RESUMO
Abstract This study aimed to characterize the profile of dental anxiety in pediatric patients, identifying the effect exerted by socioeconomic factors using dental data. A cross-sectional study design with a sample of 120 children aged 7-12 years old was used. Data relating to anxiety levels prior to dental care, socioeconomic aspects (family income, education level, child's school type), and child's dental history (previous dental appointments, previous treatment, caries experience) were collected. Additionally, participants completed the Brazilian version of the Children's Fear Survey Schedule- Dental Subscale (B-CFSS-DS) to assess dental anxiety. Descriptive analyses, chi-squared (X 2 ) tests, and Mann-Whitney U tests were performed, with a significance level of 5%. A total of 51 boys (42.5%) and 69 girls (57.5%) were included. There was no significant difference in dental anxiety between them. However, younger children had higher mean B-CFSS-DS scores (p = 0.036, Mann-Whitney). A higher prevalence of dental anxiety was found in participants from low-income families (p = 0.012, X 2 ) and in patients who did not receive endodontic treatment (p=0.034, X 2 ). Higher mean B-CFSS-DS scores were also observed in participants who did not receive endodontic treatment (p=0.001, Mann-Whitney) compared with those that did receive endodontic treatment. No relationship was found between education level, patient school type, first dental appointment, caries experience, and dental anxiety data. Younger children presented a profile of greater dental anxiety. Socioeconomic factors and dental data exerted some effect on dental anxiety, where children from low-income families and those not subjected to endodontic treatment displayed higher rates of dental anxiety.
RESUMO
Objetivo: estimar a prevalência de extrações dentárias autorrelatadas e analisar os fatores associados em comunidades quilombolas de Feira de Santana, Bahia, Brasil. Métodos: estudo transversal, com 864 quilombolas; a associação entre autorrelato de extrações dentárias (sem experiência de extração; ≤5 dentes extraídos; >5 dentes extraídos) e possíveis fatores associados foi estimada por meio da regressão logística multinomial, considerando-se 95% de intervalo de confiança (IC95%). Resultados: extrações dentárias foram autorrelatadas por 82,0% dos quilombolas, sendo 49,8% com ≤5 e 32,2% com >5 dentes extraídos; ser do sexo masculino (OR ajustada = 1,7 - IC95% 1,1;2,7), encontrar-se empregado sem carteira assinada (OR ajustada = 2,7 - IC95% 1,3;5,7), ter idade ≥60 anos (OR ajustada = 5,2 - IC95% 1,9;14,1) e ter tido cárie dentária (OR ajustada = 4,1 - IC95% 2,5;6,7) associaram-se a maiores chances de ter extraído dentes. Conclusão: extrações dentárias estão associadas a condições de vulnerabilidade social vivenciadas pelos quilombolas do Semiárido baiano.
Objetivo: estimar la prevalencia de extracciones dentales auto-relatadas y analizar los factores asociados en las comunidades quilombolas de Feira de Santana, Bahia, Brasil. Métodos: estudio transversal, con 864 quilombolas; la asociación entre auto-relato de extracciones dentales (sin experiencia de extracción, ≤5 dientes extraídos y >5 dientes extraídos) y los posibles factores asociados fue estimada a través de la regresión logística multinomial considerando el 95% de intervalo de confianza (IC95%). Resultados: extracciones dentales fueron auto-relatadas por el 82,0%, siendo 49,8% con ≤5 y 32,2% con >5 dientes extraídos; sexo masculino (Odds Ratio ajustado = 1,7 - IC95%1,1;2,7), trabajadores sin estar en planilla (OR ajustado = 2,7 - IC95%1,3;5,7), con edad ≥60 (OR ajustado = 5,2 - IC95%1,9;14,1) y que mencionaron haber tenido caries dentales (OR ajustado = 4,1 - IC95%2,5;6,7), se asociaron a más probabilidades de haber extraído los dientes. Conclusión: extracciones dentales parecen estar asociadas a condiciones de vulnerabilidades sociales vividas por los quilombolas del Semiárido bahiano.
Objective: to estimate the prevalence of self-reported tooth extractions and analyze associated factors in quilombola communities in Feira de Santana, Bahia, Brazil. Methods: this was a cross-sectional study, with 864 quilombolas; association between self-reported tooth extractions (no experience of extraction; ≤5 extracted teeth; >5 extracted teeth), and possible associated factors was estimated using multinomial logistic regression, with a 95% confidence interval (95%CI). Results: tooth extractions were self-reported by 82.0% of quilombolas, 49.8% of whom had ≤5 teeth extracted and 32.2% of whom had >5 teeth extracted; greater likelihood of tooth extraction was associated with being male (adjusted OR = 1.7 - 95%CI1.1;2.7), working as an unregistered worker (adjusted OR = 2.7 - 95%CI1.3;5.7), being ≥60 years old (adjusted OR = 5.2 - 95%CI1.9;14.1) and reporting having dental caries (adjusted OR = 4.1 - 95%CI2.5;6.7). Conclusion: tooth extractions are associated with social vulnerability conditions experienced by the quilombolas of the semi-arid region of Bahia state.