Maia Fabiana-Barros-Marinho, de Sousa Emerson-Tavares, de Sousa Jossaria-Pereira, Scudine Kelly-Guedes-Oliveira, Freitas Claudia-Helena-Soares-de Morais, Sampaio Fabio-Correia, Forte Franklin-Delano-Soares
Department of Clinical and Social Odontology, Dental School, Federal University of Paraiba, Brazil.
Department of Pediatric Dentistry, Piracicaba Dental School, Campinas University, Piracicaba -SP/Brazil.
J Clin Exp Dent. 2018 Jun 1;10(6):e567-e573. doi: 10.4317/jced.54783. eCollection 2018 Jun.
Subjective aspects of dental prosthesis need in middle-aged adults are poorly explored, especially when the population presents chronic diseases. Objectives: To investigate if the use and necessity of dental prosthesis influence the self-perceptions of health and dental treatment need in middle-aged adults with chronic diseases.
A cross-sectional study was performed in 210 middle-aged adults. Socio-demographic aspects, dental services use, oral and general perceptions of health, dental treatment need and OIDP were assessed using a standardized questionnaire. One trained dentist evaluated the use and necessity of dental prosthesis. Data were analyzed using Chi-square and multivariate logistic regression (<0.05).
The use of dental prosthesis showed a proportion of 2.2:1 for upper to lower arch. Dental prosthesis need was largely prevalent (90 and 95% in upper and lower arch, respectively). The self-perceptions of dental treatment need and oral health were associated with the use and necessity of dental prosthesis (<0.05), which could not be observed in relation to the general self-perception. The adjusted model demonstrated that the subjective necessity of dental treatment was 16.04 (1.92-133.7) fold higher in individuals with necessity of rehabilitation in the lower arch. Besides, a positive self-perception of oral health (satisfied) was 2.59 (1.38-4.85) more expressive in individuals that used a dental prosthesis in upper arch.
The self-perception of oral health was influenced by the use of maxillary dental prosthesis in individuals with chronic disease. Moreover, individuals were more likely able to perceive treatment need when the lower jaw was affected by tooth loss. Tooth loss, epidemiology, personal satisfaction, aged, chronic disease.
中年成年人对假牙的主观需求研究较少，尤其是当该人群患有慢性疾病时。目的：调查假牙的使用和需求是否会影响患有慢性疾病的中年成年人对健康的自我认知和牙科治疗需求。
对210名中年成年人进行了一项横断面研究。使用标准化问卷评估社会人口学特征、牙科服务使用情况、口腔和总体健康认知、牙科治疗需求和口腔疾病影响概况（OIDP）。一名经过培训的牙医评估假牙的使用和需求。使用卡方检验和多因素逻辑回归分析数据（<0.05）。
假牙的使用在上颌与下颌的比例为2.2:1。假牙需求普遍存在（上颌和下颌分别为90%和95%）。牙科治疗需求和口腔健康的自我认知与假牙的使用和需求相关（<0.05），而与总体自我认知无关。调整后的模型表明，下颌有修复需求的个体牙科治疗的主观需求高16.04（1.92 - 133.7）倍。此外，在上颌使用假牙的个体中，对口腔健康的积极自我认知（满意）的表达力高2.59（1.38 - 4.85）倍。
慢性病患者的口腔健康自我认知受上颌假牙使用的影响。此外，当下颌受牙齿缺失影响时，个体更有可能察觉到治疗需求。牙齿缺失、流行病学、个人满意度、年龄、慢性病。
