Silva-Junior Manoelito Ferreira, Sousa Anne Caroline Correia de, Batista Marília Jesus, Sousa Maria da Luz Rosário de
Departamento de Odontologia Social, Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas. Av. Limeira 901, Vila Rezende. 13414-903 Piracicaba SP Brasil.
Departamento de Saúde Coletiva, Faculdade de Medicina de Jundiaí. Jundiaí SP Brasil.
Cien Saude Colet. 2017 Aug;22(8):2693-2702. doi: 10.1590/1413-81232017228.22212015.
The study characterized the oral health condition and main self-reported reasons for tooth extraction in an adult population. The cross-sectional study examined 248 adults aged 20-64 years, representative of the population of Piracicaba, São Paulo, Brazil. The oral examination conducted in households used the DMFT and CPI indexes, use and necessity of prosthodontics according to the WHO criteria and the presence of visible biofilm. Demographic and socioeconomic data were collected along with reasons for tooth extraction through a questionnaire. Descriptive analysis was stratified by age in groups: 20-44 and 45-64 years old. The average DMFT was 20.37 (EP = 0.50), P = 3.34 (EP = 0.33) for young adults and P = 13.41 (EP = 1.45) for the older adults. Gingival pockets (CPI ≥ 3) were found on 20.5% of young adults and 53.0% of the older ones. While 38.8% used upper prosthesis, 46.7% needed lower prosthesis. Pain was the most prevalent self-reported reason for tooth extraction (37.5%), being this choice primarily because of lack of another treatment option (52%) and done in the private sector (47.2%). We concluded that young adults (20-44 years old) showed less missing teeth, periodontal diseases, and need for prosthetic use. Pain and lack of options of other treatments were the main self-reported reasons for performing tooth extractions.
该研究对成年人群的口腔健康状况以及自我报告的拔牙主要原因进行了特征描述。这项横断面研究调查了248名年龄在20 - 64岁之间的成年人，他们代表了巴西圣保罗皮拉西卡巴的人口。在家庭中进行的口腔检查使用了DMFT和CPI指数、根据世界卫生组织标准确定的假牙使用情况和必要性以及可见生物膜的存在情况。通过问卷收集了人口统计学和社会经济数据以及拔牙原因。描述性分析按年龄分层为20 - 44岁和45 - 64岁两组。年轻成年人的平均DMFT为20.37（标准误 = 0.50），牙周袋数（CPI≥3）为3.34（标准误 = 0.33）；老年成年人的平均DMFT为13.41（标准误 = 1.45），牙周袋数为53.0%。虽然38.8%的人使用上假牙，但46.7%的人需要下假牙。疼痛是自我报告的最常见拔牙原因（37.5%），做出这种选择主要是因为缺乏其他治疗选择（52%），且拔牙多在私立部门进行（47.2%）。我们得出结论，年轻成年人（20 - 44岁）牙齿缺失、牙周疾病和假牙使用需求较少。疼痛和缺乏其他治疗选择是自我报告的拔牙主要原因。
