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Relationship between Dental Caries, Edentulism and Self-Perception of Oral Health in Adolescents, Adults and Elderly of a Municipality in Northeastern Brazil
Arinilson Moreira Chaves Lima,Karla Giovana Bavaresco Ulinski,Regina Célia Poli-Frederico,Marina de Lourdes Calvo Fracasso
UNOPAR Científica : Ciências Biológicas e da Saúde , 2013,
Abstract: The diagnosis of conditions and self-perceived oral health status of individuals is fundamental in planning strategies and evaluation of health services. The aim of this study was to describe the prevalence of dental caries, edentulism and self-perception of oral health in adolescents, adults and elderly in a small city in northeastern Brazil. Additionally, we investigated the relationship between self-perception and the clinical variables studied. The study sample consisted of 139 subjects. In clinical examinations the DMFT index was used according to WHO criteria and information about self-perception was collected through interviews. The Chi-square, Mann Whitney and Fisher exact tests were used with 5% significance level . The DMFT index was 6.57 ± 4.17 for adolescents, 22.76 ± 7.63 for adults and 30.96 ± 2.82 for elderly. It was recorded predominance of negative self-perception of oral health among adults (58.6%) and positive self-perception among the elderly (57.7%). Negative self-perceptions of chewing (p <0.001) and speech (p = 0.001) were associated with increasing age. The DMFT index was higher among adolescents with a history of pain (p = 0.028). In adults, the negative self-perception of oral health (p = 0.007), appearance of teeth / gums (p = 0.003) and speech (p = 0.046) was associated with higher number of decayed teeth present. The discrepancy between positive self-perception of oral health and the presence of edentulism was highlighted. The results suggest the need to establish local policies for oral health aimed at promoting health and focused on preventing dental caries and edentulism
The influence of oral health conditions, socioeconomic status and home environment factors on schoolchildren's self-perception of quality of life
Janice S Paula, Isabel CG Leite, Anderso B Almeida, Glaucia MB Ambrosano, Ant?nio C Pereira, Fábio L Mialhe
Health and Quality of Life Outcomes , 2012, DOI: 10.1186/1477-7525-10-6
Abstract: A sample of 515 schoolchildren, aged 12 years was randomly selected by conglomerate analysis from public and private schools in the city of Juiz de Fora, Brazil. The schoolchildren were clinically examined for presence of caries lesions (DMFT and dmft index), dental trauma, enamel defects, periodontal status (presence/absence of bleeding), dental treatment and orthodontic treatment needs (DAI). The SiC index was calculated. The participants were asked to complete the Brazilian version of Child Perceptions Questionnaire (CPQ11-14) and a questionnaire about home environment. Questions were asked about the presence of general diseases and children's self-perception of their general and oral health status. In addition, a questionnaire was sent to their parents inquiring about their socioeconomic status (family income, parents' education level, home ownership) and perceptions about the general and oral health of their school-aged children. The chi-square test was used for comparisons between proportions. Poisson's regression was used for multivariate analysis with adjustment for variances.Univariate analysis revealed that school type, monthly family income, mother's education, family structure, number of siblings, use of cigarettes, alcohol and drugs in the family, parents' perception of oral health of schoolchildren, schoolchildren's self perception their general and oral health, orthodontic treatment needs were significantly associated with poor OHRQoL (p < 0.001). After adjusting for potential confounders, variables were included in a Multivariate Poisson regression. It was found that the variables children's self perception of their oral health status, monthly family income, gender, orthodontic treatment need, mother's education, number of siblings, and household overcrowding showed a strong negative effect on oral health-related quality of life.It was concluded that the clinical, socioeconomic and home environment factors evaluated exerted a negative impact on the o
A cross-sectional study of oral health-related quality of life of Piracicaba's elderly population
Alcarde, Anabel Cristina Bortoletto;Bittar, Telmo Oliveira;Fornazari, Denise Helena;Meneghim, Marcelo Castro;Ambrosano, Gláucia Maria Bovi;Pereira, Antonio Carlos;
Revista Odonto Ciência , 2010, DOI: 10.1590/S1980-65232010000200004
Abstract: purpose: this paper aimed to assess the self-perceived oral health status in 137 elderly from piracicaba city, s?o paulo state, brazil, and to investigate the influence of socio-demographic variables, institutionalization status and access to dental care services on the geriatric oral health assessment index (gohai) index final score. methods: the sample comprised institutionalized and non-institutionalized elderly, from 60 to 92 years old, socially independent or partially dependent, without significant cognitive alterations, with different educational and monthly income levels. an oral examination and two questionnaires were employed as instruments to gather subject characteristics. the first questionnaire included the 12 items of the gohai, and the second questionnaire gathered socio-demographic variables. the data were evaluated with a chi-square test and logistic regression, with p < 0.05 as the significance cut-off. results: the gohai final mean score of 27.49 indicated a low oral health self-perception, and the score was significantly associated with life style and institutionalization. the risk indicators for low oral health self-perception were the demand for urgent dental care and the self-perceived need for dental treatment. these indicators correlated with a lower gohai score, and the differences were statistically significant (p<0.0001), demonstrating that a low oral health self-perception is directly correlated with a worse oral health clinical status. this information can be useful for planning public health policies. conclusion: the gohai final score in this study was considered low. self-motivation and self-perception of the need for dental treatment were considered risk indicators for a low final gohai score.
Association between self-rated oral appearance and the need for dental prostheses among elderly Brazilians  [cached]
Emília Araújo Vilela,Andréa Maria Eleutério de Barros Lima Martins,Sandhi Maria Barreto,Andréa Maria Duarte Vargas
Brazilian Oral Research , 2013,
Abstract: We investigated the association between poor self-rated oral appearance and the need for dental prostheses among elderly Brazilians. National data from an epidemiological survey on oral health in Brazil conducted from 2002 to 2003 by the Ministry of Health (SB, Brazil) with a multistage random sample of 4,839 individuals aged 65–74 years in 250 towns were analyzed. The dependent variable was self-rated oral appearance, dichotomized into “poor” (poor∕very poor) and “good” (fair∕good∕very good). The main independent variable was the need for an upper or lower dental prosthesis. Other variables included sociodemographic characteristics, approach to dental care, oral health conditions, and self-reported oral disadvantage. Data were analyzed using the chi-square test and Poisson regression models at a 95% significance level. The prevalence of poor self-rated oral appearance was 20.6% and was higher in the elderly who needed a partial or complete upper or lower prosthesis, independent of other variables. This prevalence was associated with age, the use of dental services, access to information about oral disease prevention, number of decayed teeth, self-perception of the need for treatment, dental pain, chewing ability, and the perception that oral health affects relationships with other people. The elderly who needed dental prostheses had a higher prevalence of poor self-rated oral appearance than those who did not need any.
Factors Related to Oral Health-Related Quality of Life of Independent Brazilian Elderly  [PDF]
Karla Giovana Bavaresco Ulinski,Mariele Andrade do Nascimento,Arinilson Moreira Chaves Lima,Ana Raquel Benetti,Regina Célia Poli-Frederico,Karen Barros Parron Fernandes,Marina Lourdes Calvo Fracasso,Sandra Mara Maciel
International Journal of Dentistry , 2013, DOI: 10.1155/2013/705047
Abstract: The aim of this cross-sectional study was to assess the factors associated with the impact of oral health on the quality of life in a sample of 504 Brazilian independent elderly. Data collection included oral examinations and structured interviews. The simplified form of the Oral Health Impact Profile (OHIP-14) was used to measure OHRQoL. Information on sociodemographic characteristics, use of dental services, and subjective measures of health was collected. Poisson regression within a hierarchical model was used to data analyses. The following variables were associated with a negative impact on OHRQoL: female gender (PR?=?1.40; CI 95%: 1.11–1.77); lower class (PR?=?1.58; CI 95%: 1.13–2.20); up to 3 occluding pairs of posterior teeth (PR?=?1.88; CI 95%: 1.13–3.14); at least one untreated caries (PR?=?1.28; CI 95%: 1.06–1.54); curative reasons for the last dental appointment (PR?=?1.52; CI 95%: 1.15–2.00); poor self-perception of oral health (PR?=?2.49; CI 95%: 1.92–3.24); and poor perception of dental care provided (PR?=?1.34; CI 95%: 1.12–1.59). The younger elderly also noticed this negative impact. These findings showed that the clinical, sociodemographic, and subjective factors evaluated exerted a negative impact on OHRQoL in elderly people. Health authorities must address all these factors when planning interventions on oral health for this population. 1. Introduction The health of the elderly is increasingly awakening the interest of researchers, since aging of the population, once seen as a phenomenon, is now a reality both in developed and developing countries [1]. It is estimated that by 2040 the developing countries will have 1 billion people aged 60 or over [2]. Given the great velocity and extent of this growth, care with this specific group is essential, so they can age healthily and with quality of life [3]. Oral health is among the factors that can exert influence on the quality of life of the elderly, since poor oral health conditions result in difficulty in chewing, speaking, or even in the relationships with other people [4–6]. In recent years a significant increase can be observed in studies on oral health-related quality of life (OHRQoL) in the elderly. The impact of oral health on quality of life broadens the sources of information from epidemiological research beyond just clinical indicators [7, 8]. Therefore, various instruments have been developed, including the Oral Health Impact Profile (OHIP-49), in order to measure people’s perceptions of the social impact of oral disorders on their wellbeing. OHIP-49 was developed in
Oral hygiene practices, dental service use and oral health self-perception of schoolchildren from a rural zone in the Brazilian Northeast region
Menezes, Valdenice Aparecida de;Lorena, Rachel Pollyana Falc?o;Rocha, Liliane Cristina Barbosa;Leite, Angéllica Falc?o;Ferreira, Jainara Maria Soares;Granville-Garcia, Ana Flavia;
Revista Odonto Ciência , 2010, DOI: 10.1590/S1980-65232010000100006
Abstract: purpose: to evaluate the oral hygiene practices, use of dental services and self-perception of oral health of school children from the rural areas of the city of caruaru, pe, in the northeast region of brazil. methods: an exploratory cross-sectional study was carried out using interviews with structured questionnaires aimed at students aged between 6 and 12 years (n=150). demographic and socio-economic data on oral hygiene practices, the use of dental services and self-perception of oral health were collected and analyzed using descriptive and inferential statistics (chi-square and fisher's exact tests). results: most of the students cleaned their teeth (82.0%) with toothpaste (98.0%), a toothbrush available at the market (93.2%) and dental floss (26.4%). all students (150) had a toothbrush, the majority (86.7%) for individual use, and performed three or more daily brushings (56.4%). a significant portion had visited the dentist (72.7%) due to the need for treatment (57.8%) and toothache (33.0%). among those who had never been to the dentist, fear (36.6%) was the main reason. the majority (56.0%) considered their teeth to be in good condition. conclusion: despite the low socio-economic status of the evaluated population, changes in oral hygiene practices and the demand for dental care were observed.
Self-perception of side effects by adolescents in a chlorhexidine-fluoride-based preventive oral health program
Guimaraes, Ana Rita Duarte;Peres, Marco Aurélio;Vieira, Ricardo de Sousa;Ferreira, Rodrigo Melin;Ramos-Jorge, Maria Letícia;Apolinario, Sara;Debom, Anderson;
Journal of Applied Oral Science , 2006, DOI: 10.1590/S1678-77572006000400015
Abstract: objective: the objective of this study was to evaluate the incidence of adverse effects reported by adolescents following 14 days of use of a mouthrinse containing 0.05% naf+0.12% chlorhexidine. methods: this double-blind study was developed as part of a randomized clinical trial. the adolescents enrolled to the study were randomly divided into two groups to use either: 0.05% naf+0.12% chlorhexidine (g1, n=85) or 0.05% naf (g2, n=85). both groups used a 10ml solution of the mouthwash during 1 minute daily for 2 weeks under supervision. after that period, the subject's acceptance of taste was measured using a verbal descriptive scale (labeled magnitude scale - lms)11. participants were also interviewed regarding the occurrence of possible adverse effects during treatment (temporary palate disorders, tooth staining or unpleasant taste). the proportional differences between the groups were tested using the chi-square test. results: palate changes were reported by 26% of participants of each group; 17.7% of g1 and 32% of g2 reported an unpleasant taste (p = 0.062), while staining was reported by 55% of g1 and 68.9% of g2 (p = 0.117). absenteeism rates were similar in both groups (g1= 2.58 ± 2.69; g2=2.81 ± 2.39), p=0.362. conclusion: adherence was high in both groups and side effects reported by subjects were not perceived by them as being important. since subjects' acceptance and compliance is fundamental to the success of an oral health program, chlorhexidine-fluoride could be a useful resource in a program of plaque control.
Self evaluated oral status impact on quality of life  [PDF]
Fabiana Andrade Botelho Mesquira,S?nia Vieira
RGO : Revista Gaúcha de Odontologia , 2009,
Abstract: Objective: To associate people’s perception of the impact of oral health and disease status on the quality of life, with the following variables: Age bracket, socioeconomic conditions, educational level, dentition status, use of dental services, and oral hygiene habits.Methods: A subjective indicator (OHIP-14) was used to evaluate people’s perception of the impact of the self-evaluated oral health status on the quality of their own lives. A survey was made of demographic data, dentition status, use of dental services and oral hygiene habits. The sample was constituted by employees of state schools in the city of Montes Claros, Minas Gerais, Brazil. Statistical analysis was performed by parametric tests using the SPSS program. Results: The elderly perceived and recorded greater functional limitation and more pain than young persons. Edentulous perceived and recorded greater functional limitation and physical incapacity than dentate persons. Persons that required dental prostheses felt the impact of this situation on the quality of life. Better oral health is associated with better economic conditions, higher educational level, seeking paid dental services for prevention or routine care and regular use of dental hygiene instruments.Conclusion: The oral health and disease status perceived by people is associated with the researched variables. As people perceive the impact of oral health on the quality of life, more conditions to seek dental services for prevention or routine care and the regular use of dental hygiene instruments would improve the population’s oral health.
Gender difference in oral health perception and practices among Medical House Officers
Clement C. Azodo and Barnabas Unamatokpa
Russian Open Medical Journal , 2012,
Abstract: Background: Understanding the effect of gender on oral health would facilitate the development of successful attitude and behavior modification approach towards sustainable oral health. Aim: To assess the gender difference in the oral health perception and practices among medical house officers in Benin City, Nigeria. Materials and Methods: This questionnaire-based cross-sectional study was conducted among doctors undergoing 12-months mandatory housemanship in tertiary and secondary hospitals in Benin City, Nigeria. The questionnaire assessed information on demography, perceived oral health, oral self-care, dental visit and oral disease preventive knowledge. Results: Of the 105 questionnaires distributed, 97 questionnaires were filled and returned giving a response rate of 92.4%. Females in comparison to males significantly gave good attention to their oral health, use medium strength toothbrush, brushed teeth more than once-daily, visited dentist and chose toothpaste following dentist recommendations. There was no significant gender difference in self-reported dental problem, perceived oral health, preventive knowledge in relation to dental caries and gingival bleeding, the reasons for tooth brushing and renewal of toothbrush. Conclusion: Gender played a role in the perception of general health relative oral health, dental visit, daily tooth brushing frequency and choice of toothbrush and toothpaste for oral self-care. The development of oral health attitude and behavior modification approaches towards sustainable oral health among the studied group should reflect these differences.
Oral Health Promotion in Elderly Population
A Hajizamani,R Craven
Iranian Journal of Public Health , 2005,
Abstract: Objectives: The aims of the study were to assess current practice in oral health care among residential homes for the elderly in Manchester, Salford and Stockport and to evaluate the effectiveness of a programme to increase carers’ knowledge in key areas. Methods: The study was part of a randomised control trial, conducted in 56 residential homes, allocated randomly to test and control groups matched using the minimisation method. Managers of participating homes were interviewed to gather baseline data on the homes and oral care provided. A training session in oral health care for the elderly was provided for care staff in the homes. Carers` knowledge was assessed before and after the training session and their perceptions of the training were sought. Results: The survey of mangers revealed common inadequacies: the lack of any training for care staff in oral care; the lack of protocols for oral care (at 68% of homes); the lack of initial oral assessment. After the training session, the oral health knowledge of carers (467 carers) showed a significant improvement (McNemar Test, P< 0.005). Conclusion: Current practice in most homes is inadequate. The training sessions improved the carers’ knowledge in key areas but improvements in the organisation and delivery of care are clearly also required.
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