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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.
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.

4.
Einstein (Sao Paulo) ; 16(1): eAO4079, 2018.
Artigo em Português, Inglês | MEDLINE | ID: mdl-29694612

RESUMO

Objective To evaluate knowledge on oral health and associated sociodemographic factors in pregnant women. Methods A cross-sectional study with a sample of 195 pregnant women seen at the Primary Care Unit Paraisópolis I, in São Paulo (SP), Brazil. For statistical analysis, χ2 or Fisher's exact test and multiple logistic regression were used. A significance level of 5% was used in all analyses. Results Schooling level equal to or greater than 8 years and having one or two children were associated with an adequate knowledge about oral health. Conclusion Oral health promotion strategies during prenatal care should take into account sociodemographic aspects.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Saúde Bucal , Gestantes , Adolescente , Adulto , Brasil , Estudos Transversais , Feminino , Humanos , Gravidez , Cuidado Pré-Natal , Fatores Socioeconômicos , Inquéritos e Questionários , Adulto Jovem
5.
J. Health Biol. Sci. (Online) ; 6(1): 5-8, jan-mar.2018. graf, tab, mapas
Artigo em Inglês | LILACS | ID: biblio-876339

RESUMO

Objective: to analyze the relationship of climatic variables, temperature and rainfall, - with dengue, in addition to identifying possible areas of greater spatial concentration of confirmed dengue cases. Methods: This is an ecological study with secondary data in the city of Ubirajara / SP. The confirmed cases of Dengue, assumed as an outcome, were obtained from the Aging and Notification Information System (SINAN) of the Ministry of Health; while the climatic data were used as independent variables and temperature and precipitation were provided by IPMet - Center of Meteorology of Bauru / SP, from 2007 to 2015. Pearson's correlation (r) was used for statistical analyzes. The addresses were geocoded and related to the digital cartoFigureic base of the municipality through the software QGIS and elaborated the thematic map through the kernel intensity estimator. Results: 187 cases of dengue were reported in the study period, with 119 cases (63.7%) occurring in 2015 with an incidence coefficient of 25.39 cases per 1,000 inhabitants. Mean annual temperature correlated positively with dengue and (r) (Pearson) cases = 0.6889, p = 0.0401 (α = Type I error) and ß = 0.6652 (Type II error). The Kernel map identified four areas of greatest concentration for dengue transmission. Conclusions: The relationship between temperature increase and dengue cases requires adequate responses from the institutions, with continuous monitoring of trends, construction of predictive models for the formulation of plans by using spatial analysis in the identification of the priority areas for actions that will be performed. (AU)


Objetivo: analisar a relação das variáveis climáticas, temperatura e precipitação pluviométrica, com a dengue, além de identificar possíveis áreas de maior concentração espacial de casos confirmados de dengue. Métodos: Trata-se de um estudo ecológico com dados secundários do município de Ubirajara/ SP. Os casos confirmados de Dengue, assumidos como desfecho, foram obtidos junto ao Sistema de Informação de Agravos e Notificações (SINAN) do Ministério da Saúde; enquanto os dados climáticos utilizados como variáveis independentes foram temperatura e precipitação, os quais foram fornecidos pelo Centro de Meteorologia de Bauru/ SP - IPMet, no período de 2007 a 2015. Utilizou- se a correlação Pearson (r) para as análises estatísticas. Os endereços foram geocodificados e relacionados com a base cartográfica digital do município, por meio do software QGIS. Foi elaborado o mapa temático segundo o estimador de intensidade de Kernel. Resultados: Foram notificados 187 casos de dengue no período do estudo; no entanto, somente em 2015 registraram-se 119 casos (63,7%), com um coeficiente de incidência de 25,39 casos por 1.000 habitantes. A temperatura média anual se correlacionou positivamente com os casos de dengue e r (Pearson) = 0,6889, p = 0,0401 (α = Erro tipo I) e ß = 0,6652 (Erro tipo II). O mapa de Kernel identificou quatro áreas de maior concentração para a transmissão da dengue. Conclusões: A relação do aumento da temperatura com os casos de dengue exige respostas adequadas das instituições, como o acompanhamento permanente de tendências, de construção de modelos preditivos e de formulação de planos que façam uso de análise espacial na identificação de áreas prioritárias para as ações que serão realizadas. (AU)


Assuntos
Dengue
6.
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
7.
Einstein (Säo Paulo) ; 16(1): eAO4079, 2018. tab
Artigo em Inglês | LILACS-Express | ID: biblio-891447

RESUMO

ABSTRACT Objective To evaluate knowledge on oral health and associated sociodemographic factors in pregnant women. Methods A cross-sectional study with a sample of 195 pregnant women seen at the Primary Care Unit Paraisópolis I, in São Paulo (SP), Brazil. For statistical analysis, χ2 or Fisher's exact test and multiple logistic regression were used. A significance level of 5% was used in all analyses. Results Schooling level equal to or greater than 8 years and having one or two children were associated with an adequate knowledge about oral health. Conclusion Oral health promotion strategies during prenatal care should take into account sociodemographic aspects.


RESUMO Objetivo Avaliar o conhecimento em saúde bucal e os fatores sociodemográficos associados em gestantes. Métodos Estudo com delineamento transversal, com amostra de 195 gestantes atendidas na Unidade Básica de Saúde de Paraisópolis I, em São Paulo (SP). Para a análise estatística, utilizou-se teste χ2 ou teste exato de Fisher e a regressão logística múltipla. Assumiu-se um nível de significância de 5% para todas as análises. Resultados Escolaridade igual ou maior a 8 anos de estudo e presença de um a dois filhos estiveram associadas a conhecimento adequado sobre saúde bucal. Conclusão Estratégias de promoção de saúde bucal durante o pré-natal devem levar em consideração aspectos sociodemográficos.

8.
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
10.
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.

11.
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
12.
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.

13.
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
14.
Cien Saude Colet ; 22(6): 1905-1911, 2017 Jun.
Artigo em Português, Inglês | MEDLINE | ID: mdl-28614510

RESUMO

Oral health teams can work with both information of the people related to the family context as individual epidemiological through risk ratings, considering equity and service organization. The purpose of our study was to evaluate the association between tools that classify individual and family risk. The study group consisted of students from the age group of 5-6 years and 11-12 years who were classified regarding risk of caries and whether their parents had periodontal disease, in addition to the family risk. There was an association between the risk rating for decay in children (n = 128) and family risk classification with Coef C = 0.338 and p = 0.01, indicating that the higher the family's risk, the higher the risk of caries. Similarly, the association between the risk classification for periodontal disease in parents and family risk classification with Coef C = 0.5503 and p = 0.03 indicated that the higher the family risk, the higher the risk of periodontal disease. It can be concluded that the use of family risk rating tool is indicated as a possibility of ordering actions of the dental service, organizing their demand with greater equity, in this access door.


Assuntos
Cárie Dentária/epidemiologia , Saúde da Família , Saúde Bucal , Doenças Periodontais/epidemiologia , Brasil/epidemiologia , Criança , Pré-Escolar , Estudos Transversais , Serviços de Saúde Bucal/organização & administração , Feminino , Necessidades e Demandas de Serviços de Saúde , Humanos , Masculino , Pais , Risco , Medição de Risco/métodos
15.
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.

16.
Ciênc. Saúde Colet ; 22(6): 1905-1911, Jun. 2017. tab
Artigo em Português | LILACS-Express | ID: biblio-890346

RESUMO

Resumo As Equipes de Saúde Bucal podem trabalhar tanto com informações das populações relacionadas ao contexto familiar como epidemiológicas individuais, através de classificações de risco pensando em equidade e organização do serviço. O propósito do estudo foi avaliar a associação entre ferramentas que classificam o risco familiar e o individual. O grupo de estudo consistiu de escolares das faixas etárias de 5-6 anos e de 11-12 anos classificados para cárie e seus pais para doença periodontal e ambos para o risco familiar. Houve associação entre a classificação de risco para cárie nos escolares (n = 128) com a familiar, com Coef C = 0,338 e p = 0,01, indicando que quanto maior o risco familiar há tendência de maior risco de cárie. Da mesma forma, a associação entre a classificação de risco para doença periodontal nos pais, com a classificação de risco familiar, com Coef C = 0,5503 e p = 0,03, indicou que, quanto maior o risco familiar há tendência de maior risco de doença periodontal. Pode-se concluir que a utilização da ferramenta de classificação de risco familiar está indicada, como possibilidade de ser ordenadora das ações do serviço odontológico, organizando sua demanda com maior equidade, nesta porta de acesso.


Abstract Oral health teams can work with both information of the people related to the family context as individual epidemiological through risk ratings, considering equity and service organization. The purpose of our study was to evaluate the association between tools that classify individual and family risk. The study group consisted of students from the age group of 5-6 years and 11-12 years who were classified regarding risk of caries and whether their parents had periodontal disease, in addition to the family risk. There was an association between the risk rating for decay in children (n = 128) and family risk classification with Coef C = 0.338 and p = 0.01, indicating that the higher the family's risk, the higher the risk of caries. Similarly, the association between the risk classification for periodontal disease in parents and family risk classification with Coef C = 0.5503 and p = 0.03 indicated that the higher the family risk, the higher the risk of periodontal disease. It can be concluded that the use of family risk rating tool is indicated as a possibility of ordering actions of the dental service, organizing their demand with greater equity, in this access door.

17.
J. health inform ; 9(2): 44-50, abr.-jun. 2017.
Artigo em Inglês, Português, Espanhol | LILACS-Express | ID: biblio-848324

RESUMO

Aim: To investigate the spatial-temporal distribution of mortality from oral cancer in Minas Gerais between 1996 and 2012. Methods: The analysis of the growth trend rates of the series was made by Moving Average. Results: In the period there were 8.675 deaths from mouth cancer and these were identified in all the regions of the state. Being, 6,974 (80,4%) men and 1,701 (19,6%) women. Regarding the crude rate, we observed a tendency of growing of mortality from this cancer type. This phenomenon was also observed when executed the weighting by sex, especially for males and over 60 years old. Was rejected the null hypothesis of stationary of mortality series for oral cancer in Minas Gerais during the period. Conclusion: Moving Average weighted by age and gender allowed to observe an increase in the mortality rate in all age groups and for both sexes especially men and older than 60 years.


Objetivo: Investigar a distribuição espaço-temporal da taxa de mortalidade por câncer de boca do estado de Minas Gerais entre 1996 e 2012. Métodos: A Média Móvel foi utilizada para analisar a tendência de crescimento da taxa. Resultados: No período estudado ocorreram 8.675 óbitos por câncer de boca e estes foram identificados em todas as microrregiões do estado. Sendo, 6.974 (80,4%) homens e 1.701(19,6%) mulheres. Houve tendência de crescimento da taxa bruta de mortalidade por este tipo de câncer. Este fenômeno também foi observado quando executado a ponderação por sexo, principalmente para o sexo masculino e indivíduos acima dos 60 anos. Foi rejeitada hipótese de nulidade de estacionariedade da mortalidade por câncer de boca em Minas Gerais no período estudado com elevação da taxa de 2,22 em 1996 para 3,87 em 2012. Conclusão: Observou-se o crescimento da taxa nas faixas etárias estudadas, em homens e acima de 60 anos.


Objetivo: Investigar la distribución espacial y temporal de la mortalidad por cáncer oral en el estado de Minas Gerais entre 1996 y 2012. Métodos: El promedio móvil se utilizó para analizar la tendencia de la tasa de crecimiento. Resultados: En el período hubo 8.675 muertes por cáncer de boca y éstos fueron identificados en todas las regiones del estado. Y, 6.974 (80,6%) eran hombres y 1.701 (19,6%) mujeres. Con respecto a la tasa bruta, se observa una tendencia creciente en la mortalidad por este tipo de cáncer y cuando se ejecuta la ponderación por sexo, especialmente para los varones y más de 60. Rechazó la hipótesis nula de estacionariedad de la mortalidad por cáncer oral en Minas Gerais durante el período. Conclusión: Promedio ponderado por edad y sexo Mobile ha observado tasa de crecimiento en los grupos de edad y en los hombres y por encima de 60 años.

18.
Ciênc. saúde coletiva ; 22(6): 1905-1911, jun. 2017. tab
Artigo em Português | LILACS | ID: biblio-839989

RESUMO

Resumo As Equipes de Saúde Bucal podem trabalhar tanto com informações das populações relacionadas ao contexto familiar como epidemiológicas individuais, através de classificações de risco pensando em equidade e organização do serviço. O propósito do estudo foi avaliar a associação entre ferramentas que classificam o risco familiar e o individual. O grupo de estudo consistiu de escolares das faixas etárias de 5-6 anos e de 11-12 anos classificados para cárie e seus pais para doença periodontal e ambos para o risco familiar. Houve associação entre a classificação de risco para cárie nos escolares (n = 128) com a familiar, com Coef C = 0,338 e p = 0,01, indicando que quanto maior o risco familiar há tendência de maior risco de cárie. Da mesma forma, a associação entre a classificação de risco para doença periodontal nos pais, com a classificação de risco familiar, com Coef C = 0,5503 e p = 0,03, indicou que, quanto maior o risco familiar há tendência de maior risco de doença periodontal. Pode-se concluir que a utilização da ferramenta de classificação de risco familiar está indicada, como possibilidade de ser ordenadora das ações do serviço odontológico, organizando sua demanda com maior equidade, nesta porta de acesso.


Abstract Oral health teams can work with both information of the people related to the family context as individual epidemiological through risk ratings, considering equity and service organization. The purpose of our study was to evaluate the association between tools that classify individual and family risk. The study group consisted of students from the age group of 5-6 years and 11-12 years who were classified regarding risk of caries and whether their parents had periodontal disease, in addition to the family risk. There was an association between the risk rating for decay in children (n = 128) and family risk classification with Coef C = 0.338 and p = 0.01, indicating that the higher the family’s risk, the higher the risk of caries. Similarly, the association between the risk classification for periodontal disease in parents and family risk classification with Coef C = 0.5503 and p = 0.03 indicated that the higher the family risk, the higher the risk of periodontal disease. It can be concluded that the use of family risk rating tool is indicated as a possibility of ordering actions of the dental service, organizing their demand with greater equity, in this access door.


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Criança , Cárie Dentária/epidemiologia , Saúde da Família , Saúde Bucal , Doenças Periodontais/epidemiologia , Brasil/epidemiologia , Estudos Transversais , Serviços de Saúde Bucal/organização & administração , Necessidades e Demandas de Serviços de Saúde , Pais , Risco , Medição de Risco/métodos
19.
RECIIS (Online) ; 10(4): 1-10, out.-dez. 2016. ilus
Artigo em Português | LILACS | ID: biblio-835232

RESUMO

A fluoretação da água de abastecimento público é uma medida eficaz e de baixo custo para a prevenção da cárie dentária. Este artigo se baseia em um estudo que comparou a experiência de cárie entre dois municípios do Brasil, São Paulo e Manaus, na época, com e sem fluoretação de suas águas. O estudo utilizou dados do projeto SBBrasil 2010 que avaliou três índices para 2.176 indivíduos: ceo-d (dentição infantil com cárie, extraídos e obturados), CPO-D (quantidade de dentes cariados, perdidos e obturados em adultos)e SiC (Significant Caries Index, uma variação do CPO-D). Os resultados mostraram que os índices foram maiores em Manaus quando comparados com os de São Paulo, para indivíduos com 5 e 12 anos de idade e pertencentes à faixa de 15 a 19 anos. O município de São Paulo apresentou melhor condição de saúde bucal em crianças e adolescentes, e não houve diferença entre os índices para adultos e idosos, demonstrando que parte da população com acesso a água fluoretada foi beneficiada pelo método.


The public water supply fluoridation is an effective measure and is cost-effective in preventing tooth decay.This article bases on a study that compared the caries experience between two municipalities in Brazil, São Paulo and Manaus, at the time, with and without fluoridation of its water. The study used the projeto SBBrasil 2010 (SBBrazil project 2010) data that evaluated three indices for 2.176 individuals: dmft (decay, missing, filled teeth for primary dentition), DMFT (number of decayed, missing and filled in adults) and SiC(Significant Caries Index, a variation of DMTF). The results showed that the rates were higher in Manaus when compared to São Paulo, for 5 and 12 years old children and for young people who are 15 to 19 yearsold. The city of São Paulo showed better bucal health status in children and adolescents, and it was not found difference in indices for adults and the elderly, demonstrating that part of the population with access to fluoridated water was benefited by the method.


La fluoración del agua potable pública es una medida de bajo costo y eficaz en la prevención de la caries. Este artículo es basado en estudio que comparó las experiencias de caries entre dos municipios de Brasil, Sao Paulo y Manaos, en la ocasión, con y sin la fluoración de su agua. El estudio utilizó los datos del projeto SBBrasil 2010 (proyecto SBBrasil2010) que evaluó tres índices para 2.176 individuos: ceo-d (dientes delos niños con caries, extraídos y obturados), CPO-D (número de dientes cariados, perdidos y obturados en adultos) y SiC (Significant Caries Index, una variación de CPO-D). Los resultados mostraron que las tasas eran más altas en Manaos, en comparación con Sao Paulo, para individuos de 5 y 12 años de edad y para jóvenes entre 15 y 19 años. La ciudad de Sao Paulo mostró un mejor estado de salud bucal en niños y adolescentes, y no evidenció diferencias entre los adultos y los ancianos, lo que demuestra que parte de la población con acceso a agua fluorada se vio beneficiada por el método.


Assuntos
Humanos , Criança , Adolescente , Adulto Jovem , Pessoa de Meia-Idade , Cárie Dentária/prevenção & controle , Inquéritos de Saúde Bucal , Índice CPO , Fluoretação/métodos , Abastecimento de Água , Brasil , Cárie Dentária/epidemiologia , Avaliação da Pesquisa em Saúde , Prevalência
20.
J Acupunct Meridian Stud ; 9(5): 275-278, 2016 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-27776767

RESUMO

When nausea, an extremely unpleasant symptom, is experienced during dental treatment, it generates disorders and obstacles for both the patient and the professional, compromising the good quality of dental care. Clinical studies have confirmed the antiemetic action of acupuncture and shown its use for the treatment of nausea and vomiting. In the scientific literature there are several recent studies that address the placebo effect of acupuncture. The aim of this manuscript is to present a case report of a 46-year-old Caucasian male patient, who had severe symptoms of nausea while undergoing dental care. Treatment with sham acupuncture (acupuncture simulation) obtained a positive result of nausea prevention. We will discuss three possible hypotheses concerning this result: (1) there was action of Deqi; (2) high expectations of the patient; and (3) association with specific learned response. The patient in this case report received nonpenetrating sham acupuncture at acupoint Neiguan (PC6), which resulted in the complete remission of nausea during an intra-oral impression-taking procedure, but it is unclear whether the placebo effect was triggered by the action of Deqi, the high expectations of the patient, an association with a learned response, or by the interaction of all these factors.


Assuntos
Terapia por Acupuntura , Náusea/prevenção & controle , Pontos de Acupuntura , Humanos , Masculino , Pessoa de Meia-Idade , Náusea/psicologia , Placebos
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