ABSTRACT
A efetividade de serviços de saúde pode ser avaliada pela ótica da qualidade de vida. Assim, este estudo avaliou o serviço de reabilitação a partir das dificuldades diárias associadas a próteses totais convencionais (PTC), produzidas entre 2007 e 2009, pelos Centros de Especialidades Odontológicas (CEO) de uma mesorregião do Rio Grande do Norte (RN). Realizou-se um estudo seccional com 138 usuários dessas PTC, coletando-se os dados por exame clínico e questionário baseado no indicador Oral Impacts on Daily Performances. Utilizaram-se os testes de Fisher e Qui-quadrado para testar associação das variáveis. Como resultado, 42% da amostra relatou dificuldades, relacionadas à PTC, para executar atividades bucais. Tais dificuldades foram mais frequentes e intensas nas atividades de comer, falar e sorrir. No total, 58,7% da amostra não tinha dentes funcionais. Quanto à avaliação clínica das PTC, 57,2% das superiores e 9,2% das inferiores estavam satisfatórias. Houve associação da presença de dificuldades e a ausência de dentes funcionais, mas não com PTC inadequadas. Assim, os CEO foram efetivos na reabilitação com PTC superior, já que as dificuldades encontradas integram limitações próprias a tal reabilitação. Por outro lado, o custo benefício da reabilitação inferior deve ser reavaliado.
The effectiveness of health services can be evaluated from the quality of life (QOL) standpoint. Thus, this study evaluated rehabilitation services using full conventional dentures (FCD) of Specialized Dental Care Centers (SDCC) in Rio Grande do Norte (RN) regarding daily difficulties associated with these dentures made between 2007 and 2009. A cross-sectional study was conducted with 138 users of these FCD, collecting data by clinical examination and a questionnaire based on the Oral Impacts on Daily Performances index. The Fisher and chi-square tests were used to test the association between the variables. The result was that 42% of users reported difficulties in executing oral activities due to FCDs. These difficulties were more frequent and intense in the activities of eating, speaking and smiling. In general, 58.7% of users did not have functional teeth. In relation to the clinical evaluation of FCDs, 57.2% of upper and 9.2% of lower FCDs were satisfactory. There was an association between difficulty and the absence of functional teeth, but not with inadequate FCDs. Thus, the SDCCs were effective in upper FCD rehabilitation, since the difficulties encountered are within the standard limitations of this type of rehabilitation. On the other hand, the cost-benefit of rehabilitation of lower FCDs must be evaluated.
Subject(s)
Female , Humans , Male , Middle Aged , Denture, Complete , Quality of Life , Cross-Sectional Studies , Denture, Complete/adverse effects , Surveys and QuestionnairesABSTRACT
Objetivo: Avaliar a qualidade técnica dos tratamentos endodônticos realizados em Centros de Especialidades Odontológicas (CEOs) da Grande Natal/RN no período de 2006 a 2008. Método: Estudo transversal com amostra de 282 dentes submetidos a tratamento endodôntico há pelo menos um ano. Os participantes da pesquisa foram avaliados através de exames clínicos e radiográficos. Os dentes tratados endodonticamente foram examinados por uma especialista em endodontia, que comparou e analisou as radiografias realizadas ao final do tratamento e anexadas ao registro do paciente no CEO com tomadas radiográficas atuais. Os dados coletados foram apresentados de forma descritiva através de números absolutos, percentuais e médias. Para a determinaçÆo da associaçÆo entre as variáveis independentes e as variáveis dependentes realizou-se análise bivariada através do teste do qui-quadrado e exato de Fisher. Resultados: Dos elementos dentários examinados 79,8% apresentaram-se sem lesÆo periapical, 84,4% sem dor, 8,2% fraturados e 3,2% extraídos. As obturaçães dos canais encontravam-se adequadas em 81,2%. Com relaçÆo ao limite longitudinal, 135 (47,9%) das obturaçães foram consideradas com limite ideal, 50 (17,7%) sobreobturados e 88 (31,2%) subobturados. A persistência de lesÆo periapical esteve associada ao estado periapical inicial (p<0,05). ConclusÆo: Os tratamentos endodônticos que foram realizados nos Centros de Especialidades Odontológicas possuem uma adequada qualidade técnica, resultando no sucesso da terapia endodôntica realizada nestes Centros...
Objective: To evaluate the technical quality of the endodontic treatments performed at Dental Specialty Centers (DSC) in the Greater Natal, RN, Brazil, between 2006 and 2008. Method: A cross-sectional design was used with a sample of 282 teeth with endodontic treatments completed at least 1 year before the study. The participants were subjected to clinical and radiographic. The endodontically treated teeth were examined by an endodontist who compared and analyzed the radiographs taken at the end of the treatment as part of the patient?s documentation at the DSC with the current radiographs. The collected data were presented by descriptive statistics in absolute numbers, percentages and means. Association among the independent and dependent variables was made by bivariate analysis with the chi-square and Fisher?s exact tests. Results: As much as 79.8% of the teeth did not present periapical lesion, 84.4% had no associated painful symptomatology, 8.2% were fractured and 3.2% had been extracted. The root fillings were adequate in 81.2% of the teeth. Regarding the apical limit of root canal filling, adequate filling was observed in 135 teeth (47.9%), overfilling in 50 (17.7%) and underfilling in 88 (31.2%). Persistence of periapical lesion was associated with the initial stage of apical periodontitis (p<0.05). Conclusion: The endodontic treatments performed at the DSC have adequate technical quality, resulting in success of the root canal therapy...