Organização da atenção à saúde bucal prestada ao idoso nas equipes de saúde bucal da Estratégia Saúde da Família

Objective: To investigate factors associated with the use of dental care services. Methods: A cross-sectional study with a representative sample of elderly individuals aged 65 years or older residing in the state of São Paulo in 2015 was performed. Hierarchical multivariate logistic regression analysis was used based on the theoretical model of access determination proposed by Andersen (1995) to predict dental care visits. Results: The prevalence of public service use by the elderly was 1.981 (37.8%), while 3.253 (62.2%) used the private service/ health plan/ other type of service. Hierarchical multiple analysis ( p≤0.05) identified that less schooling or never having studied, non-white, lower income and motivated by pain/extraction were associated with the use of public dental services. The study showed a reduced use of public dental care among elderly persons who required some type of upper dentures (except complete dentures), need for some type of lower dentures (including complete dentures) and demonstrated a positive self-perception of oral health condition. Conclusions: A higher prevalence of the use of private dental care/ health plan/other type of service was identified. Less schooling or never having studied, non-white skin color, lower income and seeking the dentist with pain or to extract teeth were factors associated with the use of public dental services by the elderly.

Section: Discussionmentioning

confidence: 99%

Factors associated with the use of dental care by elderly residents of the state of São Paulo, Brazil

Fonseca

Meneghim

2017

“…The inclusion of a dentist in the team would allow planning of risks, the need for treatment and longitudinal follow-up 3,24 .…”

Section: Home Visits and Health Professionalsmentioning

confidence: 99%

“…According to Dutra and Sanchez, 24 the care model is an active presence in the life of the elderly and interferes with their oral health, as they have experience of curative and invasive dentistry.…”

Section: Home Visits and Health Professionalsmentioning

confidence: 99%

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Perception of oral health in home care of caregivers of the elderly

Bonfá

Mestriner

Fumagalli

et al. 2017

Objective: to analyze the perception of caregivers of elderly persons regarding their own oral health care and that of the elderly individuals. Method: a descriptive-exploratory study with a qualitative approach was carried out. Semi-structured interviews with 13 caregivers were conducted, recorded and transcribed, and the Content Analysis technique was applied. Results: All respondents were informal caregivers, most of whom were female, aged over 50, married, had some degree of kinship with those receiving care, an incomplete elementary school education and no other occupation or job. After analyzing the interviews, the data were grouped into the following categories: a) home visits and health professionals; b) caregiver experience and care of the elderly; and c) the caregiver and their self-care. Conclusion: knowledge of caregivers' perception of their own oral health and that of dependent/semi-dependent elderly persons assists in planning, promotion, prevention and health recovery. The work of a multi-professional team is therefore essential in the seeking out and instruction of these individuals.

“…In the majority of municipalities, programs were conducted for school age children aged between 6-12 years, and pregnant women. Adults and the elderly only had access to emergency care units and mutilative treatment (23)(24)(25)(26). This exclusive oral health care model existed in Brazil until 2004, when the country implemented the National Oral Health Policy entitled "Brazil Smiling" whereby individual and collective actions were implemented, aimed at the promotion, prevention, diagnosis, treatment and rehabilitation in primary and secondary levels of oral health care.…”

Section: Discussionmentioning

confidence: 99%

Comparative Study of the Oral Health Profile of Institutionalized Elderly Persons in Brazil and Barcelona, Spain

Pessoa

Pérez

Marí-Dell’Olmo

et al. 2016

Objective: To compare the oral health profile of institutionalized elderly persons in Brazil and in Barcelona, Spain, by gender and country of residence. Methods: A cross-sectional study was performed of individuals aged 65 years and above (n=1,440), resident in the health region of Barcelona and in Brazil. Two surveys and exams relating to the oral health status of institutionalized elderly persons in Brazil (in 2008) and in Barcelona, Spain (in 2009) were carried out. Periodontal disease, tooth loss and dental caries were analyzed, considering age and cognitive ability. The sample was stratified by gender and country. Bivariate and multivariate Robust Poisson Regression models were used to obtain adjusted Prevalence Ratios (aPR), and a 95% confidence interval (95%CI) was employed. Results: In Barcelona, men and women had a higher prevalence of periodontal illness: Men -calculus (aPR:1.5; CI:1.08-2.19) and pocket (aPR:2.05; CI:1.43-2.93) results. Women -calculus (aPR:2.4; CI:1.77-3.24) and pocket (aPR:3.2; CI:2.29-4.53) results. In Barcelona there was a lower prevalence of edentulism (aPR:0.49; CI:0.37-0.65) and functional edentulism (aPR:0.49; CI:0.40-0.60) among men. The same results were found among women with a lower prevalence of edentulism (aPR:0.49; CI: 0.41-0.58) and functional edentulism (aPR:0.42; CI: 0.30-0.49). Conclusions: A poor state of oral health of men and women was observed in both countries, with the elderly from Barcelona having worse periodontal health and the elderly from Brazil having greater tooth loss.