an epidemiological survey of oral health and from the Piracicaba Research and Planning Institute (IPPLAP). The oral examinations of the DMFT index examined in households by a single examiner calibrated in 2011, by probability sampling, 248 adults (aged 20 to 64 years) representing the residents in Piracicaba-SP, Brazil. Data on social exclusion and health units with dental service were extracted from IPPLAP. We performed georeferencing of the census tracts selected by draw in the epidemiological survey and their respective districts, in addition to the health units with dental service in a radius of 500 m and 1000 m. Spearman's rank correlation coefficient was analyzed (p<0.05). Results: The smallest value of SEI, that is, the highest social exclusion, showed no correlation with decayed teeth (p=0.09), but had strong positive correlation with restored teeth (r=0.79; p<0.0001). Presence of public dental service in the vicinity of 500 m and 1,000 m showed no correlation, respectively, with the average number of decayed (p=0.07 and p=0.58) and restored (p=0.26 and p=0.56) teeth. Conclusion: Although the correlation between social exclusion and caries in adults was not observed, its case management, namely, the restored teeth, showed correlation with social inequalities. Presence of public dental service showed no correlation with components of caries experience evaluated in this study.


RESUMO Objetivo: Analisar a distribuição espacial dos dentes cariados e restaurados em adultos segundo o Índice de Exclusão Social (IEX) e a proximidade de serviço odontológico público. Metodologia: Este estudo ecológico utilizou-se de dados secundários de um levantamento epidemiológico de saúde bucal e do Instituto de Pesquisa e Planejamento de Piracicaba (IPPLAP). Os exames bucais do índice de dentes permanentes cariado perdidos e obturados (CPOD) examinou em domicílios por um único examinador calibrado em 2011, por amostragem probabilística, 248 adultos (20 a 64 anos) representativos dos residentes em Piracicaba-SP, Brasil. Os dados sobre exclusão social e as unidades de saúde com serviço odontológico foram extraídos do IPPLAP. Realizou-se o georreferenciamento dos setores censitários sorteados no levantamento epidemiológico e seus respectivos bairros, além das unidades de saúde com serviço odontológico em um raio de 500m e 1000m. Foi realizada a análise de correlação de Spearman (p<0.05). Resultados: O menor valor do IEX, ou seja, maior exclusão social, não apresentou correlação com dentes cariados (p=0,09), mas teve correlação positiva forte com dentes restaurados (r=0,79; p<0,0001). A presença de serviço odontológico público em proximidade de 500 e 1000m não apresentou correlação, respectivamente, com a média de dentes cariados (p=0,07 e p=0,58) e restaurados (p=0,26 e p=0,56). Conclusão: Apesar de não ser verificada correlação entre cárie e exclusão social em adultos, sua resolutividade, ou seja, os dentes restaurados apresentaram correlação com as desigualdades sociais. A presença de serviço odontológico público não apresentou correlação com os componentes de experiência de cárie avaliados nesse estudo.

9.
Braz. oral res. (Online) ; 33: e100, 2019. tab, graf
Artigo em Inglês | LILACS-Express | ID: biblio-1039300

RESUMO

Abstract It has been postulated that oral health-related quality of life (OHRQoL) may be affected by the sense of coherence (SOC), but there are no epidemiological studies investigating this association in Brazilian adults. The present study was conducted among adults of a mid-sized Brazilian city, with the aim of looking into this association. The probability sampling consisted of 342 adults aged 35-44 years old, from a mid-sized Brazilian city, who were examined at their homes for caries (Decayed, Missing and Filled Teeth [DMFT] Index) and periodontal disease (Community Periodontal Index - CPI), according to WHO criteria. The questionnaire applied included demographic factors, socioeconomic information, use of dental services, behavior, SOC and the Oral Health Impact Profile (OHIP). The OHIP outcome, measured by prevalence of the impact, was analyzed by binary logistic regression using a hierarchical approach, a conceptual model, and a 5% significance level. A total of 67.9% of the respondents had one or more impacts on OHRQoL, and 54.4% showed a high SOC. The impact on OHRQoL was more prevalent in adults who had a manual occupation (PR = 2.47, 95%CI 1.24-4.93), those who perceived the need for dental treatment (PR = 2.93, 95%CI 1.67-5.14), and those who had untreated caries (PR = 1.93, 95%CI 1.07-3.47). Those with a low SOC had a twofold higher prevalence of impact on OHRQoL (PR = 2.19, 95%CI 1.29-3.71). This impact on OHRQoL was associated with a low SOC, even after adjusted by socioeconomic, behavioral and clinical factors. Future studies should consider the SOC in determining the oral health impact on quality of life.

10.
Arch Oral Biol ; 96: 26-32, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30172942

RESUMO

OBJECTIVE: This study aimed to investigate the prevalence and the factors associated with non-syndromic tooth agenesis, besides identifying its pattern of occurrence. STUDY DESIGN: Pre-orthodontic exams of 3400 subjects, aged 8-30 years, were selected from a radiographic center in Brazil. Panoramic and periapical radiographs were analyzed to verify the presence of tooth agenesis and other six dental anomalies. Descriptive statistics were calculated using the Tooth Agenesis Code tool and, to evaluate significant associations, a negative binomial regression model was constructed. Besides, unadjusted and adjusted prevalence ratios (PR) were calculated for the bivariate and the multivariate analysis. RESULTS: Prevalence of tooth agenesis was 3.0% (n = 68) and 41 different phenotypic patterns were observed. Teeth most often symmetrically missing were maxillary lateral incisors (13.2%) and mandibular second premolars (8.8%). Females (PR = 3.49, CI 95% = 1.96-6.19) presented more tooth agenesis. Other dental anomalies, such as palatal displacement of maxillary canine and infraocclusion of primary molar were significantly more frequent (p < 0.001) in subjects with agenesis. CONCLUSION: There was a strong relationship between tooth agenesis and gender and the association with other dental anomalies was significant, with the exception of the supernumerary teeth, which seems to be independent.


Assuntos
Anodontia/epidemiologia , Adolescente , Adulto , Anodontia/diagnóstico por imagem , Brasil/epidemiologia , Criança , Feminino , Humanos , Masculino , Fenótipo , Prevalência , Estudos Retrospectivos , Fatores Sexuais
11.
Braz. j. oral sci ; 17: e18063, 2018. ilus
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-963705

RESUMO

Aim: To evaluate the effectiveness of an educational preventive program in oral health on preschoolers. Methods: The final sample was 71 children in the test group and 48 in the control group. Intraoral exams were conducted for caries experience (dmf-s), white spot lesions (WSL) diagnosis, dental biofilm and treatment needs (before and after intervention- the interval was 18 months). Caregivers answered a questionnaire about socioeconomic data and health behavior. The educational preventive program consisted of supervised brushing, education in oral health, fluoride application and lectures to caregivers. Mann Whitney and Wilcoxon tests (p <0.05) were used to compare data between groups. Results: Mean caries experience was 0.94 (± 3.42) and 0.94 (± 2.87) in test and control groups, respectively. Baseline mean for dental biofilm was 4.95, and final mean was 0.21 in test group (p = 0.047). Conversely, the same variables were 4.11 and 0.84 in the control group (p = 0.047). The program was evaluated as very good (54.9% of caregivers), improvement of brushing was related by 62%, and more children went to the dentist (p <0.01). Conclusion: The educational preventive program seems to be effective for dental biofilm reduction, improved brushing and dental visits, being an important strategy for oral health maintenance in children


Assuntos
Lactente , Pré-Escolar , Pré-Escolar , Saúde Bucal , Saúde da Criança , Promoção da Saúde
12.
Rev Paul Pediatr ; 35(3): 322-330, 2017.
Artigo em Português, Inglês | MEDLINE | ID: mdl-28977286

RESUMO

OBJECTIVE: The aim of this study was to evaluate the prevalence and intensity of dental pain in children according to size of municipality, associated factors and absenteeism. METHODS: The sample consisted of children aged 12 years old from public and private schools drawn from eight cities in the region of Campinas (SP). A questionnaire was applied to obtain dental pain, demographic, socioeconomic data, and a clinical examination was carried out to evaluate the experience of having a cavity. The outcome for the logistic regression analysis was having pain and the outcome for the negative log-binomial regression was the intensity of pain. The significance level was 5%. RESULTS: The sample consisted of 1,233 children, and 16.7% reported pain in the last six months. Dental pain was the cause of 46.4% of school absenteeism during this period. The prevalence of pain was lower among households with high income (p=0.023) and higher among nonwhites (p=0.027). Pain intensity was lower in medium-sized cities (p=0.02) and small cities (p=0.004), and higher in children whose parents had a lower educational level (p=0.003), children who sought out a dentist for the pain (p=0.04) and who had untreated cavities (p=0.04). CONCLUSIONS: The prevalence and intensity of dental pain in children aged under 12 are related to socioeconomic aspects of the family, such as low-income and parents with a low level of education, which impact daily activities as seen through school absenteeism. Pain intensity was lower in medium and small cities. Oral health promotion strategies in this age group should be encouraged to avoid dental pain.


Assuntos
Medição da Dor , Odontalgia/diagnóstico , Odontalgia/epidemiologia , Absenteísmo , Brasil/epidemiologia , Criança , Estudos Transversais , Humanos , Prevalência , Fatores de Risco , Índice de Gravidade de Doença , Saúde da População Urbana
14.
Health Qual Life Outcomes ; 15(1): 173, 2017 Aug 30.
Artigo em Inglês | MEDLINE | ID: mdl-28854934

RESUMO

BACKGROUND: Oral disorders may negatively affect the quality of life (QoL) of adolescents. To investigate how social vulnerability and oral-health status factors affect QoL in 15-19 years olds who participated in the "SB São Paulo 2015" state survey. METHODS: The relationship of several independent variables, namely Paulista Social Vulnerability Index (PSVI) score, gender, skin color, family income, age, untreated caries, tooth loss [determined by the Decayed, Missing, Filled-Teeth (DMF-T) index], toothache, periodontal condition [determined by the Community Periodontal Index (CPI)], and malocclusion (maxillary overjet, cross bite, or open bite) affect daily life, measured by the Oral Impacts on Daily Performance (OIDP) instrument. Logistic regression analyses were carried out based on a hierarchical model. RESULTS: The final sample consisted of 5402 adolescents. The prevalence of at least one negative impact of oral health on QoL was 37.3%. After adjustment, demographic factors that were found to influence this impact significantly (p < 0.01) were female gender [odds ratio (OR) 1.78, 95% confidence interval (CI) = 1.59-2.0], non-white skin color (OR 1.66, 95% CI = 1.47-1.88), and a low family income (OR 1.28, 95% CI = 1.28-1.29). Additionally, oral conditions associated with oral health impact on QoL included the presence of at least one untreated tooth decay lesion (OR 1.42, 95% CI = 1.25-1.61), loss of at least one tooth (OR 1.49; 95% CI = 1.25-1.78), toothache (OR 4.87, 95% CI = 4.25-5.59), bleeding on probing (OR 1.45, 95% CI = 1.25-1.68), and severe maxillary overjet (OR 1.68, 95% CI = 1.15-2.45). CONCLUSION: Social vulnerability (PSVI score) was not associated with the OIDP score, but oral health conditions and socio-demographic variables, including gender, skin color, and income, were found to affect adolescents' daily activities. Strategies that consider the perceptions of this segment of the population should be implemented to strengthen their autonomy and totality of care.


Assuntos
Cárie Dentária/psicologia , Má Oclusão/psicologia , Doenças Periodontais/psicologia , Qualidade de Vida , Perda de Dente/psicologia , Odontalgia/psicologia , Adolescente , Estudos Transversais , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino , Análise de Regressão , Fatores Sexuais
15.
Rev. paul. pediatr ; 35(3): 322-330, jul.-set. 2017. tab, graf
Artigo em Português | LILACS-Express | ID: biblio-902847

RESUMO

RESUMO Objetivo: Avaliar a prevalência e a intensidade de odontalgia em crianças segundo porte populacional do município, fatores associados e absenteísmo. Métodos: A amostra constituiu-se de crianças de 12 anos provenientes de escolas públicas e privadas, sorteadas em oito cidades da região de Campinas (SP). Foi aplicado um questionário com dados de odontalgia, demográficos, socioeconômicos bem como foi realizado exame clínico para avaliar a experiência de cárie. Ter dor foi o desfecho para análise de regressão logística e a intensidade da dor para a regressão log-binomial negativa. Adotou-se nível de significância de 5%. Resultados: A amostra foi constituída de 1.233 crianças, sendo que 16,7% relataram dor nos últimos seis meses. A odontalgia foi causa de 46,4% do absenteísmo escolar nesse período. A prevalência de dor foi menor entre os de alta renda familiar (p=0,023) e maior entre não brancos (p=0,027). A intensidade da dor foi menor nos municípios de médio (p=0,02) e pequeno porte (p=0,004) e maior nas crianças cujos pais tinham menor nível de escolaridade (p=0,003), que procuraram o dentista por dor (p=0,04) e que apresentavam cárie não tratada (p=0,04). Conclusões: A prevalência e a intensidade da dor de dente em crianças de 12 anos estão relacionadas com aspectos socioeconômicos da família, como baixa renda e menor escolaridade dos pais, e causam impacto na atividade diária por meio do absenteísmo escolar. A intensidade foi menor em municípios de médio e pequeno porte. Estratégias de promoção de saúde bucal nessa faixa etária devem ser estimuladas para evitar a odontalgia.


ABSTRACT Objective: The aim of this study was to evaluate the prevalence and intensity of dental pain in children according to size of municipality, associated factors and absenteeism. Methods: The sample consisted of children aged 12 years old from public and private schools drawn from eight cities in the region of Campinas (SP). A questionnaire was applied to obtain dental pain, demographic, socioeconomic data, and a clinical examination was carried out to evaluate the experience of having a cavity. The outcome for the logistic regression analysis was having pain and the outcome for the negative log-binomial regression was the intensity of pain. The significance level was 5%. Results: The sample consisted of 1,233 children, and 16.7% reported pain in the last six months. Dental pain was the cause of 46.4% of school absenteeism during this period. The prevalence of pain was lower among households with high income (p=0.023) and higher among nonwhites (p=0.027). Pain intensity was lower in medium-sized cities (p=0.02) and small cities (p=0.004), and higher in children whose parents had a lower educational level (p=0.003), children who sought out a dentist for the pain (p=0.04) and who had untreated cavities (p=0.04). Conclusions: The prevalence and intensity of dental pain in children aged under 12 are related to socioeconomic aspects of the family, such as low-income and parents with a low level of education, which impact daily activities as seen through school absenteeism. Pain intensity was lower in medium and small cities. Oral health promotion strategies in this age group should be encouraged to avoid dental pain.

16.
Int J Dent ; 2017: 6074703, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28785282

RESUMO

OBJECTIVE: To verify the incidence of tooth loss in extended age group of adults in 4 years. MATERIALS AND METHODS: The prospective cohort study assessed adults (20-64 years old) between 2011 and 2015, from Piracicaba, São Paulo, Brazil. The dependent variable was cumulative incidence of tooth loss, assessed by difference between missing teeth (M) of decayed, missing, and filled tooth index (DMFT) in 2011 and 2015. Participants were stratified into young (20-44 years old) and older (45-64 years old) adults. Mann-Whitney U test (p < 0.05) was used to compare the means of incidence of tooth loss between age groups. RESULTS: After four years, 57.7% (n = 143) of adults were followed up and the mean incidence of tooth loss was 0.91 (SD = 1.65); among these, 51 adults (35.7%) who lost their teeth showed mean tooth loss of 2.55 (SD = 1.86). In older adults, incidence of tooth loss was higher (p = 0.008), but no difference between age groups was found when only adults with incidence of tooth loss were assessed (p = 0.844). CONCLUSION: There was higher incidence of tooth loss in older adults after four years, however, without difference between age groups when only those who lost teeth were evaluated.

17.
Cien Saude Colet ; 22(8): 2693-2702, 2017 Aug.
Artigo em Português, Inglês | MEDLINE | ID: mdl-28793083

RESUMO

The study characterized the oral health condition and main self-reported reasons for tooth extraction in an adult population. The cross-sectional study examined 248 adults aged 20-64 years, representative of the population of Piracicaba, São Paulo, Brazil. The oral examination conducted in households used the DMFT and CPI indexes, use and necessity of prosthodontics according to the WHO criteria and the presence of visible biofilm. Demographic and socioeconomic data were collected along with reasons for tooth extraction through a questionnaire. Descriptive analysis was stratified by age in groups: 20-44 and 45-64 years old. The average DMFT was 20.37 (EP = 0.50), P = 3.34 (EP = 0.33) for young adults and P = 13.41 (EP = 1.45) for the older adults. Gingival pockets (CPI ≥ 3) were found on 20.5% of young adults and 53.0% of the older ones. While 38.8% used upper prosthesis, 46.7% needed lower prosthesis. Pain was the most prevalent self-reported reason for tooth extraction (37.5%), being this choice primarily because of lack of another treatment option (52%) and done in the private sector (47.2%). We concluded that young adults (20-44 years old) showed less missing teeth, periodontal diseases, and need for prosthetic use. Pain and lack of options of other treatments were the main self-reported reasons for performing tooth extractions.


Assuntos
Saúde Bucal/estatística & dados numéricos , Doenças Periodontais/epidemiologia , Extração Dentária/estatística & dados numéricos , Odontalgia/epidemiologia , Adulto , Fatores Etários , Brasil/epidemiologia , Estudos Transversais , Prótese Dentária/estatística & dados numéricos , Feminino , Bolsa Gengival/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Fatores Socioeconômicos , Inquéritos e Questionários , Perda de Dente/epidemiologia , Adulto Jovem
18.
Ciênc. Saúde Colet ; 22(8): 2693-2702, Ago. 2017. tab
Artigo em Português | LILACS-Express | ID: biblio-890434

RESUMO

Resumo O presente estudo caracterizou a condição de saúde bucal e os principais motivos autorrelatados da extração dentária em uma população de adultos. Estudo transversal que examinou 248 adultos de 20-64 anos, representativos da população de Piracicaba (SP). O exame bucal domiciliar utilizou os índices CPOD, CPI, uso e necessidade de prótese dentária segundo critérios da OMS e presença de biofilme visível. Foram coletados dados demográficos, socioeconômicos e motivos da extração dentária por meio de questionário. A análise descritiva foi estratificada pela idade em 20-44 e 45-64 anos. O CPOD médio foi 20,37, P = 3,34 nos adultos jovens e P = 13,41 nos mais velhos. Bolsa periodontal (CPI ≥ 3) foi encontrada em 20,5% dos adultos jovens e 53,0% dos mais velhos. Enquanto 38,8% usavam prótese superior, 46,7% necessitavam de prótese inferior. A dor foi o motivo autorrelatado mais prevalente para realização da extração dentária, sendo esta escolha principalmente pela falta de outra opção de tratamento e no serviço privado. Conclui-se que os adultos jovens (20-44 anos) apresentaram menos dentes perdidos e doença periodontal, uso e necessidade de prótese. Dor e falta de opção de outros tratamentos foram os principais motivos autorrelatados para realização das extrações dentárias.


Abstract The study characterized the oral health condition and main self-reported reasons for tooth extraction in an adult population. The cross-sectional study examined 248 adults aged 20-64 years, representative of the population of Piracicaba, São Paulo, Brazil. The oral examination conducted in households used the DMFT and CPI indexes, use and necessity of prosthodontics according to the WHO criteria and the presence of visible biofilm. Demographic and socioeconomic data were collected along with reasons for tooth extraction through a questionnaire. Descriptive analysis was stratified by age in groups: 20-44 and 45-64 years old. The average DMFT was 20.37 (EP = 0.50), P = 3.34 (EP = 0.33) for young adults and P = 13.41 (EP = 1.45) for the older adults. Gingival pockets (CPI ≥ 3) were found on 20.5% of young adults and 53.0% of the older ones. While 38.8% used upper prosthesis, 46.7% needed lower prosthesis. Pain was the most prevalent self-reported reason for tooth extraction (37.5%), being this choice primarily because of lack of another treatment option (52%) and done in the private sector (47.2%). We concluded that young adults (20-44 years old) showed less missing teeth, periodontal diseases, and need for prosthetic use. Pain and lack of options of other treatments were the main self-reported reasons for performing tooth extractions.

19.
BMC Public Health ; 18(1): 60, 2017 07 26.
Artigo em Inglês | MEDLINE | ID: mdl-28747157

RESUMO

BACKGROUND: To investigate the association between critical and communicative oral health literacy (OHL) and oral health outcomes (status, oral health-related quality of life and practices) in adults. METHODS: This cross-sectional study examined a household probability sample of 248 adults, representing 149,635 residents (20-64 years old) in Piracicaba-SP, Brazil. Clinical oral health and socioeconomic and demographic data, as well as data on oral health-related quality of life (OHIP-14) and health practices were collected. The oral examinations were carried out in the participants' homes, using the World Health Organization criteria for oral diseases. The critical and communicative OHL instrument was the primary independent variable, and it was measured using five Likert items that were dichotomized as 'high' ('agree' and 'strongly agree' responses for the 5 items) and 'low' OHL. Binary and multinomial logistic regressions were performed on each outcome (oral health status and practices), controlling for age, sex and socioeconomic status (SES). RESULTS: Approximately 71.5% presented low OHL. When adjusted for age and sex (first model) low OHL was associated with untreated caries (Odds Ratio = 1.92, 95% Confidence Interval = 1.07-3.45), tooth brushing <3 times a day (OR = 2.00, 1.11-3.62) and irregular tooth flossing (OR = 2.17, 1.24-3.80). After SES inclusion in the first model, significant associations were found for low OHL when the outcomes were: presence of biofilm (OR = 1.83, 1.08-3.33), dental care for emergency only (OR = 2.24, 1.24-4.04) and prevalence of oral health impact on quality of life (OR = 2.06, 1.15-3.69). CONCLUSION: Adjusting for age, sex and SES, OHL is related to a risk factor (biofilm) and a consequence of poor oral health (emergency dental visits) and can interfere with the impact of oral diseases on quality of life. As low OHL can be modified, the results support oral health promotion strategies directed at improving critical and communicative oral health literacy in adult populations.


Assuntos
Alfabetização em Saúde/estatística & dados numéricos , Doenças da Boca/epidemiologia , Saúde Bucal/estatística & dados numéricos , Qualidade de Vida , Odontopatias/epidemiologia , Adulto , Brasil/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Higiene Bucal/estatística & dados numéricos , Prevalência , Fatores de Risco , Fatores Socioeconômicos , Descoloração de Dente
20.
RGO (Porto Alegre) ; 65(2): 115-120, Apr.-June 2017. graf
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-896010

RESUMO

ABSTRACT Introduction: Although there has been an improvement in the oral health status of the population, tooth loss still aggravates the oral health of adults and is a matter of great relevance to dentistry. Aim: To determine the spatial distribution of tooth loss in adults and correlate this with the Social Exclusion Index and proximity to public dental services. Material and Method: This ecological study was based on epidemiological data of adults from Piracicaba municipality and from the Piracicaba Research and Planning Institute (IPPLAP). Data on dental evaluations were extracted from the Piracicaba epidemiological survey, which was a cross-sectional study with probabilistic sampling of 248 adults aged 20-64 years, representative of adults living in Piracicaba, Brazil. Oral examinations of the DMFT index were in accordance with the World Health Organization codes and criteria and were performed by a single examiner calibrated for this purpose. Data on social exclusion and the municipal health units that have dental services were extracted from IPPLAP. Georeferencing was performed of census tracts selected by draw, and the city health facilities that have dental services. For Spearman correlation analysis (p <0.05), we used the mean value of teeth lost per district, the Social Exclusion Index (IEX), and proximity to public dental service categorized according to radius: <500m, between 500-1000m, and >1000m the census tract. Result: There was a correlation between tooth loss and higher IEX, and r=−0.51 (p=0.01), but no correlation with proximity to public dental services (p=0.42). Conclusion: Tooth loss in adults was distributed according to social exclusion, however, it was unrelated to proximity to the public dental services.


RESUMO Introdução: Embora haja uma melhoria na condição de saúde bucal da população, as perdas dentárias ainda constituem um agravo à saúde bucal de adultos e é um assunto de grande relevância para Odontologia. Objetivo: Verificar a distribuição espacial das perdas dentárias em adultos e correlacionar com o Índice de Exclusão Social e a proximidade de serviço odontológico público. Material e Método: Este estudo ecológico utilizou-se de dados de um levantamento epidemiológico de adultos no município de Piracicaba e do Instituto de Pesquisa e Planejamento de Piracicaba (IPPLAP). Os dados sobre as perdas dentárias foram extraídos do levantamento epidemiológico de Piracicaba, que trata-se de um estudo transversal com amostragem probabilística de 248 adultos com idade entre 20 e 64 anos, representativos dos adultos residentes em Piracicaba-SP, Brasil. Os exames bucais do índice CPO-D seguiram os códigos e critérios da Organização Mundial da Saúde e foram realizados em domicílios por um único examinador calibrado para esta finalidade. Os dados sobre a exclusão social e unidades de saúde com serviço odontológico do município foram extraídos do IPPLAP. Foi realizado o georreferenciamento dos setores censitários sorteados e as unidades de saúde com serviço odontológico do município. Para análise de correlação de Spearman (p<0,05), utilizou-se a média de dentes perdidos por bairro, o Índice de Exclusão Social (IEX) e a proximidade de serviço odontológico público categorizados em raio de: <500m, entre 500-1000m e >1000m do setor censitário. Resultado: Houve correlação entre a perda dentária e o maior IEX, sendo r = -0,51 (p=0,01), mas não houve correlação com a proximidade de serviço odontológico público (p=0,42). Conclusão: A perda dentária em adultos distribuiu-se de acordo com a exclusão social, no entanto, sem relação com a proximidade do serviço público odontológico.

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