Brazilian Adults Believe that Complete Dentures would be the Solution to the Oral Impacts Caused by Reduced Dentition

Objective: To evaluate the direct and oral impact-mediated association between reduced dentitions and the self-perceived need for complete dentures (CD) in dentate adults. Material and Methods: Data from the Brazilian Oral Health Survey (2010) were analyzed. The outcome was self-perceived need for CD. Functional dentition (FDClassV) was defined by the presence of the following criteria: level I - ≥1 tooth in each arch, level II - 10 teeth in each arch, level III - 12 anterior teeth, level IV - ≥ 3 posterior occluding pairs (POPs) of premolars and level V - ≥1 bilateral POPs of molars. Oral impacts were assessed with Oral Impacts on Daily Performances scale. Results: FDClassV was associated with a less self-perceived need for CD both directly and mediated by oral impacts. Dentitions without level V were associated with the outcome mediated by oral impacts. Between individuals with 10 teeth in each arch, self-perceived need for CD was similar for those who had or not anterior teeth and POPs. Individuals with <10 teeth in each arch and level III did not have a higher frequency of self-perceived need for CD compared to those with level II. Conclusion: Oral impacts mediated the association between reduced dentitions and self-perceived need for CD. Individuals with tooth loss may report need for CD, even when they have dental configurations compatible with functionality

Is reduced dentition with and without dental prosthesis associated with oral health-related quality of life? a cross-sectional study

Oral health-related quality of life (OHRQoL) has important implications for the clinical practice of dentistry and dental research and should contribute to professional judgment about restorative treatments and prosthetic replacement in patients who had reduced dentitions. The aim was to compare the OHRQoL among adults (35–44 years) categorized according to different definitions of reduced dentition and considering the use (or non-use) of dental prosthesis. This study used data from a probabilistic sample of adults in Sao Paulo, Brazil, 2015. OHRQoL was based on none items of Oral Impacts on Daily Performance (OIDP) index, as prevalence (at least one impact) and extent (the number of items with non-zero score). We used different criteria to assess dentition status: (1) Shortened Dental Arch (SDA): having 3–5 natural occlusal units (OUs) in posterior teeth and intact anterior region; (2) hierarchical functional classification system: a five-level stepwise classification of dentition; and (3) presence of ≥21 teeth. The use or nonuse of dental prosthesis was recorded. Negative binomial regression models involved the adjustment for social determinants of health. Nearly half (53.1%) of the 5753 participating adults had at least one oral health issue impacting OHRQoL. OIDP prevalence in adults with SDA did not differ from those with more OUs (PR = 1.02; 95%CI 0.91–1.13). Individuals with non-functional dentition had worse OHRQoL regardless of their use of a dental prosthesis. Adults with fewer than 21 remaining teeth, ranked significantly higher in OIDP extent, regardless of dental prosthesis use (PR = 1.38; 95%CI 1.16–1.63 with prosthesis; PR = 1.62; 95%CI 1.19–2.20 without dental prosthesis). Individuals with more missing teeth reported worse OHRQoL regardless of using a dental prosthesis. Preserving a functional dentition, even with missing teeth, is compatible with OHRQoL171COORDENAÇÃO DE APERFEIÇOAMENTO DE PESSOAL DE NÍVEL SUPERIOR - CAPESFUNDAÇÃO DE AMPARO À PESQUISA DO ESTADO DE MINAS GERAIS - FAPEMIG88881.172365/2018–01PPM 00686–16Coordination of Improvement of Higher Education Personnel – CAPES, Brazil (Participation of Raquel Conceicao Ferreira at Visiting Abroad Program – PVEX 88881.172365/2018–01); Foundation for Research Support of the State of Minas Gerais – FAPEMIG, Brazil (Financial support received by Raquel Conceicao Ferreira in the Researcher Program, PPM 00686–16); National Council for Scientific and Technological Development, Brazil (Scholarship received by Fernanda Lamounier Campos) and Pró-reitoria de Pesquisa (Universidade Federal de Minas Gerais). These sponsors had no role in study design; collection, analysis, and interpretation of data; writing of the report; the decision to submit the article for publicatio

Association between self-management of the need for total prosthesis and dental configurations reduced between brazilian adults: a cross-sectional study

Submitted by Fernanda Campos ([email protected]) on 2019-10-15T20:39:11Z No. of bitstreams: 1 Dissertação_Final.pdf: 5501725 bytes, checksum: f2a192bc8c713f700657b214b6607c45 (MD5)Approved for entry into archive by Eliane Andrade ([email protected]) on 2019-10-25T14:46:57Z (GMT) No. of bitstreams: 1 Dissertação_Final.pdf: 5501725 bytes, checksum: f2a192bc8c713f700657b214b6607c45 (MD5)Made available in DSpace on 2019-11-27T17:28:28Z (GMT). No. of bitstreams: 1 Dissertação_Final.pdf: 5501725 bytes, checksum: f2a192bc8c713f700657b214b6607c45 (MD5) Previous issue date: 2019-07-23CNPq - Conselho Nacional de Desenvolvimento Científico e TecnológicoA condição que garante a realização de todas as funções bucais mesmo quando o arco dental não está completo é denominada Dentição Funcional (DF). Avaliou-se a associação direta, e mediada pela presença de impactos bucais, entre a autopercepção da necessidade de prótese total (PT) e configurações dentárias reduzidas, em adultos (35-44 anos) brasileiros dentados. Dados foram obtidos pela Pesquisa Nacional de Saúde Bucal (2010) por amostragem por conglomerado, em múltiplos estágios de sorteio, com probabilidade proporcional ao tamanho da população. A coleta de dados envolveu exames bucais e a aplicação de questionários sobre características demográficas, condições socioeconômicas e percepções sobre saúde bucal. Autopercepção da necessidade de prótese total foi medida pela pergunta: O sr(a) considera que necessita usar PT (dentadura) ou trocar a que está usando atualmente? As configurações dentárias reduzidas foram classificadas com base num sistema funcional de classificação das dentições hierarquizado, que considera sequencialmente a presença de: no mínimo um dente em cada arco, 10 dentes em cada arco, 12 dentes anteriores, pares de oclusão posteriores (POP) de pré-molares (≥3) e molares (≥1 bilateral). A configuração dentária que possui todos os critérios, dos cinco níveis, foi definida como uma dentição funcional (DFClassV). O Índice de Impactos Odontológicos no Desempenho Diário (IODD) avaliou a presença de impactos bucais. Associação entre o desfecho (autopercepção da necessidade de PT) e a variável independente principal (configurações dentárias reduzidas) foi investigada por modelo de regressão logística e análise de equações estruturais, incluindo as seguintes covariáveis: satisfação com a boca, impactos bucais (IODD), sangramento, cálculo, bolsa rasa, bolsa profunda, dor de dente, sexo, cor da pele, renda e escolaridade. A amostra total era de 9547 indivíduos sendo que 6.083 indivíduos foram incluídos nesse estudo. Adultos com DFclassV apresentaram uma chance 56% menor de autopercepção da necessidade de prótese total (OR=0,44; IC 95%: 0,28-0,70). De acordo com os resultados das análises de equações estruturais, DFclassV foi negativa e diretamente associada com o desfecho (Efeito total [CP]=-0,294; p<0,001). Configurações dentárias com perda de dentes anteriores e/ou POP foram associadas com maior autopercepção da necessidade de PT (efeito direto positivo). Configuração dentária sem POP de molares não apresentou efeito direto sobre o desfecho, mas um efeito indireto via IODD (p=0,002). Maior autopercepção da necessidade de prótese foi observada entre aqueles cujas configurações dentárias apresentavam menor número de critérios de funcionalidade, sejam eles, dentes bem-distribuídos, estética e/ou oclusão.The condition that ensures the performance of all oral functions even when the dental arch is not complete is called Functional Dentition (FD). It was evaluated the direct association and mediated by the presence of oral impacts between the self-perception of the need for complete dentures (CD) and dental configuration among Brazilian adults (35-44 years) with teeth. Data were obtained by the National Oral Health Survey (2010) by sampling by conglomerate in multiple stages random with probability proportional to the size of the population. Data collection involved oral exams and the application of questionnaires on demographic characteristics, socioeconomic conditions and perceptions about oral health. Self-perception of the need for a prosthesis was measured by the question: Do you consider that you need to use CD (complete denture) or change the one you are currently using? The reduced dental configurations were classified based on a hierarchical functional classification system of teeth, which sequentially considers the presence of: i) at least one tooth in each arch; ii) 10 teeth in each arch; iii) 12 anterior teeth; iv) three or four Posterior Occlusion Pairs (POP) of premolars; and v) at least one bilateral molar POP. The dental configuration that has all the criteria, of the five levels, was defined as a functional dentition (DFClassV). The Dental Impact on Daily Performance (OIDP) evaluated the presence of oral impacts. The association between the outcome (self-perception of CD need) and the main independent variable (reduced dental configurations) was investigated by logistic regression model and analysis of structural equations, including the following covariates: mouth satisfaction, oral impacts (IODD), bleeding, calculus, shallow and deep periodontal pockets, dental pain, sex, skin color, income and schooling. The total sample was 9547 individuals and 6,083 individuals were included in this study. Adults with DFclassV presented a 56% lower chance of self-perception of the prosthesis requirement (OR = 0.44, 95% CI: 0.28-0.70). According to the results of the analysis of structural equations, DFclassV was negative and directly associated with the outcome (Total effect [CP] = -0.294, p <0.001). Dental configurations with loss of anterior teeth and / or POP were associated with greater self-perception of the need for PT (positive direct effect). Dental configuration without POP of molars had no direct effect on the outcome, but an indirect effect via IODD (p = 0.002). Higher selfperception of the need for prostheses was observed among those whose dental configurations presented fewer functionality criteria, be it well-distributed teeth, aesthetics and / or occlusion

Validation of pairs of antagonist teeth for the evaluation of shortened dental arch in epidemiological studies

Abstract The aim of this study was to evaluate the accuracy of pairs of antagonist teeth (epidemiological criterion) for defining pairs of teeth in occlusal contact (clinical criterion) and to estimate the agreement between the prevalence of “shortened dental arch” (SDA) and “functional dentition” (FD) when occlusal units (OUs) or posterior occluding pairs (POPs) are defined by the epidemiological or clinical criterion. Data were collected in an epidemiological oral health survey conducted in a municipality in Minas Gerais, Brazil. OUs and POPs were defined by the epidemiological criterion (dental crown status) or clinical criterion “gold standard” (carbon paper record of occlusal contacts during habitual maximum intercuspation). SDA corresponded to the presence of an intact anterior region and three to five OUs. FD was based on the concomitant presence of ≥ 1 tooth in each arch, 10 teeth in each arch, 12 anterior teeth, ≥ 3 premolar POPs, and ≥ 1 molar POP bilaterally. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of the epidemiological criterion were calculated. The study included 197 adults. Sensitivity, specificity, PPV, and NPV were 88.5, 87.9, 92.5, and 81.9%, respectively, and accuracy was 88.3%. The epidemiological criterion proved to be valid and could be used in epidemiological studies to calculate the prevalence of reduced dental configurations that consider POPs. The assessment of oral functionality is an aspect that should be included in the diagnosis of the clinical condition of patients, contributing to a more effective individual and collective oral health care plan

Additional file 1 of Association between shortened dental configurations and health outcomes: a scoping review

Additional file 1. Definitions of shortened dental configurations evaluated by the review