RESUMO
A deficiência visual é considerada uma deficiência sensorial que pode dificultar o aprendizado para manter a saúde bucal, dentre outras questões, devido à falta de cuidados preventivos e orientações utilizando materiais adequados. Este trabalho tem como objetivo demonstrar a elaboração de Cartilha Ilustrada Tátil (CIT) com a orientações sobre saúde bucal para Pessoas com Deficiência Visual (PDV). Para elaboração de tal material foram utilizados: macromodelos preexistentes, materiais de uso odontológico associados a outros encontrados em papelarias. A partir destes materiais foi possível confeccionar um protótipo de CIT, sendo este um material inédito para educação em saúde bucal para a PDV.
Visual impairment is considered a sensory disability that can hinder learning to maintain oral health, among other issues, due to lack of preventive care and guidance using appropriate materials. This work aims to demonstrate the elaboration of an Illustrated Tactile Booklet (ITB) with guidelines on oral health for People with Visual Impairment (PVI). For the preparation of such material, preexisting macromodels, materials for dental use associated with others found in stationery stores were used. From these materials it was possible to make a prototype of ITB, which is an unprecedented material for oral health education for the PVI.
Assuntos
Saúde Bucal , Educação em Saúde Bucal , Pessoas com Deficiência VisualRESUMO
A osteoporose é caracterizada pela perda óssea e pelo comprometimento da resistência do osso. Essa patologia afeta, também, os ossos da face e consequentemente interfere na atuação dos profissionais da odontologia. Assim sendo, o presente trabalho revisou a literatura acerca da relação entre osteoporose e odontologia. O levantamento dos dados se deu por consulta a livros e nas bases de dados Biblioteca Virtual em Saúde (BVS), PubMed e Scientific Eletronic Library Online (SciELO) e como Descritores em Ciência da Saúde (Decs) foram adotados os termos: "Odontologia", "Osteoporose" e "Saúde bucal". A osteoporose diminui a massa e aumenta a porosidade óssea na maxila e na mandíbula, podendo provocar até quatro vezes mais perda dentária. Os bifosfonatos, principal classe medicamentosa utilizada para o tratamento de osteoporose, estão associados à ocorrência de osteonecrose dos maxilares e ao aumento de tempo de tratamento ortodôntico. Assim, pode-se concluir que é imprescindível o conhecimento do cirurgião-dentista acerca da osteoporose para uma segura abordagem e execução de tratamento.
Osteoporosis is characterized by bone loss and compromised bone strength. This pathology also affects the bones of the face and consequently interferes with the work of dentists. Therefore, the present study reviewed the literature about the relationship between osteoporosis and dentistry. Data collection was carried out by consulting books and the databases Biblioteca Virtual em Saúde (BVS), PubMed and Scientific Electronic Library Online (SciELO) and as Medical Subjects Headings (MeSH) the terms adopted were: "Dentistry", "Osteoporosis" and "Oral health". Osteoporosis reduces bone mass and increases bone porosity in the maxilla and jaw, which can cause up to four times more tooth loss. Bisphosphonates, the main class of medications used to treat osteoporosis, are associated with the occurrence of osteonecrosis of the jaw (ONJ) and increase the time of orthodontic treatment. Thus, it can be concluded that the dentist's knowledge of osteoporosis is necessary for a safe approach and execution of treatment.
Assuntos
Osteoporose , Saúde Bucal , Odontologia , DifosfonatosRESUMO
OBJECTIVES: This study aimed to evaluate socioeconomic inequalities in self-reported oral health among community-dwelling Brazilian older adults and evaluate the oral health factors contributing to the inequalities. METHODS: This was a cross-sectional study with data from the Brazilian National Health Survey conducted in 2019. The dependent variable is the self-report of oral health categorized as good or poor. Household per capita income in quintiles and schooling were used as socioeconomic variables. The explanatory covariates were age; gender; limitation in basic activities of daily living; number of teeth, use of dental prostheses; difficulty in eating; and recent dental visit. The Oaxaca-Blinder two-fold decomposition for binary outcomes was used to evaluate the factors contributing to the inequalities in self-reported oral health. RESULTS: Self-reported poor oral health was found among 35.8% of the dentate and 29.6% of the edentulous individuals. Poor self-reported oral health was more prevalent among older adults with low income and educational levels. Among dentate individuals, the difference in the proportion of poor self-reported oral health (the gap) between those with no schooling and those with some schooling was 12.8 percent points (p.p.), favoring the poor. The gap between dentate in the lowest and highest income groups was 14.8 p.p. favoring the poor. Among edentulous individuals, those with no schooling had a higher proportion of self-reported oral health (total gap 10.6 p.p.). Concerning income inequalities, the gap favored the poorer group and was 5.4 p.p. higher among individuals in the lowest income group. CONCLUSION: The decomposition analyses suggested that oral health variables explained most of the education and income inequalities; difficulties in eating were the most contributing factor in both the dentate and edentulous groups. There was a relatively reduced contribution of recent dental visits to socioeconomic inequality.
Assuntos
Saúde Bucal , Autorrelato , Fatores Socioeconômicos , Humanos , Saúde Bucal/estatística & dados numéricos , Brasil/epidemiologia , Masculino , Feminino , Idoso , Estudos Transversais , Pessoa de Meia-Idade , Idoso de 80 Anos ou mais , Renda , Disparidades nos Níveis de SaúdeRESUMO
A atenção primária em saúde (APS) é o primeiro nível de atenção em saúde, sendo um elo entre a população e o setor de saúde. Tem-se buscado a humanização dos atendimentos, e essa mudança, refletida pelas mudanças da sociedade, trouxe a implementação da Política Nacional de Práticas Integrativas e Complementares (PNPIC) no SUS. O objetivo deste trabalho foi realizar uma análise da tendência da quantidade das práticas integrativas e complementares realizadas nas regionais de saúde de Sergipe de 2017 a 2023, associando com a cobertura da atenção primária. Foi realizada análise de dados secundários através do Departamento de Informática do Sistema Único de Saúde (DATASUS), como forma de organização no período de junho/2015 a junho/2023 por regional de saúde de Sergipe. As análises dos dados foram descritivas e de correlação e por meio de análise de série temporal. A regional de saúde de Lagarto foi a que mais executou as práticas integrativas e complementares no período analisado e algumas regionais não tiveram continuidade na realização destas práticas. A regional de saúde com maior cobertura de APS foi Itabaiana. Não foi possível observar associação entre o número de práticas e a cobertura de atenção primária. Com o intuito de que o atendimento aos indivíduos seja cada vez mais humanizado, e em virtude da realização das práticas integrativas ter baixo índice ou descontinuidade em algumas regiões de Saúde de Sergipe, é relevante que os profissionais de saúde busquem conhecimentos sobre essas práticas, como também, os gestores em saúde incentivem esta ação.
Primary health care (PHC) is the first level of health care, being a link between the population and the health sector. The aim has been to humanize care, and this change, reflected by changes in society, has led to the implementation of the National Policy on Integrative and Complementary Practices (PNPIC) in the SUS. The objective of this work was to carry out an analysis of the trend in the number of integrative and complementary practices carried out in the health regions of Sergipe from 2017 to 2023, associating it with primary care coverage. Secondary data analysis was carried out through the Department of Informatics of the Unified Health System (DATASUS), as a form of organization from June/2015 to June/2023 by health region in Sergipe. Data analyzes were descriptive and correlational and through time series analysis. The Lagarto health region was the one that carried out the most integrative and complementary practices in the period analyzed and some regions did not continue to carry out these practices. The health region with the highest PHC coverage was Itabaiana. Observing an association between the number of practices and primary care coverage was impossible. With the aim that care for individuals is increasingly humanized, and because the implementation of integrative practices has a low rate or discontinuity in some Health regions of Sergipe, health professionals must seek knowledge about these practices as well as health managers encourage this action.
Assuntos
Atenção Primária à Saúde , Terapias Complementares/tendências , Saúde Bucal , Análise de Dados SecundáriosRESUMO
AIMS: This systematic review aimed to assess the impact of oral health training for caregivers of individuals with disabilities. MATERIALS AND METHODS: A systematic review was conducted using five electronic databases: Medline (PubMed), SciELO, Web of Science, LILACS, and CAFe, adhering to PRISMA guidelines. The PICO strategy was defined as follows: Participants: caregivers of individuals with disabilities; Intervention: training or education in oral health for caregivers; Control: no caregiver training; and Outcomes: evaluating whether oral health training for caregivers improves the oral health of people with disabilities. The study aimed to address the research question: "What is the impact of oral health training for caregivers of individuals with disabilities?" The study was preregistered in PROSPERO (CRD42023416760). RESULTS: A total of 14 studies were included, with trained caregivers being either staff members or parents, and various disabilities reported, with cerebral palsy being the most prevalent. Caregiver training methods varied, such as instructions on the importance of oral health care, supervised oral hygiene, and demonstration of toothbrushing techniques. Overall, the intervention groups showed an improvement in measures such as to the Gingival Index, Plaque Index, Simplified Oral Hygiene Index, and Gingival Bleeding Index on upon probing. Additionally, improvements were observed in the quality, frequency, and duration of toothbrushing among intervention groups. CONCLUSION: The findings suggest that oral health training for caregivers has a positive impact on the oral health of individuals with disabilities, potentially leading to better oral health outcomes.
Assuntos
Cuidadores , Assistência Odontológica para a Pessoa com Deficiência , Pessoas com Deficiência , Saúde Bucal , Humanos , Cuidadores/educação , Saúde Bucal/educaçãoRESUMO
AIM: To evaluate the relationship of different levels of social capital with oral health-related adolescents' quality of life (OHRQoL). METHODS: This is a cross-sectional study nested in a cohort study started in 2010 with a sample of children 1 to 5 years old from Brazil. Individuals were followed after 10 years, data which was considered in this study (11 to 15 years old). OHRQoL was evaluated by the short version of CPQ11-14. Individual social capital (ISC) was assessed through the presence of individual social networks and social trust. Community social capital (CSC) was assessed through the presence of voluntary institutions, community cultural centers or residents' associations. For both ISC and CSC, the participants were classified as with high social capital (at least one source) or low social capital (absence of any source). Adjusted Poisson Regression analysis was performed to verify the interaction of different levels of social capital and OHRQoL. Results are present in Rate Ratio (RR) and 95 % confidence interval (95 % CI). RESULTS: A total of 429 adolescents were evaluated. Adolescents with low CSC and low ISC presented CPQ11-14 scores 36 % higher (RR 1.36 95 %CI 1.15-1.62) than counterparts who presented higher social capital levels. The interaction among high and low levels of social capital was not associated with CPQ11-14 scores, indicating that no level stands out over the other. CONCLUSION: Only the total absence of both levels of social capital negatively related with OHRQoL, indicating the importance of the presence of at least one source of social capital. CLINICAL RELEVANCE: The findings show that social capital affects OHRQoL, a crucial psychosocial aspect considering the clinical practice.
Assuntos
Saúde Bucal , Qualidade de Vida , Capital Social , Apoio Social , Humanos , Adolescente , Masculino , Feminino , Estudos Transversais , Criança , Brasil , Pré-Escolar , Estudos de Coortes , Lactente , Inquéritos e QuestionáriosRESUMO
BACKGROUND: Oral health is recognized as integral to general health and impaired dentition status may affect physical performance among older adults. This study evaluated the longitudinal association between clinical and self-reported oral health measures and physical performance (outcome) in Brazilian older adults. METHODS: This was a longitudinal study that used data from the second (year 2006), third (year 2010) and fourth (year 2015) waves of the Health Well-being and Aging Study conducted in Brazil. Physical performance, evaluated using the Short Physical Performance Battery (SPPB), was the dependent variable. Independent variables of interest were the number of teeth, presence of periodontal pocket, use of dental prostheses, and poor perceived oral health. The association between oral health measures and physical function was analyzed using generalized estimating equations with an ordinal regression model. RESULTS: In the total sample, every additional tooth was associated with a greater chance of achieving a higher score on the SPPB test. Individuals wearing dental prostheses had higher chances of having higher scores than those not wearing them. In the analyses for the dentate sample, the presence of a periodontal pocket was not associated with SPPB and the increase in the number of teeth increased the chance of achieving a higher score. CONCLUSION: A greater number of teeth, and using dentures, were associated with higher physical performance. Periodontal disease was not associated with the outcome.
Assuntos
Saúde Bucal , Desempenho Físico Funcional , Humanos , Brasil/epidemiologia , Idoso , Feminino , Masculino , Estudos Longitudinais , Idoso de 80 Anos ou mais , Pessoa de Meia-Idade , Estudos de CoortesRESUMO
OBJECTIVE: This study describes the methodology used in the development of MonitoraSB, an innovation in the field of evaluating and monitoring oral health services in primary health care (PHC) in Brazil, and it discusses its characteristics and possible uses. METHODS: MonitoraSB includes a matrix of indicators and digital tools, developed in collaboration with oral health team dentists and oral health managers. The indicators evaluate the provision and management of oral health services and were developed on the basis of the model for evaluating the effectiveness of oral health care. The dashboard and calculator were developed to facilitate the operational use of the indicators. RESULTS: The 54 indicators in the matrix, with demonstrated content validity and measurability, cover various aspects of oral health care in PHC, from the organization and capacity of services to the profile of care and resolution. The dashboard offers navigation and interactivity, allowing regional, state and municipal analysis and making geographical and temporal comparisons. The calculator allows indicators to be obtained at the local level. CONCLUSION: The implementation of MonitoraSB could promote the strengthening of PHC, supporting informed decision-making and the consolidation of the universal, comprehensive and equitable oral health care model.
Assuntos
Saúde Bucal , Atenção Primária à Saúde , Atenção Primária à Saúde/organização & administração , Brasil , Humanos , Indicadores de Qualidade em Assistência à Saúde , Serviços de Saúde Bucal/organização & administraçãoRESUMO
OBJECTIVE: The present study aimed to investigate associations between reasons for seeking dental services, considering the last dental appointment of adolescents, and their educational features, socioeconomic and oral health status, and oral health literacy. METHODS: A cross-sectional study was conducted with 746 adolescents aged 15-19 years in Campina Grande (Paraíba), Brazil. Parents/guardians answered a socioeconomic questionnaire. Adolescents answered a questionnaire on oral health and the Brazilian Rapid Estimate of Adult Literacy in Dentistry. Features of the school environment were investigated through cluster analysis, using type of school and school grade retention. Adolescents were clinically examined for dental caries diagnosis by two dentists (κ>0.80), using the Nyvad criteria, in school facilities. Data were submitted to robust multilevel logistic regression for complex samples (α=5%). RESULTS: At the individual level, low maternal schooling (odds ratio [OR] 1.06; 95%CI 1.01-1.10), low oral health literacy (OR 0.99; 95%CI 0.98-0.99), and dental caries (OR 1.09; 95%CI 1.01-1.18) remained associated with the reasons for the last dental appointment. The school environment was also associated with the outcome (OR 1.07; 95%CI 1.00-1.15). CONCLUSION: Maternal schooling of less than eight years of study, low oral health literacy, cavitated caries, and unfavorable school environment were associated with seeking dental treatment.
Assuntos
Cárie Dentária , Letramento em Saúde , Saúde Bucal , Humanos , Adolescente , Cárie Dentária/epidemiologia , Masculino , Estudos Transversais , Feminino , Saúde Bucal/estatística & dados numéricos , Letramento em Saúde/estatística & dados numéricos , Brasil/epidemiologia , Adulto Jovem , Fatores Socioeconômicos , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Instituições Acadêmicas/estatística & dados numéricos , Inquéritos e Questionários , Escolaridade , Assistência Odontológica/estatística & dados numéricosRESUMO
This cross-sectional study aimed to investigate the association between anterior dental caries and the predominant type of breathing in preschoolers. The research involved a sample of 257 children aged between 3 and 5 years, who were enrolled in public daycare centers and preschools in the city of Diamantina, MG, Brazil. A questionnaire was applied to parents/guardians to collect sociodemographic data, habits, oral health, and a dietary diary used to calculate the Sucrose Consumption Index. The predominant type of breathing, whether nasal or through the mouth, was determined through direct observation. Dental caries was assessed using the International Caries Detection and Assessment System (ICDAS). Descriptive analyses and the Poisson regression were conducted to analyze the data. The results revealed a higher prevalence of anterior dental caries among children who predominantly breathed through the mouth (PR = 1.57; 95%CI: 1.01-2.46; p = 0.047), who exhibited a higher frequency of sucrose consumption (PR = 4.02; 95%CI: 2.03-7.95; p < 0.001), and had mothers with lower educational levels (PR = 1.53; 95%CI: 1.01-2.32; p = 0.043). Pacifier use was associated with a lower prevalence of anterior dental caries (PR = 0.57; 95%CI: 0.34-0.96; p = 0.035). In conclusion, this investigation demonstrated an association between carious lesions in the anterior teeth and predominantly mouth breathing in preschoolers.
Assuntos
Cárie Dentária , Respiração Bucal , Fatores Socioeconômicos , Humanos , Cárie Dentária/epidemiologia , Pré-Escolar , Feminino , Brasil/epidemiologia , Masculino , Respiração Bucal/epidemiologia , Estudos Transversais , Prevalência , Chupetas/estatística & dados numéricos , Chupetas/efeitos adversos , Fatores de Risco , Saúde Bucal/estatística & dados numéricos , Índice CPO , Escolaridade , Inquéritos e QuestionáriosRESUMO
This cross-sectional study aimed to analyze the self-perceived oral health of young university students at the Federal University of Juiz de Fora and identify the associated factors. Data were collected in 2021 using a self-administered questionnaire containing questions on students' sociodemographic variables and oral health. Binary logistic regression was applied in the multivariate analysis using the SPSS (Statistical Package for the Social Sciences) software (version 20.0) for Windows. The final analysis included 1,316 students aged 17-24 years. The prevalence of negative self-perception of oral health was 14.1% (95%CI: 12.2-16.0). The following variables were associated with negative self-perception of oral health: single marital status (OR = 0.34; 95%CI: 0.12-0.98), monthly family income of up to three minimum wages (OR = 2.02; 95%CI: 1.32-3.09), non-regular use of dental services (OR = 2.29; 95%CI: 1.48-3.53), dissatisfaction with the last service (OR = 1.97; 95%CI: 1.23-3.16), fear of dental treatment (OR = 1.56; 95%CI: 1.06-2.29), dissatisfaction with the appearance of teeth and mouth (OR = 5.27; 95%CI: 3.37-8.22), and perceived need for dental treatment (OR = 6.94; 95%CI:3.14-15.33). In conclusion, most young university students had a positive self-perception of oral health. However, factors related to socioeconomic profile, access to oral health services, and satisfaction with one's appearance were found to increase the likelihood of having a negative self-perception of oral health.
Assuntos
Saúde Bucal , Autoimagem , Fatores Socioeconômicos , Estudantes , Humanos , Estudos Transversais , Saúde Bucal/estatística & dados numéricos , Adulto Jovem , Masculino , Feminino , Adolescente , Brasil/epidemiologia , Estudantes/psicologia , Estudantes/estatística & dados numéricos , Universidades , Inquéritos e Questionários , Modelos Logísticos , Assistência Odontológica/estatística & dados numéricos , Assistência Odontológica/psicologiaRESUMO
BACKGROUND: Limited evidence exists regarding the effects of home-based interventions on oral health outcomes in preschool-aged children or caregivers despite the success of such interventions in other child and pregnancy health outcomes. The aim of this community trial was to assess the impact after 12 months of a home-delivered motivational interviewing (MI) intervention on oral health outcomes in disadvantaged Chilean families. METHODS: This trial was conducted with a community single-blinded design, including preschoolers (aged 2-4 years) and their caregivers from 2 disadvantaged communities who received either the MI intervention or standard oral health interventions at kindergartens. The MI intervention comprised from 4 through 6 tailored home visits by MI-trained dental hygienists. Data on socioeconomic-demographic factors, caries (International Caries Detection and Assessment System [ICDAS]), oral hygiene, and caregivers' oral health literacy (OHL) (assessed with Oral Health Literacy Instrument and Rapid Estimate of Adult Literacy in Dentistry, 30 items) were collected at baseline and 12-month follow-up. RESULTS: Two hundred fifty-two dyads completed baseline measurements, and 212 completed the follow-up (control, n = 104; intervention, n = 108). Weak associations were found between clinical-sociodemographic factors and OHL at baseline (correlations, < 0.3) and follow-up. Analysis of covariance revealed a reduction in caries incidence for lesions with ICDAS scores above 0 (P = .03) but not for ICDAS scores above 2 (P = .47). No reduction in oral hygiene was observed (P = .74). Oral Health Literacy Instrument scores showed no improvement (P = .10), and Rapid Estimate of Adult Literacy in Dentistry, 30 items scores showed a marginal increase (P = .03). CONCLUSIONS: Home-delivered MI intervention had a marginal impact on preschoolers' caries incidence and caregivers' OHL but no effect on preschoolers' oral hygiene, with the primary impact observed at the level of caries ICDAS scores above 0. PRACTICAL IMPLICATIONS: Home-delivered MI interventions by dental hygienists marginally reduce caries incidence in preschoolers from disadvantaged populations. This trial was registered at the Australian and New Zealand Clinical Trials Registry. The registration number is ACTRN12615000450516.
Assuntos
Cárie Dentária , Letramento em Saúde , Entrevista Motivacional , Saúde Bucal , Populações Vulneráveis , Humanos , Entrevista Motivacional/métodos , Pré-Escolar , Feminino , Masculino , Cárie Dentária/prevenção & controle , Cárie Dentária/epidemiologia , Chile , Método Simples-Cego , Cuidadores/educação , AdultoRESUMO
The family of individuals living with Down Syndrome (DS) often demonstrate high levels of stress associated with the demand for care and difficulties experienced in everyday life. The aim of this cross-sectional study was to assess perceived stress by parents/caregivers of individuals with DS and its association with general perceived self-efficacy and dental outcomes, considering the COVID-19 pandemic's impacts on family's daily activities and finances. A sample of 257 parents/caregivers answered a questionnaire with socioeconomic, dental, and behavioral variables and the short version of the Perceived Stress Scale and the General Perceived Self-Efficacy Scale. The sample was divided into three groups based on perceived stress levels. Associated variables were evaluated using multinomial logistic regression (level of significance 5%), adjusting for socioeconomic factors. The mean perceived stress score was 17.84 ± 5.75 (0-39). Medium stress (second tertile) was associated with finger/nail biting in individuals with DS (OR = 2.05; 95%CI 1.04-4.03; p = 0.038), difficulty in performing oral hygiene (OR = 2.39; 95%CI 1.23-4.65; p = 0.011) and medium and high self-efficacy (OR = 0.12; 95%CI 0.05-0.31; p < 0.001 and OR = 0.38; 95%CI 0.15-0.98; p = 0.046, respectively); high stress (third tertile) was associated with medium and high self-efficacy (OR = 0.25; 95%CI 0.09-0.67; p = 0.006 and OR = 0.05; 95%CI 0.02-0.15; p < 0.001, respectively) and negative impact of COVID-19 in family finances (OR = 3.00; 95%CI 1.39-6.44; p = 0.005). It was concluded that parents/caregivers' perceived stress was averaged and associated with self-efficacy, finger/nail biting, oral hygiene demands, and the financial impact of COVID-19.
Assuntos
COVID-19 , Cuidadores , Síndrome de Down , Saúde Bucal , Pais , Autoeficácia , Estresse Psicológico , Humanos , COVID-19/psicologia , COVID-19/epidemiologia , Estudos Transversais , Masculino , Feminino , Estresse Psicológico/psicologia , Adulto , Síndrome de Down/psicologia , Pais/psicologia , Cuidadores/psicologia , Pessoa de Meia-Idade , Inquéritos e Questionários , Criança , Adulto Jovem , SARS-CoV-2 , AdolescenteRESUMO
In 1948, the United Nations General Assembly in Paris declared that a standard of health was a universal human right.1 There is no reason to suggest that this affirmation should not include oral health as well. Oral health is a human right! Oral diseases are a public health problem that impair quality of life and generate increased costs and demands.2 The World Economic Forum reported this year that almost half the world's population suffers from oral diseases that impact daily life and subject the population to a higher risk of systemic health issues.3 It is time for radical policy action. Governments, industries, academic institutions, and scientific organizations must help change the burden of oral diseases.4 Concerned about the lack of attention to oral health, a historic resolution was adopted by the World Health Assembly in 2021 stating that oral health should be firmly embedded within the noncommunicable disease agenda and that oral healthcare interventions should be included in universal health coverage programs.5.
Assuntos
Dentifrícios , Doenças da Boca , Saúde Bucal , Humanos , Doenças da Boca/prevenção & controle , Dentifrícios/uso terapêuticoRESUMO
BACKGROUND: The recent World Health Organization (WHO) resolution on oral health urges pivoting to a preventive approach and integration of oral health into the non-communicable diseases agenda. This study aimed to: 1) explore the healthcare costs of managing dental caries between the ages of 12 and 65 years across socioeconomic groups in six countries (Brazil, France, Germany, Indonesia, Italy, UK), and 2) estimate the potential reduction in direct costs from non-targeted and targeted oral health-promoting interventions. METHODS: A cohort simulation model was developed to estimate the direct costs of dental caries over time for different socioeconomic groups. National-level DMFT (dentine threshold) data, the relative likelihood of receiving an intervention (such as a restorative procedure, tooth extraction and replacement), and clinically-guided assumptions were used to populate the model. A hypothetical group of upstream and downstream preventive interventions were applied either uniformly across all deprivation groups to reduce caries progression rates by 30% or in a levelled-up fashion with the greatest gains seen in the most deprived group. RESULTS: The population level direct costs of caries from 12 to 65 years of age varied between US10.2 billion in Italy to US$36.2 billion in Brazil. The highest per-person costs were in the UK at US$22,910 and the lowest in Indonesia at US$7,414. The per-person direct costs were highest in the most deprived group across Brazil, France, Italy and the UK. With the uniform application of preventive measures across all deprivation groups, the greatest reduction in per-person costs for caries management was seen in the most deprived group across all countries except Indonesia. With a levelling-up approach, cost reductions in the most deprived group ranged from US$3,948 in Indonesia to US$17,728 in the UK. CONCLUSION: Our exploratory analysis shows the disproportionate economic burden of caries in the most deprived groups and highlights the significant opportunity to reduce direct costs via levelling-up preventive measures. The healthcare burden stems from a higher baseline caries experience and greater annual progression rates in the most deprived. Therefore, preventive measures should be start early, with a focus on lowering early childhood caries and continue through the life course.
Assuntos
Cárie Dentária , Humanos , Cárie Dentária/economia , Cárie Dentária/epidemiologia , Cárie Dentária/prevenção & controle , Adolescente , Criança , Adulto , Pessoa de Meia-Idade , Indonésia/epidemiologia , Adulto Jovem , Idoso , França/epidemiologia , Saúde Bucal/economia , Itália/epidemiologia , Brasil/epidemiologia , Reino Unido/epidemiologia , Masculino , Alemanha/epidemiologia , Custos de Cuidados de Saúde/estatística & dados numéricos , Feminino , Efeitos Psicossociais da Doença , Disparidades nos Níveis de Saúde , Estudos LongitudinaisRESUMO
This study analyzed the factors associated with the oral health-related quality of life (OHRQOL) of 12-year-old adolescents and their relationship with unhealthy eating and sedentary behavior. Data were collected from 615 adolescents from the five largest cities in Mato Grosso do Sul, Brazil. The theoretical framework of the social determinants of oral health guided all analyses and the measurement instrument was OIDP (impact of oral health on daily performance). Multilevel logistic and negative binomial regressions were performed to test the association of OHRQOL with unhealthy eating, sedentary behavior, sociodemographic characteristics and health behaviours. Considering the sample weights, 43% of the adolescents reported some impact on OHRQOL. In the adjusted models, higher consumption of unhealthy foods (moderate and high) was associated with a prevalence of impact on OHRQOL [OR = 3.59 (95%CI 1.99; 6.46)] and higher OHRQOL severity [RR = 2.05 (95%CI 1.43; 2.94)] compared to their counterparts. Sedentary behaviour was associated with the prevalence of impact on OHRQOL [OR = 1.52 (95%CI 1.22; 1.89)] and greater severity [RR = 1.21 (95%CI 1.07; 1.37)] compared to their counterparts. Unhealthy food consumption and sedentary behavior were associated with OHRQOL. Intersectoral health public policies for healthy eating and for reducing sedentary behavior on the internet and electronic games can help in the quality of life of adolescents.
Assuntos
Saúde Bucal , Qualidade de Vida , Comportamento Sedentário , Humanos , Brasil/epidemiologia , Masculino , Feminino , Criança , Adolescente , Dieta , Comportamento Alimentar/psicologia , Estudos TransversaisRESUMO
INTRODUCTION: Some studies claim that functional changes in TMD affect the stomatognathic system (SS) and could contribute to the emergence of pain and changes in postural control. PURPOSE: To characterize and to compare pain, dynamic postural control (DPC), mental health and impact of oral health (QoL) in different types of temporomandibular disorders (TMD). METHOD: Cross-sectional study with 116 participants evaluated by a validated TMD protocol and divided into three groups, muscle TMD (TMD-M, n = 32), joint TMD (TMD-J, n = 30) and muscle-joint TMD (TMD-MJ, n = 54).Chewing pain, DPC, anxiety, depression, sleep quality and impact of oral health on QoL were measured. One-way ANOVA, Kruskal-Wallis, Pearson's Chi-square test and eta-square effect size were used to data analysis. RESULTS: TMD-J showed less subjective pain than TMD-M (p = 0.014) and TMD-MJ (p = 0.021).TMD-J also presented greater height (p = 0.022) and body mass (p = 0.041) than the TMD-MJ and TMD-M, respectively. The DPC evaluation with sensory organization test 1 (SOT1, open eyes, platform and cabin fixed) in the medio-lateral direction (ML) was higher (p = 0.027) for TMD-J than TMD-M. TMD-MJ had a higher level of depression (p = 0.041) than TMD-J, and a greater impact of oral health on QoL (p = 0.035) than TMD-M. CONCLUSION: Masticatory pain was lower in the TMD-J. There was a reduction in DPC in the ML of SOT1 in the TMD-J owing to the greater height of the patients in this group. The TMD-MJ had higher levels of depression and negative impact of oral health. In general, poor oral health reduces QoL in patients with TMD.
Assuntos
Depressão , Saúde Mental , Saúde Bucal , Qualidade de Vida , Transtornos da Articulação Temporomandibular , Humanos , Estudos Transversais , Transtornos da Articulação Temporomandibular/fisiopatologia , Transtornos da Articulação Temporomandibular/psicologia , Transtornos da Articulação Temporomandibular/complicações , Feminino , Masculino , Adulto , Depressão/fisiopatologia , Depressão/epidemiologia , Pessoa de Meia-Idade , Ansiedade/fisiopatologia , Adulto Jovem , Equilíbrio Postural/fisiologia , Dor Facial/fisiopatologia , Dor Facial/psicologia , Qualidade do Sono , Medição da DorRESUMO
Background: Individuals with mental disorders have a significant risk of experiencing a deterioration in their oral health due to several factors. This cross-sectional descriptive study aimed to evaluate the influence of socioeconomic and behavioral factors on the caries experience of adults with mental disorders in a large Brazilian metropolis. Methods: A total of 753 adults diagnosed with schizophrenia or depression participated in the study. They were users of 10 public mental health outpatient clinics located in the city of São Paulo, Brazil. These adults provided data on socioeconomic characteristics, medication use, and behaviours related to general and oral health. Oral heath examinations were conducted to evaluate dental plaque and caries experience. Results: It was observed that the chance of presenting decayed, missing due to caries, and filled teeth (DMFT) above the sample median was significantly higher among older individuals (OR = 11.62; 95% CI: 8.11-16.66), those with lower education levels (OR = 1.76; 95% CI: 1.23-2.53), those who used tobacco 3 or more times per week (OR = 1.74; 95% CI: 1.18-2.56) and those with a higher biofilm index (OR = 1.45; 95% CI: 1.01-2.09), p< 0.05. The DMFT index (mean ± SD) was 15.3 ± 8.4 for individuals with schizophrenia and 15.8 ± 8.3 for individuals with depression. Mean plaque index was 2.81 for participants with schizophrenia and 2 for participants with depression. Conclusion: The sample of Brazilian adults with mental disorders had poor oral health, which was associated with socioeconomic, behavioural, and oral factors.
Contexte: Le risque de détérioration de la santé buccodentaire des personnes ayant de troubles mentaux est important en raison de plusieurs facteurs. Cette étude descriptive transversale visait à évaluer l'influence des facteurs socioéconomiques et comportementaux sur le développement de la carie des adultes ayant de troubles mentaux dans une grande métropole brésilienne. Méthodes: En tout, 753 adultes ayant reçu un diagnostic de schizophrénie ou de dépression ont participé à l'étude. Ces personnes fréquentaient 10 cliniques publiques externes de santé mentale situées dans la ville de São Paulo au Brésil. Ces adultes ont fourni des données sur leurs caractéristiques socioéconomiques, leur consommation de médicaments et leurs comportements en matière de santé générale et buccodentaire. Des examens de santé buccodentaire ont été effectués pour évaluer la présence de la plaque dentaire et des caries. Résultats: L'étude a montré que le risque de présenter des dents cariées, absentes en raison de caries et obturées (DCAO) au-delà de la médiane de l'échantillon était considérablement plus élevé chez les personnes plus âgées (RC = 11,62 ; 95 % IC : 8,1116,66), les personnes ayant un faible niveau d'éducation (RC = 1,76 ; 95 % IC : 1,232,53), celles qui consommaient du tabac 3 fois ou plus par semaine (RC = 1,74 ; 95 % IC : 1,182,56) et celles ayant un indice de biofilm plus élevé (RC = 1,45 ; 95 % IC : 1,012,09), p< 0,05. L'indice DCAO (moyenne ± SD) était de 15,3 ± 8,4 pour les personnes ayant de schizophrénie et de 15,8 ± 8,3 pour les personnes ayant de dépression. L'indice de plaque moyen était de 2,81 pour les participants ayant de schizophrénie et de 2 pour les participants ayant de dépression. Conclusion: L'échantillon d'adultes brésiliens ayant de troubles mentaux avait une santé buccodentaire pauvre, laquelle était liée à des facteurs socioéconomiques, comportementaux et buccodentaires.
Assuntos
Índice CPO , Cárie Dentária , Esquizofrenia , Fatores Socioeconômicos , Humanos , Brasil/epidemiologia , Masculino , Adulto , Feminino , Cárie Dentária/epidemiologia , Estudos Transversais , Esquizofrenia/epidemiologia , Pessoa de Meia-Idade , Escolaridade , Adulto Jovem , Fatores Etários , Transtornos Mentais/epidemiologia , Saúde Bucal/estatística & dados numéricos , Comportamentos Relacionados com a Saúde , Uso de Tabaco/epidemiologiaRESUMO
Education on the selection of low-sugar ultra-processed foods (UPF) plays a crucial role in promoting good oral health. This study aimed to assess the impact of a virtual educational strategy, developed in the field of dentistry, on improve Knowledge, Attitudes, and Practices (KAPs) related to oral health and the appropriate selection of sweet-tasting UPF. A quasi-experimental study with a pre-test and post-test design was conducted, involving parents and caregivers of children and pre-adolescents. Thirteen virtual learning objects (VLO) were delivered via Facebook. To measure the impact of the strategy, a validated instrument was used before the intervention, immediately after, and again six months later to assess Knowledge, Attitudes, and Practices (KAPs) on the subject. The median scores before and after the intervention were compared using the Friedman test for related samples, followed by multiple comparisons with Dunn's test. Participants' KAP levels were analyzed using Pearson's Chi-square test and multiple comparisons of column proportions with Bonferroni correction. Finally, a satisfaction and applicability survey was conducted. A significant improvement (p < 0.01) was observed in the participants' median KAP scores both immediately after the intervention and six months later. A greater number of participants reached the highest level in knowledge (Before (B): 43.8%, Immediately After (IA): 86%, After six months (A6): 81.3%), attitudes (B: 34.2%, IA: 69.4%, A6: 65.2%), and practices (B: 22.5%, IA: 53.7%, A6: 47.3%). Most participants described the course as consistently dynamic, well-organized, and appropriate timing. They also expressed their intention to apply the knowledge in their daily lives. The implemented strategy improved participants' KAPs concerning oral health and the appropriate selection of sweet-tasting UPF. It also resulted in participants' children consuming fewer sweet bakery products, candies, and flavored milk. Additionally, more participants reported consistently reading food labels after the intervention, although this behavior was not adopted by the majority.
Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Humanos , Feminino , Masculino , Criança , Adulto , Fast Foods , Odontologia , Saúde Bucal , Edulcorantes , Adolescente , Preferências Alimentares/psicologia , Alimento ProcessadoRESUMO
Periodontal diseases are highly prevalent globally, and represent a significant public health burden that could affect the quality of life in Latin American and in Caribbean countries and territories. The primary objective is to explore the existing research and epidemiological studies on the burden of periodontal diseases, particularly their impact on oral health-related quality of life (OHRQoL) and associations with systemic health conditions in Latin America and the Caribbean (LAC). An electronic literature search was conducted across multiple databases, including MEDLINE (PubMed), Scopus, LILACS, SciELO, and Web of Science, without publication date or language limitations, up until December 2023. Reviewers independently assessed titles and abstracts based on the eligibility criteria. The search yielded 1195 articles, with 63 meeting the inclusion criteria. The results of epidemiological studies showed that periodontitis is extremely prevalent at 90% in LAC; severe periodontitis can affect nearly 10% of the adult population and that periodontitis is aggravated by smoking, poverty, low education level, and limited access to proper dental care. Periodontitis was consistently associated with worse OHRQoL; and causing pain, and/or triggering psychological discomfort, physical disability, and social disability. Associations were also reported between periodontitis and comorbidities such as diabetes, cardiovascular disease, rheumatoid arthritis, respiratory disease, mental illness, and adverse pregnancy outcomes that are also affecting the quality of life of individuals and their families. This scoping review offers a thorough examination of the burden of periodontal diseases in LAC and highlights the significant public health concern that it represents for the region.