scholarly journals Locked Mouths: Tooth Loss in a Women’s Prison in Northeastern Brazil

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Iris Sant’ Anna Araújo Rodrigues ◽  
Ingrid Thays de Melo Silveira ◽  
Magaly Suênya de Almeida Pinto ◽  
Alidianne Fabia Cabral Xavier ◽  
Thaliny Batista Sarmento de Oliveira ◽  
...  

Background. Prisoners, in general, exhibit unsatisfactory oral conditions, especially with regard to the large number of missing teeth and with untreated caries. The aim of this study was to assess tooth loss, use of and need for prosthetic rehabilitation, and use of dental services among inmates. A cross-sectional study involving 65 inmates was developed at the Regional Women’s Prison of Campina Grande, Brazil. Data regarding sociodemographic and sentencing profile, use of dental services, dental morbidity, and self-perceived oral health impacts were investigated. Chi-square, Pearson, and Kruskal-Wallis (P<0.05) statistical tests were used. The mean tooth loss was 11.3 teeth. Significant association between tooth loss and oral health satisfaction (P=0.049), self-perceived need for dental prosthesis (P<0.001), uncomfortable teeth brushing (P=0.005), difficult speaking (P=0.002), and difficulty in performing routine tasks (P=0.025) was observed. It was observed that 29.2% of inmates were using some type of prosthesis, all deemed unsuitable for use, and 78.5% of inmates needed prosthetic rehabilitation. The oral health condition of the population studied was found to be poor, and prisoners showed significant tooth loss and need for dentures, with the aggravation of having tooth extraction as the major reason for seeking dental care.

2020 ◽  
Author(s):  
Luana Leal Roberto ◽  
Marise Fagundes Silveira ◽  
Alfredo Mauricio Batista De Paula ◽  
Efigênia Ferreira Ferreira ◽  
Andréa Maria Eleutério De Barros Lima Martins ◽  
...  

Abstract Background: Tooth loss represents a known marker of health inequality. The association between tooth loss and unfavorable socioeconomic conditions is evident when analyzed at an individual level. However, the effects of contextual characteristics on tooth loss need to be better investigated and understood. The objective of this study was to analyze tooth loss among Brazilian adults (35-44 years of age), in accordance with individual and contextual social characteristics. Methods: This was a multilevel cross-sectional study with data from 9,564 adult participants from the Brazilian Oral Health Survey - SBBrasil 2010. The dependent variable was the number of lost teeth and the independent variables were grouped into structural (socioeconomic & political context) and intermediary (socioeconomic position, behavioral & biological factors, and health services) determinants. Multilevel Hierarchical Negative Binomial Regression was conducted and the Mean Ratio (MR) was estimated. Results: Brazilian adults lost a mean of 7.57 (95% CI 7.1-8.1) teeth. Among the contextual variables, the number of teeth lost was higher among residents of municipalities with high and medium/low Municipal Human Development Index (MHDI) and in municipalities that did not have public water fluoridation. Among the individual variables, dental loss was higher among those who declared themselves yellow/black/brown/indigenous, were older, who had lower income, who had never visited a dentist, who had used dental services for more than a year and those whose most recent visit to the dentist was due to oral health problems. On the other hand, dental loss was lower among adults with higher education levels and males. Conclusions: The number of missing teeth was associated with unfavorable contextual and individual conditions, which reinforces the need to reduce social inequality and guarantee regular, lifetime access to dental services.


2020 ◽  
Author(s):  
Luana Leal Roberto ◽  
Marise Fagundes Silveira ◽  
Alfredo Mauricio Batista De Paula ◽  
Efigênia Ferreira Ferreira ◽  
Andréa Maria Eleutério De Barros Lima Martins ◽  
...  

Abstract Background: Tooth loss represents a known marker of health inequality. The association between tooth loss and unfavorable socioeconomic conditions is evident when analyzed at an individual level. However, the effects of contextual characteristics on tooth loss need to be better investigated and understood. The objective of this study was to analyze tooth loss among Brazilian adults (35-44 years of age), in accordance with individual and contextual social characteristics. Methods: This was a multilevel cross-sectional study with data from 9,564 adult participants from the Brazilian Oral Health Survey - SBBrasil 2010. The dependent variable was the number of lost teeth and the independent variables were grouped into structural (socioeconomic & political context) and intermediary (socioeconomic position, behavioral & biological factors, and health services) determinants. Multilevel Hierarchical Negative Binomial Regression was conducted and the Mean Ratio (MR) was estimated. Results: Brazilian adults lost a mean of 7.57 (95% CI 7.1-8.1) teeth. Among the contextual variables, the number of teeth lost was higher among residents of municipalities with high and medium/low Municipal Human Development Index (MHDI) and in municipalities that did not have public water fluoridation. Among the individual variables, dental loss was higher among those who declared themselves yellow/black/brown/indigenous, were older, who had lower income, who had never visited a dentist, who had used dental services for more than a year and those whose most recent visit to the dentist was due to oral health problems. On the other hand, dental loss was lower among adults with higher education levels and males. Conclusions: The number of missing teeth was associated with unfavorable contextual and individual conditions, which reinforces the need to reduce social inequality and guarantee regular, lifetime access to dental services.


2020 ◽  
Author(s):  
Luana Leal Roberto ◽  
Marise Fagundes Silveira ◽  
Alfredo Mauricio Batista De Paula ◽  
Efigênia Ferreira Ferreira ◽  
Andréa Maria Eleutério De Barros Lima Martins ◽  
...  

Abstract Background: Tooth loss represents a known marker of health inequality. The association between tooth loss and unfavorable socioeconomic conditions is evident when analyzed at an individual level. However, the effects of contextual characteristics on tooth loss need to be better investigated and understood. The objective of this study was to analyze tooth loss among Brazilian adults (35-44 years of age), in accordance with individual and contextual social characteristics. Methods: This was a multilevel cross-sectional study with data from 9,564 adult participants from the Brazilian Oral Health Survey - SBBrasil 2010. The dependent variable was the number of lost teeth and the independent variables were grouped into structural (socioeconomic & political context) and intermediary (socioeconomic position, behavioral & biological factors, and health services) determinants. Multilevel Hierarchical Negative Binomial Regression was conducted and the Mean Ratio (MR) was estimated. Results: Brazilian adults lost a mean of 7.57 (95% CI 7.1-8.1) teeth. Among the contextual variables, the number of teeth lost was higher among residents of municipalities with high and medium/low Municipal Human Development Index (MHDI) and in municipalities that did not have public water fluoridation. Among the individual variables, dental loss was higher among those who declared themselves yellow/black/brown/indigenous, were older, who had lower income, who had never visited a dentist, who had used dental services for more than a year and those whose most recent visit to the dentist was due to oral health problems. On the other hand, dental loss was lower among adults with higher education levels and males. Conclusions: The number of missing teeth was associated with unfavorable contextual and individual conditions, which reinforces the need to reduce social inequality and guarantee regular, lifetime access to dental services.


2019 ◽  
Author(s):  
Luana Leal Roberto ◽  
Marise Fagundes Silveira ◽  
Alfredo Mauricio Batista De Paula ◽  
Efigênia Ferreira Ferreira ◽  
Andréa Maria Eleutério De Barros Lima Martins ◽  
...  

Abstract Background: Tooth loss represents a known marker of health inequality. The association between tooth loss and unfavorable socioeconomic conditions is evident when analyzed at an individual level. However, the effects of contextual characteristics on tooth loss need to be better investigated and understood. The objective of this study was to analyze tooth loss among Brazilian adults (35-44 years of age), in accordance with individual and contextual social characteristics. Methods: This was a multilevel cross-sectional study with data from 8,837 adult participants from the National Oral Health Survey - SBBrasil 2010. The dependent variable was the number of lost teeth and the independent variables were grouped according to the theoretical model of Watt & Sheiham (2012). Negative Multilevel Hierarchical Binomial Regression was conducted and the Mean Ratio (MR) was estimated. Results: Brazilian adults lost a mean of 7.31 (95% CI 6.9-7.8) teeth. Among the contextual variables, the number of teeth lost was lower among residents of municipalities with higher Municipal Human Development Index (MHDI), and was higher in municipalities that did not have public water fluoridation. Among the individual variables, dental loss was higher among those who declared themselves yellow/black/brown/indigenous, were older, who reported pain, who had not used dental services for more than a year and those whose reason for the consultation was due to oral health problems. On the other hand, dental loss was lower among adults with higher education levels, higher income and males. Conclusions: The number of missing teeth was associated with unfavorable contextual and individual conditions, which reinforces the need to reduce social inequality and guarantee regular, lifetime access to dental services.


2020 ◽  
Author(s):  
Luana Leal Roberto ◽  
Marise Fagundes Silveira ◽  
Alfredo Mauricio Batista De Paula ◽  
Efigênia Ferreira Ferreira ◽  
Andréa Maria Eleutério De Barros Lima Martins ◽  
...  

Abstract Background: Tooth loss represents a known marker of health inequality. The association between tooth loss and unfavorable socioeconomic conditions is evident when analyzed at an individual level. However, the effects of contextual characteristics on tooth loss need to be better investigated and understood. The objective of this study was to analyze tooth loss among Brazilian adults (35-44 years of age), in accordance with individual and contextual social characteristics. Methods: This was a multilevel cross-sectional study with data from 9,564 adult participants from the Brazilian Oral Health Survey - SBBrasil 2010. The dependent variable was the number of lost teeth and the independent variables were grouped into structural (socioeconomic & political context) and intermediary (socioeconomic position, behavioral & biological factors, and health services) determinants. Multilevel Hierarchical Negative Binomial Regression was conducted and the Mean Ratio (MR) was estimated. Results: Brazilian adults lost a mean of 7.57 (95% CI 7.1-8.1) teeth. Among the contextual variables, the number of teeth lost was higher among residents of municipalities with high and medium/low Municipal Human Development Index (MHDI) and in municipalities that did not have public water fluoridation. Among the individual variables, dental loss was higher among those who declared themselves yellow/black/brown/indigenous, were older, who had lower income, who had never visited a dentist, who had used dental services for more than a year and those whose most recent visit to the dentist was due to oral health problems. On the other hand, dental loss was lower among adults with higher education levels and males. Conclusions: The number of missing teeth was associated with unfavorable contextual and individual conditions, which reinforces the need to reduce social inequality and guarantee regular, lifetime access to dental services.


2016 ◽  
Vol 27 (3) ◽  
pp. 345-352 ◽  
Author(s):  
Camila Garcez Ribeiro ◽  
Andreia Morales Cascaes ◽  
Alexandre Emídio Ribeiro Silva ◽  
Lenise Menezes Seerig ◽  
Gustavo Giacomelli Nascimento ◽  
...  

Abstract The aim of this study was to estimate self-reported prevalence of edentulism, severe tooth loss and lack of functional dentition in elders, and to identify potential associated factors. A population based cross-sectional study was carried out with 1,451 elders (≥60 years), in Pelotas, RS, Brazil. Crude and adjusted prevalence ratios were estimated using Poisson regressions. The prevalence of edentulism, severe tooth loss and lack of functional dentition was 39.3%, 60.9% and 82.7%, respectively. The factors positively associated with tooth loss in the three-degree severity were sex (females), older individuals, low familial income, low level of schooling and having the last dental visit longer than 24 months ago. The high prevalence of tooth loss in its different degrees of severity and the association with preventable factors highlight the need of programs focused on elders, emphasizing the prevention of tooth loss and need for prosthetic rehabilitation.


2017 ◽  
Vol 65 (2) ◽  
pp. 115-120 ◽  
Author(s):  
Manoelito Ferreira SILVA-JUNIOR ◽  
Emílio Prado FONSECA ◽  
Marília Jesus BATISTA ◽  
Maria da Luz Rosário de SOUSA

ABSTRACT Introduction: Although there has been an improvement in the oral health status of the population, tooth loss still aggravates the oral health of adults and is a matter of great relevance to dentistry. Aim: To determine the spatial distribution of tooth loss in adults and correlate this with the Social Exclusion Index and proximity to public dental services. Material and Method: This ecological study was based on epidemiological data of adults from Piracicaba municipality and from the Piracicaba Research and Planning Institute (IPPLAP). Data on dental evaluations were extracted from the Piracicaba epidemiological survey, which was a cross-sectional study with probabilistic sampling of 248 adults aged 20-64 years, representative of adults living in Piracicaba, Brazil. Oral examinations of the DMFT index were in accordance with the World Health Organization codes and criteria and were performed by a single examiner calibrated for this purpose. Data on social exclusion and the municipal health units that have dental services were extracted from IPPLAP. Georeferencing was performed of census tracts selected by draw, and the city health facilities that have dental services. For Spearman correlation analysis (p <0.05), we used the mean value of teeth lost per district, the Social Exclusion Index (IEX), and proximity to public dental service categorized according to radius: <500m, between 500-1000m, and >1000m the census tract. Result: There was a correlation between tooth loss and higher IEX, and r=−0.51 (p=0.01), but no correlation with proximity to public dental services (p=0.42). Conclusion: Tooth loss in adults was distributed according to social exclusion, however, it was unrelated to proximity to the public dental services.


Author(s):  
. Palwasha ◽  
Yaswant Rai ◽  
Maria Javaid ◽  
Nisar Ahmed Khokhar ◽  
Roohi Nigar

Background: Gestational is special and interesting period for every woman that covers the physiological hormonal changes and leads to the development of new healthy life. Changes in hormones during pregnancy may alter the physiological conditions that impose the bad impact of different body parts including gastric and oral health of the mother. Oral health plays an important role for maintaining normal and healthy life of human being and if any disease or disorder appeared within the oral cavity, it may leads to severity of disease and disturbed normal routine life. Aims and Objectives: This study aims to evaluate the condition of oral health during gestational period. Materials and Methods: Descriptive cross sectional study was carried out for the period of six months at Department of Gynecology & Obstetrics ward, Liaquat University of Medical & Health Sciences, Jamshoro and females with positive pregnancy were included in the study and total 146 females were selected, after the signature on informed consent form. Medical history was taken in order to ensure any major disease or medication affecting oral health. Results: After collection of proper data from all participants, the results were finalized, 19 females were belonging to age group of 18-21years, and 51 females belong to 26-29 years. 47 females had good OHI-S score, 59 had fair OHI-S score. 31 female had 1st trimester, 81 females had 2nd trimester and 34 had 3rd trimester. 19 females had normal PI index, 94 had simple gingivitis and 33 females had periodontitis. Conclusion: It was important to maintain good oral hygiene before and during pregnancy, so as to prevent the occurrence of periodontal disease and to avert the irreparable damage that may arise during the period of pregnancy.


Author(s):  
Bruna Rafaele Vieira PEDROSA ◽  
Walésia Laianny Leite MARTINS ◽  
Híttalo Carlos Rodrigues de ALMEIDA ◽  
Veronica Maria da Rocha KOZMHINSKY ◽  
Maria de Fátima Pessoa de Araújo SABINO ◽  
...  

ABSTRACT Objective: identifying the parents/guardians’ knowledge about the oral health condition of oncological children assisted at the Pediatric Oncology Department of the Institute of Integral Medicine Professor Fernando Figueira. Methods: A cross-sectional study comprising a sample of 163 parents/guardians of children assisted at the Pediatric Oncology Department of the IIMP in the city of Recife, Pernambuco, applying a semi-structured form, tested with 10% of the sample in a pilot study. Results: Most of the parents/guardians were female subjects (87%) and patients’ mothers (81%), between 25 and 34 years of age (44.8%), with a family income of a minimum wage (47%), educational level until elementary school (51.6%) and from the countryside of the state of Pernambuco (56%). Most of the children were male subjects (58.9%) with average age of 7.57 years, who had attended or stopped primary school (54.6%) and had been diagnosed with Acute Lymphoblastic Leukemia (57.7%) and treated with chemotherapy (92.6%). All parents considered important to have dental surgeons in the oncology department assisting the children in their oral hygiene. More than half of these parents reported knowing about how to avoid caries (63%) and, almost half of the children had never had a consultation with a dentist before (41.1%). Conclusion: Parents/guardians have information about oral health care, but they do not put it into practice.


2015 ◽  
Vol 20 (2) ◽  
pp. 208
Author(s):  
Lisa Prihastari ◽  
Peter Andreas

Kehamilan dan kesehatan gigi-mulut merupakan aspek yang berkaitan satu sama lain. Ibu hamil perlu secara rutin memeriksakan kesehatan gigi dan mulutnya ke dokter gigi setiap trimester. Angka utilisasi pelayanan kesehatan gigi dan mulut yang ditandai dengan data kunjungan ibu hamil ke dokter gigi di Indonesia masih sangat rendah. Faktor-faktor antecendent dalam teori perubahan perilaku ABC (antecendent behavior consequences) sangat penting dalam mempengaruhi terbentuknya sebuah perilaku termasuk perilaku kunjungan ibu hamil untuk pemeriksaan ke dokter gigi. Tujuan penelitian ini adalah untuk mengindetifikasi faktor-faktor antecendent yang menyebabkan rendahnya perilaku kunjungan ibu hamil ke dokter gigi. Penelitian pendahuluan dilakukan di wilayah kerja puskesmas Serpong Tangerang Selatan secara cross sectional pada 27 ibu hamil, wawancara dengan kuisioner dan pemeriksaan klinis menghitung skor DMFT dan MGI (modified gingival index) kemudian dianalisis deskriptif dan statistik dengan uji chi-Square. Hasil penelitian menunjukkan 96% (26 responden) tidak pernah memeriksakan ke dokter gigi saat hamil. Faktor antecendent rendahnya kunjungan bumil ke dokter gigi: belum mengetahui manfaat ke dokter gigi saat hamil (33%; 9 responden), takut ke dokter gigi (26%; 7 responden), merasa mahal (19%; 5 responden), merasa tidak butuh (11%; 3 responden), takut membahayakan janin (11%; 3 responden). Rata-rata indeks DMFT sebesar 2.78 dan skor rata-rata MGI sebesar 1.00. Tidak terdapat perbedaan yang bermakna skor DMFT dan MGI dari masing-masing faktor antecendent (p>0.05). Kesimpulannya dua faktor yang mempengaruhi utilisasi pelayanan kesehatan gigi dan mulut selama kehamilan adalah 1) pengetahuan dan 2) perceived need.Antecendent Affecting Utilization of Dental Services in Pregnant Women (Pilot Study at Serpong District, South Tangerang). Pregnancy and oral health are an aspect that is related to each other. Pregnant women need to regularly check oral health to a dentist every trimester. The number of utilization of dental service which is indicated by pregnant women’s dental visit data in Indonesia is still very low. Antecendent factors in ABC behavior change theory (Antecendent Behavior Consequences) are very important to influence the formation of a behavior including pregnant women dental’s visit. The objective of this study is to identify and evaluate the antecendent factors affecting the utilization of dental services during pregnancy. The preliminary research was conducted at comunity health center in Serpong district, South Tangerang with a cross sectional study. Subjects are 27 pregnant women with gestational age of 4-38 weeks.Data were collected through interview and clinical examination to find out about the score of DMFT index and modified gingival index, which was then analyzed descriptively and statistically using chi-Square test. Results: most of the respondents (96%; 26 respondents) did not visit the dentist during pregnancy. Antecendent factor of pregnant women’s dental visit: not knowing the benefits of dental visit during pregnancy (33%; 9 respondents), having fear of a dentist (26%; 7 respondents), visiting a dentist is thought to be expensive (19%; 5 respondents), having no need (11%; 3 respondents), having fear of causing harm to the fetus (11%; 3 respondents). The mean of DMFT is 2.78 ± 3.23 and the mean of modified gingival index (MGI) 1.00 ± 1.07. There were no significant differences in DMFT and MGI scores of each antecendent (p> 0.05). Conclusion: two major factors predicting the utilization of dental services during pregnancy are 1) knowledge and 2) perceived need.


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