Fatores clínicos e socioeconômicos relacionados à má oclusão em adolescentes brasileiros
estudo transversal
DOI:
https://doi.org/10.35699/2178-1990.2022.40105Palavras-chave:
Má Oclusão, Ortodontia, Vulnerabilidade Social, Inquéritos epidemiológicosResumo
Objetivo: Testar as associações da má oclusão (MO) com as variáveis clínicas odontológicas e socioeconômicas em adolescentes brasileiros de 15 a 19 anos.
Métodos: Trata-se de um estudo observacional transversal analítico que utilizou os dados do relatório final da Pesquisa Estadual de Saúde Bucal do ano de 2015.
Resultados: Adolescentes não brancos, com baixa escolaridade, com menor frequência de consultas ao dentista e com dentes extraídos por cárie tiveram, respectivamente, 1,32, 1,32, 2,02 e 1,63, e 1,40 vezes mais chance de apresentar MO.
Conclusão: A MO é um problema de saúde pública e sofre influência dos determinantes socioeconômicos, deste modo, deve-se garantir o acesso ao tratamento ortodôntico para aqueles que apresentem maior vulnerabilidade social e, consequentemente, maior susceptibilidade aos agravos em saúde bucal.
Downloads
Referências
Gupta DK, Singh SP, Utreja A, Verma S. Prevalence of malocclusion and assessment of treatment needs in β-thalassemia major children. Prog Orthod. 2016;17:7. doi: 10.1186/s40510-016-0120-6.
Albakri FM, Ingle N, Assery MK. Prevalence of malocclusion among male school children in Riyadh city. Open Access Maced J Med Sci. 2018;6(7):1296-9. doi: 10.3889/oamjms.2018.207.
Freitas CV, Souza JGS, Mendes DC, Pordeus IA, Jones KM, Martins AMEBL. Necessidade de tratamento ortodôntico em adolescentes brasileiros: avaliação com base na saúde pública. Rev Paul Pediatr. 2015;33(2):204-10. https://doi.org/10.1016/j.rpped.2014.04.006.
Brasil. Ministério da Saúde. Secretaria de atenção à saúde bucal. Projeto SB Brasil 2010. Resultados principais. Brasília: MS; 2011.
Mello SMF, Araújo RPC. Oral health status of children in a community in northeastern Brazil. Pesqui Bras Odontopediatria Clin Integr. 2014;14(1):23-9. https://doi.org/10.4034/pboci.2014.141.04.
Rebouças AG, Zanin L, Ambrosano GMB, Flório FM. Individual factors associated to malocclusion in adolescents. Ciênc Saúde Colet. 2017;22(11):3723-32. https://doi.org/10.1590/1413-812320172211.04972016.
Martins LP, Bittencourt JM, Bendo CB, Vale MP, Paiva SM. Malocclusion and social vulnerability: a representative study with adolescents from Belo Horizonte, Brazil. Ciênc Saúde Colet. 2019;24(2):393-400. https://doi.org/10.1590/1413-81232018242.33082016.
Sun L, Wong HM, McGrath CPJ. The factors that influence the oral health-related quality of life in 12-year-old children: baseline study of a longitudinal research. Health Qual Life Outcomes. 2017;15(1):155. doi: 10.1186/s12955-017-0729-2.
Sun L, Wong HM, McGrath CPJ. The factors that influence oral health-related quality of life in young adults. Health Qual Life Outcomes. 2018;16(1):187. doi: 10.1186/s12955-018-1015-7.
Machry RV, Knorst JK, Tomazoni F, Ardenghi TM. School environment and individual factors influence oral health related quality of life in Brazilian children. Braz Oral Res. 2018;32:e63. doi: 10.1590/1807-3107bor-2018.vol32.0063.
Kaieda AK, Lima IFP, Scanavini MA, Coqueiro RS, Pithon MM, Rode SM, et al. Perception, knowledge and attitudes of Brazilian orthodontists on the treatment of Class II malocclusions. An Acad Bras Ciênc. 2017;89(4):2875-85. doi: 10.1590/0001-3765201720170565.
Cunha IP, Pereira AC, Frias AC, Vieira V, Meneghim MC, Batista MJ, et al. Social vulnerability and factors associated with oral impact on daily performance among adolescents. Health Qual Life Outcomes. 2017;15(1):173. doi: 10.1186/s12955-017-0746-1.
Feldens CA, Nakamura EK, Tessarollo FR, Closs LQ. Desire for orthodontic treatment and associated factors among adolescents in southern Brazil. Angle Orthod. 2015;85(2):224-32. doi: 10.2319/021014-105.1.
Jordão LM, Vasconcelos DN, Moreira RS, Freire MC. Individual and contextual determinants of malocclusion in 12-year-old schoolchildren in a Brazilian city. Braz Oral Res. 2015;29(1):1-8. https://doi.org/10.1590/1807-3107BOR-2015.vol29.0095.
Bendo CB, Vale MP, Figueiredo LD, Pordeus IA, Paiva SM. Social vulnerability and traumatic dental injury among Brazilian schoolchildren: a population-based study. Int J Environ Res Public Health. 2012;9(12):4278-91. https://doi.org/10.3390/ijerph9124278.
Brizon VSC, Cortellazzi KL, Vazquez FL, Ambrosano GMB, Pereira AC, Gomes VE, et al. Fatores individuais e contextuais associados à má oclusão em crianças brasileiras. Rev Saúde Pública. 2013;47(3):1-11. https://doi.org/10.1590/S0034-8910.2013047004426.
Baskaradoss JK, Geevarghese A, Roger C, Thaliath A. Prevalence of malocclusion and its relationship with caries among school children aged 11-15 years in southern India. Korean J Orthod. 2013;43(1):35-41. https://doi.org/10.4041/kjod.2013.43.1.35.
Pereira AC, Vieira V, Frias AC. Pesquisa Estadual de Saúde Bucal–SB São Paulo 2015. Águas de São Pedro: Livronovo; 2016.
World Health Organization. Oral Health Surveys: basic methods. 4.ed. Genebra: WHO; 1997.
Frazão P, Narvai PC. Socio-environmental factors associated with dental occlusion in adolescentes. Am J Orthod Dentofacial Orthop. 2006;129:809-16. https://doi.org/10.1016/j.ajodo.2004.10.016.
Victora CG, Huttly SR, Fuchs SC, Olinto MTA. The role of conceptual frameworks in epidemiological analysis: a hierarchical approach. Int J Epidemiol. 1997;26(1):224-7. https://doi.org/10.1093/ije/26.1.224.
Nalcaci R, Demirer S, Ozturk F, Altan BA, Sokucu O, Bostanci V. The relationship of orthodontic treatment need with periodontal status, dental caries, and sociodemographic factors. ScientificWorldJournal. 2012;2012:498012. doi: 10.1100/2012/498012.
Tessarollo FR, Feldens CA, Closs LQ. The impact of malocclusion on adolescents dissatisfaction with dental appearance and oral functions. Angle Orthod. 2012;82(3):403-9. https://doi.org/10.2319/031911-195.1.
Peres KG, Frazão P, Roncalli AG. Padrão epidemiológico das oclusopatias muito graves em adolescentes brasileiros. Rev Saúde Pública. 2013;47(3):109-17. doi: 10.1590/s0034-8910.2013047004366.
Eslamipour F, Afshari Z, Najimi A. Prevalence of malocclusion in permanent dentition of Iranian population: a review article. Iran J Public Health. 2018;47(2):178-87.
Castro RD, Rangel ML, Silva MA, Lucena BT, Cavalcanti AL, Bonan PR, et al. Accessibility to specialized public oral health services from the perspective of Brazilian users. Int J Environ Res Public Health. 2016;13(10):1026. doi: 10.3390/ijerph13101026.
Shin H, Ahn E. Does the regional deprivation impact the spatial accessibility to dental care services? PLoS One. 2018;13(9):e0203640. doi: 10.1371/journal.pone.0203640.
Singh A, Purohit B. Is malocclusion associated with dental caries among children and adolescents in the permanent dentition? a systematic review. Community Dent Health. 2021;38(3):172-7. doi: 10.1922/CDH_00340Singh06. PMID: 33780175.
Feldens CA, Dullius AIS, Kramer PF, Scapini A, Busato AL, Vargas-Ferreira F. Impact of malocclusion and dentofacial anomalies on the prevalence and severity of dental caries among adolescents. Angle Orthod. 2015;85(6):1027-34. doi: 10.2319/100914-722.1.
Ferrando-Magraner E, García-Sanz V, Bellot-Arcís C, Montiel-Company JM, Almerich-Silla JM, Paredes-Gallardo V. Oral health-related quality of life of adolescents after orthodontic treatment. A systematic review. J Clin Exp Dent. 2019;11(2):e194-e202. doi: 10.4317/jced.55527.