Prevalência e impacto da fluorose dentária na qualidade de vida em escolares de uma ONG em Salvador, Bahia

Abstract

<jats:p>Introdução: Medidas de saúde de amplo impacto (fluoretação da água, dentifrícios fluoretados e aplicação de flúor), mas sem devidos controles, podem resultar no aumento da prevalência e gravidade da fluorose. A avaliação demedidas subjetivas da saúde bucal na qualidade de vida, favorecida pela incorporação de dimensões clínicas e psicossociais, é requerida para estudos epidemiológicos de fluorose. Objetivos: descrever a prevalência e gravidade da fluorose dentária em escolares de uma Organização Não Governamental (ONG) e avaliar o impacto desse agravo na qualidade de vida. Metodologia: estudo de corte transversal, com crianças e adolescentes entre 10 a 17 anos de uma ONG do distrito Cabula-Beirú, Salvador-Bahia. A fluorose foi classificada através do Índice de Dean e seus impactos subjetivos avaliados através do Child Perception Questionnaire (adaptado ao Brasil). Resultados: Na amostra de 116 alunos, a prevalência da fluorose foi 65,5%, tendo o nível leve ocorrido em maior frequência (28,5%). Os escolares com fluorose relataram maior insatisfação com suas condições bucais do que aqueles sem este agravo (p&lt;0,005). Conclusão: A alta prevalência da fluorose entre os jovens estudados aponta a necessidade de monitoramento da concentração de flúor na água daquela região e do uso de fluoretos nos dentifrícios nessa população. O impacto negativo da fluorose na qualidade de vida requer medidas de combate a esse problema de saúde.Abstract Introduction: Wide-ranging health measures such as fluoridation of water, use of fluoride dentifrices and application of fluoride when used without control can increase the prevalence and severity of fluorosis. Assessment of subjective measures of oral health related to quality of life combined with clinical and psychosocial dimensions is needed for epidemiological studies of fluorosis. Objectives: To describe the prevalence and severity of fluorosis in school children of a non-governmental organization – Cabula-Beirú district, Salvador-BA – and to assess its impact related to quality of life. Methodology: cross-sectional epidemiological study with children and adolescents, from 10 to 17 years old. Fluorosis was classified with Dean’s Index. Subjective impacts of oral health were assessed through the Child Perception Questionnaire (adapted to Brazil). Results: From the sample of 116 students, the prevalence of fluorosis was 65.5%, and the mild level was 28.54%. Students with fluorosis reported greater dissatisfaction with their oral conditions than those without fluorosis (p &lt;0.005). Conclusion: The results revealed that fluorosis prevalence was higher and this situation requires monitoring the concentration of fluoride in the water of that region and the use of fluorides in dentifrices in this population. The negative impact of fluorosis on quality of life requires measures to combat this health problem.</jats:p>

Fluoride in Groundwater and Dental Fluorosis in the Municipality of Lauro De Freitas, Located in the Metropolitan Region of Salvador, Bahia (Br)

“…In this context, the epidemiological profile of dental fluorosis in schoolchildren at 12 years of age (Dean Index) of Lauro de Freitas, in the present study, differed from that of classic chronic dental fluorosis (Table 4). It was found that the profile of dental fluorosis by Lauro de Freitas was close to the profile of dental fluorosis obtained in previous oral health studies developed in the municipalities of Salvador and São Francisco do Conde, in the RMS, Bahia, by Cangussu et al (2004), Oliveira Junior et al (2006, Almeida et al (2012), Soares et al (2012) and by Sampaio, Almeida and Silva (2019). Source: Prepared by the authors, based on data from selected wells from SIAGAS/CPRM.…”

“…Oliveira Junior et al (2006), Soares et al (2012), Sampaio, Almeida and Silva (2019) found a high prevalence of dental fluorosis, although distributed in very mild to mild degrees, in the municipalities of Salvador and São Francisco do Conde, in the Metropolitan Region of Salvador (RMS), Bahia (BR). These authors obtained values for the prevalence of dental fluorosis in the RMS that were higher than the national or Northeast prevalence, based on information from the oral health survey of the SB Brazil Project (BRASIL, 2010).…”