Autopercepção da saúde bucal em idosos e fatores associados em Campinas, SP, 2008-2009

Abstract

OBJECTIVE:To describe self-perceived oral health among elderly people and assess associated sociodemographic and clinical factors. METHODS:A cross-sectional study was carried out with 876 participants forming a representative sample of elderly people (65 years of age or over) in Campinas, Southeastern Brazil, in 2008. Dental examinations were conducted in accordance with criteria standardized by the World Health Organization for epidemiological surveys on oral health. Self-perceived oral health was evaluated using the Geriatric Oral Health Assessment Index (GOHAI). Individuals were classified according to sociodemographic characteristics, dental factors and prevalence of biological frailty. Associations were assessed using Poisson regression analysis, taking into consideration sample weights and the complex structure of the cluster sampling. RESULTS:The subjects' mean age was 72.8 years; 70.1% were women. The proportion of the individuals with more than 20 teeth present was 17.2%; 38.2% were using full dentures in both arches; 8.5% needed dental prostheses in at least one arch. On average, the GOHAI was high: 33.9 (maximum possible: 36.0). Retaining 20 teeth or more, using full dentures in both arches, not needing such treatment, not presenting any oral mucosa abnormalities and not presenting biological frailty were factors signifi cantly associated with better self-perceived oral health (p < 0.05). CONCLUSIONS:Assessment of self-perceived oral health made it possible to identify the main factors associated with this outcome. This tool may contribute towards planning dental services and guide health promotion strategies for improving the quality of life of individuals within this age group.

Oral health profile of participants of an elderly cohabitation program in the state of Santa Catarina, Brazil

“…On the contrary, physical and pain/discomfort dimensions were significantly associated with lower prosthetic need, revealing that most individuals needing a new lower denture limit types or amounts of food, present trouble biting or chewing food, feel discomfort while eating, and are concerned with problems in their teeth, gums, or dentures (Table 4). These findings agree with those by Silva et al 24 , to whom the presence of functional dentition and the lack of need of complete dentures were associated to a more favorable oral health perception.…”

“…The oral health perception of our participants was mostly moderate, revealing a discrepancy with their actual oral health condition. This discrepancy was also found in a previous study 24 and it may be explained by personal values and beliefs that tend to naturalize the poor oral health of the elderly, leading to an overestimated oral health condition 14 . Additionally, considering the perspective of inclusion and social interaction provided by the program, difficulties faced due to oral problems might be potentially considered secondary.…”

Oral Health Perception in Institutionalized Elderly in Brazil: Psychosocial, Physical and Pain Aspects

“…Finally, a better understanding of relationships established between self-rated oral health based on GOHAI dimensions may increase knowledge of oral health conditions among institutionalized elderly in Brazil, thereby contributing to action planning, organization and monitoring of health services [57] besides improved health and quality of life [58].…”

Edentulismo, uso de prótese e autopercepção de saúde bucal entre idosos

“…Conforme a literatura, a autopercepção de saúde bucal é uma medida multidimensional que refl ete a experiência subjetiva dos indivíduos sobre seu bem-estar funcional, social e psicológico, e, muitas vezes, determina sua busca por atendimento odontológico 5 . O objetivo deste estudo foi verifi car se a autopercepção de saúde bucal dos idosos, frequentadores do Centro de Referência de Idosos da Fundação Pró-Família de Blumenau-SC, apresenta coerência com a sua condição bucal, verifi cada a partir de exame de inspeção bucal, considerando perdas dentárias, o uso e a necessidade de próteses.…”