Avaliação do impacto na qualidade de vida causado por problemas bucais na população adulta e idosa em município da Região Sudeste Evaluation of the impact on quality of life caused by oral health problems in adults and the elderly in a southeastern Brazilian cityResumo Objetivo: Avaliar a prevalência de impactos dos problemas bucais na qualidade de vida e associação com variáveis sociodemográficas, clí-nicas e utilização de serviços por adultos e idosos de Marechal Floriano, ES. Métodos: Este estudo transversal utilizou uma amostra aleatória de 237 indivíduos. Foram utilizados roteiros para a coleta de dados incluindo o perfil do impacto de saúde bucal . Os testes qui-quadrado e exato de Fischer (p<0,05) verificaram associações entre cada variável independente e as dimensões do OHIP. Para avaliar a força da associação entre evento e exposição foi calculado o Odds-radio. A análise de regressão logística foi realizada para valores significantes até 10%. O pacote estatístico utilizado foi SPSS versão 15. Resultados: A maior percepção de impacto foi encontrada em indivíduos com mais de 40 anos (OR= 2,37), com necessidade declarada de prótese parcial removível (OR= 2,771), e de prótese total removível (OR= 2,292). Conclusão: A prevalência de impacto observada foi de 35% e associada à faixa etária e à necessidade declarada de prótese. Indicadores subjetivos devem ser utilizados de forma complementar aos indicadores objetivos para determinar a necessidade de tratamento, melhorando a saúde bucal e a qualidade de vida das pessoas. Palavras-chave Saúde bucal, Qualidade de vida, Impacto da doença na qualidade de vida Abstract The scope of this paper was to evaluate the prevalence of the impact of oral health problems on quality of life, and its association with socio-demographic and clinical variables and the use of dental services by adults and the elderly in Marechal Floriano. A cross-sectional study was conducted on a random sample of 237 participants. Data was collected by Municipal Community Health Agents using four questionnaires with items about the socio-demographic and oral health status of the participants, dental practice structure and oral health impact profile . The greatest impact perception related to oral health problems was found in individuals over 40 years of age (OR= 2.37 IC 95%=1.375;4.098), those with a perceived need for removable partial dentures (OR= 2.771 IC 95%=1.488;5.162), and full removable dentures (OR= 2.292 IC 95%=1.305;4.026). The impact prevalence was of 35% and revealed an association with age and the perceived need for partial and full dentures. Subjective indicators must be used in conjunction with objective indicators to determine the population's treatment needs, thereby improving oral health and quality of life of the population.
BackgroundOral complications may be observed during chemotherapy and are important side effects that may directly affect the anticancer treatment, even causing septicaemia in some cases. This research was done in order to evaluate changes in oral lesions during follow-up of children and adolescents in chemotherapy at Hospital Estadual Infantil Nossa Senhora da Glória (HEINSG).MethodsThe study design was longitudinal, 45 patients were evaluated and monitored for 1 month after the initiation of chemotherapy. Twenty-eight patients were male and 17 female, ranging from 3 months to 18 years old.ResultsThe results show an increase in the number of mucositis cases and a decrease in xerostomia cases after the initiation of treatment, and other oral lesions were also found in low numbers.ConclusionsIt is possible to avoid oral complications by maintaining a good oral health, and reducing infectious outbreaks. It is also feasible to obtain an early diagnosis of, and treat these oral complications, preventing them from following a more severe clinical course that may negatively affect the individual’s treatment. This outcome requires the presence of a dental surgeon on the multidisciplinary cancer treatment team.
BackgroundOral complications may be observed during chemotherapy and are important side effects that may directly affect the anticancer treatment, even causing septicaemia in some cases. This research was done in order to evaluate changes in oral lesions during follow-up of children and adolescents in chemotherapy at Hospital Estadual Infantil Nossa Senhora da Glória (HEINSG).MethodsThe study design was longitudinal, 45 patients were evaluated and monitored for 1 month after the initiation of chemotherapy. Twenty-eight patients were male and 17 female, ranging from 3 months to 18 years old.ResultsThe results show an increase in the number of mucositis cases and a decrease in xerostomia cases after the initiation of treatment, and other oral lesions were also found in low numbers.ConclusionsIt is possible to avoid oral complications by maintaining a good oral health, and reducing infectious outbreaks. It is also feasible to obtain an early diagnosis of, and treat these oral complications, preventing them from following a more severe clinical course that may negatively affect the individual’s treatment. This outcome requires the presence of a dental surgeon on the multidisciplinary cancer treatment team.
Objective: To evaluate the impact on quality of life caused by oral health problems among administrative sector employees of a mixed-economy company, residents in Vitória, Brazil. Material and Methods: This cross-sectional study used a random sample of 167 individuals. Quality of life measured by the subjective indicator OHIP-14, was the outcome considered; independent variables were sociodemographic, oral health dental services use and perceived prosthesis need. OHIP evaluates impairments in the three dimensions of social, psychological and physical functional conditions. To evaluate differences between groups, Chi-Square and Fisher's Exact Tests were used (p<0.05). To assess the strength of association, Odds-Ratio was calculated. Results: The health professional most sought by individuals in the last 12 months was the dentist (88.5%), agreed by the company (62.6%) due to prevention reasons (62.6%). The prevalence of impact caused by oral health problems was 7.8% and most recorded dimensions were physical pain (6%) and psychological discomfort (5.4%). Impact perception was greater among individuals who declared need for partial removable denture at functional limitation and psychological incapacity dimensions. Subjects that used urgency oral health services presented more impact at psychological discomfort dimension. Conclusion: The impact frequency was low. Objective and subjective measures can provide accurate analysis to support health policies directed to the real population needs.
This study aimed to identify the instruments used to measure the quality of life related to oral health (HRQoL) as well as the measures that were adapted for the Portuguese language of Brazil. This is an integrative review whose inclusion criteria were papers in Portuguese, English and Spanish, published and indexed in databases Medline (PubMed) and Virtual Health Library (BVS). One thousand two hundred and sixty papers submitted, fifty-five were considered eligible for review, from which the following information was extracted: instrument; composition; community; sample size; measured domains / dimensions; and author, year, country. Subsequently, the data related to the translation and cultural adaptation processes for the Portuguese language of Brazil were collected in order to evaluate the psychometric properties of each study. The studies of this review show that the HRQoL theme has remained in evidence since the creation of the first instruments and seems not to be close to being exhausted. Of the 36 instruments presented, only 17 articles were identified in the databases assessed for cross-cultural adaptation to Brazilian Portuguese and validation of psychometric properties. Thus, despite the enormous dissemination of instruments, the need for translation, adaptation in the language and analysis of psychometric properties was pointed out in this study.
Resumo Introdução A situação atual caracterizada por uma pandemia causada pela cepa de coronavírus 2019 (COVID-19) estabelece essa crise de saúde pública como uma calamidade de preocupação global, devido à alta virulência e ao elevado poder de disseminação desse novo vírus na população, fator este que está desencadeando grandes transtornos de ansiedade não só na população, mas também nos profissionais da área da saúde. Objetivo Analisar os níveis de ansiedade em professores do curso de Odontologia da Universidade Federal do Espírito Santo (UFES) durante a pandemia da COVID-19. Material e método Estudo transversal no qual foram avaliados os níveis de ansiedade de acordo com a presença de sintomas de ansiedade em 48 professores do curso de Odontologia da UFES que responderam a dois questionários autoaplicáveis: o questionário Beck Anxiety Inventory (BAI) e outro questionário que caracterizou o perfil sociodemográfico dos respondentes no período de 30 de agosto de 2020 a 30 de outubro de 2020. Foram utilizados estatística descritiva e os testes qui-quadrado e o exato de Fisher para analisar as associações entre as variáveis, e também o Odds Ration. Resultado Os resultados demonstraram que a maioria dos docentes – n=20, (41,7%) – apresentam pelo menos um nível de ansiedade e sintomatologias referentes a essa condição, porém, sem diferenças estatisticamente significativas. Conclusão Constata-se que, frente às demandas atuais, precisam estimular a construção crítica dos indivíduos para que aprendam a conviver na sociedade como sujeitos conscientes, reflexivos e participativos, mas para isso é fundamental que também estejam física e mentalmente saudáveis.
Objective To evaluate the association between sociodemographic variables and oral diseases in children and adolescents with cancer receiving treatment at the “Nossa Senhora da Glória” State Children Hospital (HEINSG) - Vitória - ES.Method This is a cross-sectional study, in which 51 subjects were evaluated before or three days after the start of chemotherapy from April 2013 to April 2014.Results When the study participants were examined the prevalence of dental caries was 25.4%, xerostomia presented with a frequency of 31%. Other diseases were also observed at lower frequency, such as mucositis, candidiasis and thrush. Caries was significantly associated with poor oral hygiene (OR: 0,114; p - 0.016) and low maternal schooling (OR: 0,188; p - 0.021).Conclusion Some subjects had oral disease before starting chemotherapy; therefore, they were more likely of developing oral manifestations during treatment. The participation of the dental surgeon in the multidisciplinary team of cancer treatment is important to evaluate the oral health status of individuals before and during treatment, thus developing an appropriate treatment plan to prevent or reduce the occurrence of oral manifestations during therapy.Clinical Relevance This study showed and reaffirmed the importance of an evaluation of the oral condition prior to chemotherapy treatment and also the need for a dental surgeon in the team of professionals who accompany cancer patients to treat caries lesions and remove foci of infection, preventing thus the appearance of oral manifestations that may delay chemotherapy, generating unnecessary suffering for these patients.
Desde a sua regulamentação profissional, a Odontologia passou por muitas mudanças até sua consolidação. O aumento indiscriminado e sem planejamento da oferta de cursos de Odontologia resultou em um crescimento exagerado do número de profissionais no mercado de trabalho, culminando no atual momento de saturação e de acelerada reorganização do curso. Tais mudanças não se limitaram ao desenvolvimento tecnológico e científico. Observou-se, também, alteração no perfil do estudante e do profissional de odontologia no decorrer deste percurso, portanto essa pesquisa tem o objetivo de conhecer o perfil da força de trabalho dos profissionais graduados e verificar a inserção regional do Curso de Odontologia da Universidade Federal do Espírito Santo (UFES). Este estudo quantitativo de natureza descritiva e exploratória analisou o perfil profissional e sociodemográfico de 533 egressos do Curso de Odontologia da UFES entre 2008 e 2018, a partir do banco de dados do Conselho Regional de Odontologia do Espírito Santo e do DATASUS. Como resultados observou-se uma maioria feminina (70%), com idade entre 25-40 anos, ativos na Odontologia (85,1%), atuando no estado no setor privado. A maioria é formada por clínicos gerais (65,2%), mas existe uma tendência à especialidade que, quando presente, concentra-se na Ortodontia, Endodontia, Prótese e Implantodontia. Os resultados confirmaram a importante inserção regional do Curso de Odontologia da UFES no desenvolvimento local. Entretanto, apesar das Diretrizes Curriculares Nacionais direcionarem para um perfil generalista, voltado para a coletividade, constata-se maior tendência ao mercado privado, possivelmente pelos honorários mais atrativos.
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