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 Dentin Hypersensitivity and Health/Oral Health-related Quality of Life: A Systematic Review and Meta-Analysis

Objective: To investigate the association between DH and Health (HRQoL) or Oral Health-Related Quality of Life (OHRQoL). Material and Methods: PubMed, Web of Science, Scopus, EMBASE, Cochrane, Scielo, LILACS/BBO, Biblioteca Digital de Teses e Dissertações (BDTD), Open Grey, and Google Scholar databases were screened in September 2019 (updated in October 2022). Observational studies were selected to compare HRQoL/OHRQoL(outcome) according to DH(exposure) or evaluate the association among these variables. Standardized Joanna Briggs Institute critical appraisal tool for analytical cross-sectional studies was used to analyze the risk of bias. A random-effects meta-analysis was conducted to synthesize evidence for the association between DH and OHRQoL. Results: 10 papers met inclusion criteria and were evaluated. In most studies, presenting or having a greater intensity of DH was associated with a negative impact on one\u27s quality of life. However, most of these studies showed a moderate to high risk of methodological bias. The consistent finding from studies with a low risk of bias suggests a significant association between DH and OHRQoL. Meta-analysis was feasible for three studies with substantial heterogeneity. The pooled Odds Ratio was 2.14 (95%CI 1.15-3.99; I2=57,44%).Conclusion: Many studies presented a high risk of bias; therefore, the actual effect of DH on one\u27s quality of life remains uncertain

Associação entre determinantes sociais da saúde e dentição funcional em adultos de 35 a 44 anos

Exportado OPUSMade available in DSpace on 2019-08-12T07:43:58Z (GMT). No. of bitstreams: 1 disserta__o_mestrado_loliza_chalub_luiz_figueiredo_houri.pdf: 2054543 bytes, checksum: a72c2f7b6c2f10354206b22ecc059cdc (MD5) Previous issue date: 29Este estudo visa identificar os determinantes sociais da saúde associados à dentição funcional em adultos de 35 a 44 anos residentes de municípios metropolitanos. Trata-se de um estudo do tipo transversal analítico cuja amostragem por conglomerados obteve uma amostra de 831 adultos residentes em municípios metropolitanos de Minas Gerais. O sorteio de cinco entre 33 municípios foi realizado, seguido do sorteio dos setores censitários e das quadras. Todos os domicílios foram visitados e os adultos, que consentiram em participar da pesquisa, foram examinados por cinco pesquisadores previamente calibrados (kappainter=0,88; kappaintra=0,85), entre maio e dezembro de 2010. O índice CPO-D foi utilizado para os exames dos dentes e em seguida realizadas entrevistas. A contagem dos dentes Perdidos por cada participante gerou o desfecho dentição funcional (presença de 20 ou mais dentes na boca). As associações entre esta condição e os determinantes sociais da saúde proximais (estilo de vida, características demográficas); intermediários (escolaridade, renda, condição de habitação, acesso a serviços); e distais (fatores contextuais característicos dos municípios taxa de analfabetismo, renda média, taxa de exodontia, nº de dentistas/1000 hab, anos de fluoretação das águas, índice FIRJAN de desenvolvimento municipal) foram testadas através de regressão logística e análise multinível no STATA®11.0. A idade média dos participantes foi de 39,4 ±3,2 anos e a renda familiar per capita média, R$419,50. Mulheres, pardos e casados, compuseram a maioria da amostra (67,75$440,00, com no mínimo curso superior, que utilizam fio dental, que preferem alimentos salgados e cujo motivo da consulta odontológica não foi exodontia ou prótese, tiveram maior chance de ter dentição funcional. Os resultados indicam que a dentição funcional está associada a condições sociodemográficas, ao estilo de vida dos adultos e o uso dos serviços.This study aimed to identify the social determinants of health, composed by individual and contextual factors, associated with functional dentition in adults aged 35 to 44 years old, residing in metropolitan areas of Minas Gerais. . This cross-sectional study sampled 831 adults obtained by cluster sampling design. From among 33 cities, eightwere randomly selected, and this was followed by equally random selection of the census sectors and city blocks. All of the selected households were visited, and the adults who agreed to participate in the study were examined by five previously calibrated researchers (kappainter=0.88; kappaintra=0.85) between May and September 2010. Dental crown condition of all teeth was registered according adapted OMS criteria; excepting for third molars. Interviews were based on aquestionnaire addressing individual factors related to health; DMFT were calculated for each tooth. Participants with incomplete clinical exams and full edentulous were excluded from analysis. Sample size comprised adults that resided in 5 of 8 drawn municipalities. The counting of missing teeth per participant resulted in an outcome of functional dentition (presence of 20 or more teeth in the mouth). The association ofthis condition with the fixed factors (demographic characteristics); proximal (lifestyle and behaviors); intermediate (schooling, income, housing conditions, access to services) and distal (contextual factors characteristic of cities illiteracy rate, average income, rate of extraction, number of dentists / 1,000 inhabitants, time in years of water fluoridation, FIRJAN index of municipal development) social determinants of health, based on Dahlgren and Whiteheads model; were tested using logisticregression and multilevel analysis using STATA®11.0. The average age of participants was 39.4 ±3.2 years old, and the average household income per capita was US$188.1±8.3. Female, brown-skinned, and married individuals prevailed in the sample (67.7$147.00, with higher education, who used dental floss, preferred salty foods, and did not visit the dentist due to extraction or prosthesis exhibited higher odds of having functional dentition. The results show that functional dentition is associated with sociodemographic conditions, lifestyle of adults, and the reasons to look for health services

Dentição funcional em adultos brasileiros: avaliação da funcionalidade e associação com determinantes sociais da saúde e qualidade de vida

Exportado OPUSMade available in DSpace on 2019-08-11T02:50:50Z (GMT). No. of bitstreams: 1 tese_loliza_final.pdf: 28305117 bytes, checksum: 5ee2d144b9194da0d890970922cb2085 (MD5) Previous issue date: 3Objetivos: Avaliar dentição funcional (DF) em adultos brasileiros e associação com determinantes sociais da saúde (DSS) e qualidade de vida (QV). Métodos: Estudo transversal com 9.564 adultos (35-44 anos). Utilizou-se o índice de dentes cariados, perdidos e obturados, o Índice Periodontal Comunitário (IPC) e a Perda de Inserção Periodontal (PIP). Número de dentes presentes, Pares de Oclusão Posterior (POP) e máximo código IPC e PIP dos sextantes foram contabilizados. Um sistema funcional de classificação das dentições foi aplicado nas configurações dentárias, com os níveis: I- um dente cada arco; II- 10 dentes cada arco; III- 12 dentes anteriores; IV- três POP pré-molares; V- um POP molar bilateralmente; VI- todos sextantes com IPC3 e/ou PIP1. Definições de DF foram avaliadas e comparadas: Dentes bemdistribuídos (WDT= 10 dentes cada arco); DF da Organização Mundial de Saúde (FDWHO= 20 dentes); DF classificada por estética e oclusão (FDClass5= nível V) e DF classificada por estética, oclusão e saúde periodontal (FDClass6= nível VI). DSS abrangeram fatores contextuais e individuais. QV foi mensurada pelas variáveis dependentes satisfação com a saúde bucal e o índice de Impactos Odontológicos no Desempenho Diário (IODD). Razões de Prevalência (RP) dos modelos de regressão multinível (indivíduo e município) foram estimadas. Calculou-se as porcentagens de indivíduos satisfeitos com a saúde bucal, sem impacto global (IODD=0) e nos desempenhos diários, na presença ou ausência do critério de cada nível do sistema, considerando-se o caráter sequencial dos mesmos. Utilizou-se modelos múltiplos para cada variável dependente, com as definições de dentição funcional como variáveis independentes. Resultados: As prevalências de WDT, FDWHO, FDClass5 e FDClass6 foram 72,9, 77,9, 42,6 e 40,3%, respectivamente. Adultos com maior escolaridade e renda familiar, respectivamente, apresentaram maiores prevalências de FDWHO (RP: 1,42 e 1,15), WDT (RP: 1,58 e 1,20) e FDClass5 (RP: 2,16 e 1,59). Índice de Desenvolvimento Humano Municipal muito alto e presença de fluoretação das águas estiveram associados a maiores prevalências dos três desfechos. A porcentagem de indivíduos satisfeitos com a saúde bucal, com IODD=0, sem impacto para comer e para sorrir/falar, foi maior entre os adultos com 10 dentes cada arco (44, 48, 70 e 77%, respectivamente), do que entre aqueles sem o critério (30, 34, 57 e 56%, respectivamente). Porcentagem de adultos satisfeitos com a saúde bucal e sem vergonha para sorrir/falar foi maior entre aqueles com todos níveis do sistema presentes (53 e 85%, respectivamente), em comparação àqueles sem o nível VI (28 e 59%, respectivamente). Satisfação com a saúde bucal apresentou associação positiva com FDClass5 (RP=1,21) e FDClass6 (RP=1,24). O mesmo foi observado para ausência de impacto global, em relação à WDT (RP=1,14) e FDClass6 (RP=1,21) e para o desempenho sorrir/falar, em relação a todas as definições de DF. Conclusão: Diferentes definições de DF influenciaram a estimativa da prevalência entre adultos brasileiros. DSS e QV demonstraram associação com a dentição funcional.Aim: Evaluate functional dentition (FD) in Brazilian adults and associations with social determinants of health (SDH) and quality of life (QoL). Methods: A cross-sectional study was conducted with 9564 individuals (35-44 yr). Oral health was evaluated using the decayed, missing and filled teeth index, community periodontal index (CPI) and clinical attachment loss (CAL). Number of teeth, posterior occluding pairs (POPs) and maximum CPI and CAL of the sextants were counted. Dentitions were classified using the following levels: I- one tooth each arch; II- 10 teeth each arch; III- 12 anterior teeth; IV- three premolar POPs; V- one molar POP bilaterallly; VI- all sextants with CPI3 and/or CAL1. FD definitions were compared: well-distributed teeth (WDT= 10 teeth each arch); World Health Organization definition of FD (FDWHO= 20 teeth); FD classified by esthetics and occlusion (FDClass5= level V) and FD classified by esthetics, occlusion and periodontal status (FDClass6= level VI). The SDH evaluated were contextual and individual. QoL was evaluated based on self-perceptions and the Oral Impacts on Daily Performance (OIDP) index. Prevalence ratios (PR) of the multi-level (individual and municipal) regression models were estimated. Percentages of individuals satisfied with oral health, with no overall impact (OIPD=0) and with no impacts on daily performance were determined, for the presence/absence of the criterion of each level of the classification system, considering their sequential character. Multiple models were created for each dependent variable regarding QoL, with dental conditions as independent variables. Results: The prevalence rates of WDT, FDWHO, FDClass5 and FDClass6 were 72.9, 77.9, 42.6 and 40.3%, respectively. Adults with higher levels of schooling and income respectively had higher prevalence rates of FDWHO (PR: 1.42 and 1.15), WDT (PR: 1.58 and 1.20) and FDClass5 (PR: 2.16 and 1.59). A very high municipal human development index and fluoridated water were associated with higher prevalence rates of the three outcomes. Percentages of individuals satisfied with oral health, with OIPD=0 and with no impacts on eating or smiling/speaking were higher among individuals with 10 teeth each arch (44, 48, 70 and 77%, respectively) than those without this criterion (30, 34, 57 and 56%, respectively). Percentages of adults satisfied with oral health and unashamed to smile/speak were higher among those with all levels of the system (53 and 85%, respectively) compared to those without level VI (28 and 59%, respectively). Satisfaction with oral health showed a positive association with FDClass5 (PR = 1.21) and FDClass6 (PR = 1.24). The same was observed for overall impact related to WDT (OR = 1.14) and FDClass6 (OR = 1.21) and for impact on smiling/speaking in relation to all definitions of DF. Conclusion: Different definitions of FD exerted an influence on prevalence estimates among Brazilian adults. SDH and QoL were associated with functional dentition

Influence of functional dentition on satisfaction with oral health and impacts on daily performance among Brazilian adults: a population-based cross-sectional study

Abstract Background Dental esthetics, chewing and speech should be preserved in a dentition denominated functional and are closely related to satisfaction with oral health (SOH), impacts caused by oral problems and have a possible association with Oral Health-Related Quality of Life. Thus, the purpose of the present study was to investigate the influence of different concepts of functional dentition (FD) on both SOH and impacts on daily performance (IDP) among Brazilian adults. Methods A cross-sectional study was conducted with 9564 adults (35–44 years). SOH and IDP were evaluated using the Oral Impacts on Daily Performance (OIDP) questionnaire. FD was considered based on four different definitions: I-classification of the World Health Organization (FDWHO = ≥20 teeth); II-well-distributed teeth (WDT = ≥10 teeth in each arch); III-classified by esthetics and occlusion (FDClass5 = sequential presence of one tooth in each arch, ≥10 teeth in each arch, 12 anterior teeth, ≥three posterior occluding pairs [POPs] of premolars and ≥one POP molar bilaterally); and IV-classified by esthetics, occlusion and periodontal status (FDClass6 = FDClass5 plus all sextants with CPI ≤ 3 and/or CAL ≤ 1). The proportion of adults satisfied with oral health and without overall impact (OIDP = 0) was calculated for each definition of FD. Multiple Poisson regression models were adjusted by demographic-socioeconomic characteristics, self-reported oral problems and the use of dental services for each dependent variable. Results When FDClass5 and FDClass6 were considered a greater proportion of adults reported being satisfied (52.1 and 53.1%, respectively) and have OIDP = 0 (52.4 and 53.3, respectively). In the multiple models, SOH was associated with FDClass5 (RP = 1.21) and FDClass6 (RP = 1.24) and OIDP = 0 was associated with WDT (RP = 1.14) and FDClass6 (RP = 1.21). Conclusions The greater influence of WDT, FDClass5 and FDClass6 on aspects related to quality of life in comparison to FDWHO demonstrates the need for the establishment of a broader definition of FD that encompasses subjective aspects

Beverage Consumption by 0-3 Year-Old Children and its Relation with Dental Fluorosis Severity

Objective: To evaluate the beverage ingested by children between 0 and 3 years old and their relation to the different degrees of dental fluorosis. Method: Four hundred and twenty nine children, between 6 and 12 years old, from Levindo Lopes Municipal School in Belo Horizonte-MG (0.74 ppm F) have been submited to clinical examination. One hundred and thirty four children were diagnosed as having dental fluorosis in grades varying from questionable to moderate. The parents of these children answered a questionnaire about milk, teas and juices ingestion by them when they were between 0 and 3 years old. For statistical analysis it was used the SPSS 9.0.0 program and Fisher's exact test (p≤0.05). Results: It was noted that the ingestion of maternal milk, bovine milk, juices and teas by children between 0 and 3 years old was common, although none of these factors has had significant association with the degrees of dental fluorosis. Conclusion: The highest frequency of juices ingestion was significantly associated with highest degrees of dental fluorosis (p=0.046). Parents should be informed about the role of industrialized beverages in the ingestion of fluorides

Functional Dentition in Brazilian Adults: An Investigation of Social Determinants of Health (SDH) Using a Multilevel Approach.

OBJECTIVES:Estimate the prevalence of functional dentition among Brazilian adults using four different definitions and identify associated factors. METHODS:A cross-sectional study was conducted involving 9564 Brazilian adults aged 35-44 years who participated in the 2010 National Oral Health Survey. Data collection involved oral examinations and the administration of questionnaires. The following definitions were used: 1-WHO Functional Dentition (FDWHO: ≥ 20 teeth present); 2-well-distributed teeth (WDT: ≥ 10 teeth in each arch); 3 -Functional dentition classified by esthetics and occlusion (FDClass5: dentitions that sequentially exhibit at least one tooth in each arch, at least 10 teeth in each arch, all maxillary and mandibular anterior teeth, three or four premolar posterior occluding pairs [POPs], and at least one molar POP bilaterally); 4-Functional dentition classified by esthetics, occlusion and periodontal status (FDClass6: corresponds to FDClass5 with the addition of periodontal status of all sextants in the oral cavity with, at most, shallow pockets and/or clinical attachment level of 5 mm (CPI ≤ 3 and/or CAL ≤ 1). The independent variables were individual factors (gender, self-declared skin color, schooling, monthly household income, age group, self-rated treatment need, dental pain, dental appointment in the previous 12 months and dental services) and contextual factors (Municipal Human Development Index [MHDI]), Gini coefficient, fluoridated water supply and oral health coverage). Multilevel mixed-effect Poisson regression analyses were performed. RESULTS:The prevalence of functional dentition based on the FDWHO, WDT, FDClass5 and FDClass6 definitions was 77.9%, 72.9%, 42.6% and 40.3%, respectively. Adults with ≥12 years of schooling and monthly household income from US$ 853 to 2557 had higher prevalence rates of FDWHO (PR: 1.41 and 1.10, respectively), WDT (PR: 1.58 and 1.14, respectively), FDClass5 (PR: 2.03 and 1.27, respectively) and FDClass6 (PR: 2.15 and 1.35, respectively). These values in the final models were adjusted for gender, self-declared skin color (FDClass5), age group, self-rated treatment need (FDWHO, FDClass5 and FDClass6), dental appointment in the previous 12 months (FDWHO and WDT), dental services (FDWHO and WDT) and contextual factors. A very high MHDI and presence of fluoridated water supply were associated with higher prevalence rates of the four outcomes. CONCLUSIONS:The incorporation of the criteria of new definitions of functional dentition led to a lower prevalence rate among Brazilian adults. Striking individual and contextual inequalities were identified with regard to the four definitions analyzed, which need to be addressed through inter-sector efforts

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