Revista de Odontologia da UNESP
http://revodontolunesp.com.br/article/doi/10.1590/1807-2577.08618
Revista de Odontologia da UNESP
Original Article

Saúde bucal de idosos com 80 anos ou mais: condição, autopercepção e utilização de serviços odontológicos

Oral health of the elderly with 80 years or more: condition, self-perception and use of dental services

Tamirys Prim PAULI; Daniela de Rossi FIGUEIREDO; Aline Rodrigues BARBOSA; Renata Goulart CASTRO; Ana Lúcia Schaefer Ferreira de MELLO

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Resumo

Resumo: Introdução: Idosos mais velhos têm saúde bucal precária, procuram pouco os serviços odontológicos e apresentam autopercepção sobre saúde bucal discordante das necessidades de tratamento.

Objetivo: Comparar a condição e autopercepção de saúde bucal e padrão de utilização de serviços odontológicos de idosos com 80 anos ou mais de um município do sul brasileiro.

Método: Estudo descritivo com 59 idosos, em 2011 e 2015, no município de Antônio Carlos, Santa Catarina. Foram coletados dados demográficos, uso dos serviços, Oral Health Impact Profile14 item, hábitos e algumas condições bucais.

Resultado: Em ambos os anos, constatou-se mais de 70% de idosos necessitando de prótese total superior, embora mais de 80% se apresentassem satisfeitos com dentes/próteses. Mais de 60% relataram que haviam consultado o dentista há mais de 3 anos. Houve aumento significativo da necessidade de prótese total inferior, boca seca, placa, desconforto para comer; diminuição de consulta odontológica de rotina e extração dentária.

Conclusão: Embora tenha havido diminuição das extrações, no período, os idosos mantiveram necessidade de prótese e relataram problemas para comer. Tais resultados reafirmam a importância da inclusão do idoso com 80 anos ou mais na rede de serviços de saúde bucal.

Palavras-chave

Idoso, saúde bucal, odontologia geriátrica, odontologia em saúde pública, assistência odontológica para idosos

Abstract

Abstract: Introduction: Older elderly people have poor oral health, not usually seek for dental services, and self-perceived oral health that is inconsistent with treatment needs.

Objective: To compare the oral health condition, self-perception and use of dental services of elderly people with 80+ years of age in a southern Brazilian municipality.

Method: Descriptive study with 59 elders, in 2011 and 2015, Antônio Carlos, Santa Catarina. Demographic data, use of services, Oral Health Impact Profile – 14 item, habits and some oral conditions were investigated.

Result: In both years, more than 70% required upper dentures, although more than 80% were satisfied with teeth/prosthesis. More than 60% reported last dental visit more than 3 years ago. It was observed a significative increasing in lower denture need, dry mouth, plaque and discomfort to eat; decreasing routine dental visits and tooth extraction.

Conclusion: Although there was a decrease in extractions, the elderly had prosthetic need and reported problems with eating. These results reaffirm the importance of including the elderly with 80+ years in the oral health services network.
 

Keywords

Elderly, oral health, geriatric dentistry, public health dentistry, dental care for aged

References

Petersen PE, Ogawa H. Promoting oral health and quality of life of older people - the need for public health action. Oral Health Prev Dent. 2018;16(2):113-24. http://dx.doi.org/10.3290/j.ohpd.a40309. PMid:29736489.

Petersen PE, Kandelman D, Arpin S, Ogawa H. Global oral health of older people- call for public health action. Community Dent Health. 2010 Dec;27(4 Suppl 2):257-67. PMid:21313969.

An JY, Darveau R, Kaeberlein M. Oral health in geroscience: animal models and the aging oral cavity. Geroscience. 2018 Feb;40(1):1-10. http://dx.doi.org/10.1007/s11357-017-0004-9. PMid:29282653.

Murray Thomson W. Epidemiology of oral health conditions in older people. Gerodontology. 2014 Feb;31(Suppl 1):9-16. http://dx.doi.org/10.1111/ger.12085. PMid:24446974.

Ansai T, Takata Y, Soh I, Awano S, Yoshida A, Sonoki K, et al. Relationship between tooth loss and mortality in 80-year-old Japanese community-dwelling subjects. BMC Public Health. 2010 Jul;10(386):1-6. http://dx.doi.org/10.1186/1471-2458-10-386. PMid:20594306.

Unell L, Johansson A, Ekbäck G, Ordell S, Carlsson GE. Dental status and self-assessed chewing ability in 70- and 80-year-old subjects in Sweden. J Oral Rehabil. 2015 Sep;42(9):693-700. http://dx.doi.org/10.1111/joor.12299. PMid:25882481.

Martins AMEBL, Barreto SM, Pordeus IA. Uso de serviços odontológicos entre idosos brasileiros. Rev Panam Salud Publica. 2007;22(5):308-16. http://dx.doi.org/10.1590/S1020-49892007001000003. PMid:18198039.

Chen X, Shuman SK, Hodges JS, Gatewood LC, Xu J. Patterns of tooth loss in older adults with and without dementia: a retrospective study based on a Minnesota cohort. J Am Geriatr Soc. 2010 Dec;58(12):2300-7. http://dx.doi.org/10.1111/j.1532-5415.2010.03192.x. PMid:21143439.

Okamoto N, Morikawa M, Yanagi M, Amano N, Tomioka K, Hazaki K, et al. Association of tooth loss with development of swallowing problems in community- dwelling independent elderly population: the Fujiwara-kyo study. J Gerontol A Biol Sci Med Sci. 2015 Dec;70(12):1548-54. http://dx.doi.org/10.1093/gerona/glv116. PMid:26341784.

Chen X, Naorungroj S, Douglas CE, Beck JD. Self-reported oral health and oral health behaviors in older adults in the last year of life. J Gerontol A Biol Sci Med Sci. 2013 Oct;68(10):1310-5. http://dx.doi.org/10.1093/gerona/glt024. PMid:23525480.

Haikal DSA, Paula AMB, Martins AMEBL, Moreira AN, Ferreira EF. Autopercepção da saúde bucal e impacto na qualidade de vida do idoso: uma abordagem quanti-qualitativa. Ciênc Saúde Coletiva. 2011 Jul;16(7):3317-29. http://dx.doi.org/10.1590/S1413-81232011000800031.

Coronado-Castellote L, Jiménez-Soriano Y. Clinical and microbiological diagnosis of oral candidiasis. J Clin Exp Dent. 2013 Dec;5(5):e279-86. http://dx.doi.org/10.4317/jced.51242.

Amaral JA, Duarte Marques JG, Barcelos F, Patto JV, Mata A. Validação de uma versão portuguesa do questionário Oral Health Impact Profile-14. Rev Port Estomatol Med Dent Cir Maxilofac. 2014;55(1):e1-44. http://dx.doi.org/10.1016/j.rpemd.2014.11.117.

Marcus SE, Drury TF, Brown LJ, Zion GR. Tooth retention and tooth loss in the permanent dentition of adults: United States, 1988-1991. J Dent Res. 1996 Feb;75(Spec No):684-95. http://dx.doi.org/10.1177/002203459607502S08. PMid:8594092.

Imholz B, Combescure C, Scolozzi P. Is age of the patient an independent predictor influencing the management of cranio-maxillo-facial trauma? A retrospective study of 308 patients. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014 Jun;117(6):690-6. http://dx.doi.org/10.1016/j.oooo.2014.03.010. PMid:24842446.

Thorstensson H, Johansson B. Why do some people lose teeth across their lifespan whereas others retain a functional dentition into very old age? Gerodontology. 2010 Mar;27(1):19-25. http://dx.doi.org/10.1111/j.1741-2358.2009.00297.x. PMid:19545321.

Ferreira RC, Vargas AMD, Fernandes NCN, Souza JGS, Sá MAB, Oliveira LFB, et al. O idoso com comprometimento cognitivo apresenta pior condição de saúde bucal? Ciênc Saúde Colet. 2014 Ago;19(8):3417-28. http://dx.doi.org/10.1590/1413-81232014198.13712013.

Ichikawa K, Sakuma S, Yoshihara A, Miyazaki H, Funayama S, Ito K, et al. Relationships between the amount of saliva and medications in elderly individuals. Gerodontology. 2011 Jun;28(2):116-20. http://dx.doi.org/10.1111/j.1741-2358.2009.00358.x. PMid:20545772.

Yellowitz JA, Schneiderman MT. Elder’s oral health crisis. J Evid Based Dent Pract. 2014 Jun;14(Suppl):191-200. http://dx.doi.org/10.1016/j.jebdp.2014.04.011. PMid:24929604.

Gil-Montoya JA, Silvestre FJ, Barrios R, Silvestre-Rangil J. Treatment of xerostomia and hyposalivation in the elderly: a systematic review. Med Oral Patol Oral Cir Bucal. 2016 May;21(3):e355-66. http://dx.doi.org/10.4317/medoral.20969. PMid:27031061.

Tan ECK, Lexomboon D, Sandborgh-Englund G, Haasum Y, Johnell K. Medications that cause dry mouth as an adverse effect in older people: a systematic review and metanalysis. J Am Geriatr Soc. 2018 Jan;66(1):76-84. http://dx.doi.org/10.1111/jgs.15151. PMid:29071719.

Baldani MH, Brito WH, Lawder JA, Mendes YB, Silva FF, Antunes JL. Determinantes individuais da utilização de serviços odontológicos por adultos e idosos de baixa renda. Rev Bras Epidemiol. 2010 Mar;13(1):150-62. http://dx.doi.org/10.1590/S1415-790X2010000100014. PMid:20683563.

Beirne P, Clarkson JE, Worthington HV. Recall intervals for oral health in primary care patients. Cochrane Database Syst Rev. 2007 Oct;(4):CD004346. http://dx.doi.org/10.1002/14651858.CD004346.pub3. PMid:17943814.

Azevedo JS, Azevedo MS, Oliveira LJC, Correa MB, Demarco FF. Uso e necessidade de prótese dentária em idosos brasileiros segundo a Pesquisa Nacional de Saúde Bucal (SBBrasil 2010): prevalências e fatores associados. Cad Saude Publica. 2017;33(8):e00054016. http://dx.doi.org/10.1590/0102-311x00054016. PMid:28832778.

Hiltunen K, Vehkalahti MM, Mäntylä P. Is prosthodontic treatment age-dependent in patients 60 years and older in Public Dental Services? J Oral Rehabil. 2015 Jun;42(6):454-9. http://dx.doi.org/10.1111/joor.12267. PMid:25545698.
 

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