Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 4.689
Filtrar
1.
Oral Health Prev Dent ; 18(2): 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
2.
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
3.
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
4.
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
5.
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
6.
Dent Traumatol ; 36(1): 25-32, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31359581

RESUMO

BACKGROUND/AIM: Little is known about adult dental trauma experience at the population level. The aim of this study was to estimate the prevalence and associations of dental injuries in New Zealand (NZ) adults. MATERIALS AND METHOD: Information about dental and orofacial trauma in a representative sample of NZ adults (aged 18-94) was collected in a national oral health survey. As well as self-reported information, the maxillary six anterior teeth were examined for signs of dental trauma. Survey weights were used. RESULTS: Of the 40.9% (95% CI: 37.6, 44.2) who reported previous orofacial trauma, 69.1% (95% CI: 64.3, 73.5), or just over one-quarter of the sample, reported that this included a dental injury. More males than females had experienced orofacial trauma (51.3% [95% CI: 45.8, 56.8] and 31.4% [95% CI: 27.9, 35.1], respectively). The most common injury was a "chipped or broken tooth" (66.6%, 95% CI: 60.6, 72.1). Almost three-quarters had sought treatment. Clinical examination revealed an overall trauma prevalence of 23.4% (95% CI: 21.0, 26.0) with more males than females affected. Some 14.9% (95% CI: 12.8, 17.2) had one injured tooth, while 6.5% (95% CI: 5.2, 8.1) had two injured teeth. The maxillary central incisors were the most frequently affected. Most participants with clinical signs of trauma had only one of the six maxillary teeth affected. The most common clinical dental trauma observation was evidence of "treatment" or an "untreated enamel fracture", and these were more common among males and those aged 35-44 years. CONCLUSION: Traumatic dental injuries constitute an important public health issue. More emphasis on preventing them in the NZ adult population is warranted, and public awareness of State-funded cover for dental injuries may need to be bolstered to enable equitable access for injury care. Overall, a greater emphasis on prevention and the importance of initial care for dental injuries could reduce the individual and societal burden.


Assuntos
Fraturas dos Dentes , Traumatismos Dentários , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Inquéritos de Saúde Bucal , Feminino , Humanos , Incisivo , Masculino , Pessoa de Meia-Idade , Nova Zelândia/epidemiologia , Prevalência , Traumatismos Dentários/epidemiologia , Traumatismos Dentários/terapia , Adulto Jovem
7.
Curr Diabetes Rev ; 16(2): 156-164, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31057116

RESUMO

BACKGROUND AND OBJECTIVES: Diabetes mellitus has increased rapidly throughout the world. The objectives of our study were to assess the knowledge and awareness about oral manifestations of diabetes, among type 2 diabetes mellitus patients, their risk for developing oral diseases due to complications associated with diabetes mellitus, and at same time, to perform an oral examination to detect these oral symptoms, if present any, along with the recording of Decayed Missing Filled Teeth Index (DMFT) and Community Periodontal Index (CPI) index. METHODOLOGY: Structured questionnaires consisting of 12 different statements on the knowledge base of oral manifestations of diabetes mellitus were distributed to 447 Type 2 diabetes mellitus patients. Following this oral examination, brushing and dental visit history were noted, and CPI index and DMFT indices were recorded in all the patients. RESULTS: Results showed that the knowledge about oral manifestations of diabetes mellitus was poor with a mean value of 4.92 out of a possible score of 12. Among the study subjects, the average score of men was 4.42 while that of females, was 5.41. These scores, when subjected to statistical analysis, were highly significant. (P value- 0.005) Subjects also showed significantly high DMFT (P value <0.001) and CPI scores (P value- 0.270). CONCLUSION: Our study concluded that there is a significant lack of knowledge about oral manifestations of diabetes mellitus among patients and hence steps have to be taken to increase their awareness through various outreach programs. All health professionals need to work together for promoting better oral health so that oral complications of diabetes can be brought under control.


Assuntos
Diabetes Mellitus Tipo 2/complicações , Doenças da Boca/prevenção & controle , Higiene Bucal , Doenças Dentárias/prevenção & controle , Adulto , Conscientização , Estudos Transversais , Inquéritos de Saúde Bucal , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Nível de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Doenças da Boca/diagnóstico , Doenças da Boca/etiologia , Saúde Bucal , Fatores de Risco , Doenças Dentárias/diagnóstico , Doenças Dentárias/etiologia
8.
Clin Oral Investig ; 24(2): 857-866, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31214794

RESUMO

OBJECTIVES: The objective of this study was to evaluate the combined risk of oral problems in the oral health-related quality of life (OHRQoL) of adolescents aged 15 to 19 years in São Paulo state (Brazil) in the year of 2015. MATERIALS AND METHODS: Data from the São Paulo State Oral Health Survey (SBSP-15) and the contextual characteristics of the cities of São Paulo state, evaluated in the year 2015 were accessed. Correlations were made between contextual factors (i.e., coverage of the family health team, average supervised tooth brushing, number of first dental appointments, and average income), individual sociodemographic variables (i.e., ethnicity, gender, and schooling) and dental problems (dental pain, caries, overjet, open bite, indication for endodontic and exodontic treatment, gingival bleeding, and dental trauma). These variables were correlated with the quality of life of the adolescents using the Oral Impacts on Daily Performance (OIDP) index. Multilevel Poisson regressions were performed to calculate the rate ratio (RR) with 95% confidence interval (CI). RESULTS: According to the bivariate analysis, the presence of low (RR, 1.62; 95% CI 1.07-2.46) and very intense (RR, 2.53, 95% CI 1.92-3.34) dental pain, indication for endodontic (RR, 1.31; 95% CI 1.05-1.63) or for exodontic (RR, 1.31; 95% CI 1.06-1.63) treatment, and gingival bleeding (RR, 1.41; 95% CI 1.11-1.80) reduced the quality of life of adolescents. All domains of OIDP scores were associated between healthy and unhealthy individuals (p < 0.001) increasing mean scores with combined oral health problems. Higher impact on quality of life was associated with simultaneous presence of dental pain, gingival bleeding, and indication for exodontic treatment (RR, 6.03; 95% CI, 4.02-9.04) in the adolescents. CONCLUSION: Individual and contextual factors and the various dental problems are independently associated with the quality of life of Brazilian adolescents aged 15 to 19 years, especially when they are associated with the perception of intense dental pain, gingival bleeding, and indication for exodontic treatment, with up to six times greater impact on OIDP. CLINICAL RELEVANCE: The study highlighted the importance for an integral treatment in adolescents, considering that the associated risk of several dental diseases can progressively affect the quality of life of this population.


Assuntos
Saúde Bucal , Adolescente , Brasil , Estudos Transversais , Cárie Dentária , Inquéritos de Saúde Bucal , Humanos , Qualidade de Vida , Fatores Socioeconômicos , Adulto Jovem
9.
Arq. odontol ; 56: 1-10, jan.-dez. 2020. ilus, tab
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1087815

RESUMO

Objetivo:Este estudo avaliou o acesso aos serviços odontológicos em áreas cobertas pela Estratégia Saúde da Família em Campina Grande, Paraíba, comparando as séries temporais dos anos de 2009 e 2014. Métodos: Tratou-se de um estudo quantitativo, analítico, com desenho do tipo transversal, de base populacional, do seguimento de dois estudos, com dados primários coletados prospectivamente, longitudinal ou de seguimento. O estudo teve como variável dependente o acesso a saúde bucal, e no grupo de variáveis independentes encontram-se os fatores sociodemográficos. A análise dos dados foi realizada através do SPSS 18.0, em duas etapas: uma descritiva e outra analítica. Na primeira foram feitas as distribuições de frequência das variáveis quantitativas, na segunda foram testadas as associações, utilizando-se o teste qui quadrado de Pearson. Para todas as análises foi considerado significante o nível de 5% (p < 0,05). Resultados: Os fatores sociodemográficos associados ao acesso no estudo de 2009 foram: idade, estado civil, renda do respondente e escolaridade. Em 2014, além desses, esteve associada a renda familiar. Conclusão: Constata-se que o acesso aos serviços odontológicos não ocorre de forma igualitária, não sendo a população de baixa renda a que mais se beneficia, indicando, pois, uma lacuna na equidade do acesso.


Aim:This study evaluated the access to dental services in areas covered by the Family Health Strategy in Campina Grande, Paraíba, Brazil, comparing the time series of the years 2009 and 2014. Methods: This was a quantitative, analytical study with a population-based cross-sectional design, following two studies, with prospectively collected, longitudinal, or follow-up primary data. The study had access to oral health as the dependent variable, and socio-demographic factors in the group of independent variables. Data analysis was performed using SPSS 18.0, in two steps: one descriptive and one analytical. In the first, frequency distributions of quantitative variables were made, while in the second, associations were tested using Pearson's chi-square. For all analyzes, a level of 5% (p <0.05) was considered significant. Results: The socio-demographic factors associated with access in the 2009 study were: age, marital status, respondent income, and education. In 2014, besides these, the study was associated with family income. Conclusion: It appears that access does not occur equally, and it is not the low-income population that benefits most, thus indicating a gap in equity of access.


Assuntos
Fatores Socioeconômicos , Inquéritos de Saúde Bucal , Assistência Odontológica , Estratégia Saúde da Família , Serviços de Saúde Bucal , Acesso aos Serviços de Saúde , Estudos Epidemiológicos , Estudos Transversais
10.
Rev Saude Publica ; 53: 108, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31826175

RESUMO

OBJECTIVE: To evaluate the association of school failure among Brazilian adolescents with social conditions and aspects of oral health through hierarchical analysis. METHODS: A state-wide survey of 5,558 adolescents from the state of São Paulo, Brazil, inquired about the sociodemographic and social capital of participants by using a structured questionnaire. Trained and calibrated professionals performed intraoral examinations and interviews in the households. Questions about the access to dentist, reason for and frequency of using dental services, toothache episodes and impact of oral conditions on daily activities (OIDP) were applied. Oral examinations evaluated caries experience, tooth losses, periodontal problems, presence of open bite, and maxillary and mandibular overjet. School failure was estimated according to the teenagers' years of schooling. The independent variables were grouped into three blocks: sociodemographic and economic characteristics, social capital and oral health aspects. The multiple hierarchical logistic regression model was used to identify the factors associated with school failure. RESULTS: Of the total sample, information about schooling of 5,162 adolescents was obtained, of whom 29.6% presented school failure. We found that adolescents over the age of 16 years who did not declare themselves as white, female, with feelings of insecurity, unhappiness, with toothache, caries, tooth losses, affected by dentofacial and/or periodontal changes, were more likely to fail at school. CONCLUSION: Oral disorders and social factors were associated with school failure in adolescents. A successful school trajectory was a strong determinant of health, therefore actions between the educational and health sectors must be developed for adolescents, especially those with this profile.


Assuntos
Fracasso Acadêmico , Avaliação Educacional , Saúde Bucal/estatística & dados numéricos , Adolescente , Adulto , Brasil/epidemiologia , Estudos Transversais , Cárie Dentária , Inquéritos de Saúde Bucal , Feminino , Humanos , Masculino , Fatores de Risco , Fatores Socioeconômicos , Inquéritos e Questionários , Perda de Dente , Adulto Jovem
11.
Artigo em Inglês | MEDLINE | ID: mdl-31877854

RESUMO

The aim of this study was to evaluate the family impacts of severe dental caries among children. Data from 3859 school-age children (5-, 8-, 12- and 15-year-olds) who participated in the 2013 Children's Dental Health Survey, a national cross-sectional survey in England, Wales and Northern Ireland, were used. Severe dental caries was defined as having at least one tooth with pulpal involvement, ulceration, fistula, or abscess (PUFA). Family impacts were measured using seven items of the Family Impact Scale (FIS). The association between severe dental caries and family impacts was assessed in logistic regression models, adjusting for child's age, gender, and country of residence; parent's marital status, education, and job classification; and area deprivation. Severe dental caries among children showed a significant negative impact on family life (Odds Ratio: 6.00; 95% Confidence Interval: 3.34-10.78). Parents of children with severe dental caries had greater odds of taking time off work (OR: 2.75; 95% CI: 1.16-6.54), reporting the child needed more attention (OR: 4.08; 95% CI: 2.15-7.75), feeling guilty (OR: 6.32; 95% CI: 3.26-12.26), feeling stressed (OR: 7.34; 95% CI: 4.15-12.99), having normal activities disrupted (OR: 5.78; 95% CI: 2.71-12.34), and having sleep disrupted (OR: 4.94; 95% CI: 2.78-8.76). Having severe dental caries was not associated with financial difficulties in the family (OR: 1.64; 95% CI: 0.49-5.51). The observed association between severe dental caries and family impacts was independent of child and family sociodemographic characteristics. The findings underscore the importance of preventive interventions to avoid severe dental caries in children and subsequently reduce negative impacts on their family life.


Assuntos
Cárie Dentária/epidemiologia , Família/psicologia , Adolescente , Criança , Pré-Escolar , Estudos Transversais , Cárie Dentária/psicologia , Inquéritos de Saúde Bucal , Inglaterra/epidemiologia , Feminino , Humanos , Modelos Logísticos , Masculino , Irlanda do Norte/epidemiologia , País de Gales/epidemiologia
12.
Br Dent J ; 227(9): 818-822, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31705101

RESUMO

Introduction Dental anxiety and fear is widely prevalent in the population, including children. This research is a further analysis of the Child Dental Health Survey 2013, to explore the impact of dental anxiety on factors relating to oral health.Aim To explore the relationship between dental anxiety and oral health and the impact dental anxiety has on the quality of family life.Design Regression analysis of data of 4,916 children aged 5 years and 8 years who participated in the Child Dental Health Survey 2013.Setting National Epidemiological Survey in schools in the UK.Materials and methods A series of logistic regression analyses was carried out for markers of oral health and impact of the child's oral health on the family's quality of life. The variables entered as predictors in the models included dental anxiety, socio demographic status and oral health-related behaviours.Results Dental anxiety was associated with poorer oral health on nearly all measures (decay experience p = <0.001, active decay p = <0.001, primary tooth being restored p = 0.010, signs of oral infection p = 0.007) and had a greater impact on their family's quality of life (p = <0.001).Conclusions Dentally anxious children have more dental disease and this has a greater impact on their family's quality of life.


Assuntos
Ansiedade ao Tratamento Odontológico , Saúde Bucal , Criança , Pré-Escolar , Inquéritos de Saúde Bucal , Humanos , Qualidade de Vida , Análise de Regressão , Inquéritos e Questionários
13.
Br Dent J ; 227(9): 823-828, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31705102

RESUMO

Introduction Dental phobia has been widely studied but there is limited research on the effect of dental phobia on oral health. This research is an analysis of the 2013 Child Dental Health Survey, to explore the impact of dental anxiety on factors relating to oral health in the adolescents.Aim To examine if dental anxiety predicts poor oral health in 12- and 15-year-olds.Design Regression analysis of data from 4,950 children aged 12 years and 15 years who participated in the Child Dental Health Survey 2013.Setting National epidemiological survey of UK schools.Materials and methods A series of logistic regressions was carried out to examine if dental anxiety, socio demographic factors and oral health-related behaviour could predict oral health status, the impact of the child's oral health on their own quality of life and the impact of their oral health on the family's quality of life. Additional outcomes examined were self-perceived dental health and general health.Results Dental anxiety was not a predictor of poor oral health but did predict a greater impact of the child's oral health on everyday life. Adolescents with dental anxiety had negative thoughts regarding their dental and general health.Conclusions Dental anxiety affects the everyday life and psychological wellbeing of adolescents.


Assuntos
Cárie Dentária , Saúde Bucal , Adolescente , Criança , Ansiedade ao Tratamento Odontológico , Inquéritos de Saúde Bucal , Humanos , Qualidade de Vida , Análise de Regressão , Inquéritos e Questionários
14.
Rev Bras Epidemiol ; 22Suppl 02(Suppl 02): E190015.SUPL.2, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31596386

RESUMO

INTRODUCTION: Despite the improvement in oral health conditions observed in the Brazilian population, there are still high social inequalities that must be monitored. OBJECTIVE: To evaluate income inequality in oral hygiene practices, oral health status and the use of dental services in the adult and senior Brazilian population. METHODS: Data from the National Health Survey conducted in 2013 (Pesquisa Nacional de Saúde - PNS 2013) were used for the population aged 18 years old or older. RESULTS: Inequalities were found among the income strata in most of the oral health indicators evaluated. The greatest inequalities were observed in the use of dental floss, in hygiene practices (PR = 2.85 in adults and PR = 2.45 in seniors), and in total tooth loss (PR = 6.74 in adults and PR = 2.24 in seniors) and difficulty in chewing (PR = 4.49 in adults and PR = 2.67 in seniors) among oral condition indicators. The magnitude of inequalities was high in both groups in most oral condition indicators. Income was a factor that persisted in limiting access to dental services, and even the lower income segments had high percentages that paid for dental consultations. CONCLUSION: Based on data from the first PNS, the findings of this study enabled the identification of oral health and dental care aspects more compromised by income differentials, thus, contributing to the planning of dental care in Brazil and to stimulate the monitoring of these disparities with data from future surveys.


Assuntos
Serviços de Saúde Bucal/estatística & dados numéricos , Inquéritos de Saúde Bucal/métodos , Acesso aos Serviços de Saúde/estatística & dados numéricos , Renda/estatística & dados numéricos , Saúde Bucal/estatística & dados numéricos , Classe Social , Adolescente , Adulto , Brasil/epidemiologia , Inquéritos de Saúde Bucal/estatística & dados numéricos , Feminino , Disparidades nos Níveis de Saúde , Disparidades em Assistência à Saúde/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Higiene Bucal , Prevalência , Análise de Regressão , Fatores Socioeconômicos , Adulto Jovem
15.
Medicine (Baltimore) ; 98(40): e17385, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31577743

RESUMO

Although all-ceramic crowns have excellent biocompatibility and esthetic appearance, chipping may occur. The mechanical properties of monolithic zirconia restorative material are superior to those of all-ceramic restorative materials, and chipping caused by chewing hard foods could be avoided. This study aimed to evaluate the clinical efficacy of monolithic zirconia crowns for posterior teeth restorations.A total of 46 patients requiring posterior teeth restorations involving 49 teeth were treated with monolithic zirconia crown procedure. The treatment results were evaluated according to the modified California Dental Association criteria immediately after the procedure, and at 2, 24, 48, and 96 weeks after the procedure. The plaque index, gingival index, probing depth, crown marginal integrity, and attrition of the abutment teeth, antagonist teeth, corresponding contralateral teeth, and antagonist of the corresponding contralateral teeth were assessed. The patients were followed for up to 96 weeks.The marginal adaptation results of all 46 patients were evaluated as excellent, resulting in an excellent rate of 100%. Regarding the crown color match, only 3 cases (6.1%) were evaluated as acceptable. Marginal adaptation, anatomic form, crown margin integrity, color match, and gross fracture did not show significant differences compared with the different time points (P = .999). Surface texture at different time did not change significantly (P = .807). During the 96-week follow-up, 1 crack in the antagonist teeth was found in 1 patient. There were no significant differences in wear of the antagonist teeth at different time points (P = .972). The rate of "excellent" evaluation for crown restorations was 93.9% to 100%.The monolithic zirconia crown had no detectable adverse effects on the periodontal tissues, and the antagonist teeth attrition was small. Therefore, it has good potential in the clinical application of posterior teeth restorations in the short term.


Assuntos
Coroas , Materiais Dentários/química , Zircônio/química , Inquéritos de Saúde Bucal , Planejamento de Prótese Dentária , Falha de Restauração Dentária , Feminino , Humanos , Masculino
16.
Rev Saude Publica ; 53: 93, 2019.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31644772

RESUMO

OBJECTIVE: To evaluate the potential support of schools for oral health promotion and associated factors in Brazilian capitals. METHODS: Data from 1,339 public and private schools of the 27 Brazilian capitals were obtained from the National Survey of School Health (PeNSE) 2015. Data from the capitals were obtained from the United Nations Development Program and the Department of Informatics of the Brazilian Unified Health System (Datasus). The indicator " ambiente escolar promotor de saúde bucal " (AEPSB - oral health promoting school environment) was designed from 21 variables of the school environment with possible influence on students' oral health employing the categorical principal components analysis (CATPCA). Associations between the AEPSB and characteristics of schools, capitals and regions were tested (bivariate analysis). RESULTS: Ten variables comprised CAPTCA, after excluding those with low correlation or high multicollinearity. The analysis resulted in a model with three dimensions: D1. Within-school aspects (sales of food with added sugar in the canteen and health promotion actions), D2. Aspects of the area around the school (sales of food with added sugar in alternative points) and D3. prohibitive policies at school (prohibition of alcohol and tobacco consumption). The sum of the scores of the dimensions generated the AEPSB indicator, dichotomized by the median. From the total of schools studied, 51.2% (95%CI 48.5-53.8) presented a more favorable environment for oral health (higher AEPSB). In the capitals, this percentage ranged from 36.6% (95%CI 23.4-52.2) in Rio Branco to 80.4% (95%CI 67.2-89.1) in Florianópolis. Among the Brazilian regions, it ranged from 45.5% (95%CI 40.0-51.2) in the North to 67.6% (95%CI 59.4-74.9) in the South. Higher percentages of schools with higher AEPSB were found in public schools [58.1% (95%CI 54.9-61.2)] and in capitals and regions with higher Human Development Index [61.0% (95%IC 55.8-66.0) and 57.4% (95%CI 53.2-61.4), respectively] and lower Gini index [55.7% (95%CI 51.2-60.0) and 52.8 (95%CI 49.8-55.8), respectively]. CONCLUSIONS: The potential to support oral health promotion in schools in Brazilian capitals, assessed by the AEPSB indicator, was associated with contextual factors of schools, capitals and Brazilian regions.


Assuntos
Inquéritos de Saúde Bucal/estatística & dados numéricos , Saúde Bucal/estatística & dados numéricos , Serviços de Saúde Escolar/estatística & dados numéricos , Meio Social , Adolescente , Brasil/epidemiologia , Estudos Transversais , Comportamento Alimentar , Feminino , Abastecimento de Alimentos/estatística & dados numéricos , Geografia , Humanos , Masculino , Valores de Referência , Fatores de Risco , Instituições Acadêmicas/estatística & dados numéricos , Fatores Socioeconômicos , Análise Espacial
17.
Braz Oral Res ; 33: e100, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31664362

RESUMO

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


Assuntos
Inquéritos de Saúde Bucal , Saúde Bucal/estatística & dados numéricos , Qualidade de Vida , Senso de Coerência , Adulto , Brasil/epidemiologia , Estudos Transversais , Cárie Dentária/epidemiologia , Cárie Dentária/psicologia , Feminino , Humanos , Modelos Logísticos , Masculino , Análise Multivariada , Doenças Periodontais/epidemiologia , Doenças Periodontais/psicologia , Valores de Referência , Distribuição por Sexo , Perfil de Impacto da Doença , Fatores Socioeconômicos
18.
Community Dent Health ; 36(3): 198-202, 2019 Aug 29.
Artigo em Inglês | MEDLINE | ID: mdl-31436922

RESUMO

OBJECTIVE: To investigate inequalities in three aspects of access to orthodontic care: uptake of orthodontic treatment, normative need and subjective need in England. METHODS: We used data from two surveys in England: 12 and 15-year-olds from the 2013 Child Dental Health Survey (CDHS 2013) and 12-year-olds from the 2008/2009 NHS Dental Epidemiology Programme for England (NDEP 2008/2009). Summary variables representing orthodontic status were calculated. Two regression-based summary measures of inequalities were used to investigate the relationship between deprivation level and orthodontic outcomes: Slope and Relative indices of Inequality. RESULTS: There were significant absolute and relative inequalities in uptake of orthodontic treatment. The least deprived were 1.9 times more likely to have received orthodontic treatment compared to the most deprived in both surveys. Normative need was not associated with deprivation in either the analyses of CDHS 2013 (SII= 0.03, 95% CI: -0.04, 0.1; RII=1.06, 95% CI: 0.91, 1.24) or the NDEP 2007/2008 (SII= 0.03, 95% CI: -0.02, 0.07; RII=1.06, 95% CI: 0.96, 1.18). There was greater willingness to have teeth straightened in more deprived children from CDHS 2013 (SII=-0.09, 95% CI: -0.16, -0.03; RII=0.85, 95% CI: 0.75, 0.96) but not in NDEP 2007/2008 (SII=0.03, 95% CI: 0, 0.06; RII=1.07, 95% CI: 0.99, 1.15). CONCLUSIONS: Being deprived was associated with lower uptake of orthodontic treatment. Normative need was not related to deprivation. The association between deprivation and subjective need was only partly established, with poorer children showing a greater desire to have their teeth straightened in one survey.


Assuntos
Assistência Odontológica , Inquéritos de Saúde Bucal , Disparidades em Assistência à Saúde , Ortodontia , Adolescente , Criança , Inglaterra , Humanos , Fatores Socioeconômicos , Inquéritos e Questionários
19.
Rev Saude Publica ; 53: 53, 2019 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-31432910

RESUMO

OBJECTIVE: To evaluate the psychometric properties of the Brazilian Portuguese version of the Rapid Estimate of Adult Literacy in Dentistry (BREALD-30) administered to adolescents. METHODS: The study included 750 adolescents: 375 aged 12 years and 375 aged 15-19 years, attending public and private schools in Campina Grande, state of Paraíba, Brazil, in 2017. Reliability was measured based on internal consistency and test-retest reliability. Convergent validity was measured based on correlations between BREALD-30 and Functional Literacy Indicator scores. Divergent validity was measured by comparing BREALD-30 scores with sociodemographic variables. For predictive validity, the association between BREALD-30 scores and the presence of cavitated carious lesions was tested using a multiple logistic regression model. All statistical tests were performed with a significance level of 5%. RESULTS: BREALD-30 showed good internal consistency for the 12 year olds and 15 to19 year olds (Cronbach's alpha = 0.871 and 0.834, respectively) and good test-retest reliability [intraclass correlation coefficient (ICC) = 0.898 and 0.974; kappa = 0.804 and 0.808, respectively]. Moreover, item-total correlation was satisfactory for all items. BREALD-30 had convergent validity with the Functional Literacy Indicator for 12 year olds (rs = 0.558, p < 0.001) and for 15 to 19 year olds (rs = 0.652, p < 0.001). Participants with higher oral health literacy levels who attended private schools (p < 0.001), belonged to economic classes A and B2 (p < 0.001), and who had parents with higher education levels (p < 0.001) were included, indicating the divergent validity of the BREALD-30. Participants with lower BREALD-30 scores were more likely to have cavitated carious lesions [12 year olds: odds ratio (OR) = 2.37; 95% confidence interval (95%CI): 1.48-3.80; 15 to 19 year olds: OR = 1.96; 95%CI 1.24-3.11]. CONCLUSIONS: BREALD-30 shows satisfactory psychometric properties for use on Brazilian adolescents and can be applied as a fast, simple, and reliable measure of oral health literacy.


Assuntos
Inquéritos de Saúde Bucal/instrumentação , Inquéritos de Saúde Bucal/normas , Letramento em Saúde/métodos , Saúde Bucal/educação , Adolescente , Adulto , Brasil , Criança , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Setor Privado , Psicometria , Setor Público , Instituições Acadêmicas , Estudantes , Inquéritos e Questionários/normas , Adulto Jovem
20.
BMC Oral Health ; 19(1): 165, 2019 07 25.
Artigo em Inglês | MEDLINE | ID: mdl-31345205

RESUMO

BACKGROUND: The Syrian crisis has started eight years ago and has, directly and indirectly, affected all the aspects of the Syrians lives. A lot of new war-related factors contributed to change the socio-economic status, the demographical distribution and the ability to access the public health services. Moreover, the crisis created the biggest displacement crisis both inside and outside Syria. Therefore, it is important to study the prevalence of dental caries and oral health in these specific circumstances in order to build a database to assess and compare future results of preventive programs and to assess health and social needs of the communities affected by war or crisis. The aim of this research is to Study the level of oral health among children during the Syrian crisis, as well as the relation between oral health and socioeconomic status (SES). METHODS: A cross-sectional study to assess the oral health of children in Damascus city by using DMFT index and other dental indices. The data were collected from ten randomly selected schools covering all the areas of Damascus city, and the final sample size was 811 children. RESULTS: DMFT index was used to assess the oral health of the children. The average number was (3.36) among all children; 14% of the sample size had a good oral health, while 86% had at least one decayed, missed, or filled tooth. There was also a strong association between SES of the child and the oral health represented as DMFT Index (P = 0.03), Pearson's correlation test displayed an inverse association between the SES and oral health (P = - 0.074). CONCLUSION: This study highlights the impact of the Syrian crisis on the SES of the Syrian children and their oral health. Bad oral health has been recorded and it has a significant relation with the SES of the children.


Assuntos
Cárie Dentária/epidemiologia , Saúde Bucal , Classe Social , Criança , Estudos Transversais , Índice CPO , Cárie Dentária/prevenção & controle , Inquéritos de Saúde Bucal/estatística & dados numéricos , Status Econômico , Feminino , Humanos , Masculino , Higiene Bucal , Prevalência , Síria/epidemiologia
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA