Soares Gustavo Hermes, Aragão Amanda Silva, Frias Antônio Carlos, Werneck Renata Iani, Biazevic Maria Gabriela Haye, Michel-Crosato Edgard
Social Dentistry Department, School of Dentistry, Universidade de São Paulo - São Paulo (SP), Brazil.
Dental Graduation Program, School of Health and Bioscience, Pontifícia Universidade Católica do Paraná - Curitiba (PR), Brazil.
Rev Bras Epidemiol. 2019 Aug 19;22:e190042. doi: 10.1590/1980-549720190042.
The epidemiological profile of dental caries for Indigenous Peoples is complex and heterogeneous. The oral health of the Kaingang people, third largest Indigenous population from Brazil, has not been investigated so far.
The purpose of this study was to assess the prevalence and severity of dental caries, in addition to the associated factors of the need of dental extraction among Kaingang adult Indigenous.
A cross-sectional oral health survey was conducted among Kaingang adults aged from 35 to 44 years old living in the Guarita Indigenous Land, Rio Grande do Sul. Clinical exams were performed to analyze the conditions of dental crown and treatment needs.
A total of 107 Indigenous adults were examined. Mean DMFT score was 14.45 (± 5.80). Two-thirds of the DMFT score accounted for missing teeth. Anterior lower dentition presented the highest rates of sound teeth, whereas the lower first molars had the lowest. Need for dental extraction was observed in 34.58% and was associated with village location, time of last dental visit, and higher number of decayed teeth.
The high frequencies of caries and missing teeth observed in this population indicate a lack of adequate assistance. It is essential to discuss health care models in order to combat avoidable social and health injustices.
原住民龋齿的流行病学概况复杂且具有异质性。迄今尚未对巴西第三大原住民群体凯冈人的口腔健康状况进行调查。
本研究旨在评估凯冈成年原住民龋齿的患病率和严重程度,以及拔牙需求的相关因素。
对居住在南里奥格兰德州瓜里塔原住民土地上35至44岁的凯冈成年人进行了一项横断面口腔健康调查。进行临床检查以分析牙冠状况和治疗需求。
共检查了107名原住民成年人。平均龋失补指数(DMFT)得分为14.45(±5.80)。DMFT得分的三分之二为缺失牙。下颌前牙列完好牙齿的比例最高,而下颌第一磨牙的比例最低。观察到34.58%的人有拔牙需求,这与村庄位置、上次看牙时间以及龋齿数量较多有关。
该人群中观察到的高龋齿率和缺牙率表明缺乏足够的医疗援助。为消除可避免的社会和健康不公,讨论医疗保健模式至关重要。