Fatores associados à autopercepção da necessidade de tratamento odontológico e de prótese em idosos brasileiros

Dalazen, Chaiane Emília; Bomfim, Rafael Aiello; De-Carli, Alessandro Diogo

doi:10.1590/1413-81232018233.09682016

Cited by 15 publications

(16 citation statements)

References 29 publications

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“…The items related to oral health deal with the individual’s self-perception, which is determined by a need perceived as a result of their health condition and previous knowledge of the disease [ 75 ]. It can be considered a subjective indicator of the oral health condition that is strongly associated with the pattern of demand for dental services and the definition of priorities for planning, aiming to reduce inequities [ 76 , 77 ]. When one observes the characteristics of participants of this study, the index that measures the prevalence of decays in adults and children (DMFT and DEFT, respectively) was at a mean of 11 for adults and 3.5 for children, which is considered very high.…”

Section: Discussionmentioning

confidence: 99%

“…Self-perception in oral health, validated as an instrument needed in treatment, is a negative self-evaluation predictor, and can also be related to a lower per capita family income and lower level of education [ 76 , 77 , 81 ]. Thus, self-perception can be used to identify individuals more or less vulnerable [ 77 , 81 ] and who need treatment, thus corroborating its use in items of the DVS (“Do you consider it important to take care of your mouth?”; “Do you believe that oral diseases can be avoided?”; “Do you consider yourself responsible for your oral health?”; and “Do you consider it important to have all the teeth in your mouth?”.…”

Section: Discussionmentioning

confidence: 99%

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Dental vulnerability scale in primary health care: evidence of content and structure internal validity

et al. 2021

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Background Access to oral health services remains a challenge in the Brazilian healthcare system, especially in the primary health care setting, where the use of a risk stratification tool that could identify individuals with higher dental vulnerability would be extremely valuable. However, there literature on this theme is scarce, and there is no validated instrument in Brazil that is capable of measuring dental vulnerability. Hence, this psychometric study aimed at the development and evaluation of content and internal structure validity of the Dental Vulnerability Scale for Primary Health Care (PHC). Methods The items were developed based on a qualitative exploratory analysis. A total of 172 items were prepared and submitted to a panel of specialists, with content validity analyzed with the Content Validity Ratio (CVR), resulting in an the initial version of the instrument composed by 41 items. Internal structure validity was analyzed by Exploratory Factor Analysis (EFA), Confirmatory Factor Analysis (CFA), and by applying 3 reliability indicators (Cronbach’s Alpha, McDonald's Omega and Greatest Lower Bound – GBL), with a sample of 1227 individuals. Results The final configuration indicated a scale of 15 items divided into 4 dimensions (overall health, oral health, infrastructure, and healthcare services) with explained variance of 72.11%. The factor loads varied from 0.37 to 0.96. The model adjustment indices were set at × 2/df(51) = 3.23, NNFI = 0.95, CFI = 0.98, GFI = 0.96, AGFI = 0.97, RMSEA = 0.04 and RMSR = 0.03. Conclusion DVS presented satisfactory evidence of validity, indicating its suitability to be used by healthcare professionals, students and managers to plan oral health actions and services at PHC.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Dental vulnerability scale in primary health care: evidence of content and structure internal validity

et al. 2021

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“…Likewise, there was a low perception of the need for a dental prosthesis or prosthesis replacement, with more edentulous individuals being more perceptive to this need than patients with residual teeth. Therefore, it is important to improve competency in assessing oral health among primary care physicians, since preventive care and health education are associated with both self-perception of the need for dental prostheses and self-perception of the need for dental treatment (Dalazen et al, 2018). The poor oral condition observed in the patients in this study also reflects the lack of general oral health care in this population.…”

Section: Discussionmentioning

confidence: 78%

Dental disorders and self-perception of oral health in patients with paracoccidioidomycosis

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et al. 2021

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Paracoccidioidomycosis, a systemic fungal disease, can lead to dental disorders. As studies on dental problems in patients with paracoccidioidomycosis are few, we evaluated dental disorders and self-perceived oral health in this population. The objective is to evaluate the oral condition of patients with paracoccidioidomycosis as well as their perception of the problem through a cross-sectional study of 52 adult patients with current or previous paracoccidioidomycosis in a reference hospital in Mato Grosso do Sul between December 2017 and July 2018. Demographic data, dental history, and self-perception of oral health were obtained from the National Oral Health Survey—SB Brazil 2010. The number of permanent decayed, missing, or filled teeth; presence and intensity of gingival bleeding; dental calculus; periodontal pockets; and periodontal attachment loss were recorded. Most patients had chronic paracoccidioidomycosis (n = 50; 96.2%), with involvement of the mouth in the active phase of the disease (n = 38; 73.1%). Participants had a high number of decayed, missing, or filled teeth (median: 30 teeth). The most compromised component was “missing” teeth (median of 21 teeth), and total edentulism was observed in 17 patients (32.7%). Periodontal disease was seen in 15 of 35 patients (43.3%) who had at least one tooth. Regarding satisfaction with their oral health, 27 patients (51.9%) reported being satisfied or very satisfied. There was no association between the degree of satisfaction with the other data. Tooth loss is the major dental problem in patients with paracoccidioidomycosis, and in patients with teeth, periodontal disease was highly prevalent. A general positive self-perception of oral health observed in these patients may reduce their willingness to seek dental treatment.

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“…O estudo da autopercepção como conceito tem recebido atenção crescente na área da saúde, sendo observado como útil para gestão/planejamentos dos serviços 7 . A autopercepção em saúde bucal, já validada, enquanto indicador de necessidade de tratamento odontológico em adultos, quando analisada com a necessidade normativa, permite sua utilização para fins de planejamento dos serviços de atenção à saúde bucal, em substituição e/ou complementação ao exame odontológico normativo 8,9 .…”

Section: Introductionunclassified

Autopercepção de saúde bucal como indicador de necessidade de tratamento odontológico no Estado de São Paulo, Brasil

et al. 2021

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Objetivo: Avaliar a validade e a utilidade da autopercepção em saúde bucal, como indicador de necessidade normativa em adultos e idosos do Estado de São Paulo/ SP, Brasil. Métodos: estudo transversal de base populacional, em que a autopercepção da necessidade de tratamento odontológico foi coletada por meio das seguintes perguntas: (1) “O(A) Sr.(a) necessita de tratamento dentário?”; (2) “O(A) Sr.(a) necessita ou precisa trocar a prótese total?”. A necessidade normativa de tratamento dentário foi representada pela presença de, pelo menos, uma das seguintes condições: cárie dentária de coroa, alteração periodontal (cálculo ou bolsa periodontal) e necessidade de prótese total. A validade das medidas de autopercepção foi determinada por meio da sensibilidade e especificidade, enquanto a utilidade foi avaliada por meio dos valores preditivos. As análises foram realizadas com o programa Python. Resultados: a amostra foi de 6051 adultos e 5951 idosos. A maioria dos participantes era do sexo feminino e branca. Entre os adultos, a maioria tinha 10-12 anos de estudo e, entre os idosos, a maioria tinha 0-5 anos de estudo. A sensibilidade para tratamento dentário em adultos foi de 85,9% com valor preditivo positivo de 81,95% e prevalência de 75,2%. Conclusão: a necessidade percebida de tratamento dentário em adultos é útil como indicador epidemiológico válido e útil para planejamento de ações em saúde bucal.

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Fatores associados à autopercepção da necessidade de tratamento odontológico e de prótese em idosos brasileiros

Abstract: Fatores associados à autopercepção da necessidade de tratamento odontológico e de prótese em idosos brasileirosFactors behind self-perceived need for dental treatment and prosthesis in Brazilian elderly people

Cited by 15 publications

References 29 publications

Dental vulnerability scale in primary health care: evidence of content and structure internal validity

Dental vulnerability scale in primary health care: evidence of content and structure internal validity

Dental disorders and self-perception of oral health in patients with paracoccidioidomycosis

Autopercepção de saúde bucal como indicador de necessidade de tratamento odontológico no Estado de São Paulo, Brasil

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