RESUMO
Aims: Evaluating the prevalence of tooth loss, edentulism, prosthetic rehabilitation needs and the use of dental prosthesis as well as determine associations between tooth loss and age, sex, economic classification and race of the population studied. Methodology: A cross-sectional study was conducted with 776 patients aged 15 years old or older seeking public health care at Family Health Units in the city of Recife (northeastern Brazil). Tooth loss was evaluated through an intraoral examination and categorized as 1) a maximum of 12 teeth lost or 2) more than 13 teeth lost. Results: Prevalence rates were 85.3% for tooth loss, 5.5% for edentulism and 29% for more than 13 teeth lost. The prevalence rates for the use of maxillary and mandibular dental prostheses and the need of prosthetic rehabilitation were 35.7%, 8.9% and 85.3%, respectively. Binary logistic regression provided the following p-values: < 0.001 for age, 0.449 for sex, 0.043 for economic classification and 0.983 for race. The outcomes were not significantly associated with race or sex. Conclusions: The prevalence of tooth loss, edentulism and the need of prosthetic rehabilitation were considered high in the population studied and were strongly associated with a low income and an older age. The prevalence of the use of dental prostheses was considered low. Sex and race exerted no influence on tooth loss. Clinical Relevance: A better understanding of tooth loss will allow dentists to comprehend the etiological factors of this outcome, with a consequent reduction in its prevalence, thereby benefiting the population.
RESUMO
O objetivo desse trabalho foi determinar a prevalência de cárie secundária em uma população adulta e correlacionar os resultados com fatores sociodemográficos e comportamentais. Um estudo piloto foi realizado para testar os instrumentos de coleta de dados, realizar a calibração da examinadora (Kappa= 0,76), bem como para determinar o tamanho da amostra. Essa foi composta por 196 pacientes, selecionados aleatoriamente, a partir da Clínica Odontológica da Aeronáutica - Recife. Os participantes responderam a um questionário e foram submetidos a um exame clínico no qual foi feito o diagnóstico de cárie secundária segundo critérios pré-estabelecidos. Participaram do estudo 200 pessoas entre 20 a 45 anos (média de 31,07). A prevalência de cárie secundária foi de 62,5% verificando-se associação significativa com a freqüência do consumo de açúcar (p=0,025). A análise multivariada revelou que apenas as variáveis autopercepção de saúde bucal e CPO-D foram significativas para a ocorrência de cárie secundária. Concluiu-se que a prevalência de cárie secundária foi alta e esteve relacionada com a autopercepção de saúde bucal e com o CPO-D