Risk indicators for tooth loss in adult workers

Abstract

Tooth loss continues to be a prevalent condition in Brazilian adults and elderly individuals. The aim of this cross-sectional study, conducted among workers in a wholesale grocery chain in the State of São Paulo, was to identify risk indicators for tooth loss in adults. The presence of caries and periodontal status were examined in 387 adults aged 20-64 years, according to World Health Organization criteria. Two outcomes were analyzed: loss of one or more teeth, and loss of four or more teeth. Independent variables analyzed were demographic and socioeconomic factors, clinical conditions, use of dental services, and selfperceived oral health. Poisson regression models were used for multivariate statistical analysis. Participants were missing a mean of 5.38 teeth, and 76.9% (n = 297) had lost at least one tooth; the most frequently lost teeth were permanent molars. Older age and the presence of visible dental biofilm were associated significantly with the two tooth loss outcomes (p < 0.05). Individuals who had visited the dentist 3 or more years previously showed a lower prevalence of tooth loss (prevalence ratio = 0.79; 95% confidence interval, 0.68-0.91). Those with lower household incomes were significantly more likely to have lost four or more teeth (prevalence ratio = 1.35; 95% confidence interval, 1.07-1.70). Study results indicated that age and dental biofilm were risk indicators for tooth loss, independently of socioeconomic factors. These risk indicators should be considered when planning oral health programs for adults.

Condição de saúde bucal e motivos para extração dentária entre uma população de adultos (20-64 anos)

“…This fact can be explained due to the cohort effect of oral diseases, mainly in the adult age range, a result of a history of suppressed demands and the accumulation of needs of dental procedures. Thus, a clear progression of existing oral problems 11,16,17 . In this study, the DMFT index was lower for the age group of young adults, which may be a reflex of the increase in access and recent policies of prevention and treatment for these individuals 18 , when in the past access was restricted to children.…”

“…This greater adhesion of the participation of women also occurs in relation to demand and use of dental services 18,15 . When the studies are conducted on samples of workers, there is a predominance of male participants 11,16 . Therefore, the discussion on what is the best place to carry out epidemiological surveys on adult population is raised, considering the importance of it being representative of the population and at the same time minimizing the possible biases of sample selection.…”

Incidence of Tooth Loss in Adults: A 4-Year Population-Based Prospective Cohort Study

“…We adopted a design effect of 1.5; margin of error of 10.0%; and 95.0% confidence interval, data concerning the prevalence of caries for each age group (70.2% and 90.9%, resp. [18]), and added 20% to the total to compensate occasional losses. The sample size for adults aged 20–44 years was 172, and for those aged 45–64 years, 68, totaling 240 adults.…”

Condições de saúde bucal de industriários participantes de Programa de Saúde Bucal na Empresa

“…Em relação ao componente perdido do CPO-D, a literatura mostra percentuais relevantes de perda dentária refletida em uma alta proporção de necessidade de prótese (BRASIL, 1988(BRASIL, , 2004(BRASIL, , 2012MOIMAZ et al, 2002;WADA, 2004;PINTO;LIMA, 2006;BATISTA;RIHS;SOUSA, 2012). Reforçando esse contexto, Frazão, Antunes e Narval (2003) afirmam que uma parcela significativa da população não tem acesso a ações de promoção de saúde bucal e a serviços odontológicos profissionais, o que torna a exodontia uma prática comum para o tratamento de dentes afetados, mesmo sendo uma opção evitável (VARGAS; PAIXÃO, 2005;BARBATO et al, 2007).…”

“…Verifica-se ainda que os percentuais de uso e necessidade de prótese são expressivos e bastante similares entre os estudos, bem como os percentuais das alterações periodontais (PETERSEN; GORMSEN, 1991;PETERSEN;TANASE, 1997;TOMITA et al, 2005;PINTO;LIMA, 2006;BATISTA;RIHS;SOUSA, 2012SOUSA, , 2013.…”