Risk Indicators For Tooth Loss In Adult Workers.

Tooth loss continues to be a prevalent condition in Brazilian adults and elderly individuals. The aim of this cross-sectional study, conducted among workers in a wholesale grocery chain in the State of São Paulo, was to identify risk indicators for tooth loss in adults. The presence of caries and periodontal status were examined in 387 adults aged 20-64 years, according to World Health Organization criteria. Two outcomes were analyzed: loss of one or more teeth, and loss of four or more teeth. Independent variables analyzed were demographic and socioeconomic factors, clinical conditions, use of dental services, and self-perceived oral health. Poisson regression models were used for multivariate statistical analysis. Participants were missing a mean of 5.38 teeth, and 76.9% (n = 297) had lost at least one tooth; the most frequently lost teeth were permanent molars. Older age and the presence of visible dental biofilm were associated significantly with the two tooth loss outcomes (p < 0.05). Individuals who had visited the dentist 3 or more years previously showed a lower prevalence of tooth loss (prevalence ratio = 0.79; 95% confidence interval, 0.68-0.91). Those with lower household incomes were significantly more likely to have lost four or more teeth (prevalence ratio = 1.35; 95% confidence interval, 1.07-1.70). Study results indicated that age and dental biofilm were risk indicators for tooth loss, independently of socioeconomic factors. These risk indicators should be considered when planning oral health programs for adults.26390-

Perception Of Toothache In Adults From State Capitals And Interior Cities Within The Brazilian Geographic Regions.

Studies emphasizing toothache in adulthood are scarce in Brazil. A greater understanding of both the prevalence and the self-perception of pain among individuals in this age group (35 to 44 years old) is important, especially considering that this is an economically active population. To describe reports of oral pain and oral pain-related aspects in from Brazilian state capitals and interior cities. The sample comprised 9779 adults residing in the state capitals and interior cities from each Brazilian region in the SB Brazil 2010 report, regarding reports of oral pain and their intensity in the last 6 months. The descriptive analysis comparing pain reports between and within the regions and regression analysis of pain related to socioeconomic aspects per region were performed considering α=0.05 difference. The highest prevalence of pain was found in the Southeast region (p<0.01), and there was also difference between the state capitals and interior cities in the South (p<0.01), where the prevalence was higher in the capitals, and in the Southeast, where the higher prevalence was in the interior cities (p=0.03). The Northern region had lower pain intensity than the Southeast and Midwest. Comparing pain intensity, only the Northeast region showed statistical difference between state capitals and the interior cities for pain intensity, where the interior cities had higher pain intensity than the three state capitals. Regarding dental office visitations, the Southeast capitals have the highest prevalence (100%) compared to the North and South. The toothache impact on daily activities was as follows: eating difficulty (29.8% to 72.7%), uncomfortable teeth brushing (over 50%), and sleep disturbance (above 13%). Between the Brazilian regions the socioeconomic aspects differ in relation to the pain; the exception being the association between pain, dental care and income, which occurred in the 5 regions. Users of public dental care services were more likely to present pain, comparing to private dental services, OR ranging from 1.72 in the Northeast to 2.85 in the Southeast. The prevalence of pain was higher among Brazilian adults, impacting some of the daily activities. The data also showed many differences in the prevalence and intensity of pain among both the Brazilian regions and the cities within the same region.133

The Role of an Individual’s Perception of their Partner’s Oral Health in Heterosexual Couples

Objective: To analyze the role of an individual’s perception of their partner’s oral health in heterosexual couples. Material and Methods: The exploratory study with a qualitative and quantitative approach and data were collected in households in 2015. The quantitative data were analyzed using simple and multivariate binary logistic regression (p&lt;0.05), and the qualitative using Thematic Content Analysis. Results: Of 143 participants, 113 (79.0%) were in a relationship and made up the final sample of the present study. Both women and men reported a small percentage of discomfort in relation to their partners’ oral health (23.1% vs. 14.8%; p=0.199), and only a few had received complaints about their own oral health (20.7% vs. 10.7%; p=0.179). However, almost half of the sample had been told by their partner to see the dentist (47.6% vs. 31.0%; p=0.156), and of these, most were men (48.3% vs. 25.0%; p=0.022). The men that were more likely to be told by their partners to see the dentist (OR=5.82; 95% CI: 1.71-19.80) were upper-class (OR=3.35; 95% CI: 1.05-10.67), workers (OR=7.45; 95% CI: 1.62-34.20) who were dissatisfied with their oral health (OR=3.45; 95% CI: 1.13-10.51). The participants’ reasons for complaining of their partners’ oral health or for telling them to see the dentist were related to physiopathological clinical aspects and healthcare habits. Conclusion: The women told their male partners to seek dental services more often, and future studies should explore whether women are predictors of care and the validity of this information as an indicator of the oral health condition of their male partners

O papel da literacia em saúde como fator associado às perdas dentárias

OBJECTIVE The objective was to analyze the role of health literacy (HL) as a factor associated with tooth loss among users of the Brazilian Health System with chronic non-communicable diseases. METHODS The cross-sectional analytical study was conducted with adult and elderly users chosen at ten Family Health Clinics in a draw in the town of Piracicaba, São Paulo State, Brazil. A questionnaire was applied with sociodemographic data (sex, age, skin color and education), behavioral data (brushing and flossing), determinants in health (type of dental health services and how often) and clinical data (pain). Mouth conditions were collected by intraoral examination of visible dental biofilm and community Pediodontal Index. The systemic clinical conditions (blood glucose, glycated hemoglobin and blood pressure) were extracted from the medical records. The explanatory variable was HL (low, medium and high), measured with the Health Literacy Scale (HLS-14). RESULTS The outcome was tooth loss measured by the index of decayed, missing and filled teeth. Logistic regression was performed using a conceptual model for HL (p &lt; 0.05). For the 238 subjects, the mean age was 62.7 years (± 10.55). Tooth loss was associated with HL in regression models adjusted by type of dental service, dental frequency, and dental floss. In the final model, the factors associated with tooth loss are older age (OR = 1,12; 95%CI: 1,07–1,17), a lower education (OR = 3,43; 95%CI: 1,17–10,10), irregular use of dental floss (OR = 4,58; 95%CI: 1.75 in–7,31), irregular use of dental services (n = 2,60; 95% 1,32–5,12), periodontal pocket (&gt; 4 mm) (n = 0,31; 95%CI: 0,01–0,08), having visible dental biofilm (OR = 7,23; 95%CI: 3,19–16,41) and a higher level of blood sugar (glucose) (n = 1,98; 95%CI: 1.00–3,92). CONCLUSIONS tooth loss was associated with HL when adjusted by health behaviors; when sociodemographic variables and clinical conditions were included, it was less significant. In the final model, behaviors, determinants in health and clinical conditions were risk indicators of tooth loss, showing the multifactorial nature of this phenomenon.OBJETIVO O objetivo foi analisar o papel da Literacia em Saúde (LS) como fator associado às perdas dentárias entre usuários do Sistema Único de Saúde com doenças crônicas não transmissíveis. MÉTODOS O estudo transversal e analítico foi conduzido com usuários adultos e idosos selecionados em dez Unidades de Saúde da Família sorteadas, em Piracicaba – SP, Brasil. Foi aplicado um questionário com dados sociodemográficos (sexo, idade, cor da pele e escolaridade), comportamentais (escovação e uso de fio dental), determinantes em saúde (tipo e frequência de uso de serviço de saúde médico e odontológico) e clínica (dor). As condições bucais foram coletadas por exame intrabucal do biofilme dental visível e Índice Pediodontal Comunitário. As condições clínicas sistêmicas (glicemia, hemoglobina glicada e pressóricas) foram extraídas dos prontuários. A variável explanatória foi a LS (baixa, média e alta), medida pelo Health Literacy Scale (HLS-14). RESULTADOS O desfecho foi à perda dentária medida pelo Índice de dentes permanentes cariados, perdidos e obturados. Foi realizada regressão logística com uso de um modelo conceitual para a LS (p &lt; 0,05). Para os 238 indivíduos, a média de idade foi 62,7 anos (± 10,55). A perda dentária esteve associada à LS nos modelos de regressão ajustados por tipo de serviço odontológico, frequência odontológica e uso de fio dental. No modelo final, a perda dentária teve como fatores associados a maior idade (OR = 1,12; IC95% 1,07–1,17), menor escolaridade (OR = 3,43; IC95% 1,17–10,10), ao uso irregular de fio dental (OR = 4,58; IC95% 1,75–7,31), uso irregular do serviço odontológico (OR = 2,60; IC95% 1,32–5,12), bolsa periodontal (&gt; 4mm) (OR = 0,31; IC95% 0,01–0,08), ter biofilme dental visível (OR = 7,23; IC95% 3,19–16,41) e maior índice de glicemia (OR = 1,98; IC95% 1,00–3,92). CONCLUSÕES A perda dentária esteve associada à LS quando ajustada por comportamentos em saúde, a partir da inclusão das variáveis sociodemográficas e condições clínicas ela perdeu a significância. No modelo final, comportamentos, determinantes em saúde e condições clínicas foram indicadores de risco da perda dentária, demonstrando a multifatorialidade envolvida neste fenômeno

Dental caries trends among preschool children in Indaiatuba, SP, Brazil

AIM:To evaluate caries experience and associated factors in 5-year-old preschool children in the city of Indaiatuba, SP, Brazil.METHODS:This was a cross-sectional, representative study, conducted from an epidemiological oral health survey (2010) with 303 children. The sample was established by the systematic probabilistic method, in public and private schools, in accordance with WHO criteria. The sample was checked for caries experience (dmft) by four trained and calibrated dentists, reaching acceptable levels of agreement for data collection. Parents or guardians answered questions related to their education and monthly income, and the children answered questions related to dental care and pain. Descriptive and bivariate analyses of independent variables were performed. Variables with p&lt;0.20 were included in the model (Poisson regression analysis).RESULTS:The sample consisted of 151 boys and 152 girls, with a mean dmft of 1.46. The reasons for visiting a dentist due to pain or need for treatment were associated with dmft &gt; 0 (PR=3.76, 95%CI=2.06-6.84) after adjustment of the regression model.CONCLUSIONS:Among the preschool children of this study, pain or need for treatment due to caries disease in the primary dentition and the reason to visit the dentist due pain emphasizing the importance of the professional not only in curative actions, but as a health promoter at the first contact with the child.1

Efetividade de um programa educativo-preventivo de saúde bucal em condições bucais entre escolares

Objective: The study aimed to evaluate the effectiveness of an educational-preventive program for the improvement of oral conditions among students from two public schools in Piracicaba / SP. Methods: This is a controlled intervention study. The sample consisted of 213 children, distributed between the school of the test group (n = 109) and the control group (n = 104). The program lasted 18 months (2013 to 2015). Educational activities and clinical examinations were performed before and after the intervention. At baseline, questionnaires were applied. Results: The test group initially presented a biofilm index of 23.5 and at the end an average of 18.7, in the control group the initial average went from 23.93 to 22.01 at the end of the program. There was reduction of surfaces with white spots in the test group (p &lt;0.01), but not for the control group (p = 0.110). For the gingival condition, the test group also improved, with a reduction in prevalence (p &lt;0.05). Conclusion: The strategies of the program were effective and can be reproduced in other groups of students.Objetivo: O estudo buscou avaliar a efetividade de um programa educativo-preventivo para a melhoria das condições bucais entre escolares, de duas escolas públicas de Piracicaba/SP. Métodos: Trata-se de um estudo de intervenção, controlado. A amostra foi constituída por 213 crianças, distribuída entre uma escola do grupo teste (n=109) e do grupo controle (n=104). O programa teve duração de 18 meses (2013 a 2015). Foram realizadas atividades educativas e exames clínicos antes e após a intervenção. No baseline, houve a aplicação de questionários. Resultado: O grupo teste apresentou inicialmente índice de biofilme de 23,5 e ao final uma média de 18,7, no grupo controle a média inicial foi de 23,93 para 22,01 ao final do programa. Houve redução de superfícies com manchas brancas no grupo teste (p&lt;0,01), mas não para o grupo controle (p=0,110). Para a condição gengival o grupo teste também apresentou melhora, com redução da prevalência (p&lt;0,05). Conclusão: As estratégias do programa foram efetivas, podendo ser reproduzidas em outros grupos de escolares

ANÁLISE ESPACIAL DA INCIDÊNCIA DA DENGUE EM UM MUNICÍPIO DE MÉDIO PORTE DO ESTADO DE SÃO PAULO DE 2008 A 2015

Objetivo: Avaliar a incidência e distribuição espacial da dengue em um município do Estado de São Paulo. Metodologia: Estudo ecológico cujas unidades de análise foram os bairros em Piracicaba-SP, com uso de dados notificados da dengue à Vigilância Epidemiológica do município, no período de 2008 a 2015. Foram analisados coeficientes de incidências anuais. Para avaliar a condição socioeconômica dos bairros foi utilizado o índice de exclusão social (IEX). Análise espacial, testes de dependência espacial global e local foram realizados no Terraview (p&lt;0,05). Resultados: Notificaram-se 11.397 casos no período, sendo que o maior coeficiente de incidência foi em 2015. Em 2008, a incidência de dengue foi 14,77/100 mil habitantes indo para 949,80/100 mil habitantes em 2015. No período de 2011 a 2013, os Índices Globais de Morran foram 0,28, 0,40 e 0,14 respectivamente (p&lt;0,05). Não houve associação com o IEX. Conclusão: Houve um aumento expressivo da doença dengue nas regiões analisadas, se espalhando no município como um todo. Estratégias para o controle da doença devem ser populacionais

[family Cohesion Associated With Oral Health, Socioeconomic Factors And Health Behavior].

Overall health surveys have related family cohesion to socio-economic status and behavioral factors. The scope of this study was to investigate the association between family cohesion and socio-economic, behavioral and oral health factors. This was a, cross-sectional study with two-stage cluster sampling. The random sample consisted of 524 adolescents attending public schools in the city of Piracicaba-SP. Variables were evaluated by self-applied questionnaires and caries and periodontal disease were assessed by DMF-T and CPI indices. The adolescent's perception of family cohesion was assessed using the family adaptability and cohesion scale. Univariate and multinomial logistic regression shows that adolescents with low family cohesion were more likely than those with medium family cohesion to have low income (OR 2,28 95% CI 1,14- 4,55), presence of caries (OR 2,23 95% CI 1,21-4,09), less than two daily brushings (OR 1,91 95% CI 1,03-3,54). Adolescents with high family cohesion were more likely than those with medium family cohesion to have high income and protective behavior against the habit of smoking. Thus, the data shows that adolescent perception of family cohesion was associated with behavioral, socio-economic and oral health variables, indicating the importance of an integral approach to patient health.182461-7