A falta de dentição funcional está associada ao comprometimento das funções bucais entre adultos brasileiros

Abstract

A falta de dentição funcional está associada ao comprometimento das funções bucais entre adultos brasileirosThe absence of functional dentition is associated with the lack of commitment to oral functions among Brazilian adults Resumo Objetivou-se identificar se a falta de dentição funcional (DF) está associada com o comprometimento das funções bucais/atividades diárias entre adultos brasileiros. Para isto, foram utilizados dados da Pesquisa Nacional de Saúde Bucal -SB Brasil 2010. A DF foi avaliada pelo critério proposto pela Organização Mundial de Saúde (pelo menos 20 dentes na boca). O instrumento Impactos Odontológicos nos Desempenhos Diários (IODD) foi utilizado para avaliar as atividades diárias/funções bucais. Análises descritivas, bivariadas (Qui-quadrado) e múltiplas (Regressão Logística) foram realizadas, sendo estimado o odds ratio e o intervalo de confiança 95% (OR/IC95%). Foram incluídos e avaliados 9564 adultos. Foram considerados sem DF 2200 adultos (20,5%). Tiveram impacto em pelo menos uma das atividades diárias/funções bucais avaliadas, 55,0% dos adultos. A falta de DF entre adultos foi associada (p ≤ 0,05) com o impacto na fala (1,88/1,33-2,64) e vergonha ao sorrir ou falar (1,35/1,00-1,83). Uma prevalência considerável de falta de DF foi identificada, esta ausência foi associada às atividades diárias/funções bucais (fala e vergonha ao sorrir e falar). A reabilitação dentária de pacientes sem DF deve considerar a devolução destas funções bucais perdidas (fala e vergonha ao sorrir ou falar).Abstract The scope of this study was to identify if the absence of functional dentition (FD) is associated with a lack of commitment to oral functions/ daily activities among Brazilian adults. For this purpose, data from the National Survey of Oral Health (referred to as SB Brasil 2010) was used. FD was evaluated by the criterion proposed by the WHO (at least 20 teeth in the mouth). The Oral Impacts on Daily Performance (OIDP) questionnaire was used to evaluate daily activities/oral functions. Descriptive, bivariate (chisquared) and multiple (logistic regression) analysis was conducted, and the odds ratio estimated with a 95% confidence interval (OR/CI95%). The research evaluated 9,564 adults, of which 2,200 adults (20.5%) were considered to have poor FD, and at least one of the daily activities/ oral functions evaluated had an impact among 55% of adults. The lack of FD between adults was associated (p ≤ 0.05) with the impact on speech (1.88/1.33-2.64) and being ashamed to smile or talk (1.35/1. 00-1.83). A considerable prevalence of lack of FD was identified, this absence being associated with the lack of commitment to the daily activities/oral functions. Dental rehabilitation of patients with a lack of FD should consider the restoration of these lost oral functions (speech and being ashamed to smile or talk).

Perda Dentária E Uso De Próteses Em Adultos De 35 a 44 Anos

“…O lançamento do Brasil Sorridente, em 2004, fez da saúde bucal uma das prioridades do Sistema Único de Saúde (SUS), visando reestruturá-la com ações de prevenção, promoção de saúde, cura e reabilitação, de acordo com os princípios preditos em sua criação, especialmente a integralidade da assistência 2,6 . Desde então, muitos progressos relacionados aos cuidados de saúde bucal na Atenção Primária à Saúde são reconhecidos.…”

Inter-examiner agreement in the application of an oral health assessment instrument in hospitalized elderly

“…In any of the items, in which the presence of oral alteration considered as 1 or 2 has been assessed, it is recommended that the elderly should be referred to a dental surgeon (DS). Furthermore, the presence of any of the underlined symptoms requires immediate attention (11) .…”

“…Practically all subjects (88.9%) used prostheses, which, in the majority, (57.4%), had damaged areas, were used for only a few hours, only at the time of meals or were simply not used. Mostly, this occurrence was due to the fact that these prostheses are poorly adapted in the oral cavity, as well as the fear of the elderly of losing them in the hospital (7,11,14) .…”

“…In this sense, there is a wide variety of behavioral aspects, which must be undertaken by the elderly themselves and health professionals, with regard, above all, to oral health. This is considered one of the main physiological systems, since it is linked to essential elements, for example, sufficient macro and micronutrient intake, preservation of nutritional condition and food selection, as well as self-confidence, adequate chewing, gain or weight loss, taste and phonation, aspects that influence the physical and psychosocial well-being of the elderly (3,(8)(9)(10)(11) .…”

“…Moreover, we notice the presence of edentulism, the meaning of which is the partial or total loss of permanent teeth due to mutilating practices that occur subsequently to periodontal problems. We consider it as one of the main injuries in oral health and an important public health concern, given its high prevalence in the elderly, since approximately half of this population is edentulous, which constitutes a limitation in the masticatory function and in losses of aesthetic order (8)(9)(11)(12)(13)(14)(15)(16)(17) .…”