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Previous issue date: 2016-12-01 / As the Brazilian population ages, there are projections which shows that in 2025 the country will have six elderly for two children. However, the government and the service providers are still not ready to receive this population group. For such reason, this work aimed at assessing the impact of the elderly???s oral health on their self-perception of oral health and quality of life, assessing the differences of oral health on self-perception and quality of life according to the sociodemographic variables, assessing the clinical differences according to the sociodemographic data and comparing the use, or lack thereof, of dental prosthesis with self-perception of oral health and quality of life. In order to do so, two questionnaires were applied, one for self-perception of oral health (Geriatric Oral Health Assessment Index), and the other for the assessment of the impact on quality of life (Short Term Oral Health Impact Profile) in a group of 200 elderly, aside from a clinical dental exam performed in all participants. A significant difference has not been observed when the impact of oral health on self-perception was assessed according to the sociodemographic variables, contrary to quality of life, as it has been observed that the groups with the highest incomes and school levels had a better oral health, and the group with poor oral health had an impact on quality of life. It has also been verified that there is an impact on self-perception in the elderly who use dental prosthesis and in the elderly who do not. However, in regards to quality of life, a significant difference has not been found between the same groups. There could be found 161 (80.5%) elderly using prosthesis, with 115 (71.4%) elderly with only one type and 45 (28%) with two types. The most utilized prosthesis were: in those who used one type, the PT (33%) and the PPR (28.7%); in those who used two types the PPR and PT, employed in 60% of them. Among the 106 (53%) elderly who did not have good oral hygiene, dental calculus (20%) and tongue coating (73,5%) were prevalent. Regarding the presence of caries: 69 (35.5%) presented at least one caries; 194 (97%) had already lost teeth ; and 161 (80%) had had a tooth filled. A significant difference (p=0.04) has been observed when comparing the GOHAI in the group of elderly who used and in the ones who did not use prosthesis. However, differences have not arisen when the same comparison was conducted by dividing the elderly according to age bracket, gender, schooling and financial income. In the OHIP-14, comparing the elderly who used prosthesis and the ones who did not, a significant difference has not appeared. Similarly, a significant difference has
not been found by dividing the elderly by gender and age bracket, but a significant difference has arisen when divided by schooling (p=0.006) and financial income (p=0.005). / Com o envelhecimento da popula????o brasileira, h?? proje????es que em 2025 o pa??s ter?? seis idosos para duas crian??as. Contudo o governo e os prestadores de servi??os ainda n??o est??o preparados para acolher esse grupo populacional. Por isso, esse trabalho teve como objetivos avaliar o impacto da sa??de bucal de idosos em sua autopercep????o da sa??de bucal e qualidade de vida, avaliar as diferen??as da sa??de bucal na autopercep????o e na qualidade de vida segundo as vari??veis sociodemogr??ficas, avaliar as diferen??as cl??nicas de acordo com os dados sociodemogr??ficos e comparar o uso ou n??o de pr??teses dent??rias com a autopercep????o de sa??de bucal e a qualidade de vida. Para isso foram aplicados dois question??rios, um para autopercep????o de sa??de bucal (Geriatric Oral Health Assessment Index) e outro para avalia????o do impacto na qualidade de vida (Short Term Oral Health Impact Profile) num grupo de 200 idosos. Al??m disso, foi realizado um exame cl??nico odontol??gico em todos os participantes. Observou-se n??o haver diferen??a significativa ao avaliar o impacto da sa??de bucal na autopercep????o segundo as vari??veis sociodemogr??ficas; ao contr??rio da qualidade de vida, em que os grupos com maior renda e escolaridade tiveram melhor sa??de bucal, e o grupo com sa??de bucal ruim teve impacto na qualidade de vida. Verificou-se tamb??m que existe um impacto na autopercep????o tanto de idosos que usam pr??teses dent??rias quanto nos idosos que n??o usam. Por??m, ao relacionar com a qualidade de vida, n??o houve diferen??a significativa entre os mesmo grupos. Encontraram-se 161 (80,5%) idosos usando pr??tese, sendo 115 (71,4%) com somente um tipo e 45 (28%) com dois tipos. As pr??teses mais utilizadas foram: naqueles que utilizavam um tipo, a PT (33%) e a PPR (28,7%); e naqueles que utilizavam dois tipos as PPR e PT, empregadas em 60% deles. Entre os 106 (53%) idosos que n??o faziam boa higiene bucal, predominaram o c??lculo gengival 40 (20%) e a saburra lingual 78 (73,5%). Com rela????o ?? presen??a de c??ries: 69 (35,5%) apresentaram pelo menos uma c??rie; 194 (97%) j?? tinham dentes
perdidos; e 161 (80%) j?? obturaram algum dente. Foi observada diferen??a significativa (p = 0,04) ao compararmos o GOHAI no grupo de idosos que utilizavam e nos que n??o usavam pr??teses. No entanto, n??o surgiram diferen??as quando esta mesma compara????o foi realizada dividindo os idosos segundo faixas et??rias, sexo, escolaridade e rendimento financeiro. No OHIP-14, comparando-se os idosos que utilizavam pr??tese e os que n??o a empregavam, n??o surgiu diferen??a significativa. Do mesmo modo, n??o foi encontrada diferen??a significativa dividindo os idosos por sexo e faixa et??ria, por??m surgiu diferen??a significativa quando divididos por escolaridade (p=0,006) e rendimento (p=0,005).
| Identifer | oai:union.ndltd.org:IBICT/oai:bdtd.ucb.br:tede/2175 |
| Date | 01 December 2016 |
| Creators | Chevalier, Anna Loianne Nogueira |
| Contributors | Gomes, Lucy de Oliveira |
| Publisher | Universidade Cat??lica de Bras??lia, Programa Strictu Sensu em Gerontologia, UCB, Brasil, Escola de Sa??de e Medicina |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da UCB, instname:Universidade Católica de Brasília, instacron:UCB |
| Rights | info:eu-repo/semantics/openAccess |
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