Root Caries Prevalence And Severity In Brazilian Adults And Older People

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 fi lled dental roots. Results: The prevalence of root caries was 16.7% in adults and 13.6% in the elderly. The index of decayed and fi lled 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 signifi cantly 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.47SUPPL.35968Barbato, P.R., Peres, M.A., Perdas dentárias em adolescentes brasileiros e fatores associados: estudo de base populacional (2009) Rev Saude Publica., 43 (1), pp. 13-25. , DOI: 10.1590/S0034-89102009000100003Cimões, R., Caldas, J.A.F., Souza, E.H.A., Gusmão, E.S., Influência da classe social nas razões clínicas das perdas dentárias (2007) Cienc Saude Coletiva., 12 (6), pp. 1691-1696. , DOI: 10.1590/S1413-81232007000600030Du, M., Jiang, H., Tai, B., Zhou, Y., Wu, B., Bian, Z., Root caries patterns and risk factors of middle-aged and elderly people in China (2009) Community Dent Oral Epidemiol., 37 (3), pp. 260-266. , DOI: 10.1111/j.1600-0528.2009.00461.xKatz, R.V., Hazen, S.P., Chilton, N.W., MummaJr, R.D., Prevalence and intraoral distribution of caries in an adult population (1982) Caries Res., 16 (3), pp. 265-271. , DOI: 10.1159/000260607Katz, R.V., Clinical signs of root caries: measurements issues from an epidemiologic perspective (1990) J Dent Res., 69 (5), pp. 1211-1215. , DOI: 10.1177/00220345900690051801Katz, R.V., Assessing root caries in populations: the evolution of the root caries index (1980) J Pub Health Dent., 40 (1), pp. 7-16. , DOI: 10.1111/j.1752-7325.1980.tb01844.xKularatne, S., Ekanayake, L., Root surface caries in older individuals from Sri Lanka (2007) Caries Res., 41 (4), pp. 252-256. , http://dx.doi.org/10.1159/000101913, DOIMamai-Homata, E., Topitsoglou, V., Oulis, C., Margaritis, V., Polychronopoulou, A., Risk indicators of coronal and root caries in Greek middle aged adults and senior citizens (2012) BMC Public Health., 12, p. 484. , DOI: 10.1186/1471-2458-12-484Nicolau, B., Srisilapanan, P., Marcenes, W., Number of teeth and risk of root caries (2000) Gerodontology., 17 (2), pp. 91-96. , DOI: 10.1111/j.1741-2358.2000.00091.xPaim, J., Travassos, C., Almeida, C., Bahia, L., Macinko, J., The Brazilian health system:history, advances and challenges (2011) Lancet., 377 (9779), pp. 1778-1797. , DOI: 10.1016/S0140-6736(11)60054-8Peres, M.A., Barbato, P.R., Reis, S.C.G.B., Freitas, C.H.S.M., Antunes, J.L.F., Perdas dentárias no Brasil: análise da Pesquisa Nacional de Saúde Bucal 2010 (2013) Rev Saude Publica., 47 (SUPL 3), pp. 78-89. , DOI:10.1590/S0034-8910.2013047004226Rihs, L.B., Souza, M.L.R., Wada, R.S., Root caries in areas with and without fl uoridated water at southeast region of São Paulo State, Brazil (2008) J Appl Oral Sci., 16 (1), pp. 70-74. , DOI: 10.1590/S1678-77572008000100014Roncalli, A.G., Góes, P.S.A., Freire, M.C.M., Cortes, M.I.S.G., Vetore, M.V., Narvai, P.C., Aspectos metodológicos do Projeto SBBrasil 2010 de interesse para inquéritos nacionais de saúde (2012) Cad Saude Publica., 28 (SUPPL.), pp. 40-57. , DOI: 10.1590/S0102-311X2012001300006Schmidt, M.I., Duncan, B.B., Silva, G.A., Menezes, A.M., Monteiro, C.A., Barreto, S.M., Chronic noncommunicable diseases in Brazil: burden and current challenges (2011) Lancet., 377 (9781), pp. 1949-1961. , DOI: 10.1016/S0140-6736(11)60135-9Slade, G.D., Spencer, A.J., Distribution of coronal and root caries experience among persons aged 60+ in South Australia (1997) Aust Dent J., 42 (3), pp. 178-184. , DOI: 10.1111/j.1834-7819.1997.tb00118.xSplieth, C.H., Schwahn, C.H., Bernhardt, O., John, U., Prevalence and distribution of root caries in Pomerania, North-East Germany (2004) Caries Res., 38 (4), pp. 333-340. , DOI: 10.1159/000078179Steele, J.G., Sheiham, A., Marcenes, W., Fay, N., Walls, A.W.G., Clinical and behavioural indicators for root caries in older people (2001) Gerodontology., 18 (2), pp. 95-101. , DOI: 10.1111/j.1741-2358.2001.00095.xVictora, C.G., Barreto, M.L., Leal, M.C., Monteiro, C.A., Schmidt, M.I., Paim, J., Lancet Brazil Series Working Group (2011) Health conditions and health-policy innovations in Brazil: the way forward. Lancet., 377 (9782), pp. 2042-2053Walls, A.W.G., Silver, P.T., Steele, J.G., Impact of treatment provision on the epidemiological recording of root caries (2000) Eur J Oral Sci., 108 (1), pp. 3-8. , DOI: 10.1034/j.1600-0722.2000.00767.xWinn, D.M., Brunelle, J.A., Selwitz, R.H., Kaste, L.M., Oldakowski, R.J., Kingman, A., Coronal and root caries in dentition of adults in the United States, 1998-1991 (1996) J Dent Res., 75, pp. 642-651. , SpecOral health surveys: basic methods (1997), World Health Organization. 4. ed. Genev

Macrosocial determinants of population health in the context of globalization

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/55738/1/florey_globalization_2007.pd

Self-perceived Oral Health And Associated Factors Among The Elderly In Campinas, Southeastern Brazil, 2008-2009

Objective: To describe self-perceived oral health among elderly people and assess associated sociodemographic and clinical factors. Methods: A cross-sectional study was carried out with 876 participants forming a representative sample of elderly people (65 years of age or over) in Campinas, Southeastern Brazil, in 2008-2009. Dental examinations were conducted in accordance with criteria standardized by the World Health Organization for epidemiological surveys on oral health. Self-perceived oral health was evaluated using the Geriatric Oral Health Assessment Index (GOHAI). Individuals were classified according to sociodemographic characteristics, dental factors and prevalence of biological frailty. Associations were assessed using Poisson regression analysis, taking into consideration sample weights and the complex structure of the cluster sampling. Results: The subjects' mean age was 72.8 years; 70.1% were women. The proportion of the individuals with more than 20 teeth present was 17.2%; 38.2% were using full dentures in both arches; 8.5% needed dental prostheses in at least one arch. On average, the GOHAI was high: 33.9 (maximum possible: 36.0). Retaining 20 teeth or more, using full dentures in both arches, not needing such treatment, not presenting any oral mucosa abnormalities and not presenting biological frailty were factors signifi cantly associated with better self-perceived oral health (p < 0.05). Conclusions: Assessment of self-perceived oral health made it possible to identify the main factors associated with this outcome. This tool may contribute towards planning dental services and guide health promotion strategies for improving the quality of life of individuals within this age group.45611451153Ahmed, N., Mandel, R., Fain, M.J., Frailty: an emerging geriatric syndrome (2007) Am J Med, 120 (9), pp. 748-753. , DOI:10.1016/j.amjmed.2006.10.018Allen, P.F., Assessment of oral health related quality of life (2003) Health Qual Life Outcomes, 1, p. 40. , DOI:10.1186/1477-7525-1-40Araújo, C.S., Lima, R.C., Peres, M.A., Barros, A.J.D., Utilização de serviços odontológicos e fatores associados: um estudo de base populacional no sul do Brasil (2009) Cad Saude Publica, 25 (5), pp. 1063-1072. , DOI:10.1590/S0102-311X2009000500013Atchison, K.A., Dolan, T.A., Development of the Geriatric Oral Health Assessment Index (1990) J Dent Educ, 54 (11), pp. 680-687Baldani, M.H., Brito, W.H., Lawder, J.A.C., Mendes, Y.B.E., Silva, F.F.M., Antunes, J.L.F., Determinantes individuais da utilização de serviços odontológicos por adultos e idosos de baixa renda (2010) Rev Bras Epidemiol, 13 (1), pp. 150-162. , DOI:10.1590/S1415-790X2010000100014Biazevic, M.G.H., Michel-Crosato, E., Iagher, F., Pooter, C.E., Correa, S.L., Grasel, C.E., Impact of oral health on quality of life among the elderly population of Joaçaba, Santa Catarina, Brazil (2004) Braz Oral Res, 18 (1), pp. 85-91. , DOI:10.1590/S1806-83242004000100016Costa, E.H.M., Saintrain, M.V.L., Vieira, Apgf., Autopercepção da condição de saúde bucal em idosos institucionalizados e não-institucionalizados (2010) Cienc Saude Coletiva, 15 (6), pp. 2925-2930. , DOI:10.1590/S1413-81232010000600030Ekanayake, L., Perera, I., Factors associated with perceived oral health status in older individuals (2005) Int Dent J, 55 (1), pp. 31-37. , DOI:10.1111/j.1875-595X.2005.tb00029.xFried, L.P., Tangen, C.M., Walston, J., Newman, A.B., Hirsch, C., Gottdiener, J., Frailty in older adults: evidence for a phenotype (2001) J Gerontol A Biol Sci Med Sci, 56 (3), pp. M146-M156. , DOI:10.1093/gerona/56.3.M146Hobdell, M., Petersen, P.E., Clarkson, J., Johnson, N., Global goals for oral health 2020 (2003) Int Dent J, 53 (5), pp. 285-288. , DOI: 0020-6539/03/05285-04Hugo, F.N., Hilgert, J.B., Sousa, M.L.R., Silva, D.D., Pucca Jr., G.A., Correlates of partial tooth loss and edentulism in Brazilian elderly (2007) Community Dent Oral Epidemiol, 35 (3), pp. 224-232. , DOI:10.1111/j.0301-5661.2007.00346.xJoaquim, A.M., Wyatt, C.C., Aleksejuniene, J., Greghi, S.L., Pegoraro, L.F., Kiyak, H.A., A comparison of the dental health of Brazilian and Canadian independently living elderly (2010) Gerodontology, 27 (4), pp. 258-265. , DOI:10.1111/j.1741-2358.2009.00340.xJokovic, A., Locker, D., Dissatisfaction with oral health status in an older adult population (1997) J Public Health Dent, 57 (1), pp. 40-47. , DOI:10.1111/j.1752-7325.1997.tb02471.xLocker, D., Allen, F., What do measures of 'oral healthrelated quality of life' measure? (2007) Community Dent Oral Epidemiol, 35 (6), pp. 401-411. , DOI:10.1111/j.1600-0528.2007.00418.xMartins, A.M.E.B.L., Haikal, D.S., Pereira, S.M., Barreto, S.M., Uso de serviços odontológicos por rotina entre idosos brasileiros: Projeto SB Brasil (2008) Cad Saude Publica, 24 (7), pp. 1651-1666. , DOI:10.1590/S0102-311X2008000700020Martins, A.M.E.B.L., Barreto, S.M., Silveira, M.F., Santa-Rosa, T.T.A., Pereira, R.D., Autopercepção da saúde bucal em idosos brasileiros (2010) Rev Saude Publica, 44 (5), pp. 912-922. , DOI:10.1590/S0034-89102010005000028Matos, D.L., Lima-Costa, M.F., Auto-avaliação da saúde bucal entre adultos e idosos residentes na Região Sudeste: resultados do Projeto SB-Brasil, 2003 (2006) Cad Saude Publica, 22 (8), pp. 1699-1707. , DOI:10.1590/S0102-311X2006000800018Mesas, A.E., Andrade, S.M., Cabrera, M.A.S., Bueno, Vlrc., Saúde bucal e défi cit nutricional em idosos nãoinstitucionalizados em Londrina, Brasil (2010) Rev Bras Epidemiol, 13 (3), pp. 434-445. , DOI:10.1590/S1415-790X2010000300007Moreira, R.S., Nico, L.S., Tomita, N.E., Ruiz, T., A saúde bucal do idoso brasileiro: revisão sistemática sobre o quadro epidemiológico e acesso aos serviços de saúde bucal (2005) Cad Saude Publica, 21 (6), pp. 1665-1675. , DOI:10.1590/S0102-311X2005000600013Narvai, P.C., Antunes, J.L.F., Saúde bucal: a autopercepção da mutilação e das incapacidades (2003) SABE - saúde, bem-estar e envelhecimento: o Projeto SABE no município de São Paulo: uma abordagem inicial, pp. 119-140. , Lebrão ML, Duarte YAO, editores. Brasília (DF): Organização Pan-Americana da SaúdeNarvai, P.C., Antunes, J.L.F., Moysés, S.J., Frazão, P., Peres, M.P., Peres, K.G., Validade científi ca de conhecimento epidemiológico gerado com base no estudo Saúde Bucal Brasil 2003 (2010) Cad Saude Publica, 26 (4), pp. 647-670. , DOI:10.1590/S0102-311X2010000400002Nunes, C.I., Abegg, C., Factors associated with oral health perception in older Brazilians (2008) Gerodontology, 25 (1), pp. 42-48. , DOI:10.1111/j.1741-2358.2007.00163.xPattussi, M.P., Peres, K.G., Boing, A.F., Peres, M.A., Costa, J.S.D., Self-rated oral health and associated factors in Brazilian elders (2010) Community Dent Oral Epidemiol, 38 (4), pp. 348-359. , DOI:10.1111/j.1600-0528.2010.00542.xPetersen, P.E., The World Oral Health Report 2003: continuous improvement of oral health in the 21st century - the approach of the WHO Global Oral Health Programme (2003) Community Dent Oral Epidemiol, 31 (SUPPL. 1), pp. 3-23. , DOI:10.1046/j.2003.com122.xSilva, D.D., Sousa, M.L.R., Wada, R.S., Autopercepção e condições de saúde bucal em uma população de idosos (2005) Cad Saude Publica, 21 (4), pp. 1251-1259. , DOI:10.1590/S0102-311X2005000400028Silva, N.N., (1998) Amostragem probabilística: um curso introdutório, , 2. ed. São Paulo: EDUSPSilva, S.R.C., Castellanos Fernandes RA (2001) Autopercepção das condições de saúde bucal por idosos. Rev Saude Publica., 35 (4), pp. 349-355. , DOI:10.1590/S0034-89102001000400003Sousa, M.H., Silva, N.N., Estimativas obtidas de um levantamento complexo (2003) Rev Saude Publica, 37 (5), pp. 662-670. , DOI:10.1590/S0034-89102003000500018Souza, E.H.A., Barbosa, M.B.C.B., Oliveira, P.A.P., Espíndola, J., Gonçalves, K.J., Impacto da saúde bucal de idosos institucionalizados e não-institucionalizados da cidade do Recife (PE, Brasil) (2010) Cienc Saude Coletiva, 15 (6), pp. 2955-2964. , DOI:10.1590/S1413-81232010000600034Steele, J.G., Sanders, A.E., Slade, G.D., Allen, P.F., Lahti, S., Nuttall, N., How do age and tooth loss affect oral health impacts and quality of life? A study comparing two national samples (2004) Community Dent Oral Epidemiol, 32 (2), pp. 107-114. , DOI:10.1111/j.0301-5661.2004.00131.xSumi, Y., Miura, H., Nagaya, M., Nagaosa, S., Umemura, O., Relationship between oral function and general condition among Japanese nursing home residents (2009) Arch Gerontol Geriatr, 48 (1), pp. 100-105. , DOI:10.1016/j.archger.2007.10.010Veyrune, J.L., Tubert-Jeannin, S., Dutheil, C., Riordan, P.J., Impact of new prostheses on the oral health related quality of life of edentulous patients (2005) Gerodontology, 22 (1), pp. 3-9. , DOI:10.1111/j.1741-2358.2004.00048.x(1997) Oral health surveys: basic methods, , World Health Organization. 4. ed. Genev

Melatonin profiles during the third trimester of pregnancy and health status in the offspring among day and night workers: A case series

Successful pregnancy requires adaptation in maternal physiology. During intrauterine life the mother's circadian timing system supports successful birth and postnatal development. Maternal melatonin is important to transmit circadian timing and day length to the fetus. This study aims to describe the third trimester of pregnancy among day (n = 5) and night (n = 3) workers by assessing their melatonin levels in a natural environment. Additionally, we describe the worker's metabolic profiles and compare the health status of the newborns between groups of day and night working mothers. Our results indicate an occurrence of assisted delivery (cesarean and forceps) among night workers. Moreover, the newborns of night workers showed lower Apgar index and breastfeeding difficulty indicating a worse condition to deal with the immediate outside the womb environment. Additionally, there was lower night-time melatonin production among pregnant night workers compared to day workers. These findings may be related to light-induced suppression of melatonin that occurs during night work. We conclude that night work and consequent exposure to light at unconventional times might compromise the success of pregnancy and the health of the newborn. Further studies need to be carried out to monitor pregnancy and newborn health in pregnant night workers. Keywords: Pregnancy, Melatonin, Offspring, Metabolic disturbances, Premature birth, Shift wor

The effect of performing corrections on reported uterine cancer mortality data in the city of São Paulo

Reports of uterine cancer deaths that do not specify the subsite of the tumor threaten the quality of the epidemiologic appraisal of corpus and cervix uteri cancer mortality. The present study assessed the impact of correcting the estimated corpus and cervix uteri cancer mortality in the city of São Paulo, Brazil. The epidemiologic assessment of death rates comprised the estimation of magnitudes, trends (1980-2003), and area-level distribution based on three strategies: i) using uncorrected death certificate information; ii) correcting estimates of corpus and cervix uteri mortality by fully reallocating unspecified deaths to either one of these categories, and iii) partially correcting specified estimates by maintaining as unspecified a fraction of deaths certified as due to cancer of "uterus not otherwise specified". The proportion of uterine cancer deaths without subsite specification decreased from 42.9% in 1984 to 20.8% in 2003. Partial and full corrections resulted in considerable increases of cervix (31.3 and 48.8%, respectively) and corpus uteri (34.4 and 55.2%) cancer mortality. Partial correction did not change trends for subsite-specific uterine cancer mortality, whereas full correction did, thus representing an early indication of decrease for cervical neoplasms and stability for tumors of the corpus uteri in this population. Ecologic correlations between mortality and socioeconomic indices were unchanged for both strategies of correcting estimates. Reallocating unspecified uterine cancer mortality in contexts with a high proportion of these deaths has a considerable impact on the epidemiologic profile of mortality and provides more reliable estimates of cervix and corpus uteri cancer death rates and trends