ABSTRACT
To evaluate the impact of motivational interviewing (MI) in reducing plaque and bleeding indices on probing in adult users of the Family Health Strategy (FHS) with periodontal problems.Material and Methods:The study included 68 adult users searching for dental treatment in a family health unit located in Piracicaba, SP, and who had plaque index expressed in percentage greater than or equal to 40% and bleeding on probing greater than 10%. They were randomly divided into control group (CG), which received standard dental care and traditional oral health education and experimental group(EG), which received the same care of CG accompanied by the ME technique. Psycho-cognitive and clinical information of individuals were collected in both groups, such as self-assessment and self-efficacy in oral health, plaque index and gingival bleeding at baseline and at the end of treatment. Data were analyzed using Chi-square and Fisher tests and mixed repeated measures considering the significance level of 5% models.Results:We observed statistically significant differences in the 'oral health behavior' 'perception of oral health', 'self-efficacy for oral care', and ægingival bleeding index' variables on baseline and follow up the impact of the programs.Conclusion:Both strategies had an impact on psycho-cognitive and clinical oral aspects of FHU users; however, MI showed better results...
Subject(s)
Humans , Male , Female , Adolescent , Middle Aged , Young Adult , Periodontal Diseases/diagnosis , Health Education , National Health Strategies , Hemorrhage/etiology , Dental Plaque/prevention & control , Dental Plaque Index , Brazil , Chi-Square DistributionABSTRACT
Gengivite e pobre higiene bucal apresentam alta prevalência na sociedade, podendo conduzir à doença periodontal e danos irreversíveis no periodonto. Desta forma, é importante avaliar as características sociodemográficas e psicocomportamentais dos indivíduos acometidos, a fim de proporcionar à população intervenções mais equitativas em saúde. O objetivo deste estudo foi avaliar as variáveis sociodemográficas e psicocomportamentais associadas à presença ou não de sangramento gengival e a pobre higiene bucal em indivíduos adultos. A amostra foi de conveniência e composta por 100 indivíduos adultos com idades entre 18 e 66 anos que procuraram por tratamento odontológico em uma Unidade de Saúde da Família do município de Piracicaba-SP, no período entre dezembro de 2011 e maio de 2012. Os participantes foram examinados para coleta de dados clínicos, como o índice de placa (IP) e o índice de sangramento gengival após sondagem periodontal (SS). Também foi aplicado um questionário para coleta de dados sociodemográficas e psicocomportamentais, incluindo a escala de senso de coerência (SOC). Estas variáveis foram comparadas com as variáveis clínicas por meio de análise bivariada, seguida de modelo de regressão múltipla. Observaram-se associações estatisticamente significantes entre IP e escolaridade (p = 0,0293), uso do fio dental (p = 0,0317) e o indivíduo entender que conseguia cuidar bem dos dentes (p = 0,0257). Em relação ao SS, baixo nível de escolaridade foi a única variável associada a maior porcentagem de sítios com sangramento à sondagem (p = 0,0168). Concluiu-se que os indivíduos com piores IP e de SS estiveram associados a piores indicadores sociodemográficos e psicocomportamentais.
Poor oral hygiene and gingivitis have a high prevalence in society and can lead to periodontal disease and irreversible damage to the periodontium. Thus, it is important to evaluate the sociodemographic and psychobehavioral aspects of affected individuals in order to provide to population more equitable health interventions. The aim of this study was to evaluate, through a cross-sectional study, the sociodemographic and psychobehavioral variables associated with poor oral hygiene and gingivitis in adults. A convenience sample was used in the study and 100 adults aged 18 to 66 years old with periodontal problems, and seeking treatment in a Dental Health Unit Family (USF) in Piracicaba, SP, from December 2011 to May 2012. Participants were examined for data collection to clinic, as the plaque index (PI) and gingival bleeding index (ISS) after periodontal probing. A questionnaire was applied to them to collect data about sociodemographic and psychobehavioral variables. These were compared with the clinical variables through bivariate analysis followed by multiple regression model. We observed statistically significant associations between IP and schooling (p = 0.0293), flossing (p = 0.0317) and if the individual thought that they could take good care of their teeth (p = 0.0257). Regarding the gingival index, a low level of education was the only variable associated with a higher percentage of sites with bleeding on probing (p= 0.0168). It was concluded that individuals with periodontal conditions were associated with worse sociodemographic and psychobehavioral aspects.