scholarly journals Racial inequality and periodontal condition in Brazilian adolescents

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
R S Moreira ◽  
L D R Santos

Abstract Background Oral health, such as other health conditions, reflects social inequalities. These inequalities are fed back by oral diseases, generating a vicious and sustainable circle. Racial issues play a prominent role, once they are associated with oral diseases as risk markers. Among the different oral diseases, periodontal disease associated with racial inequalities in adolescents is emblematic. Thus, this study aimed to analyse the race differentials associated with the levels of periodontal disease, regardless of other risk factors. Methods Data from the 2010 national epidemiological survey on oral health were used, with 5445 adolescents (15 to 19 years old). Multinomial logistic regression models were used. Dependent variable was the Community Periodontal Index. Independent variable was self-declared race/colour, categorized as white, pardo (mixed-race identity) and preto (black). The effect of race was controlled in the presence of the covariates sex, years of study, decayed, missing and filled permanent teeth (DMFT index), toothache and self-reported need for dental treatment. Odds Ratio (OR) was estimated and sample weights were considered. Results The simple model showed preto with 2.7 (p < 0.05) and 8 (p < 0.05) times more likely to have shallow and deep periodontal pockets, respectively, compared to white. Pardo was 1.5 (p < 0.05) times more likely to have periodontal calculus. In the multiple model, even in the presence of all independent covariates, preto showed association with shallow pockets (OR = 2.51, p < 0.05) and pardo showed association with the presence of calculus (OR = 1.37, p < 0.05). Conclusions Regardless of sex, education, perception of pain and need for treatment and the DMFT index, race/colour was associated with periodontal problems. It should be noted that skin colour is not a biological risk factor for periodontal disease. However, the findings of this study revealed racial inequities regardless of socioeconomic variables. Key messages Raises the need to guarantee health as a resource for social development, with science having a fundamental role in recovering the citizenship of this historically forgotten population. The findings of this study revealed racial inequities regardless of socioeconomic variables.

RSBO ◽  
2018 ◽  
Vol 1 (4) ◽  
pp. 219
Author(s):  
Tiago Rodrigues Suizani ◽  
Bruna Leal de Mello ◽  
Luiza Foltran De Azevedo Koch ◽  
Carolina Dea Bruzamolin ◽  
Marilisa Carneiro Leão Gabardo

Introduction: The epidemiological surveys aim to evaluate the distribution and state determinants or events in health in given populations. Objective: To conduct an epidemiological survey on the socioeconomic condition, use of dental services, referred oral morbidity, self-perception, and oral health of inhabitants of the Teixeira Island, Paraná, Brazil. Material and methods: The studyfollowed the statements of the World Health Organization and the Brazilian National Epidemiological Survey (SB Brazil 2010). Questionnaires were applied, and in the clinical examination the following data were collected: dental trauma, edentulism, fluorosis, caries in deciduous teeth (dmft), caries in permanent teeth (DMFT), Community Periodontal Index (CPI) and Loss of Periodontal Insertion Index (LPII). The data were analyzed with Statistical Package for Social Sciences software, version 21.0, and expresses in frequency tables. Results: Of the 108 inhabitants, 90 participated in the study. The socioeconomics conditions unfavorable were: low income and low schooling. The water supplying was not fluoridated. The perception of oral problems was reported by 82.2%; 48.9% declared to have had toothache in last the six months; the reason of search for care was predominantly for curative treatments. Almost 30% of the participants declared to be unsatisfied with their oral health. The  values of DMFT and dmtf indexes were 13.9 and 1.2, respectively. The greater demand for maxillary prosthesis occurred in 39.7% of the sample, while 34.2% needed mandibular prosthesis. Conclusion: The oral diseases illnesses and need of treatment were evidenced in the sample, as well as risk factors that deserve attention of the public power.


2020 ◽  
Author(s):  
Wei-Liang Chen ◽  
Yuan-Yuei Chen ◽  
Wei-Te Wu ◽  
Ching-Huang Lai ◽  
Yu-Shan Sun ◽  
...  

Abstract Objectives: Acid mist can suspend in the air and enter the body via skin contact, the respiratory tract, or even oral intake, which pose various health hazards. Previous studies have shown that occupational exposure to acid mist or acidic solutions is a major risk factor for oral diseases. However, the findings are inconsistent and do not consider individual factors and lifestyles that may cause the same oral diseases. Therefore, we conducted a comprehensive oral health survey and collected detail information to confirm the effect of acidic solution exposure on worker’s oral health. Methods: The study selected enterprises in the metal surface treatment or electroplating industries in Taiwan that employed 300 or more employees and were willing to participate in this survey. Each enrolled subject underwent a questionnaire and comprehensive teeth and oral mucosa examination by a team of qualified and uniformed trained dentists. Oral clinical mirrors and community periodontal index (CPI)-type millimetric probe clinical data were collected according to the World Health Organization (WHO) dental caries diagnostic criteria. In this cross-sectional study, a total of 309 subjects participated was surveyed. Results: The results showed that acid exposure was correlated with soft oral tissue injury rather than hard oral tissue in our survey. Besides, halitosis and age were positive associated with periodontal disease and use of dental floss reduced the risk of periodontal disease. After correcting for major factors, such as age, sex, smoking, drinking, and chewing areca, acid exposure was still statistically related to periodontal disease in LA (loss of attachment) index by 3.27-fold (p = 0.00, CI 1.69 - 6.34). Conclusion: This study showed that occupational acid exposure during acidic solution work was an independent risk factor for periodontal disease. It is important to strengthen occupational hazard control, educate workers on oral disease and related factors, and raise the awareness of oral hygiene.


RSBO ◽  
2017 ◽  
Vol 14 (4) ◽  
pp. 219-28
Author(s):  
Tiago Rodrigues Suizani ◽  
Bruna Leal de Mello ◽  
Luiza Foltran de Azevedo Koch ◽  
Carolina Dea Bruzamolin ◽  
Marilisa Carneiro Leão Gabardo

The epidemiological surveys aim to evaluate the distribution and state determinants or events in health in given populations. Objective: To conduct an epidemiological survey on the socioeconomic condition, use of dental services, referred oral morbidity, self-perception, and oral health of inhabitants of the Teixeira Island, Paraná, Brazil. Material and methods: The study followed the statements of the World Health Organization and the Brazilian National Epidemiological Survey (SB Brazil 2010). Questionnaires were applied, and in the clinical examination the following data were collected: dental trauma, edentulism, fluorosis, caries in deciduous teeth (dmft), caries in permanent teeth (DMFT), Community Periodontal Index (CPI) and Loss of Periodontal Insertion Index (LPII). The data were analyzed with Statistical Package for Social Sciences software, version 21.0, and expresses in frequency tables. Results: Of the 108 inhabitants, 90 participated in the study. The socioeconomics conditions unfavorable were: low income and low schooling. The water supplying was not fluoridated. The perception of oral problems was reported by 82.2%; 48.9% declared to have had toothache in last the six months; the reason of search for care was predominantly for curative treatments. Almost 30% of the participants declared to be unsatisfied with their oral health. The values of DMFT and dmtf indexes were 13.9 and 1.2, respectively. The greater demand for maxillary prosthesis occurred in 39.7% of the sample, while 34.2% needed mandibular prosthesis. Conclusion: The oral diseases illnesses and need of treatment were evidenced in the sample, as well as risk factors that deserve attention of the public power.


2019 ◽  
Vol 31 (1) ◽  
pp. 81-86

The purpose of this study was to investigate oral health status and oral health care services utilization among Myanmar residents in Japan. A crosssectional epidemiological study was performed among 152 Myanmar residents aged 18 to 67 years in Tokyo, Japan. Clinical oral examinations and questionnaire surveys were conducted from June to July, 2017. Caries prevalence for all participants was 70.4% with mean decayed, missing, and filled teeth (DMFT) of 2.72±2.91. The prevalence of periodontal disease (Community Periodontal Index - CPI code 1) for all participants was 93.4%. A total of 67 participants (44.1%) had the experience of dental visits in Japan. Most participants (84.2%) had Japanese health insurance, and the participants with health insurance had a significantly higher number of filled teeth than those without (p=0.036). DMFT (p=0.020) and the prevalence of periodontal disease (p=0.049) were significantly lower in participants with health insurance than in those without. Further, self-perceived oral health was better in participants with health insurance than those without (p=0.001). The status of health insurance was indicated to influence on oral health status. In order to promote oral health and facilitate on owning health insurance to Myanmar residents in Japan, oral health education also should be provided to enhance their oral health knowledge.


1988 ◽  
Vol 74 (3) ◽  
pp. 165-172
Author(s):  
A. J. Woodman

AbstractTreatment patterns and times were observed for 616 Royal Naval personnel following routine referral to a Dental Hygienist. Results were then related to the patient’s periodontal status recorded at their initial examination, using the Periodontal Index for Treatment, to determine whether the Index would allow prediction of the treatment necessary for such patients and whether the Index was being used, as intended, for prioritisation of resources for periodontal care. Results indicated that both the treatment time and oral health education time for each patient were related to the Index and thus to disease severity. However, the results failed to show that the Index was used for prioritising periodontal care and suggested that Dental Hygienist practice is dominated by the treatment of patients with little or no periodontal disease to the disadvantage of a minority of patients requiring intensive therapy for destructive periodontal disease.


2020 ◽  
Author(s):  
Wei-Liang Chen ◽  
Yuan-Yuei Chen ◽  
Wei-Te Wu ◽  
Ching-Huang Lai ◽  
Yu-Shan Sun ◽  
...  

Abstract Background: Acid mist can suspend in the air and enter the body via skin contact, the respiratory tract, or even oral intake, which pose various health hazards. Previous studies have shown that occupational exposure to acid mist or acidic solutions is a major risk factor for oral diseases. However, the findings are inconsistent and do not consider individual factors and lifestyles that may cause the same oral diseases. Therefore, we conducted a comprehensive oral health survey and collected detail information to confirm the effect of acidic solution exposure on worker’s oral health. Methods: From 4 acidic solution factories, a total of 309 subjects (157 in control and 152 in exposed group) was enrolled. All participants competed oral examinations and self-report questionnaire, including the decayed, missing, and filled teeth (DMFT) index, community periodontal index (CPI), loss of attachment (LA) index, and tooth erosion. Multivariate logistic regression analysis was used to determine the association between the acidic solution exposure and oral health.Results: The results showed that acid exposure was correlated with soft oral tissue injury rather than hard oral tissue in our survey. In the multivariate model (adjusted for sex, age, worked years, education level, mouthwash use, dental floss use, tooth brushing, mask use, smoking, drinking, chewing areca and dietary habits with acidic foods), significant relationships of acid exposure with LA score were observed (OR=2.32, 95% CI 1.03-5.26). However, the presence of acid exposure was not significantly associated with tooth erosion, DMFT, and CPITN.Conclusion: Our study highlighted that occupational acid exposure was an independent risk factor for periodontal health, especially LA. It is important to strengthen occupational hazard control, educate workers on oral disease and related factors, and raise the awareness of oral hygiene.


2016 ◽  
Vol 73 (7) ◽  
pp. 668-673 ◽  
Author(s):  
Ivica Stancic ◽  
Milos Petrovic ◽  
Aleksandra Popovac ◽  
Miroslav Vasovic ◽  
Nebojsa Despotovic

Background/Aim. Within the elderly population, residents in nursing homes, there is a greather risk of caries, periodontal disease and teeth loss. Assistance of caregivers in maintaininig good oral hygiene besides improving oral health can improve of residents general health and the qulity of their lives. The aim of this study was to examine the attitudes of caregivers and knowledge about oral health, as well as the practice regarding oral care they apply at nursing homes in Serbia. Methods. The survey was conducted at the Gerontology Center Belgrade, consisting of four nursing homes located in the urban area. The study included 58 caregivers. They were contacted on working days, in all work shifts, during January, February and March of 2013. They were asked to fill in a self-administered questionnaire consisting of 26 closed-type questions. Results. The caregivers mostly considered that it was very important to take care of oral health of the residents, but 69% responded that the level of their oral health was low or very low. As the main barriers to oral hygiene maintenance, the caregivers indicated lack of time. The caregivers had more knowledge about periodontal disease than about the main cause of caries and its prevention. Formal medical education had the influence on the knowledge about oral diseases. Oral hygiene procedures carried out by the mayority of caregivers were denture cleaning and tooth brushing. Conclusion. The caregivers were aware of the limitations in everyday oral care of nursing homes residents in Serbia, although solving these problems requires the involvement of the entire public health service.


2020 ◽  
Author(s):  
Gabriela Ferreira ◽  
Sângela Maria da Silva Pereira ◽  
Inês Ferreira ◽  
Henedina Antunes ◽  
Irene Pina Vaz

Abstract Background: Besides the bad nutritional habits, it has been studied that systemic changes induced by obesity may have repercussions on oral environment. This study evaluated the oral health status of obese adolescents undergoing follow-up at a tertiary hospital in Portugal. Methods: Ninety subjects were classified as obese or severe obese according to the World Health Organization references. Caries experience and periodontal condition were determined by the DMFT index (decayed, missing and filled teeth) and Community Periodontal Index (CPI), respectively. The data for the ages 12 and 15 were compared using Wilcoxon test for one sample to the National Prevalence Study of Oral Diseases (NPSOD), performed in Portugal and published in 2008 and 2015. Results: A mean BMI of 29.4 (± 4.1) was observed, and 64.4% (n = 58) of the subjects were diagnosed with severe obesity. The DMFT of obese adolescents was similar to that of the Portuguese population. At 12 years of age, obese individuals were found to have fewer missing teeth (p = 0.001) and more sealed teeth than those of the same age in Portugal in 2008 (p = 0.012) and 2015 (p = 0.001). At age 15, obese adolescents had fewer decayed teeth (p = 0.017) than individuals of the same age in Portugal (NPSOD, 2008). Conclusions: Obese children and adolescents presented an oral health status similar to that of the Portuguese population at the same age according to the majority of the criteria. These findings can be explained by the health care provided with repeated recommendations for oral hygiene.


2009 ◽  
Vol 10 (5) ◽  
pp. 58-68 ◽  
Author(s):  
Pradeep S. Anand

Abstract Aim The aims of the present study are to determine the causes and pattern of loss of permanent teeth among patients attending a dental teaching institution in southern India. Methods and Materials Data collected from patients attending the outpatient wing of the Sri Sankara Dental College, Kerala, during a three month period was used for the study. The cause for extraction was classified as follows: (1) caries and its sequelae, (2) periodontal disease, (3) orthodontic purposes, (4) impactions, (5) prosthodontic purposes, and (6) other reasons. Results A total of 1791 permanent teeth were extracted of which 708 (39.5%) teeth were extracted due to caries and its sequelae, 508 (28.4%) due to periodontal disease, 347 (19.4%) for orthodontic purposes, 29 (1.6%) due to impactions, 155 (8.7%) for prosthodontic purposes, and 44 (2.5%) for other reasons. Conclusion The results of the present study suggest caries and periodontal disease are the major causes of tooth mortality in the study population. Clinical Significance Data regarding the causes of tooth loss indirectly provides invaluable information on the pattern of oral health in a population which can be utilized for planning public health policies designed to address the burden of oral diseases. Citation Anand PS, Kuriakose S. Causes and Patterns of Loss of Permanent Teeth among Patients Attending a Dental Teaching Institution in South India. J Contemp Dent Pract [Internet]. 2009 Sept; 10(5). Available from: http://www. thejcdp.com/journal/view/causes-and-patterns-ofloss- of-permanent-teethamong-patients-attendinga-d.


2013 ◽  
Vol 3 (2) ◽  
pp. 145-150 ◽  
Author(s):  
Šejla Cilović Lagarija ◽  
Mediha Selimović-Dragaš

Introduction: Despite the great improvements in the oral health status of the population across the world, oral diseases remains a major public health issue connected with a lost of numerous school days for childrenand absenteeism from work in adults. This effect is particularly evident in low and middle income countries as Bosnia and Herzegovina. This retrospective study presents the effi ciency of dental health carein Federation of Bosnia and Herzegovina measured by number of visits and performed dental treatments during the time period of six years, from 2005-2011.Methods: Data were collected by evaluation of the results obtained by forms which are mandatory to be completed by dentists.Results: The number of graduated dentists from 2007 to 2011 decreased from 108 in 2007 to 68 in 2011. In the same time, number of dentists employed in public sector slightly increased from 529 in 2005 to587 in 2011. Number of extracted permanent teeth decreased from the 412 extracted permanent teeth per dentist in 2005 to 364 in 2011. Small number of fi lled primary teeth comparing to large number ofextracted primary teeth showed negligence in their treatment.Conclusion: Having in mind that improving oral health in developing countries is a very challenging objective we can conclude that dental health care system in Federation of Bosnia and Herzegovina need to bereform in order to improve oral health in general, particularly in children population.


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