1
|
Tôrres LHDN, Arenas-Márquez MJ, Silva DDD, Held RBD, Almeida TBD, Neri AL, Sousa MDLRD. Functional dentition and associated factors. BRAZILIAN JOURNAL OF ORAL SCIENCES 2022. [DOI: 10.20396/bjos.v21i00.8666709] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Studying the different indicators of functional dentition classification can contribute to the understanding of the associated factors, and thus help in the definition of strategies associated with oral health care. This approach has been little explored in the literature, especially when considering the older age group. Aim: The aim of this study is to evaluate the factors associated with three distinct functional dentition classification. Methods: Crosssectional exploratory study using secondary data from the Frailty in Older Brazilians (FIBRA) Project of 876 older adults living in Campinas, Brazil. The indicators of dental function assessed was number of natural teeth present, occluding pairs of teeth and the Eichner index, which were verified by trained dentists, following the World Health Organization criteria for epidemiological studies in oral health. The explanatory variable assessed was the selfperception of oral health-related quality of life measured by the Geriatric Oral Health Assessment Index (GOHAI) and its dimensions. It was also collected sociodemographic information such as age, gender, race/ethnicity, schooling, family income, smoking behavior and frailty status. The association was verified through Poisson regressions for number of teeth and pairs of teeth in occlusion and multinomial regression for the Eichner index, adjusted by sociodemographic and health variables. Results: Lower prevalence of participants with less than 21 teeth who negatively perceived GOHAI´s pain and discomfort dimension and higher prevalence of having less teeth among the ones that negatively perceived GOHAI´s physical and functional dimensions. No association was found between the perception of quality of life and occlusion pairs of teeth and the Eichner Index. Conclusion: Two out of three indicators assessed were associated with quality of life. Therefore, it is important to select sensitive indicators to be able to identify and better comprehend this relationship.
Collapse
|
2
|
Torres Lopes R, Neves ÉTB, da Costa Dutra L, Ferreira FM, Paiva SM, Granville-Garcia AF. Impact of oral health literacy and psychoactive substances on tooth loss in adolescents. Oral Dis 2022. [PMID: 35535705 DOI: 10.1111/odi.14249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Revised: 04/14/2022] [Accepted: 05/05/2022] [Indexed: 11/28/2022]
Abstract
The aim of the present study was to investigate associations between tooth loss, and oral health literacy, the use of multiple psychoactive substances, and the reason for the last dental appointment in adolescents. A cross-sectional study was conducted with a representative sample of 746 adolescents aged 15 to 19 years in Campina Grande, Brazil. Parents/guardians answered a sociodemographic questionnaire. The adolescents answered the Brazilian version of the Rapid Estimate of Adult Literacy in Dentistry (BREALD-30), the Alcohol, Smoking and Substance Involvement Screening Test, and an oral health questionnaire from the National Oral Health Survey. The adolescents were then examined by two examiners who had undergone training and calibration exercises for the diagnosis of tooth loss due to caries (K> 0.80). Associations between variables were investigated using robust logistic regression analysis for complex samples (α = 5%). The prevalence of tooth loss was 17.4%. Oral health literacy (OR = 0.93; 95% CI: 0.89-0.97) was inversely associated with tooth loss, while multiple psychoactive substance use (OR = 2.01; 95% CI: 1.09-3.69) and last dental visit for treatment/symptoms (OR = 3.05; 95% CI: 1.73-5.36) were directly associated with tooth loss. Oral health literacy, multiple psychoactive substance use, and reason for last dental appointment exerted an influence on tooth loss among adolescents.
Collapse
Affiliation(s)
- Roanny Torres Lopes
- Graduate Program in Dentistry, State University of Paraiba (UEPB), Campina Grande, Paraiba, Brazil
| | | | - Laio da Costa Dutra
- Graduate Program in Dentistry, State University of Paraiba (UEPB), Campina Grande, Paraiba, Brazil
| | - Fernanda Morais Ferreira
- Graduate Program in Dentistry, Federal University of Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil
| | - Saul Martins Paiva
- Graduate Program in Dentistry, Federal University of Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil
| | | |
Collapse
|
3
|
Family Cohesion Is Associated with the Self-Perceived Need for Dental Treatment among Adolescents. BIOMED RESEARCH INTERNATIONAL 2021; 2021:4504030. [PMID: 34631881 PMCID: PMC8494560 DOI: 10.1155/2021/4504030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/24/2021] [Accepted: 09/14/2021] [Indexed: 11/17/2022]
Abstract
This study explored the association between family cohesion and self-perceived need for dental treatment among adolescents. A school-based representative cross-sectional study was conducted with 746 students aged 15 to 19 randomly selected from schools in Campina Grande, Brazil. Parents/guardians provided information on sociodemographic data, and students completed questionnaires about the self-perceived need for dental treatment, dental pain, and family cohesion and adaptability (FACES III). Two dentists were trained (kappa >0.80) to diagnosis dental caries using the Nyvad criteria and assess adolescents' level of functional oral health literacy (BREALD-30). Descriptive analysis was performed, followed by nonadjusted and adjusted robust binary logistic regression for complex samples (α = 5%). The prevalence of self-perceived need for dental treatment was 88.6%. The presence of dental caries (OR = 2.10; IC 95%: 1.22-3.61), tooth loss (OR = 15.81; IC 95%: 2.14-116.56), dental pain in the last six months (OR = 1.87; IC 95%: 1.06-3.31), and enmeshed family cohesion type (OR = 10.23; IC 95%: 3.96-26.4) remained associated with the self-perceived need for dental treatment in the final model. In conclusion, dental caries, dental pain, tooth loss, and family cohesion influenced the self-perceived need for dental treatment in adolescents.
Collapse
|
4
|
Self-Perception of Teeth Alignment and Colour in Adolescents: A Cross-sectional Study. Int Dent J 2021; 72:288-295. [PMID: 34045047 PMCID: PMC9275202 DOI: 10.1016/j.identj.2021.04.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Revised: 03/23/2021] [Accepted: 04/04/2021] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE This study aimed to evaluate the prevalence and factors associated with self-perception of teeth alignment and colour in adolescents. METHODS This cross-sectional study was carried out in public and private schools in Passo Fundo, Brazil. A representative sample of students aged 15 to 19 years were included. The outcome of this study was self-perception of teeth alignment and colour according to selected items from a structured and validated questionnaire (the Child's and Parent's Questionnaire about Teeth Appearance). Bivariate and multivariable analysis, using Poisson regression with robust variance, were used. A P value <.05 was established for statistical significance. RESULTS The study included 736 adolescents. The worst self-perception of teeth alignment and colour was observed in 46.5% (n = 342) of the adolescents. Nonsmokers presented a prevalence ratio (PR) 29% lower (95% CI, 0.57-0.89) for the worst self-perception of teeth alignment and colour when compared to smokers/former smokers. Adolescents with highly educated mothers presented a lower prevalence of negative self-perception than those with mothers with a low level of education (PR: 0.66; 95% CI, 0.51-0.86). Presence of orthodontic treatment with (PR: 0.76; 95% CI, 0.62-0.94) or without (PR: 0.61; 95% CI, 0.46-0.76) tooth whitening were associated with better self-perception of teeth alignment and colour. CONCLUSIONS Exposure to smoking and lower maternal level of education were associated with worse self-perception of teeth alignment and colour in adolescents. A history of orthodontic treatment with or without tooth whitening was associated with a lower concern with aesthetics.
Collapse
|
5
|
Padovani LS, Oliveira AMSD, Dutra BC, Costa FO, Oliveira PAD. Important anatomical variations of the superior posterior alveolar artery: Studied by cone beam computed tomography. Anat Histol Embryol 2020; 49:798-804. [PMID: 32537773 DOI: 10.1111/ahe.12584] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2020] [Revised: 05/22/2020] [Accepted: 05/22/2020] [Indexed: 12/31/2022]
Abstract
The knowledge of anatomical variations of the posterior superior alveolar artery (PSAA) is very important in surgeries for maxillary sinus (MS) elevation and subsequent insertion of dental implants, avoiding common and serious surgical complications. The main objective of this study was to analyse important anatomical variations of the PSAA by means of cone beam computed tomography (CBCT) examinations. 180 tomographic CBCT were analysed, and MS was divided into three equal regions: (I) anterior, (II) intermediate and (III) posterior. Variables evaluated were the visualisation of the artery, distance from the artery to the ridge crest, distance from the artery to the sinus floor, alveolar ridge height and arterial diameter. The PSAA visualisation was more prevalent in males and region III (76.7%). The distance from the artery to the sinus floor presented no significant difference between regions II and III, with both regions showing significantly lower values than region I. A significant difference was observed in the diameter of the arteries with higher prevalence of diameters >1.0 mm in males and <1.0 mm in females. The PSAA can be well visualised frequently with a CBCT, and differences in artery diameter were observed in relation to gender (males > females). Additional care is recommended when it is necessary to extend surgeries to the posterior MS region, avoiding haemorrhages that are associated with failures in these procedures.
Collapse
Affiliation(s)
- Lucas Silva Padovani
- Department of Periodontics, Pontifical Catholic University of Minas Gerais, Belo Horizonte, Brazil
| | | | - Bernardo Carvalho Dutra
- Department of Periodontics, Pontifical Catholic University of Minas Gerais, Belo Horizonte, Brazil
| | | | | |
Collapse
|
6
|
Gomes Filho VV, Gondinho BVC, Silva-Junior MF, Cavalcante DDFB, Bulgareli JV, Sousa MDLRD, Frias AC, Batista MJ, Pereira AC. Tooth loss in adults: factors associated with the position and number of lost teeth. Rev Saude Publica 2019; 53:105. [PMID: 31826174 PMCID: PMC6904121 DOI: 10.11606/s1518-8787.2019053001318] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2018] [Accepted: 05/10/2019] [Indexed: 12/23/2022] Open
Abstract
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.
Collapse
Affiliation(s)
- Valmir Vanderlei Gomes Filho
- Universidade Estadual de Campinas. Programa de Pós-Graduação em Odontologia da Faculdade de Odontologia de Piracicaba. Piracicaba, SP, Brasil
| | - Brunna Verna Castro Gondinho
- Universidade Estadual de Campinas. Programa de Pós-Graduação em Odontologia da Faculdade de Odontologia de Piracicaba. Piracicaba, SP, Brasil
| | - Manoelito Ferreira Silva-Junior
- Universidade Estadual de Campinas. Programa de Pós-Graduação em Odontologia da Faculdade de Odontologia de Piracicaba. Piracicaba, SP, Brasil
| | - Denise de Fátima Barros Cavalcante
- Universidade Estadual de Campinas. Programa de Pós-Graduação em Odontologia da Faculdade de Odontologia de Piracicaba. Piracicaba, SP, Brasil
| | - Jaqueline Vilela Bulgareli
- Universidade Estadual de Campinas. Programa de Pós-Graduação em Odontologia da Faculdade de Odontologia de Piracicaba. Piracicaba, SP, Brasil
| | - Maria da Luz Rosario de Sousa
- Universidade Estadual de Campinas. Departamento de Odontologia Social, área de Odontologia Preventiva e Saúde Pública da Faculdade de Odontologia de Piracicaba. Piracicaba, SP, Brasil
| | - Antonio Carlos Frias
- Universidade de São Paulo. Faculdade de Odontologia. Departamento de Odontologia Social. São Paulo, SP, Brasil
| | - Marília Jesus Batista
- Faculdade de Medicina de Jundiaí. Departamento de Saúde Coletiva. Jundiaí, SP, Brasil
| | - Antonio Carlos Pereira
- Universidade Estadual de Campinas. Departamento de Odontologia Social, área de Odontologia Preventiva e Saúde Pública da Faculdade de Odontologia de Piracicaba. Piracicaba, SP, Brasil
| |
Collapse
|
7
|
da Cunha IP, Pereira AC, Meneghim MDC, Frias AC, Mialhe FL. Association between social conditions and oral health in school failure. Rev Saude Publica 2019; 53:108. [PMID: 31826175 PMCID: PMC6904120 DOI: 10.11606/s1518-8787.2019053001457] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2019] [Accepted: 04/17/2019] [Indexed: 11/22/2022] Open
Abstract
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.
Collapse
Affiliation(s)
- Inara Pereira da Cunha
- Universidade Estadual de Campinas. Faculdade de Odontologia de Piracicaba. Departamento de Ciências da Saúde e Odontologia Infantil, Piracicaba, SP, Brasil
| | - Antonio Carlos Pereira
- Universidade Estadual de Campinas. Faculdade de Odontologia de Piracicaba. Departamento de Ciências da Saúde e Odontologia Infantil, Piracicaba, SP, Brasil
| | - Marcelo de Castro Meneghim
- Universidade Estadual de Campinas. Faculdade de Odontologia de Piracicaba. Departamento de Ciências da Saúde e Odontologia Infantil, Piracicaba, SP, Brasil
| | - Antônio Carlos Frias
- Universidade de São Paulo. Faculdade de Odontologia. Departamento de Odontologia Social, São Paulo, SP, Brasil
| | - Fábio Luiz Mialhe
- Universidade Estadual de Campinas. Faculdade de Odontologia de Piracicaba. Departamento de Ciências da Saúde e Odontologia Infantil, Piracicaba, SP, Brasil
| |
Collapse
|
8
|
Hatami A, Dreyer C. The extraction of first, second or third permanent molar teeth and its effect on the dentofacial complex. Aust Dent J 2019; 64:302-311. [PMID: 31465537 DOI: 10.1111/adj.12716] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/12/2019] [Indexed: 11/30/2022]
Abstract
The extraction of permanent molar teeth was first introduced in 1976 as a substitution for premolar extraction in cases with mild crowding. Since then, a number of studies have investigated the effect of permanent molar extraction on dentofacial harmony. Undertaking the procedure of molar extraction is most commonly recommended in response to factors such as: gross caries, large restorations and root-filled teeth, along with its application in the management of anterior open bite and reduction in crowding in facial regions. It has been indicated, however, that before undertaking the extraction of molar teeth it is important to investigate the potential influence of the procedure on other molars, with particular consideration of their eruption path. This is due to the doubt as to the effect of the exact molar teeth extraction and their consequences. In light of this, This review was undertaken to investigate and compare the effect of first, second and the third molar teeth extraction and their subsequent dentofacial complex changes.
Collapse
Affiliation(s)
- A Hatami
- Department of Orthodontics, School of Dentistry, The University of Adelaide, Adelaide, South Australia, Australia
| | - C Dreyer
- Department of Orthodontics, School of Dentistry, The University of Adelaide, Adelaide, South Australia, Australia
| |
Collapse
|
9
|
Goulart MDA, Vettore MV. Is the relative increase in income inequality related to tooth loss in middle-aged adults? J Public Health Dent 2015; 76:65-75. [DOI: 10.1111/jphd.12113] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2014] [Accepted: 06/29/2015] [Indexed: 11/27/2022]
Affiliation(s)
- Mariél de Aquino Goulart
- Department of Preventive and Social Dentistry; School of Dentistry; Federal University of Rio Grande do Sul; Porto Alegre Brazil
- Unit of Dental Public Health; School of Clinical Dentistry; University of Sheffield; Sheffield UK
| | - Mario Vianna Vettore
- Unit of Dental Public Health; School of Clinical Dentistry; University of Sheffield; Sheffield UK
| |
Collapse
|
10
|
Barbato PR, Peres MA, Höfelmann DA, Peres KG. Contextual and individual indicators associated with the presence of teeth in adults. Rev Saude Publica 2015; 49:27. [PMID: 26018784 PMCID: PMC4544344 DOI: 10.1590/s0034-8910.2015049005535] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2014] [Accepted: 09/29/2014] [Indexed: 12/18/2022] Open
Abstract
OBJECTIVE The objective of this study was to analyze whether socioeconomic conditions and the period of availability of fluoridated water are associated with the number of teeth present. METHODS This cross-sectional study analyzed data from 1,720 adults between 20 and 59 years of age who resided in Florianópolis, SC, Southern Brazil, in 2009. The outcome investigated was the self-reported number of teeth present. The individual independent variables included gender, age range, skin color, number of years of schooling, and per capita household income. The duration of residence was used as a control variable. The contextual exposures included the period of availability of fluoridated water to the households and the socioeconomic variable for the census tracts, which was created from factor analysis of the tract's mean income, education level, and percentage of households with treated water. Multilevel logistic regression was performed and inter-level interactions were tested. RESULTS Residents in intermediate and poorer areas and those with fluoridated water available for less time exhibited the presence of fewer teeth compared with those in better socioeconomic conditions and who had fluoridated water available for a longer period (OR = 1.02; 95%CI 1.01;1.02). There was an association between the period of availability of fluoridated water, per capita household income and number of years of education. The proportion of individuals in the poorer and less-educated stratum, which had fewer teeth present, was higher in regions where fluoridated water had been available for less time. CONCLUSIONS Poor socioeconomic conditions and a shorter period of availability of fluoridated water were associated with the probability of having fewer teeth in adulthood. Public policies aimed at reducing socioeconomic inequalities and increasing access to health services such as fluoridation of the water supply may help to reduce tooth loss in the future.
Collapse
|
11
|
Roncalli AG, Sheiham A, Tsakos G, Watt RG. Socially unequal improvements in dental caries levels in Brazilian adolescents between 2003 and 2010. Community Dent Oral Epidemiol 2015; 43:317-24. [DOI: 10.1111/cdoe.12156] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2013] [Accepted: 01/13/2015] [Indexed: 01/28/2023]
Affiliation(s)
- Angelo G. Roncalli
- Department of Dentistry; Federal University of Rio Grande do Norte; Natal RN Brazil
- Department of Epidemiology and Public Health; University College London; London UK
| | - Aubrey Sheiham
- Department of Epidemiology and Public Health; University College London; London UK
| | - Georgios Tsakos
- Department of Epidemiology and Public Health; University College London; London UK
| | - Richard G. Watt
- Department of Epidemiology and Public Health; University College London; London UK
| |
Collapse
|
12
|
Alves LS, Susin C, Damé-Teixeira N, Maltz M. Tooth loss prevalence and risk indicators among 12-year-old schoolchildren from South Brazil. Caries Res 2015; 48:347-52. [PMID: 24603282 DOI: 10.1159/000357226] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2013] [Accepted: 11/08/2013] [Indexed: 11/19/2022] Open
Abstract
This population-based cross-sectional study aimed to assess the prevalence and risk indicators for tooth loss due to dental caries among 12-year-old schoolchildren from South Brazil. 1,528 out of 1,837 (participation rate = 83.17%) schoolchildren were included. Tooth loss prevalence was 5.81% (95% CI = 3.71-8.98) and 0.08 (95% CI = 0.04-0.12) teeth were missing. Schoolchildren with low socioeconomic status (OR = 2.28, 95% CI = 1.23-4.21), who repeated years in school (OR = 1.56, 95% CI = 1.01-2.42), and with gingivitis (OR = 1.81, 95% CI = 1.33-2.45) were more likely to have missing teeth. Schoolchildren brushing 2 times/day (OR = 0.78, 95% CI = 0.64-0.96) or more (OR = 0.49, 95% CI = 0.33-0.74), and those with dental insurance or private dentists (OR = 0.60, 95% CI = 0.39-0.93) were less likely to present missing teeth. © 2014 S. Karger AG, Basel.
Collapse
Affiliation(s)
- L S Alves
- Department of Social and Preventive Dentistry, Faculty of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | | | | | | |
Collapse
|
13
|
Peres MA, Barbato PR, Reis SCGB, Freitas CHSDM, Antunes JLF. [Tooth loss in Brazil: analysis of the 2010 Brazilian Oral Health Survey]. Rev Saude Publica 2014; 47 Suppl 3:78-89. [PMID: 24626584 DOI: 10.1590/s0034-8910.2013047004226] [Citation(s) in RCA: 79] [Impact Index Per Article: 7.9] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2012] [Accepted: 11/12/2012] [Indexed: 12/27/2022] Open
Abstract
OBJECTIVE To estimate the mean number of missing teeth, lack of functional dentition and total tooth loss (edentulism) among adolescents, adults and the elderly in Brazil, comparing the results with those of 2003. METHODS Data from 5,445 adolescents aged 15-19, 9,779 adults aged 35-44 and 7,619 elderly individuals aged 65-74, participants in the Brazilian Oral Health Survey (SBBrasil) 2010, were analyzed. The mean missing teeth, proportion of lack of functional dentition (< 21 natural teeth) and proportion of edentulism (total tooth loss) were estimated for each age group, each state Capital and each macro region. Multivariable logistic regression (tooth loss) and Poisson (absence of functional dentition and edentulism) analyses were performed in order to identify socioeconomic factors and demographic characteristics associated with each outcome. RESULTS The prevalence of tooth loss among adolescents was 17.4% (38.9% in 2002-03) ranging from 8.1% among those earning higher income to almost 30% among those with less schooling. Among adolescents, females, those with black or brown skin and those with the lowest levels of income and schooling had a higher prevalence of tooth loss. Lack of functional dentition affected nearly ¼ of adults, it was higher among women, among those with black and brown skin and among those with the lowest levels of income and schooling. Mean missing teeth in adults decreased from 13.5 in 2002-03 to 7.4 in 2010. More than half of elderly is edentulous (similar to the 2002-03 findings); higher prevalence of edentulism was found among women and those with the lowest levels of income and schooling. Among adolescents the mean missing teeth ranged from 0.1 (in Curitiba, South Brazil and Vitória, Southeast Brazil) to 1.2 (in the North countryside). Among adults the lowest mean missing teeth was found in Vitória (4.2) and the highest in Rio Branco, North Brazil (13.6). CONCLUSIONS A remarkable reduction in tooth loss among adolescents and adults was identified between 2010 and 2003. Among the elderly, tooth loss figure remained the same. In spite of important achievements in tooth loss figures, social and regional inequalities persist.
Collapse
|
14
|
Ferreira RGLA, Bógus CM, Marques RADA, Menezes LMBD, Narvai PC. Fluoretação das águas de abastecimento público no Brasil: o olhar de lideranças de saúde. CAD SAUDE PUBLICA 2014; 30:1884-90. [DOI: 10.1590/0102-311x00165313] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2013] [Accepted: 02/21/2014] [Indexed: 11/21/2022] Open
Abstract
Desde sua implantação, a fluoretação das águas tem enfrentado oposição de alguns grupos, enquanto outros, baseados em evidência científica, apoiam a medida. Neste artigo, descrevem-se as percepções dos delegados à 13ª Conferência Nacional de Saúde sobre a obrigatoriedade da fluoretação das águas de abastecimento público no Brasil. Como técnica de processamento de depoimentos, utilizou-se o Discurso do Sujeito Coletivo. Constata-se que, mais do que dúvidas, persiste certo grau de desinformação sobre aspectos básicos da fluoretação das águas, frequentemente confundida com a cloração. Torna-se evidente também a necessidade de permanente divulgação à sociedade de dados sobre a fluoretação da água e o desejo de que medidas que afetam a saúde pública não sejam tomadas pelo Congresso Nacional sem que se ouçam os setores interessados. Conforme a percepção majoritária dos participantes deste estudo, a revogação da obrigatoriedade de fluoretar as águas ou deficiências no controle sanitário de sua aplicação poderiam, no contexto brasileiro, piorar os índices populacionais de cárie dentária.
Collapse
|
15
|
da Mota JC, Valente JG, Schramm JMDA, Leite IDC. [A study of the overall burden of oral disease in the state of Minas Gerais, Brazil: 2004-2006]. CIENCIA & SAUDE COLETIVA 2014; 19:2167-78. [PMID: 25014296 DOI: 10.1590/1413-81232014197.09312013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2013] [Accepted: 10/14/2013] [Indexed: 11/21/2022] Open
Abstract
Oral disease is a major public health problem due to its prevalence in practically all age groups. This is a study of the overall burden of dental caries, edentulism and periodontal disease. The Disability-Adjusted Life Year (DALY) indicator was used as it simultaneously measures the impact of mortality and of health problems that affect the quality of life. The overall burden of oral diseases was analyzed in absolute terms and in rates per 1000 inhabitants. The number of Years Lived with Disability (YLD) due to dental caries was 4,489. An estimated 33,888 YLD were lost due to edentulism, with a rate of 1.8/1000 (2.2/1000 among women). An estimated 3217 YLD were lost due to periodontal disease, with a rate of 0.2/1000 for both sexes. Edentulism was the condition that contributed most to the overall burden of oral diseases and is more frequent among women. Higher rates of edentulism and periodontal disease were found in persons aged 45-69 years, while dental caries was more frequent from 15-49 years. The overall burden of oral disease studies represent an important aspect of health diagnosis, integrating both fatal and non-fatal outcomes. Furthermore, these studies provide highly relevant information for preventive and therapeutic policy making.
Collapse
Affiliation(s)
- Jurema Corrêa da Mota
- Departamento de Epidemiologia e Métodos Quantitativos em Saúde, Escola Nacional de Saúde Pública Sergio Arouca, Fundação Instituto Oswaldo Cruz, Rio de Janeiro, RJ, Brasil,
| | - Joaquim Gonçalves Valente
- Departamento de Epidemiologia e Métodos Quantitativos em Saúde, Escola Nacional de Saúde Pública Sergio Arouca, Fundação Instituto Oswaldo Cruz, Rio de Janeiro, RJ, Brasil,
| | - Joyce Mendes de Andrade Schramm
- Departamento de Epidemiologia e Métodos Quantitativos em Saúde, Escola Nacional de Saúde Pública Sergio Arouca, Fundação Instituto Oswaldo Cruz, Rio de Janeiro, RJ, Brasil,
| | - Iuri da Costa Leite
- Departamento de Epidemiologia e Métodos Quantitativos em Saúde, Escola Nacional de Saúde Pública Sergio Arouca, Fundação Instituto Oswaldo Cruz, Rio de Janeiro, RJ, Brasil,
| |
Collapse
|
16
|
Marques RADA, Antunes JLF, Sousa MDLR, Peres MA, Frazão P. [Root caries prevalence and severity in Brazilian adults and older people]. Rev Saude Publica 2014; 47 Suppl 3:59-68. [PMID: 24626582 DOI: 10.1590/s0034-8910.2013047004365] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2012] [Accepted: 04/15/2013] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE To estimate the prevalence of root caries in Brazilian adults and elderly. METHODS We assessed data from the Brazilian Oral Health Survey (SBBrasil 2010). Dental examinations were performed on 9,564 adults and 7,509 elderly individuals in households in the 26 state capitals, the Federal District and 150 provincial towns. Diagnostic criteria and data assessment tools were those standardized by the World Health Organization. The outcome was measured by using root caries index and the index of decayed and filled dental roots. RESULTS The prevalence of root caries was 16.7% in adults and 13.6% in the elderly. The index of decayed and filled dental roots was 0.42 and 0.32 for adults and the elderly respectively, with most of the index represented by untreated caries. The prevalence of root caries differed significantly among states capitals and provincial towns, with higher values being reported in the state capitals in the North and Northeastern Brazilian regions. In adults, the root caries index ranged from 1.4% in Aracaju to 15.1% in Salvador (both in the Northeast). Among the elderly, this index ranged from 3.5% in Porto Velho to 29.9% in Palmas (both North). Root caries was more prevalent in men than in women in both age groups. CONCLUSIONS There is a wide variation in root caries indices in adults and in the elderly, and between and within Brazilian regions. Most root caries is untreated. We recommend the incorporation of this disease into the oral health surveillance system.
Collapse
|
17
|
Haikal DS, Martins AMEDBL, Aguiar PHS, Silveira MF, de Paula AMB, Ferreira e Ferreira E. [Access to information on oral hygiene and tooth loss due to caries among adults]. CIENCIA & SAUDE COLETIVA 2014; 19:287-300. [PMID: 24473625 DOI: 10.1590/1413-81232014191.2087] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2012] [Accepted: 10/24/2012] [Indexed: 11/22/2022] Open
Abstract
This study sought to establish the association between tooth loss due to dental caries and variables related to access to information on oral health in adults aged 35-44 years (n = 780) who participated in a large epidemiological study. The dependent variable was total tooth loss due to caries. The independent variables were grouped into blocks: demographic and socio-economic characteristics, use of dental service, access to oral health information (about how to prevent oral problems; oral hygiene; and diet), and behaviors. The analysis was conducted using hierarchical multiple linear regression. The mean number of lost teeth due to caries was 7.03. High numbers of lost teeth were higher among females and older adults; low levels of education; adults who rarely/never received oral hygiene information; those who brushed their teeth once a day or less; and those adults who did not use dental floss (p < 0.05). Adults who rarely/never received oral hygiene information from dental services lost 2.15 more teeth due to caries than those who always/often received such information (p = 0,000). Thus, it is suggested that access to information should be encouraged to contribute to greater equity in oral health.
Collapse
|
18
|
Permanent first molar extraction in adolescents and young adults and its effect on the development of third molar. Clin Oral Investig 2013; 18:1489-94. [PMID: 24146200 DOI: 10.1007/s00784-013-1121-1] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2012] [Accepted: 09/24/2013] [Indexed: 10/26/2022]
Abstract
OBJECTIVES The aim of the present study was to determine the prevalence of permanent first molar (P1M) extraction among Turkish adolescents and young adult subpopulation, and to investigate the effects of P1M extraction on development of the third molars (3Ms) in the same quadrant. MATERIALS AND METHODS A retrospective study including 2,925 panoramic radiographs (PRs) taken from patients (aged 13-20 years) who were examined to identify cases of had at least one maxillary or mandibular P1Ms extracted was performed. Additionally, 294 PRs with the maxillary or mandibular unilateral loss of a P1M were used to assess the developmental grades of the 3Ms. Statistical analyses were performed by means of parametric tests after performing a Shapiro-Wilks normality test to the data. RESULT A total of 945 patients (32.3 %) presented with at least one P1M extraction with no gender difference (P = 0.297). There were more cases of mandibular P1Ms extracted (784 patients, 1,066 teeth) than maxillary P1Ms extracted (441 patients, 549 teeth) (P < 0.001). The development of the 3Ms on the extraction side, in the both maxilla and mandible, was significantly accelerated when compared with the contralateral teeth (P = 0.000, P = 0.000, respectively). No statistically significant differences were found in the differences in the developmental of the 3Ms between the maxilla and mandible (P = 0.718). CONCLUSIONS High prevalence of P1Ms extraction among Turkish adolescents and young adults shows a need for targeted dental actions, including prevention and treatment. The development of the 3Ms on the extraction side, in the both maxilla and mandible, was significantly accelerated. CLINICAL RELEVANCE To date, no information about prevalence of P1Ms extraction among Turkish adolescents and young adults is documented. In addition, the present study has a larger population and complementary information about 3Ms development than previous studies.
Collapse
|
19
|
Bernardo CDO, Boing AF, Vasconcelos FDAGD, Peres KG, Peres MA. Association between tooth loss and obesity in Brazilian adults: a population-based study. Rev Saude Publica 2012; 46:834-42. [DOI: 10.1590/s0034-89102012000500010] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2011] [Accepted: 01/04/2012] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE: To examine the association between tooth loss and general and central obesity among adults. METHODS: Population-based cross-sectional study with 1,720 adults aged 20 to 59 years from Florianópolis, Southern Brazil. Home interviews were performed and anthropometric measures were taken. Information on sociodemographic data, self-reported diabetes, self-reported number of teeth, central obesity (waist circumference [WC] > 88 cm in women and > 102 cm in men) and general obesity (body mass index [BMI] ≥ 30 kg/m²) was collected. We used multivariable Poisson regression models to assess the association between general and central obesity and tooth loss after controlling for confounders. We also performed simple and multiple linear regressions by using BMI and WC as continuous variables. Interaction between age and tooth loss was also assessed. RESULTS: The mean BMI was 25.9 kg/m² (95%CI 25.6;26.2) in men and 25.4 kg/m2 (95%CI 25.0;25.7) in women. The mean WC was 79.3 cm (95%CI 78.4;80.1) in men and 88.4 cm (95%CI 87.6;89.2) in women. A positive association was found between the presence of less than 10 teeth in at least one arch and increased mean BMI and WC after adjusting for education level, self-reported diabetes, gender and monthly per capita income. However, this association was lost when the variable age was included in the model. The prevalence of general obesity was 50% higher in those with less than 10 teeth in at least one arch when compared with those with 10 or more teeth in both arches after adjusting for education level, self-reported diabetes and monthly per capita family income. However, the statistical significance was lost after controlling for age. CONCLUSIONS: Obesity was associated with number of teeth, though it depended on the participants' age groups.
Collapse
|
20
|
Prevalence and reasons for tooth loss in a sample from a dental clinic in Brazil. Int J Dent 2012; 2012:719750. [PMID: 22973312 PMCID: PMC3437633 DOI: 10.1155/2012/719750] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2012] [Accepted: 07/24/2012] [Indexed: 12/04/2022] Open
Abstract
Purpose. To evaluate the prevalence and reasons for teeth extractions in a sample from a dental clinic in Brazil. Methods. The prevalence of teeth mortality was analyzed by gender, age, tooth type and reasons for extraction on 800 teeth of 439 subjects, whose data was collected in clinical records in a convenience sample. Results. The groups with range from 35 to 44 years, 45 to 54 years and 55 to 64 years revealed significantly greater number of teeth extractions than other age groups (P < 0.0001). The anterior teeth loss increased significantly with aging, while the tooth mortality of premolar and molar were higher in younger people. The caries was the more prevalent reason for tooth mortality among young and adults up to 44 years old, while the periodontal disease was the main reason for extractions from 45 years old until range of 81 years (P < 0.0001). Conclusions. It can be suggested that some reasons for tooth loss were age-dependent, but the caries and the periodontal diseases were the main reasons for tooth mortality in this Brazilian sample.
Collapse
|
21
|
Alves RX, Fernandes GF, Razzolini MTP, Frazão P, Marques RADA, Narvai PC. [Evolution in access to fluoridated water in São Paulo State, Brazil, from the 1950s to the early 21st century]. CAD SAUDE PUBLICA 2012; 28 Suppl:s69-80. [PMID: 22714970 DOI: 10.1590/s0102-311x2012001300008] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2011] [Accepted: 07/19/2011] [Indexed: 11/21/2022] Open
Abstract
Access to fluoridated water is a known protective factor against dental caries. In 1974, fluoridation of the public water supply became mandatory by law in Brazil, resulting in improved coverage, especially in more developed regions of the country. Coverage increased across the country as a priority under the national oral health policy. This article systematizes information on the implementation and expansion of fluoridation in Sao Paulo State from 1956 to 2009, using secondary data from technical reports, official documents, and the Information System for Surveillance of Water Quality for Human Consumption (SISAGUA). In 2009, fluoridation covered 546 of 645 counties in São Paulo State (84.7%), reaching 85.1% of the total population and 93.5% of the population with access to the public water supply. The results indicate that fluoridation has been consolidated as part of State health policy. However, the challenge remains to implement and maintain fluoridation in 99 counties, benefiting 6.2 million inhabitants that are still excluded from this service.
Collapse
|
22
|
Jung SH, Ryu JI, Jung DB. Association of total tooth loss with socio-behavioural health indicators in Korean elderly. J Oral Rehabil 2010; 38:517-24. [PMID: 21118289 DOI: 10.1111/j.1365-2842.2010.02178.x] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
This study examined the association between total tooth loss, and socio-behavioural factors and general health indicators in elderly Koreans using national databases. Cross-sectional data for this study were from the third Korean National Health and Nutrition Examination Survey (KNHANES III), which was conducted among non-institutionalised civilians by the Korean Ministry of Health and Welfare in 2005. KNHANES III used a stratified, multistage probability sampling design on a representative of total South Korean population, according to geographical areas, age and sex groups. Among them, 1091 subjects aged 65 years and above were identified as potential participants in this study. The dependent variable in this study was the self-reported total tooth loss. The independent variables consisted of the following four categories: demographic information, socio-behavioural factors, psychological factors and general health indicators. The data were weighted to adjust for the sampling complexity, and SPSS version 14 for Windows software was used for data analysis. There were significant differences in total tooth loss odds according to the socio-behavioural backgrounds (education and smoking), psychological conditions (perceived oral health) and general health status (diabetes and body mass index as underweight). This suggests that the total tooth loss is associated with the socio-economic status, health-related behaviour and general health. However, more extensive longitudinal data and research will be needed to better explain the relationship between the total tooth loss and these variables.
Collapse
Affiliation(s)
- S H Jung
- Department of Preventive and Public Health Dentistry, Gangneung-Wonju National University, Gangneung, Korea
| | | | | |
Collapse
|