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1.
Av. odontoestomatol ; 36(4): 186-190, sept.-dic. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-198588

RESUMO

OBJETIVO: El objetivo de la presente investigación está enfocado en evaluar la calidad de vida relacionada con la salud oral en una población venezolana en el Perú. MATERIAL Y METODOS: Se trata de un estudio analítico transversal realizado entre los meses de setiembre a noviembre del 2019 a la población de nacionalidad venezolana. Participaron un total de 880 nacionales venezolanos quienes participaron voluntariamente del estudio, de los cuales 45.9% (379) eran de sexo femenino y 54.1% (501) de sexo masculino. Se realizó un examen clínico a fin de determinar las variables clínicas: el índice CPOD, el índice de higiene oral y el índice gingival. Para evaluar la calidad de vida relacionada con la salud oral se utilizó el Perfil de Impacto en la Salud Oral OHIP-14 que consta de 49 preguntas agrupadas en 7 dimensiones que son la limitación funcional, dolor físico, disconfort psicológico, incapacidad física, incapacidad psicológica, incapacidad física y en desventaja. Para si se da un puntaje de 1 y no 0. Así, a un mayor puntaje se obtiene la calidad de vida es peor. RESULTADOS: La relación de la calidad de vida con salud se verifica que un total del 27% (116.869) fueron respuestas positivas y un 72% (31,434) respuestas negativas. CONCLUSIONES: En relación a la calidad de vida relacionada con la salud oral se obtuvo que la población estudiada tiene buena calidad de vida, representada por más de la mitad de los encuestados


AIM: The objective of the present investigation is focused one valuating the quality of life related to oral health in a Venezuelan population in Peru. MATERIAL AND METHODS: This is a cross-sectional analytical study carried out between the months of September and November of 2019 to the population of Venezuelan nationality. A total of 880 Venezuelan nationals participated who voluntarily participated in the study, of which 45.9% (379) were female and 54.1% (501) male. A clinical examination was performed to determine the clinical variables: the CPOD index, the oral hygiene index and the gingival index. To assess the quality of life related to oral health, check the OHIP-14 Oral Health Impact Profile, which consists of 49 questions grouped into 7 dimensions that are functional limitation, physical pain, psychological distress, physical disability, psychological disability, physical and disadvantaged disability For itself a score of 1 is given and not 0. Thus, a higher score gets the quality of life is worse. RESULTS: The relationship of quality of life with health verifies that a total of 27% (116,869) were positive responses and 72% (31,434) negative responses. CONCLUSIONS: Regarding the quality of life related to oral health, it was obtained that the population studied has a good quality of life, represented by more than half of the respondents


Assuntos
Humanos , Saúde Bucal , Qualidade de Vida , Inquéritos de Saúde Bucal , Emigrantes e Imigrantes/estatística & dados numéricos , Doenças da Gengiva/epidemiologia , Peru/epidemiologia , Venezuela/epidemiologia , Estudos Transversais , Higiene Bucal
2.
San Salvador; Guillermo Alfonso Aguirre Escobar; Primera Edición; 08.10.2020. 67 p.
Não convencional em Espanhol | LILACS, BISSAL | ID: biblio-1122047

RESUMO

Introducción: Considerando la revisión bibliográfica realizada y los datos oficiales disponibles, se podría afirmar que El Salvador sufre un analfabetismo epidemiológico en lo referente a las principales afecciones del Sistema Estomatognático, debido entre otras múltiples causas a la carencia o limitado número de estudios con rigor científico-metodológico, que reflejen la situación global de las principales afecciones del Sistema Estomatognático en diferentes grupos etarios. Ante ello, se realiza la primera encuesta de salud bucal a nivel nacional, apegada a lo establecido metodológicamente por la OMS, criterios actualizados y considerando muestras representativas de diferentes edades, zonas geográficas del país y condiciones sociodemográficas. Objetivos: Determinar la condición de salud bucal y las necesidades de tratamiento de la población salvadoreña a través de la aplicación de diferentes indicadores epidemiológicos, caracterizar la población según condición sociodemográfica, identificar sus conocimientos y prácticas en salud bucal. Metodología: El diseño corresponde a un estudio observacional, descriptivo y transversal, característico de una encuesta de salud oral y metodología Pathfinder según OMS. El trabajo de campo se efectuó en 24 municipios de El Salvador, entre 2016 y 2017. La muestra total fue de 3881 salvadoreños, de ambos sexos, distribuidos en seis grupos etarios (2-5, 5-6, 6-12, 13-17,18-30, 31-45 y 60 a más), siguiendo la técnica de muestreo estratificado por conglomerados sugerida por el Manual de Encuestas de Salud Bucodental de la OMS, 2013. Los datos fueron analizados en SPSS V25, donde fueron calculadas las medias, desviaciones estándar y porcentajes de las variables analizadas.


Assuntos
Humanos , Inquéritos de Saúde Bucal , Saúde Bucal , Inquéritos Epidemiológicos , Índice de Higiene Oral , Índice Periodontal , Cárie Dentária , Fluorose Dentária
3.
An. sist. sanit. Navar ; 43(2): 217-223, mayo-ago. 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-199153

RESUMO

Las patologías orales, además de muy prevalentes, tienen un impacto sistémico que puede prevenirse eliminando regularmente el biofilm dental. Este estudio transversal de base poblacional analizó los hábitos de higiene oral referidos por 3.289 adultos mediante encuestas comunitarias en las cuatro capitales de Galicia entre marzo de 2015 y junio de 2016. Se registró sexo, nivel de alerta periodontal, nivel de estudios, hábito tabáquico, régimen de visitas odontológicas y nivel de higiene oral según el uso de elementos de higiene oral y su frecuencia de uso. La higiene oral se limitó al cepillado dental al menos una vez al día en el 86% de los encuestados, siendo minoritaria la higiene interdental regular. Las variables asociadas a buenos hábitos fueron la alerta periodontal, las visitas odontológicas frecuentes, ser mujer, y alto nivel educativo. Los autocuidados orales son inadecuados, especialmente en higiene interdental, lo que justifica la necesidad de intervenciones educativas de ámbito comunitario


Oral pathologies, in addition to being highly prevalent, have a systemic impact that can be prevented by regularly eliminating the dental biofilm. This population-based, cross-sectional study analysed the oral hygiene habits of 3,289 adults through community surveys in the four provincial capitals of Galicia between March 2015 and June 2016. Sex, level of periodontal awareness, education, tobacco habit, frequency of visits to the dentist and level of oral hygiene were registered according to the use of oral hygiene products and the frequency of their use. Oral hygiene was limited to brushing their teeth once a day in 86% of those surveyed, while regular interdental hygiene was a minority practice. The variables associated with good habits were periodontal awareness, frequent visits to the dentist, being a woman and a high educational level. Oral self-care is insufficient, especially in interdental hygiene, which justifies the need for educational interventions in the community


Assuntos
Humanos , Masculino , Feminino , Hábitos , Higiene Bucal/estatística & dados numéricos , Cárie Dentária/epidemiologia , Escovação Dentária/estatística & dados numéricos , Dispositivos para o Cuidado Bucal Domiciliar/estatística & dados numéricos , Estudos Populacionais em Saúde Pública , Estudos Transversais , Inquéritos de Saúde Bucal/estatística & dados numéricos , Escolaridade
4.
BMC Oral Health ; 20(1): 185, 2020 07 02.
Artigo em Inglês | MEDLINE | ID: mdl-32615975

RESUMO

BACKGROUND: It is unclear how many community-dwelling elderly (≥75 years) experience oral health problems (e.g. pain, dry mouth, chewing problems) and how they manage their dental care needs. This study aimed to assess self-reported oral health problems in elderly who are frail or have complex care needs, and their ability to organize dental care when reporting oral pain. METHODS: Three thousand five hundred thirty-three community-dwelling elderly participating in the "Embrace" project were asked to complete questionnaires regarding oral status and oral health problems. Frailty was assessed with the Groningen Frailty Indicator (GFI). Intermed for Elderly Self-Assessment (IM-E-SA) was used to determine complexity of care needs. Next, elderly who reported oral pain were interviewed about their oral pain complaints, their need for dental care, and their ability to organize and receive dental care. For statistical analyses Chi2-tests and the one-way ANOVA were used. RESULTS: One thousand six hundred twenty-two elderly (45.9%) completed the questionnaires. Dry mouth (11.7%) and oral pain (6.2%) were most frequently reported. Among the elderly reporting oral pain, most were registered at a local dentist and could go there when needed (84.3%). Robust elderly visited the dentist independently (87%), frail (55.6%) and complex (26.9%) elderly more often required assistance from caregivers. CONCLUSIONS: Dry mouth and oral pain are most reported oral health problems among community-dwelling elderly. Elderly with complex care needs report most oral health problems. In case an elderly seeks dental treatment to alleviate an oral pain complaint, most elderly in this study were able to organize dental care and transport to the dentist. Frail and complex elderly often need assistance from caregivers to visit the dentist. Therefore caretakers should keep in mind that when frailty progresses, visiting a dentist may become more and more difficult and the risk for poor oral health increases.


Assuntos
Assistência Odontológica para Idosos/estatística & dados numéricos , Assistência Odontológica/estatística & dados numéricos , Saúde Bucal , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Inquéritos de Saúde Bucal , Feminino , Idoso Fragilizado , Avaliação Geriátrica , Serviços de Saúde para Idosos , Humanos , Vida Independente , Autorrelato
5.
BMC Oral Health ; 20(1): 173, 2020 06 19.
Artigo em Inglês | MEDLINE | ID: mdl-32560650

RESUMO

BACKGROUND: As patient-reported outcome, the Child Oral Impacts on Daily Performances (C-OIDP) has been commonly used for assessing children's oral health needs in order to facilitate oral health service planning. It was translated and cross-culturally adapted into Turkish in 2008. Since then, there is no study to assess its psychometric properties in Turkish child population. This cross-sectional study aimed to investigate the psychometric properties and factor structure of the Turkish version of the C-OIDP for use in Turkish primary school children. METHODS: The Turkish translated version was tested on a convenience sample of primary school children aged 11 to 12 years attending two public schools in Istanbul. Data were collected by clinical examinations, face-to-face interviews and self-completed questionnaires. The internal consistency, test-retest reliability, construct validity using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), criterion related validity (concurrent and discriminant) were evaluated. RESULTS: A total of 208 children were subjected to the tested the C-OIDP. Overall, 93.7% of them reported at least one oral impact in the last 3 months. The most frequently affected performances were "eating" (72.1%) and "cleaning mouth", while the performance with the lowest impact was "studying" (13%). The internal consistency and reproducibility of the C-OIDP were acceptable, with a Cronbach's alpha of 0.73 and an intra-class correlation coefficient of 0.83. The EFA yielded a two-factor model termed "functional limitation" and "psychosocial limitation". CFA identified the two- factor model which fit the data better than the previously proposed three-factor model, namely physical, psychological and social health. Having malocclusion, the presence of gum disease, reported history of oral problems in the mouth, dissatisfaction with oral health, bad self-rated oral health and having a problem-oriented pattern of dental attendance were found to be the most important factors related to worse oral health- related quality of life, supporting its criterion-related validity. CONCLUSION: This study provided preliminary evidence the psychometric properties of the C-OIDP index among Turkish school children aged 11-12 years. It may be applied to evaluate the oral health impact on quality of life in this population.


Assuntos
Saúde Bucal , Psicometria/instrumentação , Qualidade de Vida/psicologia , Estudantes/psicologia , Inquéritos e Questionários/normas , Criança , Estudos Transversais , Inquéritos de Saúde Bucal , Feminino , Humanos , Masculino , Psicometria/normas , Reprodutibilidade dos Testes , Estudantes/estatística & dados numéricos , Turquia
6.
Ontario; Registered Nurses Association of Ontario (RNAO); May 2020. 144 p.
Monografia em Inglês | BIGG - guias GRADE | ID: biblio-1116696

RESUMO

BPGs promote consistency and excellence in clinical care, administrative policies, procedures and education, with the aim of achieving optimal health outcomes for people, communities and the health system as a whole. This BPG replaces the RNAO BPG Oral Health: Nursing Assessment and Intervention, which was released in 2008. The purpose of this BPG is to provide nurses, the interprofessional team and caregivers with evidence-based recommendations for the provision of oral care for adults (18 years of age and older) that will: promote an interprofessional approach to providing oral care, enhance the delivery of oral care interventions, and ultimately lead to positive oral healthG outcomes for persons. This BPG recognizes that a person- and familycentredG approach to care is essential for providing oral care (or providing assistance with oral care) to adults across the continuum of care. This BPG also recognizes that when providing any form of oral care, infection control practices should be followed.


Assuntos
Humanos , Adulto , Inquéritos de Saúde Bucal/instrumentação , Saúde Bucal , Pessoal de Saúde/organização & administração , Doenças da Boca/enfermagem , Doenças da Boca/reabilitação , Sistemas de Saúde/organização & administração , Pessoal de Saúde/educação , Enfermagem Baseada em Evidências/métodos
7.
Oral Health Prev Dent ; 18(1): 185-196, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32238991

RESUMO

PURPOSE: The first large-scale epidemiological survey on dental caries in Slovenia was conducted in 1987 and repeated in 1993, 1998, 2003, 2008, 2013 and 2017, using the same methodology. The aim of the study was to examine the trend of caries in 12-year-olds in Slovenia during a 30-year time period. The changes over time in caries experience were compared with disease trends observed in other European countries. Study Populations and Methods: The WHO National Oral Health Pathfinder Survey was applied in all seven surveys (1987-2017). The surveys were carried out in all nine geographical regions of Slovenia. For each subject, the caries experience and presence of sealants were recorded. RESULTS: The mean DMFT of 12-year-olds decreased significantly from 5.1 in 1987 to 1.5 in 2017 (p < 0.0001). The percentage of persons with sealed teeth increased from 6% in 1987 to 94% in 2017, and the percentage of caries-free persons increased from 6% to 42%. CONCLUSION: The implementation of a nation-wide preventive programme was determined to significantly contribute to the effective control of caries and continuously improve the oral health of Slovenian children. In an international perspective, the Slovenian achievements in disease prevention in terms of caries prevalence reduction may be important for other countries of the region.


Assuntos
Cárie Dentária , Criança , Índice CPO , Inquéritos de Saúde Bucal , Humanos , Selantes de Fossas e Fissuras , Prevalência , Eslovênia
8.
Community Dent Health ; 37(2): 121-124, 2020 May 29.
Artigo em Inglês | MEDLINE | ID: mdl-32227707

RESUMO

OBJECTIVE: To investigate the method, learning and challenges of using an enhanced sample to provide small area data for the dental survey of five-year-old children in England. DESIGN: Pilot in six London local authorities, of increased sample size during a national survey to enable a more precise sample size calculation to deliver information accurate at electoral ward level. Challenges were explored through interviews with the teams who either planned or conducted the survey. MAIN OUTCOME MEASURES: A revised sample size recommendation for the national guidance on carrying out dental surveys of five-year-old children in England, where caries levels are similar to those seen in the pilot areas; the challenges identified were gaining access to schools and consent from parents, making the calculation for the additional sample and securing sufficient workforce. CONCLUSION: This paper has described a method for delivering small area caries data by increasing the size of the sample. Learning, and understanding the outcomes and challenges from this work can inform planning and delivery of future surveys using an enhanced sample at ward level.


Assuntos
Cárie Dentária , Inquéritos de Saúde Bucal , Criança , Pré-Escolar , Índice CPO , Inglaterra , Humanos , Londres , Prevalência
9.
BMC Oral Health ; 20(1): 73, 2020 03 17.
Artigo em Inglês | MEDLINE | ID: mdl-32183780

RESUMO

BACKGROUND: Tooth loss represents a known marker of health inequality. The association between tooth loss and unfavorable socioeconomic conditions is evident when analyzed at an individual level. However, the effects of contextual characteristics on tooth loss need to be better investigated and understood. The objective of this study was to analyze tooth loss among Brazilian adults (35-44 years of age), in accordance with individual and contextual social characteristics. METHODS: This was a multilevel cross-sectional study with data from 9564 adult participants from the Brazilian Oral Health Survey - SBBrasil 2010. The dependent variable was the number of lost teeth and the independent variables were grouped into structural (socioeconomic & political context) and intermediary (socioeconomic position, behavioral & biological factors, and health services) determinants. Multilevel Hierarchical Negative Binomial Regression was conducted and the Mean Ratio (MR) was estimated. RESULTS: Brazilian adults lost a mean of 7.57 (95% CI 7.1-8.1) teeth. Among the contextual variables, the number of teeth lost was higher among residents of municipalities with high and medium/low Municipal Human Development Index (MHDI) and in municipalities that did not have public water fluoridation. Among the individual variables, dental loss was higher among those who declared themselves yellow/black/brown/indigenous, were older, who had lower income, who had never visited a dentist, who had used dental services for more than a year and those whose most recent visit to the dentist was due to oral health problems. On the other hand, dental loss was lower among adults with higher education levels and males. CONCLUSIONS: The number of missing teeth was associated with unfavorable contextual and individual conditions, which reinforces the need to reduce social inequality and guarantee regular, lifetime access to dental services.


Assuntos
Assistência Odontológica/estatística & dados numéricos , Saúde Bucal , Perda de Dente , Adulto , Brasil , Estudos Transversais , Inquéritos de Saúde Bucal , Feminino , Disparidades nos Níveis de Saúde , Humanos , Masculino , Análise Multinível , Fatores Socioeconômicos
10.
Rev Saude Publica ; 54: 30, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32215538

RESUMO

OBJECTIVE: Evaluate socio-demographic, family and behavioral factors associated with oral health literacy (OHL) in adolescents. METHODS: Cross-sectional study conducted with adolescents aged 15 to 19 years in Campina Grande, Brazil. Parents/guardians answered a questionnaire addressing socio-demographic data. The adolescents answered validated instruments on family cohesion and adaptability (family adaptability and cohesion evaluation scale), drug use (alcohol, smoking and substance involvement screening test), type of dental service used for last appointment and OHL (Brazilian version of the Rapid Estimate of Oral Health Literacy in Dentistry). Two dentists were trained to evaluate OHL (K = 0.87-0.88). Descriptive analysis was performed, followed by Poisson regression analysis (α = 5%). A directed acyclic graph was used to select independent variables in the study. RESULTS: The following variables remained associated with better OHL: high mother's schooling level (RR = 1.07; 95%CI: 1.03-1.12), high income (RR = 1.04; 95%CI: 1.01-1.09), white ethnicity/skin color (RR = 1.05; 95%CI: 1.01-1.10), married parents (RR = 1.04; 95%CI: 1.01-1.09), "enmeshed" family cohesion (RR = 1.21; 95%CI: 1.12-1.30), "structured" (RR = 1.06; 95%CI: 1.01-1.12) or "rigid" (RR = 1.11; 95%CI: 1.04-1.19) family adaptability, having more than five residents in the home (RR = 1.07; 95%CI: 1.01-1.14) and having used a private dental service during the last appointment (RR = 1.08; 95%CI: 1.03-1.13). CONCLUSION: Family functioning and socio-demographic factors influence the level of oral health literacy among adolescents.


Assuntos
Comportamento do Adolescente , Família , Conhecimentos, Atitudes e Prática em Saúde , Letramento em Saúde/estatística & dados numéricos , Saúde Bucal/educação , Adolescente , Estudos Transversais , Inquéritos de Saúde Bucal , Feminino , Humanos , Masculino , Projetos Piloto , Qualidade de Vida , Fatores Socioeconômicos
11.
BMC Oral Health ; 20(1): 61, 2020 02 19.
Artigo em Inglês | MEDLINE | ID: mdl-32075623

RESUMO

BACKGROUND: The Geriatric Oral Health Assessment Index (GOHAI) was developed and validated in 1990 and translated into Spanish in 1999. Since then, the original version has been used in numerous studies, but it has not been re-evaluated in terms of language in the new generations of older adults. The purpose of this study is to confirm the validity of the Spanish version of the Geriatric Oral Health Assessment Index (GOHAI-SP) after three decades to be used as part of an ongoing field trial. METHODS: The GOHAI-SP was pilot tested in a focus group to confirm linguistic comprehension. A version with minor language changes was administered to individuals with metabolic syndrome aged 55-75 years from one health care district in southern Spain as part of an ongoing field trial (PREDIMED-Plus). Clinical evaluation included assessment of dental and periodontal status. The psychometric properties of the GOHAI-SP were evaluated through stability and internal consistency measures, and concurrent and discriminant validity were assessed. RESULTS: The new version of the GOHAI-SP was administered to 100 individuals. The application time was reduced by 7 min. The alpha value for reliability was 0.87. The item-scale correlation coefficients ranged from 0.54 to 0.75, and the test-re-test correlation for the total score was 0.75. There were inverse correlations between GOHAI-SP scores and the number of lost teeth and the decayed-missing-filled teeth index (p < 0.001). CONCLUSIONS: The GOHAI-SP questionnaire remains a valid and useful tool to assess oral health-related quality of life in primary health care settings. A linguistic update of the questionnaire brought improvements to the instrument application. TRIAL REGISTRATION: The PREDIMED-Plus trial is registered in the ISRCTN registry with reference number ISRCTN89898870. Registration date: 4th July 2014.


Assuntos
Avaliação Geriátrica/métodos , Saúde Bucal , Qualidade de Vida , Inquéritos e Questionários/normas , Idoso , Idoso de 80 Anos ou mais , Atitude Frente a Saúde , Assistência Odontológica/psicologia , Cárie Dentária/psicologia , Inquéritos de Saúde Bucal , Feminino , Humanos , Idioma , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Fatores Socioeconômicos , Espanha , Perda de Dente/psicologia , Escovação Dentária
12.
Clin Interv Aging ; 15: 29-38, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32021130

RESUMO

Purpose: The purpose of this study was to identify how changes to general health might affect the oral health of nursing-home residents over a six-month period. Materials and Methods: The study was conducted in nine nursing homes in Germany. Sociodemographic and general data were collected at baseline and after six months. Complete baseline and follow-up data were available for 114 participants. The Clinical Dementia Rating (CDR) and the Global Deterioration Scale (GDS) were used to identify the presence and, if applicable, severity of dementia among participants. The Apraxia Screen of TULIA (AST) was used to identify motor impairment. A comprehensive dental examination of each participant was also performed. The examination included the documentation of dental and denture status and the number of decayed, missing and filled teeth (DMF-T). In addition, dental and denture hygiene were quantitatively assessed using the Plaque Index (PI) and the Denture Hygiene Index (DHI), respectively. Global dental treatment needs were evaluated by use of the Oral Health Assessment Tool (OHAT). Univariate and multivariate linear regression models were compiled to analyse possible factors affecting the dependent target variables. Results: During the study period, denture hygiene among the study population worsened by an average of 15%. The regression models detected that a more advanced age (in years) was associated with a less pronounced deterioration of denture hygiene as measured by use of the DHI (-0.806 per additional year of age; p = 0.030). Furthermore, an increase in the level of care needed (coefficient (C): -1.948; p = 0.002) and a more poorly graded assessment of general health compared with the value at baseline (C: 1.054; p = 0.026) were both associated with a deterioration of oral health as evaluated by use of the OHAT. In addition to these results, an increase in care needs was also associated with a deterioration of dental health as evaluated by use of the DMF-T (C: 0.966; p = 0.013). Conclusion: In the short term, a deterioration of general health, including an increase in care needs, seems to be the predominant factor associated with a more pronounced deterioration of oral health among nursing-home residents.


Assuntos
Demência , Nível de Saúde , Casas de Saúde/estatística & dados numéricos , Saúde Bucal , Higiene Bucal , Idoso , Idoso de 80 Anos ou mais , Correlação de Dados , Demência/diagnóstico , Demência/epidemiologia , Inquéritos de Saúde Bucal , Diagnóstico Bucal/métodos , Diagnóstico Bucal/estatística & dados numéricos , Feminino , Avaliação Geriátrica/métodos , Alemanha/epidemiologia , Instituição de Longa Permanência para Idosos , Humanos , Masculino
13.
J Nepal Health Res Counc ; 17(4): 543-547, 2020 Jan 21.
Artigo em Inglês | MEDLINE | ID: mdl-32001864

RESUMO

BACKGROUND: Rheumatoid arthritis and Periodontitis both are chronic destructive inflammatory disorders characterized by dysregulation of the host inflammatory response and increase in localized and systemically circulating pro-inflammatory cytokines. The objective of this study was to determine prevalence of periodontitis among Rheumatoid Arthritis patients in our setup. METHODS: A crossectional study was done in 43 cases of diagnosed Rheumatoid Arthritis patients visiting to department of Orthopedics of Bir Hospital during the period of July 2016 to January 2017 were examined for presence of periodontitis and its severity. A descriptive questionnaire was also prepared concerning age, sex, personal history. Parameters to be measured were Plaque Index, Gingival Index, Pocket Depth and Clinical Attachment Level. RESULTS: Prevalence of periodontitis among Rheumatoid Arthritis patients was found to be 86.04% (37) with Mild periodontitis in 9%(4), Moderate periodontitis 56% (24)and severe periodontitis in 21% (9). The commonest age group was 50.41±9. with male to female ratio of 1:3 Conclusions: Periodontitis was common in Rheumatoid Arthritis in our set up. Moderate periodontitis was more frequent. Periodic oral examination of patients with Rheumatoid Arthritis is required to improve periodontal health.


Assuntos
Artrite Reumatoide/epidemiologia , Periodontite Crônica/epidemiologia , Centros de Atenção Terciária/estatística & dados numéricos , Adulto , Fatores Etários , Proteína C-Reativa/análise , Estudos de Casos e Controles , Inquéritos de Saúde Bucal , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Nepal/epidemiologia , Prevalência , Índice de Gravidade de Doença , Fatores Sexuais
14.
Artigo em Inglês | MEDLINE | ID: mdl-32046266

RESUMO

Epidemiological inquiries study and evaluate the health status of the population. For dental caries, the World Health Organization (WHO) recommends the DMFT and DMFS indexes, which represent the sum of the decayed, missing and filled teeth, divided by the population studied. Traditionally these surveys are conducted using cellulose paper sheet. This study describes the development and presents the field performance of NutriOdonto, a software created for an Oral Health Survey carried out in 2018 and 2019 involving 2578 students from the municipal schools of Palmas/TO, located in the Brazilian Amazon region. This is a descriptive, applied research on the development of a software for the collecting, analysis, management and reproducibility of oral health epidemiological research. A software applied to the collecting, analysis and formation of the database was developed through the information obtained from the questionnaires applied to the participants of the study and the completion of the electronic oral examination form. Recent Information and Communication Technologies (ICT) are intelligently configured to create models and mobile applications (Apps) that can be useful to manage health issues, thus broadening the perspective of service provision in this sector. Some of these mobile devices, tablets and smartphones are being developed to generate information, for collection, recording, storage and analysis of oral health epidemiological research data. NutriOdonto contributed to the rapid collection, recording and storage of information, in the construction of the database and its analysis. Replacing paper forms with electronic forms minimized possible typos, reduced the use of cellulose paper and the financial costs, among other things. This software can contribute to decision making by managers and professionals and to improving the planning and implementation of actions in health promotion and oral disease prevention.


Assuntos
Computadores de Mão , Análise de Dados , Inquéritos de Saúde Bucal , Projetos de Pesquisa Epidemiológica , Indicadores Básicos de Saúde , Aplicativos Móveis , Saúde Bucal , Brasil , Criança , Estudos Transversais , Diagnóstico Bucal , Feminino , Nível de Saúde , Humanos , Masculino , Reprodutibilidade dos Testes , Software
15.
BMC Oral Health ; 20(1): 9, 2020 01 08.
Artigo em Inglês | MEDLINE | ID: mdl-31914978

RESUMO

BACKGROUND: This study sought to evaluate dental utilization among 3-,4-, and 5-year-old children in China and to use Andersen's behavioural model to explore influencing factors, thereby providing a reference for future policy making. METHODS: This study is a cross-sectional study. Data of 40,305 children aged 3-5 years were extracted from the Fourth National Oral Health Survey, which was performed from August 2015 to December 2016. Patient data were collected using a questionnaire, which was answered by the child's parents, and clinical data were collected during a clinical examination. Stratification and survey weighting were incorporated into the complex survey design. Descriptive statistics, bivariate correlations and hierarchical logistic regression results were then analysed to find the factors associated with oral health service utilization. RESULTS: The oral health service utilization prevalence during the prior 12 months were 9.5% (95%CI: 8.1-11.1%) among 3-year-old children, 12.1% (95%CI: 10.8-13.5%) among 4-year-old children, and 17.5% (95%CI: 15.6-19.4%) among 5-year-old children. "No dental diseases" (71.3%) and "dental disease was not severe" (12.4%) were the principal reasons why children had not attended a dental visit in the past 12 months. The children whose parents had a bachelor's degree or higher (OR: 2.29, 95%CI: 1.97-2.67, p < 0.001), a better oral health attitude ranging from 5 to 8(OR: 1.64, 95%CI: 1.43-1.89, p < 0.001), annual per capital income more than 25,000 CNY (OR: 1.40, 95%CI: 1.18-1.65, p < 0.001),think their child have worse or bad oral health (OR: 3.54, 95%CI: 2.84-4.40, p < 0.001), and children who often have toothaches (OR: 9.72, 95%CI: 7.81-12.09, p < 0.001) were more likely to go to the dentist in the past year. CONCLUSION: The prevalence of dental service utilization was relatively low among preschool children. It is necessary to strengthen oral health education for parents and children, thereby improving oral health knowledge as well as attitude, and promoting dental utilization.


Assuntos
Assistência Odontológica/estatística & dados numéricos , Cárie Dentária , Serviços de Saúde Bucal/estatística & dados numéricos , Saúde Bucal , Pré-Escolar , China , Estudos Transversais , Cárie Dentária/prevenção & controle , Cárie Dentária/terapia , Inquéritos de Saúde Bucal , Feminino , Educação em Saúde Bucal , Conhecimentos, Atitudes e Prática em Saúde , Acesso aos Serviços de Saúde , Humanos , Renda , Masculino , Fatores Socioeconômicos , Inquéritos e Questionários
16.
Braz Oral Res ; 33: e124, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31994597

RESUMO

This study aimed to assess the association of demographic conditions, socioeconomic status, clinical variables, and psychosocial factors with the number of filled teeth in adolescents from public schools. This cohort study comprised 1,134 12-year-old adolescents enrolled in public schools in Santa Maria, Brazil, in 2012. They were followed-up in 2014, where 743 individuals were reassessed (follow-up rate of 65.52%) for the number of filled teeth. Data were collected via dental examinations and structured interviews. Demographic and socioeconomic characteristics were collected from parents or legal guardians. The psychosocial factor comprised students' subjective measurement of happiness (Brazilian version of the Subjective Happiness Scale - SHS). Dental examinations were performed to assess the number of filled teeth through decay, missing, and filled teeth index (DMF-T). Unadjusted and adjusted Poisson regression analyses were performed to assess the association between baseline variables and filled teeth at follow-up. The number of filled teeth in 2012 and 2014 were 193 (17.02%) and 235 (31.63%), respectively. The incidence of filled teeth in 2014 was 42 (5.65%). Adolescents with untreated dental caries, those who visited the dentist in the last 6 months, those that exhibited being happier, and those who had filled teeth at baseline were associated with a higher number of filled teeth at follow-up. We conclude that the number of filled teeth in adolescents was influenced by clinical and psychosocial factors, emphasizing the need to focus on oral health policies in individuals with higher disease burden and those who feel psychologically inferior.


Assuntos
Inquéritos de Saúde Bucal/estatística & dados numéricos , Restauração Dentária Permanente/estatística & dados numéricos , Setor Público/estatística & dados numéricos , Instituições Acadêmicas/estatística & dados numéricos , Estudantes/estatística & dados numéricos , Adolescente , Brasil/epidemiologia , Criança , Estudos de Coortes , Cárie Dentária/epidemiologia , Cárie Dentária/terapia , Serviços de Saúde Bucal/estatística & dados numéricos , Restauração Dentária Permanente/psicologia , Feminino , Acesso aos Serviços de Saúde/estatística & dados numéricos , Humanos , Masculino , Análise de Regressão , Fatores Socioeconômicos , Estudantes/psicologia
17.
Br Dent J ; 228(1): 25-31, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31925370

RESUMO

Aim Dental caries epidemiological surveys produce information that may be used to assist health policy makers in the planning of preventive and curative strategies. The detection instruments used in these surveys should be able to identify the correct, true stage of the disease or medical condition. This makes it essential that valid instruments are used. This study aimed to critically review commonly used visual/tactile caries assessment instruments in epidemiological surveys with respect to their manageability, reproducibility and validity, and how results are reported.Method A Pubmed search identified the following international visual/tactile instruments for caries detection more than once between 2013 and 2018: World Health Organisation (WHO), International Caries Detection and Assessment System (ICDAS) and Caries Assessment Spectrum and Treatment (CAST).Results The review revealed that the WHO instrument can be considered a screening instrument, that the ICDAS instrument lacks sufficient validity and takes time to apply and that the CAST instrument is promising, but requires further field testing before it can be considered a fully proven caries-assessment instrument in epidemiology. It is recommended that calculating caries prevalence should be based on the presence of cavitated dentine carious lesions, that the prevalence of enamel carious lesions be reported separately and that the dmf/DMF index not be used in its current form.Conclusion Researchers/dentists should be knowledgeable of the limitations and advantages of common caries assessment instruments. Caries prevalence should not be based on the dmf/DMF index but on cavitated dentine carious lesions (d/D-component) as the M- and F-component do not refer to a disease stage.


Assuntos
Cárie Dentária , Índice CPO , Inquéritos de Saúde Bucal , Humanos , Prevalência , Reprodutibilidade dos Testes
18.
BMC Oral Health ; 20(1): 21, 2020 01 28.
Artigo em Inglês | MEDLINE | ID: mdl-31992291

RESUMO

BACKGROUND: The current study was performed; to validate the Arabic version of WHO child oral health assessment tool (A-OHAT), to assess the oral health status of Arab school children and finally to identify the important risk factors associated with the poor teeth and gum conditions of school children. METHODS: A cross-sectional study with two-staged simple random sampling technique was implemented. A-OHAT, a self-assessment tool was subjected to psychometric analyses with the respondents being high school children. The Cronbach's alpha and the Intra class correlation values were computed. Paired t-test was performed to identify the differences between the readings after repeated administration, followed by the analysis for convergent validity. This tested Arabic-WHO Child-OHAT was administered to collect the data. Univariate, bivariate and logistic regression analyses were performed to report on the potential risk factors associated with poor teeth and poor gum conditions of school children. RESULTS: Psychometric analyses revealed that the Arabic Child Oral Health Assessment Tool (A-OHAT) was reliable and valid. A total of 478 (N) high school children were subjected to the tested tool, of which 66.5% were male and 33.5% were female with a mean age of 16.28 + 1.04 years. 80.3% of school children had poor teeth condition and 36.2% of school children had often experienced toothache. Children had 1.5 times higher odds of having poor teeth condition if they had increased frequency of sweet and candy consumption. It was also seen that increased frequency of sweets and candy consumption by school children had put them at nearly 20% higher risk of having poor gum condition. Finally, children with the habit of using toothbrush had nearly 50% lower chance of having poor gum condition in contrast to the school children who do not use toothbrush. CONCLUSION: To conclude, the study provides a reliable and valid tool to assess the oral health status of Arab adolescents. Improper oral hygiene habits and diet were identified as the plausible risk factors for poor teeth and gum condition.


Assuntos
Árabes , Inquéritos de Saúde Bucal/normas , Saúde Bucal , Higiene Bucal/estatística & dados numéricos , Psicometria/estatística & dados numéricos , Inquéritos e Questionários/normas , Adolescente , Criança , Estudos Transversais , Feminino , Humanos , Masculino , Doenças da Boca/diagnóstico , Reprodutibilidade dos Testes , Arábia Saudita , Autorrelato , Doenças Dentárias/diagnóstico , Traduções
19.
Rev. méd. Panamá ; 40(1): 9-13, ene.2020. ilus, tab
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-1099567

RESUMO

Introducción: El Cáncer Bucal es una enfermedad de importancia en Salud Pública. En Panamá, se desconoce la incidencia y prevalencia de la enfermedad y no se dispone de información por tipo de patología, lesión, localización, ni estudios de conocimientos, ac­ titudes y prácticas, relacionados a los factores de riesgo. Objetivo General: analizar los conocimientos, actitudes y prácticas de prevención de Cáncer Bucal en la población mayor de 15 años. Materiales y Método: estudio descriptivo transversal, realizado en las Regiones Sanitarias de San Miguelito, Metropolitana y Panamá Oeste. Se realizó un muestreo por conveniencia en 42 instalaciones de salud del primer nivel de atención, a la población que acudió al servicio odontológico durante cuatro meses. Se aplicó una encuesta de Conocimiento, Actitudes y Prácticas de prevención de factores de riesgo al cáncer bucal, considerando variables de estilo de vida. Para el análisis estadístico, se utilizaron los programas Epi Info versión 7.2 y XLSTAT 2019 y presentados los datos en medidas paramétricas y no paramétricas. Resultados: se encuestó un total de 3,832 personas mayores de 15 años. La mayor proporción fueron mujeres en edades de 25 y 34 años. En relación al conocimiento, el 81% desconoce los factores de riesgo de cáncer bucal y según la actitud, el 63% no asiste al control odontológico periódicamente. Las prácticas reflejaron hábitos relaciona­ dos al consumo de tabaco y alcohol. Conclusión: La población mayor de 15 años del estudio, desconoce los factores de riesgo del cáncer bucal y manifiesta limitada actitud de práctica preventiva.


Introduction: Oral Cancer is an importance disease in Public Health. In Panama, the in­ cidence and prevalence of the disease is unknown and there is no information available by type of pathology, injury, location, or studies of knowledge, attitudes and practices re­ lated to risk factors. General Objective: to analyze the knowledge, attitudes and practi­ ces of prevention of Oral Cancer in the population over 15 years old. Materials and Methods: cross­sectional descriptive study, carried out in San Miguelito, Metropolitan and Panamá Oeste Health Regions. Sampling was carried out for convenience in 42 health facilities of the first level of health care, to the population that attended the dental service during four months. A survey of Knowledge, Attitudes and Practices of preven­ tion of risk factors to oral cancer was applied, considering Lifestyle variables. For the statistical analysis, the Epi Info version 7.2 and XLSTAT 2019 programs were used and the data presented in parametric and non­parametric measurements. Results: a total of 3,832 people over 15 years of age were surveyed. The highest propor­ tions were women between the ages of 25 and 34. In relation to knowledge, 81% do not know the risk factors for oral cancer and according to the attitude, 63%, do not attend pe­ riodically to a dental control. The practices reflected habits related to consumption of to­ bacco and alcohol. Conclusion: The population over 15 years old of the study ignores the risk factors of oral cancer and manifests a limited attitude of preventive practice.


Assuntos
Humanos , Feminino , Adulto , Idoso de 80 Anos ou mais , Neoplasias Bucais/prevenção & controle , Neoplasias Bucais/psicologia , Odontologia em Saúde Pública , Inquéritos de Saúde Bucal/métodos , Estudos Populacionais em Saúde Pública , Estudos de Avaliação como Assunto
20.
Acta Odontol Scand ; 78(4): 303-308, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-31855095

RESUMO

Objective: To evaluate the association of body mass index (BMI) and gross national income (GNI) per capita with dental caries experience in children at population levels.Methods: This ecological study used global data of decay, missing, and filled teeth (DMFT), BMI, and GNI. DMFT data of 12 years old children from 117 countries were obtained from the World Health Organization. BMI data of children and adolescents from the same 117 countries were retrieved from the NCD Risk Factor Collaboration and GNI per capita from the World Bank. ANOVA test, Pearson's correlation coefficient (r), and multivariable linear regression were performed.Results: Globally mean BMI ranged from 16.1 to 22.2 in children. Low-income countries had the lowest BMI (17.41 ± 0.57) and high-income countries had the highest BMI (20.14 ± 0.87) (p < .001). The highest mean DMFT was observed in upper-middle-income countries (2.48 ± 1.16) and the lowest in low-income countries (1.22 ± 0.83) (p = .001). There was no significant correlation between BMI and dental caries (DMFT) (r = .063; p = .498). However, there were significant correlations between GNI per capita and BMI (r = 0.366; p < .001) and GNI per capita and DMFT (r= -0.252; p = .007). In multivariable linear regression, GNI per capita was negatively associated with caries experience in children (B= -1.83; p < .001).Conclusion: The study found that BMI was associated with income levels of the countries. GNI per capita significantly and negatively correlated with DMFT in children. Further investigation into the association between BMI and dental caries is warranted.


Assuntos
Índice de Massa Corporal , Cárie Dentária/epidemiologia , Disparidades nos Níveis de Saúde , Renda/estatística & dados numéricos , Perda de Dente , Criança , Estudos Transversais , Índice CPO , Inquéritos de Saúde Bucal , Humanos , Pobreza
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