Determinants of dental prosthetic treatment need: A birth cohort study

Chisini, Luiz Alexandre; Sarmento, Hugo Ramalho; Horta, Bernardo Lessa; Demarco, Flávio Fernando; Corrêa, Marcos Britto

doi:10.1111/cdoe.12608

Cited by 16 publications

(9 citation statements)

References 22 publications

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“…34 Thus, the drastic reduction in dental services offered due to the Pandemic, in the public health system, may further polarize the huge inequalities already present in oral health. 34,35 Our results also pointed to significant reductions in specialized dental procedures, such as prosthetics, endodontics and periodontal surgical treatment. However, prosthetics procedures exhibited a smaller decrease, probably due to the less frequent use of instruments that generate aerosols.…”

Section: Discussionsupporting

confidence: 52%

COVID-19 Pandemic impact on Brazil's Public Dental System

et al. 2021

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The present study aimed to estimate the impact of the COVID-19 pandemic on dental care procedures in the Public Health System in Brazil. A retrospective, ecological study was carried out, comprising 5,564 Brazilian municipalities. The number of dental procedures (per 100,000 inhabitants) performed in the Brazilian Public Health System (SUS) was the outcome. The impact of the pandemic was estimated by comparing the rate of procedures for each month of 2020 with the rates observed in the equivalent months in 2019, considering the period from March to August. Regulatory legislation regarding restrictions on dental care, issued by the state governments of 27 Brazilian federative units, was used for mediation analysis. A 55% reduction was observed in March for all procedures (IRR = 0.45, 95%CI 0.39-0.51), while in the other months, the rate of reduction remained ≥ 88%. The biggest decrease was observed in collective preventive procedures (reduction ≥99%) between April and August. Procedures that were less likely to generate aerosols (tooth extraction and prosthetic) and emergencies showed the smallest reduction. The reduction was not mediated by the restrictions imposed by state governments (p>0.05). The impact of the COVID-19 pandemic was noteworthy in terms of the decrease in the number of dental procedures carried out in the Brazilian Public Dental Service. The lack of access, the delay of elective procedures and the lack of preventive collective procedures could result in an overburdened system, post-Pandemic.

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Section: Discussionsupporting

confidence: 52%

COVID-19 Pandemic impact on Brazil's Public Dental System

et al. 2021

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“…The possibility of attrition bias due to lost-to-follow-up should also be discussed. Although the response rate of 60% considering the original sample, an attrition level analysis was recently published in this sample, revealing that no differences were found in the distribution of socioeconomic variables compared to the original sample 31 . The only difference observed was regarding gender, where men drop-outs were higher in the assessment of 31 years old.…”

Section: Discussionmentioning

confidence: 86%

Social and racial inequity in self-rated oral health in adults in Southern Brazil

et al. 2022

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This study aimed to estimate social and racial inequalities in self-rated oral health in adults from the Brazilian birth cohort study. This study belongs to 1982 Pelotas (Brazil) birth cohort study. Data from this study was collected for oral health conditions 31 years old (Oral Health Study). The outcome was self-rated oral health, dichotomized into positive (good/very good) and negative (regular/bad/very bad). Analyses were stratified by gender, racial/skin color groups, schooling level and income. For statistical analysis, the slope index of inequality (SII) and the concentration index (CIX) were used. The prevalence of negative self-rated oral health was 36.1%. Social inequalities were observed in self-rated oral health in both absolute and relative terms. A SII of -30.0 (95%CI: -43.6; -16.4) was observed for income, and -27.7 (95%CI: -41.9; -13.4) for schooling level. Both the individuals’ income and the schooling level had negative CIX (CIXincome -14.6 [95%CI: -21.2; -8.0] and CIXschooling level -14.1 [95%CI: -20.7; -7.5]). Furthermore, the prevalence of negative self-rated oral health in black/brown/indigenous individuals from the highest income/schooling level was comparable to prevalence of the outcome in the white individuals belonging to the lowest income/schooling levels. This study results demonstrate racial disparities in oral health regardless of income and schooling levels. Furthermore, a higher concentration of negative self-rated oral health was identified among the most socioeconomically vulnerable individuals. Our findings reinforce the presence of racial and socioeconomic inequalities in oral health.

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“…Nevertheless, our findings may not be regarded as direct etiological evidence. First, because dental and periodontal diseases, as well as partial and total edentulism, are more prevalent in socially and economically disadvantaged populations, 29,30 which may be more likely to be infected by the SARS‐CoV‐2 virus due to higher exposure to the virus spread in the familiar, social, and work environments and are less likely to adopt appropriate preventive measures and to receive proper and timely medical care 31 . Second, there is sound evidence that the incidences of caries, periodontitis, and tooth loss increase with age 32,33 and are also highly prevalent in participants with severe comorbidities and deteriorated general health conditions 34,35 .…”

Section: Discussionmentioning

confidence: 99%

Poor oral health status and adverse COVID‐19 outcomes: A preliminary study in hospitalized patients

Vilela

Costa

Gomes³

et al. 2022

Journal of Periodontology

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Background : Most of the common risk factors for severe outcomes of COVID‐19 are correlated with poor oral health, tooth loss, and periodontitis. This has pointed to a possible relationship between oral and systemic health in COVID‐19 patients. Hence, this study aimed to assess the dental and periodontal status of hospitalized COVID‐19 patients and their associations with the incidence of adverse COVID‐19 outcomes. Methods : We included 128 hospital patients aged between 20 and 97 years and with diagnoses of COVID‐19 in this prospective observational study. Dental and periodontal status was assessed using in‐hospital clinical examinations, including the Decayed, Missing, and Filled Teeth index, periodontal status, and tooth loss patterns (Eichner index). Associations between oral health measures, the severity of COVID‐19 symptoms, and hospitalization endpoints were tested using chi‐square test and incidence rate ratio (IRR) estimation using a generalized linear model with log‐Poisson regression. The regression models used a block‐wise selection of predictors for oral health‐related variables, comorbidities, and patients’ ages. Results : Overall, poor oral health conditions were highly prevalent and associated with critical COVID‐19 symptoms, higher risk for admission in the intensive care unit (ICU), and death. Periodontitis was significantly associated with ICU admission [IRR = 1.44 (95%CI = 1.07–1.95); p = 0.017], critical symptoms [IRR = 2.56 (95%CI = 1.44–4.55); p = 0.001], and risk of death [IRR = 2.05 (95%CI = 1.12‐3.76); p = 0.020] when adjusted for age and comorbidities. The Eichner index (classes B and C) was associated with ICU admission. Conclusions : There was a positive association between deleterious oral health‐related conditions, especially periodontitis, and severe COVID‐19 outcomes in hospitalized COVID‐19 patients. This article is protected by copyright. All rights reserved

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Determinants of dental prosthetic treatment need: A birth cohort study

Cited by 16 publications

References 22 publications

COVID-19 Pandemic impact on Brazil's Public Dental System

COVID-19 Pandemic impact on Brazil's Public Dental System

Social and racial inequity in self-rated oral health in adults in Southern Brazil

Poor oral health status and adverse COVID‐19 outcomes: A preliminary study in hospitalized patients

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