RESUMEN
Aim: The aim of this study was to determine the impact of oral health and socioeconomic variables on the quality of life in a sample of low-income Brazilians. Materials and methods: The sample consisted of 400 adults assisted by the Rescuing Smiles Social Program (Pernambuco University) in June 2014 in the town of Arcoverde, Pernambuco. Two 18+ physically and mentally healthy people were chosen to participate in the study per household. The data obtained were analyzed using Kruskal-Wallis and Mann-Whitney tests. Results: About 75% of participants were female, averaging 42.65 years; 59% had elementary schooling and 27% were illiterate; 63% of them needed dental restorative treatment, 59.5% periodontal, and 43.3% surgical procedures; and 68.2% of the respondents showed partial tooth loss, 22.8% were totally edentulous, and 9% had full dentition. Oral health impact profile (OHIP)-14 average score was 14.91, considered low. The highest averages were observed in low-income individuals (16.25). Individuals with total or partial tooth loss had an average 14.26 and 15.79, respectively, thus showing a statistically significant difference as compared with total dentate (9.86). Conclusion: Although low-income individuals with tooth loss showed the highest OHIP-14 averages, it could be concluded that oral condition did not affect the quality of life of most individuals in the population studied. Clinical significance: Thus, oral health did not have a significant impact on respondent health awareness. This study showed the need to better inform the public of the relevance of oral health to quality of life. Keywords: Oral health, Oral health impact profile-14, Quality of life.
Asunto(s)
Salud Bucal/estadística & datos numéricos , Calidad de Vida , Adolescente , Adulto , Factores de Edad , Anciano , Anciano de 80 o más Años , Brasil/epidemiología , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pobreza/estadística & datos numéricos , Calidad de Vida/psicología , Factores Socioeconómicos , Enfermedades Estomatognáticas/epidemiología , Enfermedades Estomatognáticas/psicología , Pérdida de Diente/epidemiología , Pérdida de Diente/psicología , Adulto JovenRESUMEN
AIM: To report a case of association between the surgical treatment of temporomandibular dysfunction and rehabilitation with denture total prosthesis (TP) using nonanatomic teeth (cusp 0°) in patients with anterior recurrent dislocation of the temporo-mandibular joint (TMJ) and persistent uncontrolled mandibular movement, showing a technical adaptation and conduct. INTRODUCTION: There are several treatment approaches available for dislocation of the TMJ. The use of condylar mini-anchors for recurrent TMJ dislocation is a valid option and should be considered since it does not alter the joint anatomy. In edentulous patients undergoing TMJ surgical procedures, prosthetic rehabilitation can be seen as a means of treatment preservation. CASE REPORT: A 73-year-old female patient attended the oral and maxillofacial surgery clinic presenting with joint instability, ligament laxity, and chronic recurrent TMJ dislocations. She had already been through three previous unsuccessful surgical procedures. A treatment plan was done based on the installation of a mini-anchor in the patient's TMJ through the preauricular surgical access. Dislocations were then resolved, but the lack of mandibular control even to a lesser extent after surgery precluded the use of prosthetics even at rest. Thus, it was planned to manufacture two conventional TPs with 0° cusp angle teeth, a clinical protocol shortened to three sessions in an attempt to improve the stability of the prosthesis. CONCLUSION: The use of an individual mini-anchor is simple and effective, and the use of artificial teeth is well suited to the case. CLINICAL SIGNIFICANCE: A multidisciplinary intervention (surgery/ prosthesis) is of utmost importance for the resolution and preservation of the treatment of these complex cases.