Perdas dentárias no Brasil: análise da Pesquisa Nacional de Saúde Bucal 2010

Abstract

OBJECTIVE:To estimate the mean number of missing teeth, lack of functional dentition and total tooth loss (edentulism) among adolescents, adults and the elderly in Brazil, comparing the results with those of 2003. METHODS:Data from 5,445 adolescents aged 15-19, 9,779 adults aged 35-44 and 7,619 elderly individuals aged 65-74, participants in the Brazilian Oral Health Survey (SBBrasil) 2010, were analyzed. The mean missing teeth, proportion of lack of functional dentition (< 21 natural teeth) and proportion of edentulism (total tooth loss) were estimated for each age group, each state Capital and each macro region. Multivariable logistic regression (tooth loss) and Poisson (absence of functional dentition and edentulism) analyses were performed in order to identify socioeconomic factors and demographic characteristics associated with each outcome. RESULTS:The prevalence of tooth loss among adolescents was 17.4% (38.9% in 2002-03) ranging from 8.1% among those earning higher income to almost 30% among those with less schooling. Among adolescents, females, those with black or brown skin and those with the lowest levels of income and schooling had a higher prevalence of tooth loss. Lack of functional dentition affected nearly ¼ of adults, it was higher among women, among those with black and brown skin and among those with the lowest levels of income and schooling. Mean missing teeth in adults decreased from 13.5 in 2002-03 to 7.4 in 2010. More than half of elderly is edentulous (similar to the 2002-03 fi ndings); higher prevalence of edentulism was found among women and those with the lowest levels of income and schooling. Among adolescents the mean missing teeth ranged from 0.1 (in Curitiba, South Brazil and Vitória, Southeast Brazil) to 1.2 (in the North countryside). Among adults the lowest mean missing teeth was found in Vitória (4.2) and the highest in Rio Branco, North Brazil (13.6). CONCLUSIONS:A remarkable reduction in tooth loss among adolescents and adults was identifi ed between 2010 and 2003. Among the elderly, tooth loss fi gure remained the same. In spite of important achievements in tooth loss fi gures, social and regional inequalities persist.

Measurement of Distance Between the Mental Foramina using ConeBeam Computed Tomography: A Pilot Study with a Possible Method for Planning Mandibular Implants

“…Consequently, there is a great demand for dental prostheses in both public and private dental practices. In elderly people 65-74 years old, 23% need full-arch dentures in at least one arch and 15% need dentures in both arches [1].…”

Prevalência e extensão da cárie dentária radicular em adultos e idosos brasileiros

“…Increased life expectancy and improved oral health conditions may increase in the number of adults and the elderly with higher proportions of preserved or retained teeth 2,11,12 and, subsequently, greater exposure to periodontal disease and root caries. Gingival recession is a common event in both adults and the elderly, a necessary condition for demineralization of the cementum and root dentin, which are less mineralized than the enamel.…”

Uso e necessidade de prótese dentária em idosos brasileiros segundo a Pesquisa Nacional de Saúde Bucal (SBBrasil 2010): prevalências e fatores associados

“…O uso e a necessidade de prótese são investigados baseando-se em índice desenvolvido pela própria OMS, que determinada a necessidade considerando as perdas dentárias existentes nos arcos superior e inferior, sendo o uso computado pela presença de um ou mais tipos de prótese em um ou nos dois arcos. O levantamento nacional de 2003 (Condições de Saúde Bucal da População Brasileira -SBBrasil 2003) revelou que apenas 10,3% dos brasileiros dessa faixa etária possuíam 20 ou mais dentes presentes 6 , e em 2010 esse percentual mudou para 11,5% 16 . Apesar de ocorrer uma redução importante das perdas dentárias entre os indivíduos mais jovens, entre os mais velhos isto não vem acontecendo 16 , indicando um acúmulo da necessidade de prótese dentária nestas populações.…”

“…O levantamento nacional de 2003 (Condições de Saúde Bucal da População Brasileira -SBBrasil 2003) revelou que apenas 10,3% dos brasileiros dessa faixa etária possuíam 20 ou mais dentes presentes 6 , e em 2010 esse percentual mudou para 11,5% 16 . Apesar de ocorrer uma redução importante das perdas dentárias entre os indivíduos mais jovens, entre os mais velhos isto não vem acontecendo 16 , indicando um acúmulo da necessidade de prótese dentária nestas populações. Portanto, os resultados do último levantamento tornaram evidentes as necessidades de ampliar a oferta de ações de maior complexidade, como reabilitação protética, a fim de suprir a demanda reprimida no país.…”