Association between the use of total dental prosthesis (denture) and the type of oral health care service used by toothless elderly individuals

Oral rehabilitation with dental prosthesis was mandated by national oral health policy in Brazil, due to the high prevalence of total teeth loss and low use of dental prosthesis among the elderly. There is a pressing need to assess the impact of this rehabilitation policy. An attempt was therefore m...

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Veröffentlicht in:Ciência & saude coletiva 2019-09, Vol.24 (9), p.3345-3356
Hauptverfasser: Nascimento, Jairo Evangelista, Magalhães, Tatiana Almeida de, Souza, João Gabriel Silva, Sales, Marinilza Soares Mota, Nascimento, Charlitom Oliva, Lopes Júnior, Cláudio Wagnus Xavier, Ferreira, Efigênia Ferreira E, Martins, Andréa Maria Eleutério de Barros Lima
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container_issue 9
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container_title Ciência & saude coletiva
container_volume 24
creator Nascimento, Jairo Evangelista
Magalhães, Tatiana Almeida de
Souza, João Gabriel Silva
Sales, Marinilza Soares Mota
Nascimento, Charlitom Oliva
Lopes Júnior, Cláudio Wagnus Xavier
Ferreira, Efigênia Ferreira E
Martins, Andréa Maria Eleutério de Barros Lima
description Oral rehabilitation with dental prosthesis was mandated by national oral health policy in Brazil, due to the high prevalence of total teeth loss and low use of dental prosthesis among the elderly. There is a pressing need to assess the impact of this rehabilitation policy. An attempt was therefore made to investigate if the dental service used was one of the factors associated with the use of total dental prosthesis among the elderly. To achieve this, a cross-sectional study using a probabilistic sample of elderly (60 years and above) urban-area residents of a small city was conducted by qualified examiners. Descriptive, bivariate and multiple (logistic regression/odds ratio - OR) analyses were conducted on 287 elderly people, of which 186 (64.8%) used dental prosthesis. The use of total dental prosthesis was associated with a higher probability of being attended by private dental services (OR = 4.19; p < 0.001) and the presence of lesions on the palate (OR = 7.52; p = 0.002). Conversely, it was associated with lower probability in ages greater than or equal to 73 years (OR = 0.52; p = 0.023) and among those with impairment of OHIP-14 (OR = 0.20; p = 0.002) in the physical disability dimension. The use of total dental prosthesis was associated with the type of dental service used by the elderly, it being greater among private service users.
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There is a pressing need to assess the impact of this rehabilitation policy. An attempt was therefore made to investigate if the dental service used was one of the factors associated with the use of total dental prosthesis among the elderly. To achieve this, a cross-sectional study using a probabilistic sample of elderly (60 years and above) urban-area residents of a small city was conducted by qualified examiners. Descriptive, bivariate and multiple (logistic regression/odds ratio - OR) analyses were conducted on 287 elderly people, of which 186 (64.8%) used dental prosthesis. The use of total dental prosthesis was associated with a higher probability of being attended by private dental services (OR = 4.19; p &lt; 0.001) and the presence of lesions on the palate (OR = 7.52; p = 0.002). Conversely, it was associated with lower probability in ages greater than or equal to 73 years (OR = 0.52; p = 0.023) and among those with impairment of OHIP-14 (OR = 0.20; p = 0.002) in the physical disability dimension. 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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Age Factors
Aged
Aged, 80 and over
Brazil
Cross-Sectional Studies
Dental Health Services - statistics & numerical data
Dentures - statistics & numerical data
Female
Health Policy
Humans
Male
Middle Aged
Mouth, Edentulous - epidemiology
Mouth, Edentulous - rehabilitation
Oral Health - statistics & numerical data
Urban Population - statistics & numerical data
title Association between the use of total dental prosthesis (denture) and the type of oral health care service used by toothless elderly individuals
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