Periodontal conditions of elders in Northeastern Brazil

Maria Vieira de Lima Saintrain, Maria Daucirlene Costa Aquino

Resumo


Objective: To evaluate the periodontal conditions of elderly patients assisted in a Specialized Dentistry Center in Northeastern of Brazil. Methods: Quantitative and cross-sectional study conducted with 152 elders. It was used a questionnaire to get information about socio-demographic aspects (age, sex, gender, income, and education), general healthand periodontal clinical examination based on the Communitarian Periodontal Index (CPI), an indicator recommended by the World Health Organization (WHO), who enabled the evaluation of the periodontal condition. It was used Pearson’s Chi-square Distribution, or Fisher’s Exact Test, with significance level tests 5%. Results: The elders age ranged from 60 to 89 years, mean of 67.6 years (SD ± 6.13). The variables female 70 (53.9%), retiree 95 (62.5%), low income 91 (59.0%), secondary school 60 (39.5%) predominated and 130 (85.5%) elders used medicines. Most evidenced self-reported diseases: eye problems 123 (80.9%), cardiovascular disorders 107 (70.4%), osteoporosis 77 (50.7%) and diabetes 54 (35.5%). Dental calculus prevailed 128 (84.2%). Statistical significance was found between the presence ofperiodontal pocket and age group 60-65 years (p= 0.027); dental calculus andbrushing teeth once a day (p=0.028); not use of dental floss and periodontal pocket from 4 to 5mm (p=0.001); use of toothpick with periodontal pocket from 4 to 5mm (0.018) and of 6mm or more (p=0.001); educational level and dental calculus (p=0.005). Conclusion: The periodontal health of this population is covered with precariousness, mainly due to dental calculus and periodontal pocket.

doi: 10.5020/18061230.2014.p495

Palavras-chave


Aging; Elderly; Periodontics; Oral Health.

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Referências


Veras R. Terceira idade: gestão contemporânea em saúde. Rio de Janeiro: Relume Dumara; 2008

Veras R. Envelhecimento populacional contemporâneo: demandas, desafios e inovações. Rev Saúde Pública. 2009;43(3):1-7.

Tinós AMFG, Sales-Peres SHC, Rodrigues LCR. Acesso da população idosa aos serviços de saúde bucal: uma revisão. RFO UPF. 2013;18(3):351-60.

Rosa LB, Zuccolotto MCC, Bataglion C, Coronatto EAS. Odontogeriatria – a saúde bucal na terceira idade. RFO UPF. 2008;13(2):82-6.

Hobdell M, Petersen PE, Clarkson J, Johnson N. Global goals for oral health 2020. Int Dent J. 2003;53:285–8.

Petersen PE, D. Kandelman, Arpin DS, Ogawa H. Global oral health of older people: call for public health action. Community Dent Health. 2010;27(4 Suppl 2):257–68.

Ministério da Saúde (BR). Projeto SB Brasil 2003: condições de saúde bucal da população. Brasília: Ministério da Saúde; 2004.

Ministério da Saúde (BR). SB Brasil: Pesquisa Nacional de Saúde Bucal 2010 [Internet]. Brasília: Ministério da Saúde; 2010 [cited 2012 Feb 11]. Available from:http://dab.saude.gov.br/CNSB/sbbrasil/arquivos/ apresentacao_abbrasil_2010.pdf

Costa FO, Susin C, Cortelli JR, Isabela Almeida Pordeus IA. Epidemiology of periodontal disease. Int J Dent. 2012;2012:1-2.

Ministério da Saúde (BR). Portaria nº 2528 de 19 de outubro de 2006. Aprova a Política Nacional de Saúde da Pessoa Idosa. Brasília: Ministério da Saúde; 2006.

World Health Organization - WHO. Oral health surveys: basic methods. 4Th ed. Geneva: RH/EPID; 1997.

Moreira RS, Nico LS, Tomita NE. Oral health conditions among the elderly in Southeastern São Paulo State. J Appl Oral Sci. 2009;17(3):170-8.

Gundala R, Chava VK. Effect of lifestyle, education and socioeconomic status on periodontal health. Contemp Clin Dent. 2010;1(1):23-6.

Johansson CS. Periodontitis and coronary artery disease: studies on the association between periodontitis and coronary artery disease [these]. Linköping: Division of Cardiovascular Medicine Department of Medical and Health Sciences Linköping University; 2013

Johansson CS, Richter A, Lundström Å, Torstensson H, Ravald N. Periodontal conditions in patients with coronary heart disease: a case–control study. J Clin Periodontol. 2008;35(3):199–205.

Sociedade Brasileira de Diabetes. Estatísticas do diabetes no Brasil e no mundo [Internet]. São Paulo: SBD [cited 2010 Nov 10]. Available from: http://www. diabetes.org.br/Diabetes/diabet_set.htm

Bascones-Martinez A, Matesanz-Perez P, Escribano- Bermejo M, Gonzá-lez-Moles MA, Bascones-Ilundain J, Meurman JH. Periodontal disease and diabetes- Review of the literature. Med Oral Patol Oral Cir Bucal. 2011;16(6):e722-9.

Santana TD, Costa FO, Zenóbio EG, Soares RV, Santana TC. Impacto da doença periodontal na qualidade de vida de indivíduos diabéticos dentados. Cad Saúde Pública. 2007;23(3):637-44.

Lopes FF, Loureiro FHF, Pereira AFV, Pereira ALA, Alves CMC. Associação entre osteoporose e doença periodontal em mulheres na pós-menopausa. Rev Bras Ginecol Obstet. 2008;30(8):379-83.

Esfahanian V, Shamami MS, Shamami MS. Relationship between osteoporosis and periodontal disease: review of the literature. J Dent (Tehran). 2012;9(4):356-64.

Saintrain MVL, Vieira LJES. Saúde bucal do idoso: abordagem interdisciplinar. Ciênc Saúde Coletiva. 2008;13(4):1127-32.

Queiroz CM, Resende CP, Molena CCL, Denardin OVP, Rapoport A. Avaliação da condição periodontal no idoso. Rev Bras Cir Cabeça Pescoço. 2008;37(3): 156-9.

Cesar Neto JB, Rosa EF, Pannuti CM, Romito GA. Smoking and periodontal tissues: a review. Braz Oral Res [online]. 2012;26(Spec No 1):25-31.

Pejčić A, Obradović R, Kesić L, Kojović D. Smoking and periodontal disease: a review. Med and Biol. 2007;14(2):53-9.

Ferreira RC, Magalhães CS, RochaES, Schwambach CW, Moreira AN. Saúde bucal de idosos residentes em instituições de longa permanência de Belo Horizonte, Minas Gerais, Brasil. Cad Saúde Pública. 2009; 25(11):2375-85.

Kaye EK, Valencia A, Baba N, et al. Tooth loss and periodontal disease predict poor cognitive function in older men. J Am Geriatr Soc. 2010;58(4):713-8.

Sriyono NW. Correlation of age, attitude, and dental care behavior with the oral health status of institutionalized elderly in Yogyakarta, Indonesia. Hong Kong Dent J. 2005;2:30-4.

Lindhe J, Karring T, Araújo M. Anatomia dos tecidos periodontais. In: Lindhe J, Lang NP, Karring T. Tratado de periodontia clínica e implantodontia oral. São Paulo: Guanabara Koogan; 2010.

Hopcraft MS, Morgan MV, Satur JG, Wright FA, Darby IB. Oral hygiene and periodontal disease in Victorian nursing homes. Gerodontology. 2012;29(2):e220-8.

Martins AMEBL, Haikal DS, Pereira SM, Barreto SM. Uso de serviços odontológicos por rotina entre idosos brasileiros: Projeto SB Brasil. Cad Saúde Pública. 2008;24(7):1651-66.

Ministério da Saúde (BR). Diretrizes da Política Nacional de Saúde Bucal [Internet]. Brasília: Ministério da Saúde; 2004 [cited 2012 Feb 11]. Available from: http://dab.saude.gov.br/CNSB/brasil_sorridente.php.




DOI: https://doi.org/10.5020/2506

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