ABSTRACT
This study aimed to verify oral health, treatment needs, dental service accessibility, and impact of oral health on quality of life (QL) of subjects from settlement in Pontal do Paranapanema/SP, Brazil. In this epidemiological survey, 180 10-to 19- years old adolescents enrolled in the school that attend this population in settlement underwent oral examination, to verify caries index (DMFT- decayed, missing and filled teeth) and periodontal condition (CPI), and were interviewed using the World Health Organization Quality of Life (WHOQOL-Bref) and Oral Impact Daily Performance (OIDP) instruments to evaluate QL, and the Global School-Based Health Survey (GSHS) about dental service accessibility. DMFT average was 5.49 (± 3.33). Overall, 37.2% of participants showed periodontal problems, mainly CPI = 1 (77.7%). Treatment needs were mainly restorations. GSHS showed that the last dental consultation occurred > 1 year previously for 58.3% of participants at a public health center (78.9%). The average WHOQOL-Bref was 87.59 (± 15.23). Social relationships were related to dental caries and health service type. The average OIDP was 6.49 (± 9.15). The prevalence of caries was high and observed periodontal problems were reversible. The social relationships of adolescents from settlement were influenced by caries and health services type.
O objetivo deste trabalho foi verificar a saúde bucal, as necessidades de tratamento, o acesso aos serviços odontológicos e o impacto da saúde bucal na qualidade de vida (QV) de adolescentes de assentamento no Pontal do Paranapanema/SP, Brasil. Neste estudo epidemiológico, foram examinados 180 jovens entre 10 e 19 anos matriculados na escola que atende a esta comunidade para verificar o índice de cárie (CPOD – cariados, perdidos e obturados) e a condição periodontal (IPC); e entrevistados, utilizando-se os instrumentos World Health Organization Quality of Life (WHOQOL-Bref) e Oral Impact Daily Performance (OIDP) para avaliar qualidade de vida e o Global School-based Health Survey (GSHS-WHO) visando o acesso. O CPOD médio foi 5,49 (± 3,33) e 37,2% tinham problemas periodontais, predominando IPC = 1 (77,7%). As necessidades de tratamento concentraram-se nas restaurações. O GSHS mostrou que a última consulta odontológica foi realizada nos últimos 12 meses (58,3%), e 78,9% no serviço público. A média WHOQOL-Bref foi 87,59 (± 15,23). O domínio relações sociais teve associação com a cárie e o local do atendimento. A média OIDP foi 6,49 (± 9,15). A prevalência de cárie foi alta e os problemas periodontais ainda eram reversíveis. As relações sociais foram influenciadas pela presença de cárie e pelo local do atendimento.
Subject(s)
Humans , Male , Female , Child , Adolescent , Adult , Young Adult , Quality of Life , Oral Health , Dental Caries/epidemiology , Brazil/epidemiology , DMF Index , Prevalence , Cross-Sectional Studies , Surveys and QuestionnairesABSTRACT
Hábitos, comportamentos, saúde bucal e qualidade de vida de adolescentes têm sido foco de pesquisas atuais, mas poucas retratam a situação daqueles que habitam regiões rurais e remotas, considerados socialmente excluídos. Objetivou-se verificar os hábitos alimentares e de higiene, o comportamento social, consumo de álcool e tabaco, Índice de Massa Corpórea (IMC),condição de saúde bucal, necessidades de tratamento odontológico, o impacto da saúde bucal na qualidade de vida de adolescentes de assentamento rural no Brasil, frente à iniquidade de acesso aos serviços odontológicos. Neste estudo epidemiológico transversal, 180 jovens entre 11 e 18 anos, de um assentamento rural, foram examinados e entrevistados, utilizando-se os instrumentos The Global School-based Student Health Survey, WHOQOLBref (World Health Organization - Quality of Life) e OIDP (Oral Impact on Daily Performance). Os índices CPO-D (dentes cariados, perdidos e obturados) e IPC (índice periodontal comunitário) foram empregados em exame clínico. Nas análises bivariadas foram aplicados os testes Qui-quadrado, Exato de Fisher, Mann-Whitney e, posteriormente, o modelo de Regressão Logística. Quanto ao acesso, 53,3% dos entrevistados consultaram um cirurgião-dentista no último ano e, o restante, há mais de dois anos. A dor foi o principal motivo da última consulta (69,5%). Os adolescentes consumiam refrigerantes (25,2%), fastfoods e lanches (41,9%), chá ou café adoçado (59,8%). A higiene bucal era realizada com palito de dentes (19,0%) e escovação (97,2%); o fio dental não era usado por 71,5% dos entrevistados. Do total, 12,9% relataram dificuldade para mastigar pelos problemas bucais e, apesar de 55,8% dos jovens terem demonstrado satisfação com a aparência dentária, 19,6% evitavam sorrir. Verificou-se consumo de bebida alcoólica (32,4%), tabagismo (3,9%) e sobrepeso (13,4%). O CPO-D médio foi 5,49 (± 3,33), sendo que a maioria (58,9%) teve CPO-D ≥ 5. Periodontites foram notadas em 37,2%...
Habits, behavior, oral health and quality of life of adolescents have been focused on recent researches, but few of them study situation of those who lives in rural and remote areas, considered socially excluded. It was aimed to verify diet and hygiene habits, behaviors, consumption of alcohol and tobacco, Body Mass Index (BMI), oral health condition, needs for dental treatment, impact of oral health on quality of life of adolescents from rural settlement in Brazil, considering inequality in dental services accessibility. In this crosssectional and epidemiological survey, 180 11- to 18- years-old adolescents from rural settlement were interviewed and examined, using the instruments: Global School-based Student Health Survey, WHOQOL-Bref (World Health Organization - Quality of Life) and OIDP (Oral Impact on Daily Performance). DMFT (decayed, missing and filled teeth) and CPI (community periodontal index) indexes were applied in oral examination. In bivariate analysis, Chi-squared, Fishers and Mann-Whitney Tests were used, and lately, logistic regression model. About the access, 53.3% of interviewed people consulted a dentist over the last year and the other part, more than two years ago. Toothache was the main reason for the last consult (69.5%). The adolescents consumed soft-drinks (25.2%), fast-foods and snacks (41.9%), sugared tea or coffee (59.8%). Oral hygiene was performed with toothpick (19.0%) and toothbrushing (97.2%); dental fosse was not used by 71.5 of population. Overall, 12.9% reported difficulty on chewing due to oral problems, and although 55.8% of adolescents had demonstrated satisfaction with own dental appearance, 19.6% avoided to smile. It was noted consumption of alcoholic drinks (32.4%), tobacco (3.9%) and 13.4% was obese. DMFT average was 5.49 (± 3,33) and the majority (58.9%) had DMFT ≥ 5. Periodontitis were observed in 37.2% of population, mainly gingival bleeding (77.7%). Needs for dental treatment were concentrated on restorations...