Functional dentition plays an important role in maintaining masticatory function, which is closely related to the number of teeth present in the mouth. The objective of this study was to investigate the association between individual and contextual factors and functional dentition (defined
IntroductionTooth loss is one of the main public health problems affecting the adult population worldwide 1 . This situation directly and indirectly influences the individual's overall health. Compromised masticatory function affects quality of diet, increasing the risk of various health problems like cardiovascular diseases, physical disabilities and even death 2,3 . Edentulous individuals show lower consumption of important macro and micronutrients as compared to those with functional dentition 4,5 . For example, edentulism without rehabilitation with prostheses has been associated with reduced intake of carbohydrates, vitamins, and minerals 4 . Obesity 3 and malnutrition 5 have also been linked to tooth loss.There are various causes of tooth loss, the main ones being dental caries and periodontal disease. Other factors include access to dental services, health system organization, and oral health care 6,7 . Higher tooth loss rates have been associated with unfavorable socioeconomic conditions 8,9 .Functional dentition plays an important role in maintaining masticatory function, which is closely related to the number of teeth present in the mouth 10,11,12 . According to this concept, maintenance of functionality requires a minimum of 20 teeth well distributed in the upper and lower dental arches. In 1992, the World Health Organization (WHO) declared the lifetime reten-ARTIGO ARTICLE
The results are supportive of the use of nystatin and disinfecting agents in the treatment of DS, but clinicians need to be aware that individual studies had high risk of bias and that the overall quality of the individual reports was judged to be low.
Resumo A garantia de atenção odontológica passa pelo desenvolvimento de práticas pautadas na vigilância em saúde, a fim de concretizar a integralidade. Objetivou-se avaliar a associação entre aspectos contextuais dos municípios brasileiros, características do processo de trabalho e a realização de um rol de procedimentos odontológicos curativos pelas equipes de saúde bucal (ESB). Trata-se de estudo exploratório transversal cuja coleta multicêntrica de dados se deu em 11.374 ESB avaliadas pelo Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica. Foi empregada regressão de Poisson multinível para obtenção da prevalência de realização de procedimentos odontológicos curativos, que foi de 69,51%. As variáveis contextuais e da equipe de saúde que se mantiveram associadas ao desfecho incluíram municípios cuja proporção de internações sensíveis à atenção básica foi menor que 28% e cuja proporção de exodontias foi menor que 8%; bem como ESB de modalidade II que tinham à disposição materiais, insumos e melhores processos de trabalho. Esta análise multinível, que considera o desempenho da atenção odontológica curativa no Brasil, aponta para um cenário de atenção odontológica preocupante.
Objectives
This cross‐sectional study aimed to estimate the association between the structural and cognitive dimensions of social capital and self‐reported oral health.
Methods
This study conducted individual assessments of 9,365 individuals aged 50 years or older from Brazil. Four individual variables based on structural and cognitive dimensions of social capital were assessed. We used hierarchical Poisson regression models to estimate the prevalence ratio of self‐reported oral health with individual structural and cognitive social capital variables adjusted for associated factors.
Results
Cognitive social capital was associated with self‐reported oral health. Individuals who reported lack of neighbourhood trust and not having friends presented 14% (RP: 1.14; 95% CI: 1.07‐1.21) and 9% (RP: 1.09; 95% CI: 1.01‐1.19), respectively, higher prevalence of poor self‐reported oral health, relative to those who trust in their neighbourhood and reported having friends.
Conclusion
The cognitive dimension of social capital may be linked with self‐reported oral health. Therefore, social capital can be stimulated in the context of social policies as its encouragement can be an efficient tool for improving individuals’ health and, consequently, the oral health of the older people.
Utilização de serviço de saúde bucal no pré-natal na atenção primária à saúde: dados do PMAQ-ABOral healthcare utilization during prenatal care in primary healthcare: data from PMAQ-AB
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