The oral health of seniors in Brazil: addressing the consequences of a historic lack of public health dentistry in an unequal society

Fonesca, Flamorion A.; Jones, Kimberly Marie; Mendes, Danilo Cangussu; Neto, Pedro Eleutério dos Santos; Ferreira, Raquel Conceição; Pordeus, Isabela Almeida; Martins, Aline Blaya

doi:10.1111/ger.12046

Cited by 20 publications

(23 citation statements)

References 39 publications

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“…This corroborates with the findings of another Brazilian study [10], which suggests that years of social inequity are responsible for the health of the population in addition to the difficulty that the SUS had in responding to the demand for specialized treatment among the older population.…”

Section: Discussionsupporting

confidence: 90%

“…In addition to risk factors including smoking, alcohol consumption and poor oral hygiene [9], social factors such as low income and poor educational status are important and have been associated with periodontal disease [10]. The role of social determinants and contextual variables as potential factors influencing oral health have been studied; however, there is no consensus in literature regarding these factors [11,12].…”

Section: Introductionmentioning

confidence: 99%

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Inequalities in Oral Health among Older Brazilians: A Cross-Sectional Analysis of a National Survey

Prado

Garbín²,

Moimaz³

et al. 2018

Pesqui. bras. odontopediatria clín. integr.

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Objective: To investigate the association of tooth loss and periodontal disease with socioeconomic and demographic factors, the need for and use of health services, and the effect of oral health on the daily lives of older Brazilians. Material and Methods: We abstracted data from a nation-wide, representative, cross-sectional survey of 7619 Brazilians aged between 65 to 74 years. Poisson regression models were created to investigate associations between oral diseases and income, education level, gender, ethnicity, region of residence, and use of dental services; statistical significance was set at 5%. Results: The mean age of the 7619 subjects studied was 69 years (95% Confidence Interval, 68.9-69.1); 61.9% were women. Regarding ethnicity, 46.95% were White, 38.90% were Brown, 11.54% were Black and 2.53% belonged to other ethnic groups. Bleeding on probing or dental calculus was present in 26.67% of subjects, whereas LOA was present in 87.27%. The loss of at least one tooth was observed in 48.90% of subjects, while 47.03% were completely edentulous. Low educational status increased the prevalence ratio (PR) of all diseases (loss of attachment, PR=5.54; bleeding on probing, PR=3.93; tooth loss, PR=2.24; edentulousness, PR=3.34). The prevalence of tooth loss was 2.58 times higher in subjects who reported a monthly income of less than 301 USD. The effect on daily life was occasionally a protective factor and occasionally increased the likelihoods of diseases. Conclusion: These findings substantiate the association of socioeconomic conditions, demographic features, and use of dental services with bleeding on probing, presence of dental calculus, loss of periodontal attachment, tooth loss, and edentulousness among older Brazilian subjects.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Inequalities in Oral Health among Older Brazilians: A Cross-Sectional Analysis of a National Survey

Prado

Garbín²,

Moimaz³

et al. 2018

Pesqui. bras. odontopediatria clín. integr.

View full text Add to dashboard Cite

show abstract

“…Até hoje a população idosa é a que apresenta o maior número de necessidades odontológicas acumuladas 31 , revelando o que, historicamente, caracterizou a prestação da atenção odontológica, com ações de baixa complexidade e na sua maioria curativas e mutiladoras 17 . A fluoretação das águas de abastecimento público e a incorporação de fluoretos nos dentifrícios são mecanismos eficazes para a prevenção da ocorrência de cárie dentária 32 , maior responsável pela perda dos dentes.…”

Section: Variávelunclassified

Uso e necessidade de prótese dentária em idosos brasileiros segundo a Pesquisa Nacional de Saúde Bucal (SBBrasil 2010): prevalências e fatores associados

Azevedo

Oliveira

et al. 2017

Cad. Saúde Pública

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Resumo: O objetivo deste estudo foi avaliar o uso e a necessidade de prótese dentária entre os idosos brasileiros (65-74 anos) e verificar fatores associados. Foram analisados dados de 7.496 idosos participantes do Pesquisa Nacional de Saúde Bucal realizado em 2010 (SBBrasil, 2010). O uso e a necessidade de prótese dentária foram usados como desfechos. As variáveis de exposição incluíram características demográficas, socioeconômicas, de uso de serviços e de autopercepção da saúde bucal. Análises descritiva, bivariada e multivariada foram realizadas. A prevalência de uso e necessidade de prótese dentária foi de 78,2% e 68,7%, respectivamente. A Região Nordeste foi a que apresentou a menor prevalência de uso (71,3%) e a maior de necessidade prótese dentária (82,9%). As análises multivariadas por meio de regressão de Poisson revelaram maior uso de prótese dentária em mulheres, naqueles com 5 a 7 anos de estudos e nos que foram a serviço particular, e houve menor uso em indivíduos pretos e com necessidade autorreferida de prótese dentária. Menor necessidade de prótese dentária foi observada em mulheres e nos usuários de serviço particular, e maior naqueles que autorreferiram necessidade de prótese dentária. Diferenças regionais foram observadas na distribuição do uso e da necessidade de prótese dentária. Ainda assim, os achados revelaram altas prevalências de ambos os desfechos em todas as regiões. Variáveis socioeconômicas, demográficas e de uso de serviços influenciaram a ocorrência de uso e de necessidade de prótese dentária.

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“…Dentures and removable total prostheses supported by teeth or retained by implants present an acrylic resin that replaces the lost tissue (Fonesca et al . ). However, changing this oral tissue with such restorative materials constitute conditions for micro‐organism colonization.…”

Section: Introductionmentioning

confidence: 97%

Assessing an imidazolium salt's performance as antifungal agent on a mouthwash formulation

et al. 2016

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The oral health of seniors in Brazil: addressing the consequences of a historic lack of public health dentistry in an unequal society

Abstract: Our findings demonstrate that the elderly population in Brazil has a very high degree of need in general and that certain subgroups have been especially vulnerable to oral disease.

Cited by 20 publications

References 39 publications

Inequalities in Oral Health among Older Brazilians: A Cross-Sectional Analysis of a National Survey

Inequalities in Oral Health among Older Brazilians: A Cross-Sectional Analysis of a National Survey

Uso e necessidade de prótese dentária em idosos brasileiros segundo a Pesquisa Nacional de Saúde Bucal (SBBrasil 2010): prevalências e fatores associados

Assessing an imidazolium salt's performance as antifungal agent on a mouthwash formulation

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