Condições bucais, pares oclusais e função mastigatória de idosos institucionalizados em Cali Colômbia, 2019
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Dec 31, 2022
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Resumo
Antecedentes: Há um aumento na população de idosos no mundo, o que torna esse grupo um alvo principal para a saúde pública e, em geral, para as ciências da saúde. Objetivo: Caracterizar as condições bucais dos idosos residentes em um centro de assistência geriátrica em Cali, Colômbia, ano 2019. Métodos: Foi realizado um estudo descritivo com delineamento observacional e transversal sobre o estado de saúde bucal de 97 pacientes que viviam em uma unidade de assistência geriátrica. Os dados coletados de cada participante incluíram informações sociodemográficas, bem como presença de áreas desdentadas, pares oclusais, uso de próteses dentárias, lesões de tecidos moles, cáries radiculares e higiene bucal. Antes da avaliação, a calibração dos observadores foi medida com o Índice Kappa de Cohen. Os dados foram submetidos a análise descritiva e inferencial (teste H de Kruskal Wallis, com p = 0,05). Resultados: A população de adultos institucionalizados incluída neste estudo apresentou uma média de 8 pares oclusais. Da mesma forma, 70 % dos participantes não tinham pares oclusais e uma função mastigatória diminuída. Trinta e nove por cento deles não tinham uma dentição funcional e houve uma ausência total de funcionalidade entre 25 %. Todos os pacientes apresentaram áreas desdentadas com alta prevalência de edentulismo completo. Conclusões: Compreender as diferenças entre a saúde bucal e a saúde pública e gerar intervenções baseadas na atenção primária à saúde é fundamental para melhorar as condições bucais dos idosos institucionalizados.
Keywords
Cali, Colombia, dental prosthetics, dental public health, dentistry, edentulous arch, geriatric dentistry, occlusal pairs, oral diseases, oral health, root cavity, soft tissue injuries, toothless mouth, dental care for the elder, elder, gerodontology, health of the elderanciano, atención odontológica al anciano, arcada edéntula, boca desdentada, Cali, Colombia, caries radicular, enfermedades bucales, lesiones tejidos blandos, odontología, odontología geriátrica, pares oclusales, prótesis dental, salud bucal, salud del anciano, salud pública bucal, gerodontologíaassistência odontológica para idosos, arco edêntulo, boca desdentada, Cáli, Colômbia, cárie radicular, doenças bucais, idoso, lesões de tecidos moles, odontologia, odontologia geriátrica, pares oclusais, prótese dental, saúde bucal, saúde bucal pública, saúde do idoso, gerodontologia
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27. Bermúdez W, Concha Sanchez S, Camargo Lemos D. Perfil orofacial de las personas mayores institucionalizadas de la ciudad de Bucaramanga y su área Metropolitana. Ustasalud. 2003; 2(1): 13-19. https://doi.org/https://doi.org/10.15332/us.v2i1.1849
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30. Papadiochou S, Polyzois G. Hygiene practices in removable prosthodontics: A systematic review. Int J Dent Hyg. 2018 May; 16(2): 179-201. https://doi.org/10.1111/idh.12323
31. Osmari D, Fraga S, Braun KO, Unfer B. Behaviour of the elderly with regard to hygiene procedures for and maintenance of removable dentures. Oral Health Prev Dent. 2016; 14(1):21-26. https://doi.org/10.3290/j.ohpd.a34051
32. Lynge Pedersen AM, Nauntofte B, Smidt D, Torpet LA. Oral mucosal lesions in older people: relation to salivary secretion, systemic diseases and medications. Oral Dis. 2015 Sep; 21(6): 721-729. https://doi.org/10.1111/odi.12337
33. Kassebaum NJ, Smith AGC, Bernabe E, Fleming TD, Reynolds AE, Vos T, et al. Global, regional, and national prevalence, incidence, and disability-adjusted life years for oral conditions for 195 countries, 1990-2015: a systematic analysis for the global burden of diseases, injuries, and risk factors. J Dent Res. 2017; 96(4): 380-387.
34. Shin HS. Association between the number of teeth and hypertension in a study based on 13,561 participants. J Periodontol. 2018 Apr; 89(4): 397-406. https://doi.org/10.1002/JPER.17-0413
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37. Castrejón-Pérez RC, Borges-Yáñez SA, Gutiérrez-Robledo LM, Avila-Funes JA. Oral health conditions and frailty in Mexican community-dwelling elderly: a cross sectional analysis. BMC Public Health. 2012 Sep 12; 12: 773. https://doi.org/10.1186/1471-2458-12-773
38. Asakawa M, Takeshita T, Furuta M, Kageyama S, Takeuchi K, Hata J, Ninomiya T, Yamashita Y. Tongue Microbiota and oral health status in community-dwelling elderly adults. mSphere. 2018 Aug 15; 3(4): e00332-18. https://doi.org/10.1128/mSphere.00332-18
39. Kiesswetter E, Hengeveld LM, Keijser BJ, Volkert D, Visser M. Oral health determinants of incident malnutrition in community-dwelling older adults. J Dent. 2019 Jun; 85: 73-80. https://doi.org/10.1016/j.jdent.2019.05.017
40. De Marchi RJ, Hugo FN, Hilgert JB, Padilha DM. Association between number of teeth, edentulism and use of dentures with percentage body fat in south Brazilian community-dwelling older people. Gerodontology. 2012 Jun; 29(2): e69-76. https://doi.org/10.1111/j.1741-2358.2010.00411.x
41. Gupta A, Keuskamp D. Use and misuse of mixed methods in population oral health research: A scoping review. Community Dent Health. 2018 May 30; 35(2): 109-118. https://doi.org/10.1922/CDH_4250Gupta10
42. Gutiérrez Quiceno B, Luis Alejandro Gómez Barrera LA. Una revisión de alcance de la ciencia de la complejidad en odontología. Hipotesis de Dent. 2021; 12: 109-117
43. Kassebaum NJ, Bernabé E, Dahiya M, Bhandari B, Murray CJ, Marcenes W. Global burden of severe tooth loss: a systematic review and meta-analysis. J Dent Res. 2014 Jul; 93(7 Suppl):20S-28S. https://doi.org/10.1177/0022034514537828
44. World Health Organization (WHO). Active ageing: a policy framework. Geneva, Switzerland: WHO; 2015
45. Holstein MB, Minkler M. Self, society, and the "new gerontology". Gerontologist. 2003 Dec; 43(6): 787-96. https://doi.org/10.1093/geront/43.6.787
46. Quiceno Gutiérrez B, Perdomo A. El reto del ejercicio odontológico en el marco de la pandemia y futuro post COVID-19: Una Reflexión Desde La Salud Pública. Salutem Scientia Spiritus. 2020; 6(1)
47. Roberto LL, Crespo TS, Monteiro-Junior RS, Martins AMEBL, De Paula AMB, Ferreira EF, Haikal DS. Sociodemographic determinants of edentulism in the elderly population: A systematic review and meta-analysis. Gerodontology. 2019 Dec; 36(4): 325-337. https://doi.org/10.1111/ger.12430
48. Peltzer K, Hewlett S, Yawson AE, Moynihan P, Preet R, Wu F, Guo G, Arokiasamy P, Snodgrass JJ, Chatterji S, Engelstad ME, Kowal P. Prevalence of loss of all teeth (edentulism) and associated factors in older adults in China, Ghana, India, Mexico, Russia and South Africa. Int J Environ Res Public Health. 2014 Oct 30; 11(11): 11308-11324. https://doi.org/10.3390/ijerph111111308
2. Organización Mundial de la Salud (OMS). Envejecimiento y salud. Ginebra, Suiza: OMS; 2021
3. Chackiel J. El envejecimiento de la población latinoamericana: ¿hacia una relación de dependencia favorable? In: Centro Latinoamericano y Caribeño de Demografía (CELADE). Encuentro Latinoamericano y Caribeño sobre las Personas de Edad; documentos de seminario técnico. Santiago, Chile: CELADE; 1999
4. Departamento Administrativo Nacional de Estadística (DANE). Censo nacional poblacional y vivienda Colombia. Bogota, Colombia: DANE; 2018
5. Ministerio de Salud y Protección Social (Minsalud). Envejecimiento demografico en Colombia 1951-2020 Dinámica Demográfica y estructuras poblacionales. Bogota, Colombia: Minsalud, Oficina de Promoción Social; 2013.
6. Organización Panamericana de salud (OPS/OMS). Decada de Envejecimiento Saludable 2020-2030. Washington D. C., Estados Unidos: OPS/OMS; 2020
7. Krout JA. Senior centers and services for the frail elderly. J Aging Soc Policy. 1995; 7(2): 59-76. https://doi.org/10.1300/j031v07n02_05
8. Pardasani M, Berkman C. New York City Senior Centers: Who Participates and Why? J Appl Gerontol. 2021 Sep; 40(9): 985-996. https://doi.org/10.1177/0733464820917304
9. Taylor-Harris D, Zhan HJ. The third-age African American seniors: benefits of participating in senior multipurpose facilities. J Gerontol Soc Work. 2011 May; 54(4): 351-71. https://doi.org/10.1080/01634372.2010.539588
10. Ministerio de Salud y Protección Social (Minsalud). Orientaciones para la prevención, contención y mitigación del Coronavirus (COVID-19) en centros de protección o larga estancia para personas mayores. Bogota, Colombia: Minsalud, Oficina de Promoción Social; 2013.
11. Gerritsen AE, Allen PF, Witter DJ, Bronkhorst EM, Creugers NH. Tooth loss and oral health-related quality of life: a systematic review and meta-analysis. Health Qual Life Outcomes. 2010 Nov 5; 8:126. https://doi.org/10.1186/1477-7525-8-126
12. Araujo de Lina CS, Silveira Moreira R. Factors associated with the presence of teeth in the adult and elderly Xukuru Indigenous Population in Ororubá; 2010. http://dx.doi.org/10.5772/59415
13. Ástvaldsdóttir Á, Boström AM, Davidson T, Gabre P, Gahnberg L, Sandborgh Englund G, Skott P, Ståhlnacke K, Tranaeus S, Wilhelmsson H, Wårdh I, Östlund P, Nilsson M. Oral health and dental care of older persons-A systematic map of systematic reviews. Gerodontology. 2018 Dec; 35(4): 290-304. https://doi.org/10.1111/ger.12368
14. Budtz-Jørgensen E, Chung JP, Rapin CH. Nutrition and oral health. Best Pract Res Clin Gastroenterol. 2001 Dec; 15(6): 885-896. https://doi.org/10.1053/bega.2001.0247
15. Gutiérrez Quiceno B, Calzada Gutiérrez MT, Fandiño-Losada A. Cultural adaptation and validation of the Geriatric Oral Health Assessment Index - GOHAI - Colombian version. Colomb Med (Cali). 2019 Jun 30; 50(2): 102-114. https://doi.org/10.25100/cm.v50i2.3999
16. Machado Luz FW, Silva AER, Perroni AP, Goettems ML, Boscato N. Impact of Seniors Centers on oral health-related quality of life of older adults. Rev Saude Publica. 2020 Jan 20; 54:07. https://doi.org/10.11606/s1518-8787.2020054001648
17. García-Alpízar B, Capote-Valladares M, Morales-Montes-de-Oca T. Prótesis totales y lesiones bucales en adultos mayores institucionalizados. Rev Finlay. 2012; 2(1):12
18. Bustilos-Ramirez L, Arellano-Gámez LA, Zambrano-Vergara R, Manoochehri-González A. Caries dental y lesiones bucales en adultos mayores institucionalizados en Merida- Venezuela. Rev Odontol de los Andes. 2015; 10(2): 19-24.
19. Rodas Avallaneda CP, Angarita Diaz MP, Nemocón Ramirez LF, Pinzón Castro LA, Robayo Herrera YT, González Sanchez R. Estado bucodental de adultos mayores Institucionalizado mediante un programa público en Villavicencio, durante el primer semestre de 2014. Rev Invest Andina. 2014; 18(33): 1625-1646.
20. Ministerio de Salud y Protección Social (Minsalud). IV estudio nacional de salud bucal (ENSAB). Bogotá, Colombia; 2014.
21. Ministerio de Salud y Protección Social, Departamento Administrativo de Ciencia Tecnología e Innovación (Colciencias), Universidad del Valle, Universidad de Caldas. Encuesta SABE Colombia: situación de salud, bienestar y envejecimiento en Colombia. Bogotá: Pregraf; 2016.
22. Díaz Cárdenas S, Arrieta Vergara K, Ramos Martinez K. Impacto de la Salud Oral en la Calidad de Vida de Adultos Mayores. Rev Clin Med Fam. 2012; 5(1): 9-16.
23. Charyeva OO, Altynbekov KD, Nysanova BZ. Kennedy classification and treatment options: a study of partially edentulous patients being treated in a specialized prosthetic clinic. J Prosthodont. 2012 Apr; 21(3): 177-180. https://doi.org/10.1111/j.1532-849X.2011.00809.x
24. Ekstrand KR, Gimenez T, Ferreira FR, Mendes FM, Braga MM. The International Caries Detection and Assessment System - ICDAS: A Systematic Review. Caries Res. 2018; 52(5): 406-419. https://doi.org/10.1159/000486429
25. Arendorf TM, Walker DM. Denture stomatitis: a review. J Oral Rehabil. 1987 May; 14(3): 217-227. https://doi.org/10.1111/j.1365-2842.1987.tb00713.x
26. McHugh ML. Interrater reliability: the kappa statistic. Biochem Med (Zagreb). 2012; 22(3): 276-82
27. Bermúdez W, Concha Sanchez S, Camargo Lemos D. Perfil orofacial de las personas mayores institucionalizadas de la ciudad de Bucaramanga y su área Metropolitana. Ustasalud. 2003; 2(1): 13-19. https://doi.org/https://doi.org/10.15332/us.v2i1.1849
28. The Glossary of Prosthodontic Terms: Ninth Edition. J Prosthet Dent. 2017 May; 117(5S): e1-e105. https://doi.org/10.1016/j.prosdent.2016.12.001
29. Chiu CT, Malhotra R, Tan SM, Lim J, Chan A, Teoh KH, Gan ST, Saito Y. Dental health status of community-dwelling older Singaporeans: findings from a nationally representative survey. Gerodontology. 2017 Mar; 34(1): 57-67. https://doi.org/10.1111/ger.12218
30. Papadiochou S, Polyzois G. Hygiene practices in removable prosthodontics: A systematic review. Int J Dent Hyg. 2018 May; 16(2): 179-201. https://doi.org/10.1111/idh.12323
31. Osmari D, Fraga S, Braun KO, Unfer B. Behaviour of the elderly with regard to hygiene procedures for and maintenance of removable dentures. Oral Health Prev Dent. 2016; 14(1):21-26. https://doi.org/10.3290/j.ohpd.a34051
32. Lynge Pedersen AM, Nauntofte B, Smidt D, Torpet LA. Oral mucosal lesions in older people: relation to salivary secretion, systemic diseases and medications. Oral Dis. 2015 Sep; 21(6): 721-729. https://doi.org/10.1111/odi.12337
33. Kassebaum NJ, Smith AGC, Bernabe E, Fleming TD, Reynolds AE, Vos T, et al. Global, regional, and national prevalence, incidence, and disability-adjusted life years for oral conditions for 195 countries, 1990-2015: a systematic analysis for the global burden of diseases, injuries, and risk factors. J Dent Res. 2017; 96(4): 380-387.
34. Shin HS. Association between the number of teeth and hypertension in a study based on 13,561 participants. J Periodontol. 2018 Apr; 89(4): 397-406. https://doi.org/10.1002/JPER.17-0413
35. Marengoni A, Angleman S, Melis R, Mangialasche F, Karp A, Garmen A, Meinow B, Fratiglioni L. Aging with multimorbidity: a systematic review of the literature. Ageing Res Rev. 2011 Sep; 10(4): 430-439. https://doi.org/10.1016/j.arr.2011.03.003
36. Watanabe Y, Hirano H, Arai H, Morishita S, Ohara Y, Edahiro A, Murakami M, Shimada H, Kikutani T, Suzuki T. Relationship between frailty and oral function in community-dwelling elderly adults. J Am Geriatr Soc. 2017 Jan; 65(1): 66-76. https://doi.org/10.1111/jgs.14355
37. Castrejón-Pérez RC, Borges-Yáñez SA, Gutiérrez-Robledo LM, Avila-Funes JA. Oral health conditions and frailty in Mexican community-dwelling elderly: a cross sectional analysis. BMC Public Health. 2012 Sep 12; 12: 773. https://doi.org/10.1186/1471-2458-12-773
38. Asakawa M, Takeshita T, Furuta M, Kageyama S, Takeuchi K, Hata J, Ninomiya T, Yamashita Y. Tongue Microbiota and oral health status in community-dwelling elderly adults. mSphere. 2018 Aug 15; 3(4): e00332-18. https://doi.org/10.1128/mSphere.00332-18
39. Kiesswetter E, Hengeveld LM, Keijser BJ, Volkert D, Visser M. Oral health determinants of incident malnutrition in community-dwelling older adults. J Dent. 2019 Jun; 85: 73-80. https://doi.org/10.1016/j.jdent.2019.05.017
40. De Marchi RJ, Hugo FN, Hilgert JB, Padilha DM. Association between number of teeth, edentulism and use of dentures with percentage body fat in south Brazilian community-dwelling older people. Gerodontology. 2012 Jun; 29(2): e69-76. https://doi.org/10.1111/j.1741-2358.2010.00411.x
41. Gupta A, Keuskamp D. Use and misuse of mixed methods in population oral health research: A scoping review. Community Dent Health. 2018 May 30; 35(2): 109-118. https://doi.org/10.1922/CDH_4250Gupta10
42. Gutiérrez Quiceno B, Luis Alejandro Gómez Barrera LA. Una revisión de alcance de la ciencia de la complejidad en odontología. Hipotesis de Dent. 2021; 12: 109-117
43. Kassebaum NJ, Bernabé E, Dahiya M, Bhandari B, Murray CJ, Marcenes W. Global burden of severe tooth loss: a systematic review and meta-analysis. J Dent Res. 2014 Jul; 93(7 Suppl):20S-28S. https://doi.org/10.1177/0022034514537828
44. World Health Organization (WHO). Active ageing: a policy framework. Geneva, Switzerland: WHO; 2015
45. Holstein MB, Minkler M. Self, society, and the "new gerontology". Gerontologist. 2003 Dec; 43(6): 787-96. https://doi.org/10.1093/geront/43.6.787
46. Quiceno Gutiérrez B, Perdomo A. El reto del ejercicio odontológico en el marco de la pandemia y futuro post COVID-19: Una Reflexión Desde La Salud Pública. Salutem Scientia Spiritus. 2020; 6(1)
47. Roberto LL, Crespo TS, Monteiro-Junior RS, Martins AMEBL, De Paula AMB, Ferreira EF, Haikal DS. Sociodemographic determinants of edentulism in the elderly population: A systematic review and meta-analysis. Gerodontology. 2019 Dec; 36(4): 325-337. https://doi.org/10.1111/ger.12430
48. Peltzer K, Hewlett S, Yawson AE, Moynihan P, Preet R, Wu F, Guo G, Arokiasamy P, Snodgrass JJ, Chatterji S, Engelstad ME, Kowal P. Prevalence of loss of all teeth (edentulism) and associated factors in older adults in China, Ghana, India, Mexico, Russia and South Africa. Int J Environ Res Public Health. 2014 Oct 30; 11(11): 11308-11324. https://doi.org/10.3390/ijerph111111308
Como Citar
Ordóñez Realpe, M. A., Benavidez Palacios, C. A., Gómez Córdoba, C. Y., Calzada Gutiérrez, M. T., & Gutiérrez Quiceno, B. (2022). Condições bucais, pares oclusais e função mastigatória de idosos institucionalizados em Cali Colômbia, 2019. Uiversitas Odontologica, 41. https://doi.org/10.11144/Javeriana.uo41.ocop
Edição
Seção
Dossiê temático: Envelhecimento e Odontologia
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.