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Avaliação da saúde oral e geral de uma população geriátrica utente da FMDUL
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Objetivo: Este estudo teve como objetivo a caracterização da saúde oral e geral da população geriátrica utente da Faculdade de Medicina Dentária da Universidade de Lisboa (FMDUL).
Materiais e métodos: A população deste estudo consistiu nos pacientes geriátricos utentes da clínica da FMDUL, cuja primeira consulta decorreu entre 1 de março de 2006 e 20 de junho de 2018. Foi selecionada uma amostra correspondente a 10% da população. A recolha de dados referentes à saúde oral e geral foi efetuada através da consulta dos processos físicos. A análise estatística foi efetuada recorrendo ao software IBM® SPSS® Statistics, versão 25.0 para Windows, e o nível de significância foi fixado em 5%.
Resultados: A amostra foi constituída por 617 indivíduos com média de idades de 71,81, maioritariamente do género feminino e residente em zonas urbanas. A média de CPOD foi de 19,12, sendo que 100% dos indivíduos apresentavam experiência de cárie, 3,1% eram edêntulos, 15,6% utilizavam pelo menos uma prótese total, 36,7% prótese parcial removível e 15,3% prótese fixa. A prevalência de xerostomia foi de 2,3%.
As doenças articulares (20,2%) e hipertensão arterial (19,9%) foram as mais prevalentes sendo que 81,1% dos pacientes apresentavam pelo menos uma patologia e a maioria dos pacientes tomava pelo menos um fármaco, dos quais os antihipertensores e antidislipidémicos foram os mais frequentes (38,2% e 23,7% respetivamente).
O valor de CPOD foi significativamente superior no género feminino (p<0,001), em idades superiores (p=0,032) e em pacientes com doenças articulares (p=0,010). A utilização de pelo menos uma prótese total foi superior no grupo etário 80+ (p=0,003).
A presença de xerostomia esteve associada ao diagnóstico de AVC (p=0,010) e toma de antidislipidémicos (p=0,042).
Conclusões: A prevalência de cárie dentária, doenças crónicas e toma de fármacos é elevada na população geriátrica utente da FMDUL.
Objective: The purpose of this study was to evaluate and describe de oral and general health of a geriatric population who attended the dental clinic of the Faculty of Dental Medicine of Lisbon University (FDMLU). Methods: The population of this study consisted of the geriatric patients who first attended the dental clinic of the FDMLU in the period between March 1, 2006 and June 20, 2018. We selected a sample corresponding to 10% of the population. The data was collected through scanning of the dental records. The statistical analysis was performed with IBM® SPSS® Statistics software, version 25.0 for Windows, and the significance level was 5%. Results: The sample consisted of 617 patients with a mean age of 71,81, mostly woman and resident in urban areas. The mean DMFT was 19,12 and 100% of the patients had experienced caries, 3,1% were edentulous, 15,6% used at least, one complete denture, 36,7% a removable partial denture, 15,3% a fixed rehabilitation. The prevalence of xerostomia was 2,3%. The articular diseases (20,2%) and hypertension (19,9%) were the most prevalent and 81,1% of the patients had at least one disease, mostly took at least one medication of which anti- hypertensives and antidyslipidemic agents were the most common (38,2% and 23,7% respectively). The DMFT was significantly higher in woman (p<0,001), in older individuals (p=0,032) and in patients with articular diseases (p=0,010). The use of at least one full denture was higher in the 80+ age group (p=0,003). Xerostomia was associated with the history of stroke (p=0,010) and with antidyslipidemic medication (p=0,042). Conclusions: There was a high prevalence of caries, chronic diseases and use of medication in the elderly population of FDMLU.
Objective: The purpose of this study was to evaluate and describe de oral and general health of a geriatric population who attended the dental clinic of the Faculty of Dental Medicine of Lisbon University (FDMLU). Methods: The population of this study consisted of the geriatric patients who first attended the dental clinic of the FDMLU in the period between March 1, 2006 and June 20, 2018. We selected a sample corresponding to 10% of the population. The data was collected through scanning of the dental records. The statistical analysis was performed with IBM® SPSS® Statistics software, version 25.0 for Windows, and the significance level was 5%. Results: The sample consisted of 617 patients with a mean age of 71,81, mostly woman and resident in urban areas. The mean DMFT was 19,12 and 100% of the patients had experienced caries, 3,1% were edentulous, 15,6% used at least, one complete denture, 36,7% a removable partial denture, 15,3% a fixed rehabilitation. The prevalence of xerostomia was 2,3%. The articular diseases (20,2%) and hypertension (19,9%) were the most prevalent and 81,1% of the patients had at least one disease, mostly took at least one medication of which anti- hypertensives and antidyslipidemic agents were the most common (38,2% and 23,7% respectively). The DMFT was significantly higher in woman (p<0,001), in older individuals (p=0,032) and in patients with articular diseases (p=0,010). The use of at least one full denture was higher in the 80+ age group (p=0,003). Xerostomia was associated with the history of stroke (p=0,010) and with antidyslipidemic medication (p=0,042). Conclusions: There was a high prevalence of caries, chronic diseases and use of medication in the elderly population of FDMLU.
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Saúde oral Teses de mestrado - 2019