RESUMO O objetivo deste estudo foi compreender a experiência de acesso a ações e serviços de saúde bucal de mulheres em situação de rua na cidade de Teresina, Piauí. Pesquisa qualitativa, norteada pelo paradigma interpretativo, desenvolvida com mulheres em situação de rua acompanhadas por instituições de referência. Os dados foram obtidos mediante entrevistas semiestruturadas, gravadas e transcritas. As análises foram baseadas na hermenêutica de Hans-Georg Gadamer (2015) associada às contribuições de Paul Ricoeur (1976). Foram realizadas 13 entrevistas, identificando-se duas unidades de significado: Sermulher em situação de rua; e Acesso a ações e serviços de saúde bucal. Diversas problemáticas cruzam as vidas das mulheres em situação de rua, sendo agravadas pela condição de gênero. Precárias condições de saúde bucal e dificuldade de acesso a ações e serviços de saúde bucal foram indicadas nas narrativas. É imperativo que as políticas existentes sejam postas em prática e contemplem as peculiaridades femininas. Apesar de todos os cirurgiões-dentistas da rede serem responsáveis pela atenção à saúde bucal das pessoas em situação de rua, a presença de um membro da saúde bucal dentro da equipe de consultório da rua foi apontada como necessária.

ABSTRACT This study aimed to understand the experience of access to oral health initiatives and services of homeless women in the city of Teresina, Piauí. A qualitative research, guided by the interpretative paradigm, was conducted with homeless women who were under the care of specialized institutions. The data were obtained using semi-structured interviews, which were recorded and transcribed. The analyses of the interviews were based on the hermeneutics of Hans-Georg Gadamer (2015), combined with the contributions of Paul Ricoeur (1976). Thirteen interviews were conducted, identifying two units of meaning: Being-woman and homeless; and Access to oral health initiatives and services. Poor oral health conditions and difficulty in accessing oral health initiatives and services were reported by the participants. Those problems were aggravated by the status of being a woman. The existing health policies should be put into practice and should, additionally, take into account female peculiarities. Although the public health system is available for the oral health care of homeless people, the Street Clinic service would benefit from the participation of an oral health professional.

ABSTRACT This study aimed to understand the experience of access to oral health initiatives and services of homeless women in the city of Teresina, Piauí. A qualitative research, guided by the interpretative paradigm, was conducted with homeless women who were under the care of specialized institutions. The data were obtained using semi-structured interviews, which were recorded and transcribed. The analyses of the interviews were based on the hermeneutics of Hans-Georg Gadamer (2015), combined with the contributions of Paul Ricoeur (1976). Thirteen interviews were conducted, identifying two units of meaning: Being-woman and homeless; and Access to oral health initiatives and services. Poor oral health conditions and difficulty in accessing oral health initiatives and services were reported by the participants. Those problems were aggravated by the status of being a woman. The existing health policies should be put into practice and should, additionally, take into account female peculiarities. Although the public health system is available for the oral health care of homeless people, the Street Clinic service would benefit from the participation of an oral health professional.

RESUMO O objetivo deste estudo foi compreender a experiência de acesso a ações e serviços de saúde bucal de mulheres em situação de rua na cidade de Teresina, Piauí. Pesquisa qualitativa, norteada pelo paradigma interpretativo, desenvolvida com mulheres em situação de rua acompanhadas por instituições de referência. Os dados foram obtidos mediante entrevistas semiestruturadas, gravadas e transcritas. As análises foram baseadas na hermenêutica de Hans-Georg Gadamer (2015) associada às contribuições de Paul Ricoeur (1976). Foram realizadas 13 entrevistas, identificando-se duas unidades de significado: Sermulher em situação de rua; e Acesso a ações e serviços de saúde bucal. Diversas problemáticas cruzam as vidas das mulheres em situação de rua, sendo agravadas pela condição de gênero. Precárias condições de saúde bucal e dificuldade de acesso a ações e serviços de saúde bucal foram indicadas nas narrativas. É imperativo que as políticas existentes sejam postas em prática e contemplem as peculiaridades femininas. Apesar de todos os cirurgiões-dentistas da rede serem responsáveis pela atenção à saúde bucal das pessoas em situação de rua, a presença de um membro da saúde bucal dentro da equipe de consultório da rua foi apontada como necessária.

ABSTRACT Photos of smiles posted on social media contain information on individuals’ anatomical and oral morphological characteristics, which can be important for ante and post-mortem human identification, during confrontation for forensic purposes. Objective: The study aimed to evaluate the feasibility of using smile photographs on social networks as a source of information for human forensic identification. Methods: The study sample consisted of forty individuals, randomly divided into four equal groups, two groups in Instagram (IG®) and two groups in Facebook (FB®). Standardized oral photographs of the anterior teeth of the participants, from three different angles (post-mortem photos) were taken using a Nikon® EOS 550D camera. Photos of smiles posted in FB and IG by the participants were also collected (ante-mortem photos). The analysis were carried out by 4 forensic experts, 18 dental professors, and 21 dental students. They compared simulated ante and post-mortem photos, to identify the alleged victims. Results: The correct identification score ranged from 28.6% (students) to 100% (forensic experts). The most frequently reported dental characteristics used for the identification were morphology of the anterior teeth, zenith, and gingival recessions. There was no statistically significant association between the rate of correct identification and the degree of difficulty reported during the analysis (p= 0,068), whereas there was also no association between this index and or the duration of the analysis (p=0,884). Conclusions: Therefore, the photographs of the smile posted on social media proved to be a database of dental information, and with potential to assist in identification with dental forensic purposes.

RESUMO Fotos de sorrisos postadas nas redes sociais contêm informações sobre as características anatômicas e morfológicas orais dos indivíduos, que podem ser importantes para a identificação humana ante e post-mortem, durante o confronto para fins forenses. Objetivo: O estudo teve como objetivo avaliar a viabilidade do uso de fotografias de sorrisos em redes sociais como fonte de informação para identificação forense humana. Métodos: A amostra do estudo foi composta por quarenta indivíduos, divididos aleatoriamente em quatro grupos iguais, dois grupos no Instagram (IG®) e dois grupos no Facebook (FB®). Fotografias orais padronizadas dos dentes anteriores dos participantes, de três ângulos diferentes (fotos post-mortem), foram tiradas com uma câmera Nikon® EOS 550D. Também foram coletadas fotos de sorrisos postados no FB e IG pelos participantes (fotos ante-mortem). As análises foram realizadas por 4 peritos forenses, 18 professores de odontologia e 21 alunos de odontologia. Eles compararam fotos simuladas ante e post-mortem, para identificar as supostas vítimas. Resultados: A pontuação correta de identificação variou de 28,6% (alunos) a 100% (especialistas forenses). As características dentais mais frequentemente relatadas e utilizadas para a identificação foram morfologia dos dentes anteriores, zênite e recessões gengivais. Não houve associação estatisticamente significativa entre a taxa de identificação correta e o grau de dificuldade relatado durante a análise (p = 0,068), assim como não houve associação entre esse índice e/ou a duração da análise (p = 0,884). Conclusão: Portanto, as fotografias do sorriso postadas nas redes sociais mostraram-se um banco de dados de informações odontológicas, e com potencial para auxiliar na identificação para fins odontológicos forenses.

Abstract This study aimed to evaluate the clinical and sociodemographic factors associated with the oral health-related quality of life (OHRQoL) of homeless persons. A cross-sectional study was conducted, with participants (n = 176) attending a Specialized Reference Center for the Homeless Population in Teresina, Brazil. Dental caries (DMFT index, WHO criteria), periodontal disease (CPI index), and the consequences of untreated caries (PUFA index) were measured by a single calibrated examiner (Kappa ≥0.83). Sociodemographic, oral health, and OHRQoL (OHIP-14) data were obtained through interviews. Data analysis included descriptive statistics and Poisson regression, with a significance level of 5%. Most of the participants were male (86.4%) and from the age group of 30 to 43 years (52.2%). Mean DMFT was 11 (SD ± 6.9) and mean total PUFA score was 1.2 (SD ± 2.2). Most of the participants (88.6%) had dental calculus and 8.5% and 1.7% of the sample had gingival bleeding and periodontal pocket > 3.5mm, respectively. The highest prevalence of negative impact in the OHRQoL was associated with females (1.4 (95%CI 1.1–1.7)), low educational level (2.0 (95%CI 1.3–3.0)), caries (1.6 (95%CI 1.1–2.6)), fistulas (1.9 (95%CI 1.3–3.1)), gingival bleeding (1.7 (95%CI 1.1– 2.7)), dental calculus (1.8 (95% CI 1.3–2.5)), periodontal pockets > 3 mm (1.5 (95%CI 1.1–2.0)), and need for extraction (2.3 (95%CI 1.1–5.0)). In conclusion, the negative impact on the OHRQoL of homeless persons was associated with low educational level, presence of decayed teeth, gingival bleeding, and dental calculus.

Abstract Poor oral hygiene seems to be the norm in children and teenagers with Down Syndrome (DS). Advances in design and types of toothbrushes may improve biofilm control. This randomized, single-blind, crossover clinical trial evaluated the effectiveness of electric toothbrushes regarding mechanical control of biofilm in children and teenagers with DS and their cooperation. Twenty-nine participants with DS, aged 6 to 14 years, used both types of toothbrushes: electric (ET) and manual (MT). The order of use of the different types of toothbrushes was randomly defined, including a 7-day period with each type with 7-day washout period in between. The Turesky-Quigley-Hein biofilm index was used before and after brushing to assess the effectiveness of the technique. Frankl’s behavioral scale was used during toothbrushing to assess the participants’ cooperation. Paired T-test, Mann Whitney, Chi-square, and Fisher’s Exact tests were applied, with a significance level of 5%. The quantity of dental biofilm was significantly reduced after both brushing techniques (p < 0.001). However, no significant difference was found in total biofilm (ET: 0.73 ± 0.36; MT: 0.73 ± 0.34; p = 0.985) or % biofilm reduction (ET: 72.22%; MT: 70.96%; p = 0.762) after brushing between techniques or in % biofilm reduction between toothbrushes of age groups (6 –9 years, p = 0.919; 10–14 years, p = 0.671). Participants showed similar cooperation level with the two types of toothbrush (p = 1.000). The use of electric or manual toothbrush had no effect on the quantity of dental biofilm removed in children and teenagers with DS, nor did it influence their cooperation during the procedure.

Abstract Objective: To measure the heart rate (HR) and the behavior of children and teenagers with Down Syndrome (DS) during the dental appointment. Material and Methods: Two groups (n = 52), of both genders, aged 2-14 years, matched by age group were formed: study group (SG) - individuals with DS and control group (CG) - normotypical school children. The participants were submitted to clinical examination and prophylaxis. An oximeter was used to measure the HR at five moments of the dental consultation: before entering the practice room (T0), when sitting in the dental chair (T1), during the clinical examination (T2), during prophylaxis (T3) and immediately after prophylaxis (T4). Behavior, classified according to the Frankl Scale, was observed at T3. Mann Whitney, Kruskal-Wallis, Dunn and Pearson's Chi-square tests were used to analyze and compare variables (significance level at 5%). Results: In SG, a significant difference in HR was observed according to the moment of dental appointment (p<0.001 SG; 0.3385 CG). The highest HR value in SG was observed at T3 (median 110.00; IIQ 96.00-124.00), the only moment significantly different (p<0.001) from HR values for CG. A difference in behavior between groups (p<0.001) was also observed. Conclusion: HR of individuals with DS varied throughout the dental appointment, and they also had a higher prevalence of uncooperative behavior.

RESUMO Objetivo Avaliar o impacto da internação hospitalar sobre a condição periodontal de pacientes em um hospital privado. Métodos A amostra de 41 pacientes respondeu questionário sobre hábitos de higiene bucal antes e após a internação. Um examinador mensurou o índice Periodontal Screening and Recording (PSR) no início, cinco e dez dias a partir da admissão hospitalar. Resultados Nenhum paciente recebeu orientação sobre higiene bucal por profissionais do hospital. Após 5 dias do exame inicial, 58,8% dos pacientes sadios apresentaram sangramento à sondagem e 16,7% dos pacientes com sangramento apresentaram cálculo dental; e 10 dias depois, 70,0% dos pacientes sadios apresentaram sangramento gengival e 57,1% daqueles que já tinham sangramento gengival apresentaram cálculo dental. Houve um aumento das necessidades de tratamento. Conclusão A condição periodontal de pacientes internados agravou-se com o decorrer do tempo de internação e, consequentemente, houve um aumento da necessidade de tratamento. Isso desperta a atenção para a importância dos cuidados de higiene bucal no hospital.

ABSTRACT Objective To evaluate the impact of hospitalization on the periodontal status of patients admitted to a private hospital. Methods A sample of 41 patients answered a questionnaire on oral hygiene habits before and after hospitalization. An examiner measured the Periodontal Screening and Recording ratio (PSR) within 24 hours after hospitalization (T0), after five (T1) and after ten days of hospital admission (T2). Results 47 patients were examined at T0, 37 at T1 and 21 at T2. Between T0 and T1, the periodontal condition of 32.4% of patients worsened (p = 0.001). The score of ten patients changed from PSR = 0 to PSR = 1 and the score of two changed from PSR = 1 to PSR = 2, after 5 days of hospitalization. At T2, 38% of patients had deteriorated (p = 0.005) with 4 developing gingival bleeding and 4 presenting calculus. 19% of patients (p=0.046) declined between T1 and T2, and 4 patients presented calculus. None of the patients received any guidance on oral hygiene by hospital staff. Conclusion The periodontal condition of hospitalized patients deteriorated over the course of the stay in hospital and, consequently, there was an increased need for treatment. This draws attention to the importance of oral hygiene care in hospital.

The aim of this in vitro study was to assess the root dentin demineralization caused by a microcosm biofilm model that has been exposed to sucrose in different ways. Materials and Methods: Saliva of two volunteers was inoculated into an artificial medium for biofilm growth and dentin blocks were immersed into these media. Dentin specimens were randomly exposed to one of the five experimental conditions: C (control group - no saliva inoculum or sucrose), 0S (saliva inoculum without sucrose, negative control), 3S (three daily one-minute immersions in 20 % sucrose), 6S (six daily one-minute immersions in 20 % sucrose), and CS (continuously immersed in 5 % sucrose). After five days, biofilm was collected to determine the concentration of intracellular and extracellular polysaccharides and the dentin surface hardness loss (SHL) was measured. The experiment was carried out in triplicate. Results: The dentin SHL was higher in groups that were exposed to sucrose (3S, 6S and CS) and there was a statistically significant difference between all groups (p<0.001). CS had higher concentrations of polysaccharides (p>0.001) and there was no statistically significant difference between the other groups (0S, 3S and 6S) (p>0.005). Conclusion: The microcosm biofilm model developed has the potential to produce root dentin demineralization at different exposures to sucrose.

El objetivo de esta investigación in vitro fue evaluar la desmineralización de la dentina radicular causada por un modelo de biofilm microcosmo que fue expuesto de diferentes maneras a la sacarosa. La saliva de dos voluntarios fue colocada en un medio artificial para crecimiento del biofilm y los bloques de dentina fueron sumergidos en estos medios. Al aza rlos bloques fueron expuestos a una de las cinco condiciones experimentales: C (grupo control sin inoculación de saliva o sacarosa), 0S (inoculación de saliva sin sacarosa, control negativo), 3S (tres inmersiones diarias de un minuto en sacarosa a 20 %), 6S (seis inmersiones diarias de un minuto en sacarosa a 20 %), y CS (sumergidos continuamente en 5 % de sacarosa). Después de cinco días, el biofilm fue recogido para determinar la concentración de polisacáridos intracelulares y extracelulares y fue medida la pérdida de dureza superficial de la dentina (SHL). El experimento se repitió en tres ocasiones. La dentina SHL era mayor en los grupos que fueron expuestos a la sacarosa (3S, 6S E CS) y hubo diferencia estadísticamente significativa entre todos los grupos (P<0,001). CS presentó mayor concentración de polisacáridos (p<0,001) y no hubo diferencia estadísticamente significativa entre los demás grupos (0S, 3S E 6S) (p>0,005). El modelo del biofilm desarrollado tiene potencial para producir desmineralización de la dentina radicular en diferentes exposiciones a la sacarosa.

ResumoIntroduçãoA cárie dentária é o principal motivo para a instalação e troca de restaurações. A preservação destas em condição clínica satisfatória é um desafio, apesar da evolução dos materiais e técnicas cirúrgico-operatórias.ObjetivoInvestigar o tempo de sobrevida e características técnico-operatórias das restaurações dentárias diretas de adultos em Teresina, Piauí.Material e métodoA coleta de dados ocorreu de setembro de 2009 a janeiro de 2010, em clínicas de tratamento odontológico sem fins lucrativos. Os dados técnicos e operatórios do preparo cavitário e da restauração foram coletados no momento da substituição. A sobrevida foi calculada a partir da data de instalação que constava no prontuário. Os dados foram registrados em um formulário criado com esse fim. Kruskal-Wallis e Mann-Whitney foram empregados para comparar a sobrevida dos diferentes tipos de restaurações e o teste qui-quadrado para associações entre variáveis qualitativas, ambos com nível de significância de 5%.ResultadoAs 262 substituições de restaurações deficientes estavam em 139 pacientes. A mediana de sobrevida das restaurações foi 2 anos. As restaurações de amálgama tiveram sobrevivência maior que as de resina composta (p=0,004). O material restaurador mais substituído foi resina composta (66,4%). A maioria das restaurações localizava-se em dentes anteriores e em preparos proximais.ConclusãoAs restaurações de amálgama teve sobrevida maior que as de resina composta. As variáveis técnico-operacionais não influenciaram na taxa de substituições. As restaurações diretas possuem reduzido tempo de sobrevida o que pode estar associada à filosofia adotada pelo serviço para o tratamento fornecido.

AbstractIntroductionThe presence of dental caries is the main reason for the placement and replacement of restorations. Maintaining restorations to a satisfactory clinical condition is a challenge, despite the evolution of materials and surgical operative techniques.ObjectiveTo investigate the survival time and technical-operatory characteristics of dental restorations among adults in Teresina-PI.Material and methodData collection was carried out from September 2009 to January 2010 at a non-profit dental service. Data were collected at the moment of restoration replacement. The sample consisted of 262 defective restorations in 139 individuals. Survival time was calculated using the placement date that was registered on the individual’s dental form. Kruskal-Wallis and Mann-Whitney tests were used to compare the survival time of the different types of restorations and the chi-square test was used to assess the association between qualitative variables, at a 5% significance level.ResultThe median survival time of the restorations was 2 years. The survival time for amalgam was higher than for composite and glass ionomer cement (p=0.004). The most replaced dental material was the composite (66.4%). The majority of the replaced restorations had been placed in anterior teeth, in proximal surfaces.ConclusionAmalgam restorations have a longer survival time than composite resin. Technical and operatory variables had no influence on the survival time of restorations. Dental restorations have a low survival time and this fact might be associated with the decion-making process that is adopted by the professionals.

OBJETIVO: Mensurar a prevalência de provável bruxismo do sono e em vigília e de hiperestesia dentinária cervical de estudantes universitários e verificar os sintomas a eles associados.METODOLOGIA: Este é um estudo transversal, cujo diagnóstico de provável bruxismo foi realizado pelo relato dos estudantes em ranger e/ou apertar os dentes durante o sono e em vigília combinado com o diagnóstico clínico de desgaste dentário e dor da musculatura do masseter à palpação. O diagnóstico de hipersensibilidade dentinária cervical foi realizado por testes de sensibilidade ao toque com sonda exploradora e a jato de ar da seringa tríplice. A amostra consistiu de 306 universitários entre 19 a 35 anos. Os dados foram armazenados e analisados no programa SPSS v.15.0 for Windows.RESULTADO: A prevalência de provável bruxismo foi de 34,3%, não havendo predominância entre os gêneros. O provável bruxismo em vigília foi o mais predominante (61,9%), ocorrendo principalmente quando o indivíduo estava em estado de concentração (63,1%). Não houve uma associação entre provável bruxismo do sono e em vigília e hiperestesia dentinária (p=0,195). Os indivíduos com provável bruxismo do sono possuíram maior chance de acordar com dor nos músculos da face (OR=14,14, IC95% 5,06-39,55) e com provável bruxismo em vigília maior chance de cansaço muscular facial ao mastigar ou falar por muito tempo (OR=2,88, IC95% 1,53-5,43) e dor nos músculos da face ao acordar (OR=5,31, IC95% 1,93-14,62).CONCLUSÃO: A prevalência de provável bruxismo foi 34,3% e de HDC 57,8%, com 22,2% destes também apresentando provável bruxismo, mas sem associação estatística. Indivíduos com provável bruxismo tendem a ter maior risco de apresentar dores faciais ao acordar e cansaço muscular facial ao falar e mastigar por muito tempo. Não houve associação entre provável bruxismo do sono e em vigília e hipersensibilidade dentinária cervical.

OBJECTIVE: To measure the prevalence of probable sleep or awake bruxism and cervical dentin hypersensitivity of undergraduate students and to determine the symptoms associated with these conditions.METHODOLOGY: This was a cross-sectional study. A diagnosis of probable bruxism was reached when students reported clenching or grinding of the teeth during sleep and/or wakefulness, and when they also presented some of the signs and symptoms of bruxism and masseter muscle pain on palpation. Cervical dentinal hypersensitivity was diagnosed by testing for sensitivity to pain in the cervical region of the teeth. Pain was triggered either by touch (using a #5 probe) or by an air jet spray. The sample consisted of 306 university students aged between 19 and 35 years old. The data were stored and analysed using SPSS software, version 15.0 for Windows.RESULT: The prevalence of probable bruxism was 34.3%, with no predominance regarding sex. Probable awake bruxism was more prevalent (61.9%), mostly occurring when the individual reported being in a state of mental concentration (63.1%). There was no association between probable sleep or awake bruxism and dentin hypersensitivity (p = 0.195). Individuals with probable sleep bruxism had increased odds of having muscular pain in the face upon waking (OR = 14.14, 95% CI 5.06-39.55), and those with probable awake bruxism had a increased odds of having facial muscle fatigue when chewing or talking for a long time (OR = 2.88, 95% CI 1.53-5.43) and muscular pain in the face upon waking (OR = 5.31, 95% CI 1.93-14.62).CONCLUSION: The prevalence of probable bruxism was 34.3% and that of HDC was 57.8%, with 22.2% of these subjects also showing probable bruxism. Individuals with probable bruxism tended to have a higher odds of facial pain when they awakened and when chewing or talking for long periods. There were no associations between probable sleep and awake bruxism and cervical dentin hypersensitivity.

INTRODUÇÃO: A doença periodontal pode ter seu início na infância e na adolescência, e progredir lentamente ao longo da vida. Em universitários, a forma mais comum e prevalente da doença é a gengivite. OBJETIVO: Mensurar a condição de saúde periodontal de uma amostra de universitários e verificar existência da associação com variáveis sociodemográficas e os fatores de risco envolvidos. MATERIAL E MÉTODO: A amostra consistiu de 306 universitários voluntários, com idade entre 19 e 35 anos, sendo usados como indicadores de saúde bucal os índices: Índice Periodontal Comunitário (CPI) e Índice de Dentes Cariados, Perdidos e Obturados (CPO-D). Para processamento e análise dos dados, foi usado o programa SPSS versão 18.0. A classificação da condição periodontal foi dicotomizada em CPI < 3 e CPI > 3. Realizou-se regressão logística bivariada e multivariada para analisar a associação entre a condição periodontal e as variáveis independentes. RESULTADO: A amostra consistiu de 51,3% de mulheres e 48,7% de homens, tendo a maioria renda menor do que 6 salários mínimos. Observou-se que 14,4% da amostra era livre de cárie. A pior condição periodontal foi encontrada no sextante 6 e 20,9% da amostra apresentou bolsas rasas em ao menos um sextante. Houve associação entre a condição periodontal e as variáveis: gênero, renda, nível de higiene bucal e uso do fio dental (p < 0,05); entretanto, não houve associação entre aquela e o CPO-D da amostra (p = 0,48). CONCLUSÃO: A amostra apresentou leve condição de doença periodontal, com ausência de bolsas periodontais profundas. Indivíduos do gênero feminino, de renda acima de 4 salários, com bom nível de higiene bucal e que usam o fio dental tiveram melhor condição de saúde periodontal.

INTRODUCTION: Periodontal disease may have its onset during childhood and adolescence and slowly progress throughout life. In undergraduate students, the most common and prevalent form the disease is gingivitis. OBJECTIVE: To assess the periodontal health status of a sample of undergraduate studentsand assess a possible association between the disease and socio-demographic variables, as well as the disease's risk factors. MATERIAL AND METHOD: The sample consisted of 306 undergraduate students volunteers aged between 19 and 35 years. The oral health indices used were the CPI and DMFT. Data processing and statistical analysis was performed using SPSS® version 18.0 for Windows. The classification of periodontal status was dichotomized in CPI<3 and CPI>3. Bivariate and multivariate logistic regression analyses were carried out to evaluate the association between periodontal status and the independent variables. RESULT: The sample consisted of 51.3% female and 48.7% male, mostly with income less than 6 Brazilian minimum salaries. 14.4% of the sample was caries free. The worst periodontal status was in sextant #6 and 20.9% had shallow periodontal pockets in one sextant at least. There was an association between periodontal health status and gender, income, level of oral hygiene and flossing (p <0.05), but not between that and DMFT sample (p = 0.48). CONCLUSION: The sample showed mild periodontal disease condition, with no deep pockets. Female subjects, who earn more than 4 minimum salaries, with a good level of oral hygiene and who use dental floss had better periodontal health.

Este estudo objetivou identificar a autopercepção da saúde bucal de idosos e investigar as variáveis associadas a essa autopercepção. Foram pesquisados 321 indivíduos, de 60 anos ou mais, funcionalmente independentes, residentes do Município de Parnaíba, Piauí, Brasil. Realizaram-se exames clínicos bucais e aplicaram-se formulários durante visitas domiciliares. Os idosos apresentaram precárias condições de saúde bucal, com média CPOD de 29,41, (DP = 4,10). A autopercepção da saúde bucal, medida pelo Geriatric Oral Health Assessment Index (GOHAI), no entanto, foi positiva, 52% dos idosos obtiveram escores altos no GOHAI. Resultados da análise multivariada demonstraram que os preditores da autopercepção foram necessidade de prótese superior, alterações em tecido mole e autoavaliação de saúde bucal. A preditora mais importante foi a autoavaliação de saúde bucal, com um peso de 20% na variação da autopercepção. Concluiu-se que a medida subjetiva relacionada à saúde bucal dos idosos está menos associada às situações clínicas que eles apresentam e mais ligada a outros fatores subjetivos.

This study focused on self-perceived oral health of the elderly and associated variables. The sample consisted of 321 functionally independent individuals 60 years or older living in Parnaíba, Piauí State, Brazil. Oral examinations were performed and questionnaires were applied during home visits. The elderly presented poor oral health, with mean DMFT 29.41 (SD = 4.10). However, their self-perceived oral health was positive, with 52% showing high scores according to the Geriatric Oral Health Assessment Index (GOHAI). Multivariate analysis showed that predictors of self-perceived oral health included the need for upper prostheses, oral mucosal lesions, and self-rated oral health. The most important predictor was self-rated oral health, with a weight of 20% variation in self-perceived oral health. In conclusion, subjective measurement of oral health in the elderly is less associated with their actual clinical status and more with other subjective factors.

Este estudo objetivou identificar a autopercepção da saúde bucal de idosos e investigar as variáveis associadas a essa autopercepção. Foram pesquisados 321 indivíduos, de 60 anos ou mais, funcionalmente independentes, residentes do Município de Parnaíba, Piauí, Brasil. Realizaram-se exames clínicos bucais e aplicaram-se formulários durante visitas domiciliares. Os idosos apresentaram precárias condições de saúde bucal, com média CPOD de 29,41, (DP = 4,10). A autopercepção da saúde bucal, medida pelo Geriatric Oral Health Assessment Index (GOHAI), no entanto, foi positiva, 52% dos idosos obtiveram escores altos no GOHAI. Resultados da análise multivariada demonstraram que os preditores da autopercepção foram necessidade de prótese superior, alterações em tecido mole e autoavaliação de saúde bucal. A preditora mais importante foi a autoavaliação de saúde bucal, com um peso de 20% na variação da autopercepção. Concluiu-se que a medida subjetiva relacionada à saúde bucal dos idosos está menos associada às situações clínicas que eles apresentam e mais ligada a outros fatores subjetivos.

This study focused on self-perceived oral health of the elderly and associated variables. The sample consisted of 321 functionally independent individuals 60 years or older living in Parnaíba, Piauí State, Brazil. Oral examinations were performed and questionnaires were applied during home visits. The elderly presented poor oral health, with mean DMFT 29.41 (SD = 4.10). However, their self-perceived oral health was positive, with 52% showing high scores according to the Geriatric Oral Health Assessment Index (GOHAI). Multivariate analysis showed that predictors of self-perceived oral health included the need for upper prostheses, oral mucosal lesions, and self-rated oral health. The most important predictor was self-rated oral health, with a weight of 20% variation in self-perceived oral health. In conclusion, subjective measurement of oral health in the elderly is less associated with their actual clinical status and more with other subjective factors.