Tooth Loss in Adult Workers According Different Indicators in a Hierarchical Approach

Autor(es)

Batista, Marilia Jesus ; Goncalves, Juliana Rocha ; Hilgert, Juliana Balbinot ; Hugo, Fernando Neves ; Rosrio de Sousa, Maria da Luz

• Tipo de documento: Artigo Científico
• Fonte: JOURNAL OF ADVANCED ORAL RESEARCH; v. 5, n. 3, p. 8-pg., 2014-09-01.

Resumo

Objective: The aim was to evaluate factors associated with tooth loss in workers using two tooth mortality indexes (TMIs). Materials and Methods: This cross-sectional study was carried out in a wholesale company in Sao Paulo. We examined 386 workers 20-64 years old according to caries, periodontal disease and dental biofilm (DB). Demographic, socio-economic, dental care utilization and habits data were obtained through a questionnaire. The mortality rate was calculated (Missing/decayed, missing and filled x 100), and also a modified index proposed where was excluded the third molars and the edentulous. Both indexes were the dependent variables by dichotomizing in 75% quartile. We used Andersen and Davidson conceptual model adapted for hierarchical analyzes with Poisson regression. Results: The upper quartile for TMI was 50% and 44% for the modified. Age and present DB was associated with two outcomes. Lower family income (PR = 1.6, 95% confidence interval [CI] = 1.0-2.5), and not flossing (PR = 1.7, 95% CI = 1.1-2.6) were associated with highest quartile of tooth mortality, and low education (PR = 1.6, 95% CI = 1.0-2.4) and seek the dentist motivated by pain (PR = 1.8, 95% CI = 1.1-3.0) at the modified index. Rates of tooth loss were associated with age (more distal factor) and DB (proximal). The intermediate factors were income, education, use of tooth floss and reason to visit a dentist. Conclusion: The use of the two indices was an important tool to evaluate a wider tooth loss in this group of workers. (AU)

• Processo FAPESP: 09/16560-0 - "Estudo da perda dentária em adultos: impacto em grupos de distintos níveis sócio econômicos e de uso de serviços odontológicos através da aplicação de índices de perda dentária e fatores associados."
• Beneficiário: Marília Jesus Batista de Brito Mota
• Modalidade de apoio: Bolsas no Brasil - Doutorado