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Papers by Maria Augusta Bessa Rebelo
Ciência & Saúde Coletiva, 2008
Dental caries and need for dental care among the Baniwa Indians, Rio Negro, Amazonas Resumo Pesqu... more Dental caries and need for dental care among the Baniwa Indians, Rio Negro, Amazonas Resumo Pesquisas epidemiológicas em comunidades indígenas no Brasil têm evidenciado forte relação entre a deterioração da saúde bucal e o consumo de itens industrializados (e do açúcar refinado em particular), aliados à precariedade da atenção odontológica. Este estudo abordou a população Baniwa do pólo-base de Tunuí-Cachoeira, São Gabriel da Cachoeira, Amazonas, Brasil. Foi realizado inquérito transversal sobre as condições de saúde bucal, de acordo com critérios da OMS. Foram observadas as condições dentárias e a necessidade de tratamento, examinando-se 590 indivíduos (49,2% da população > 2 anos). A média de dentes atacados pela doença cárie foi 6,0, 8,2 e 22,1 nas faixas etárias 12-14, 15-19 e mais de 50 anos, respectivamente. O maior valor de ceo-d (5,3) foi encontrado na idade de 5 anos. Do total de pessoas examinadas, 73,6% apresentaram alguma necessidade de tratamento cirúrgico-restaurador. Os indivíduos entre 15-19 anos apresentam as mais elevadas freqüências de restaurações. O CPO-D da população Baniwa é elevado, o que deve estar relacionado a processos recentes de mudanças socioeconômicas, particularmente na dieta. Enfatiza-se a necessidade de ampliação da atenção à saúde bucal, considerando-se a complexidade da questão sociocultural dos povos indígenas. Palavras-chave Índios sul-americanos, Serviços de saúde, Saúde bucal, Brasil Abstract Epidemiologic research conducted with Indian communities in Brazil has shown strong correlation between the deterioration of their oral health and the consumption of industrial products, sugar in particular, added to the lack of structure of oral health care. This study was carried out among the Baniwa Indians from the Tunuí-Cachoeira region, São Gabriel da Cachoeira, Northwestern Amazon, Brazil. A cross-sectional survey was conducted according to the criteria established by the WHO, focusing on dental caries and need for dental treatment. A total of 590 individuals were examined (49.2% of the population older than 2 years). The mean numbers of teeth with caries were 6.0, 8.2 and 22.1 in the age groups 12-14, 15-19 and more than 50 years respectively. In children with deciduous dentition the highest mean value of decayed, missing and filled teeth (5.3) was observed in children age 5. From the total of examined people, 73.6% showed some need for surgery-restoration. The individuals between 15-19 years of age show the highest need for restorations. The DFMT index for the Baniwa can be considered high. The results show that it is necessary to expand public health control measures related to oral heath, taking into consideration the complex socio-cultural reality of the Northwestern Amazon region.
Ciência & saúde coletiva, 2011
This study sought to compare the prevalence and intensity of dental pain in the last 3 months in ... more This study sought to compare the prevalence and intensity of dental pain in the last 3 months in adolescents living in two areas within the scope of Family Health Strategy with different to oralhealth care approaches. A cross-sectional study was conducted with 300 adolescents selected from public schools in the city of Manaus, Brazil. Adolescents living in an area with an Oral Health Team in which of health promotion is predominant (Group I, N = 150) were compared with those living in an area in which only dental treatment is offered (Group II, N = 150). Demographic and socio-economic characteristics, oral health-related behavior and use of dental services were gathered. Prevalence and intensity of dental pain in the last 3 months was assessed using a tested and validated Likert scale. The mean age of the participants was 12.9 ± 0.8 years, of which 46.7% were male. The prevalence of dental pain in the last 3 months was 33.7%, and did not differ between Groups I and II (P > 0.05)....
Revista Brasileira de Epidemiologia, 2011
Brazilian Oral Research, 2009
In the light of the scarcity of epidemiological studies on the oral health of the general populat... more In the light of the scarcity of epidemiological studies on the oral health of the general population within the context of the Amazon region, this study aimed to estimate the prevalence of dental caries and gingivitis, as well as to evaluate the need for restorative treatment, among school students aged 15 to 19 years in the city of Manaus, AM, Brazil. A cross-sectional study was carried out on a sample of 889 students from within city limits who were enrolled in 26 public and private schools. Dental examinations were performed to obtain the DMFT index (decayed, missing and filled teeth) as well as to determine the treatments needed. The gingival index (Lõe & Silness) was used to classify gingivitis. The intra-examiner diagnostic concordance was 94% and the Kappa statistic was 0.91. The DMFT index found was 4.65 (± 0.12), without significant difference between the sexes or skin color groups. The prevalence of dental caries was 87.4%. Restoration of a dental surface was the greatest need (59.3%). Slight gingival inflammation was present in 78.5% and gingival bleeding following probing occurred in 53.3%. Although the DMFT index was lower than that observed for the northern region of Brazil, restorative dental services are lacking for this population. Additional studies are suggested to better understand the differences found.
Revista Odonto Ciência, 2011
Ciência & Saúde Coletiva, 2011
Qualidade de vida relacionada à saúde bucal: contribuição dos fatores sociais Resumo Indicadores ... more Qualidade de vida relacionada à saúde bucal: contribuição dos fatores sociais Resumo Indicadores sociodentais têm sido largamente utilizados nas pesquisas epidemiológicas em saúde bucal, pois adicionam a dimensão de impacto da saúde bucal na qualidade de vida (OHR-QoL) de indivíduos e populações. Inúmeros trabalhos têm sido realizados com a finalidade de validar novos instrumentos para mensurar estas percepções subjetivas; entretanto, a associação entre parâmetros sociais e OHRQoL não foi estudada de forma sistemática, havendo dúvida em relação ao papel das principais variáveis sociais como moduladores de impactos. Este estudo objetivou revisar sistematicamente a literatura para evidenciar a associação entre seis parâmetros sociais e OHR-QoL. Baseados em seis critérios de exclusão, a pesquisa bibliográfica revelou quarenta artigos para análise. A frequência de associações esperadas (positivas) entre os parâmetros sociais e OHRQoL foi maior que as associações não esperadas (negativas) para os seis parâmetros. Concluiu-se que as condições sociais mais claramente associadas à percepção de impactos negativos da saúde bucal na qualidade de vida foram mulheres, de baixa escolaridade e baixa renda, imigrantes ou pessoas pertencentes a grupos étnicos minoritários. Palavras-chave Saúde bucal, Qualidade de vida, Fatores sociais, Revisão Abstract Sociodental indicators have been widely used in epidemiological research related to oral health, as they add the dimension of the impact of oral health on the quality of life of individuals and populations. Various studies have been done in order to validate new instruments to assess these subjective perceptions, however, the association between social parameters and impact on oral health-related quality of life (OHRQoL) has not been systematically studied, thus there is still doubt as to the role of the main social variables as OHRQoL impact modulators. This study aims to systematically review the literature in order to evidence the association between six social parameters and OHRQoL. Based on six exclusion criteria, the literature search revealed 40 eligible publications for analyses. The frequency of expected (positive) association between the social parameters and OHRQoL was greater than the non-expected (negative) associations for the six parameters. Conclusions: The social conditions most clearly associated with the perception of negative impact on OHRQoL were: women, with poor education and low income, immigrants or people belonging to minority ethnic groups.
Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 2014
Journal of Dentistry, 2012
j o u r n a l o f d e n t i s t r y 4 0 ( 2 0 1 2 ) 3 -1 4
Restorative Dentistry & Endodontics, 2015
Ciência & Saúde Coletiva, 2008
Dental caries and need for dental care among the Baniwa Indians, Rio Negro, Amazonas Resumo Pesqu... more Dental caries and need for dental care among the Baniwa Indians, Rio Negro, Amazonas Resumo Pesquisas epidemiológicas em comunidades indígenas no Brasil têm evidenciado forte relação entre a deterioração da saúde bucal e o consumo de itens industrializados (e do açúcar refinado em particular), aliados à precariedade da atenção odontológica. Este estudo abordou a população Baniwa do pólo-base de Tunuí-Cachoeira, São Gabriel da Cachoeira, Amazonas, Brasil. Foi realizado inquérito transversal sobre as condições de saúde bucal, de acordo com critérios da OMS. Foram observadas as condições dentárias e a necessidade de tratamento, examinando-se 590 indivíduos (49,2% da população > 2 anos). A média de dentes atacados pela doença cárie foi 6,0, 8,2 e 22,1 nas faixas etárias 12-14, 15-19 e mais de 50 anos, respectivamente. O maior valor de ceo-d (5,3) foi encontrado na idade de 5 anos. Do total de pessoas examinadas, 73,6% apresentaram alguma necessidade de tratamento cirúrgico-restaurador. Os indivíduos entre 15-19 anos apresentam as mais elevadas freqüências de restaurações. O CPO-D da população Baniwa é elevado, o que deve estar relacionado a processos recentes de mudanças socioeconômicas, particularmente na dieta. Enfatiza-se a necessidade de ampliação da atenção à saúde bucal, considerando-se a complexidade da questão sociocultural dos povos indígenas. Palavras-chave Índios sul-americanos, Serviços de saúde, Saúde bucal, Brasil Abstract Epidemiologic research conducted with Indian communities in Brazil has shown strong correlation between the deterioration of their oral health and the consumption of industrial products, sugar in particular, added to the lack of structure of oral health care. This study was carried out among the Baniwa Indians from the Tunuí-Cachoeira region, São Gabriel da Cachoeira, Northwestern Amazon, Brazil. A cross-sectional survey was conducted according to the criteria established by the WHO, focusing on dental caries and need for dental treatment. A total of 590 individuals were examined (49.2% of the population older than 2 years). The mean numbers of teeth with caries were 6.0, 8.2 and 22.1 in the age groups 12-14, 15-19 and more than 50 years respectively. In children with deciduous dentition the highest mean value of decayed, missing and filled teeth (5.3) was observed in children age 5. From the total of examined people, 73.6% showed some need for surgery-restoration. The individuals between 15-19 years of age show the highest need for restorations. The DFMT index for the Baniwa can be considered high. The results show that it is necessary to expand public health control measures related to oral heath, taking into consideration the complex socio-cultural reality of the Northwestern Amazon region.
Ciência & saúde coletiva, 2011
This study sought to compare the prevalence and intensity of dental pain in the last 3 months in ... more This study sought to compare the prevalence and intensity of dental pain in the last 3 months in adolescents living in two areas within the scope of Family Health Strategy with different to oralhealth care approaches. A cross-sectional study was conducted with 300 adolescents selected from public schools in the city of Manaus, Brazil. Adolescents living in an area with an Oral Health Team in which of health promotion is predominant (Group I, N = 150) were compared with those living in an area in which only dental treatment is offered (Group II, N = 150). Demographic and socio-economic characteristics, oral health-related behavior and use of dental services were gathered. Prevalence and intensity of dental pain in the last 3 months was assessed using a tested and validated Likert scale. The mean age of the participants was 12.9 ± 0.8 years, of which 46.7% were male. The prevalence of dental pain in the last 3 months was 33.7%, and did not differ between Groups I and II (P > 0.05)....
Revista Brasileira de Epidemiologia, 2011
Brazilian Oral Research, 2009
In the light of the scarcity of epidemiological studies on the oral health of the general populat... more In the light of the scarcity of epidemiological studies on the oral health of the general population within the context of the Amazon region, this study aimed to estimate the prevalence of dental caries and gingivitis, as well as to evaluate the need for restorative treatment, among school students aged 15 to 19 years in the city of Manaus, AM, Brazil. A cross-sectional study was carried out on a sample of 889 students from within city limits who were enrolled in 26 public and private schools. Dental examinations were performed to obtain the DMFT index (decayed, missing and filled teeth) as well as to determine the treatments needed. The gingival index (Lõe & Silness) was used to classify gingivitis. The intra-examiner diagnostic concordance was 94% and the Kappa statistic was 0.91. The DMFT index found was 4.65 (± 0.12), without significant difference between the sexes or skin color groups. The prevalence of dental caries was 87.4%. Restoration of a dental surface was the greatest need (59.3%). Slight gingival inflammation was present in 78.5% and gingival bleeding following probing occurred in 53.3%. Although the DMFT index was lower than that observed for the northern region of Brazil, restorative dental services are lacking for this population. Additional studies are suggested to better understand the differences found.
Revista Odonto Ciência, 2011
Ciência & Saúde Coletiva, 2011
Qualidade de vida relacionada à saúde bucal: contribuição dos fatores sociais Resumo Indicadores ... more Qualidade de vida relacionada à saúde bucal: contribuição dos fatores sociais Resumo Indicadores sociodentais têm sido largamente utilizados nas pesquisas epidemiológicas em saúde bucal, pois adicionam a dimensão de impacto da saúde bucal na qualidade de vida (OHR-QoL) de indivíduos e populações. Inúmeros trabalhos têm sido realizados com a finalidade de validar novos instrumentos para mensurar estas percepções subjetivas; entretanto, a associação entre parâmetros sociais e OHRQoL não foi estudada de forma sistemática, havendo dúvida em relação ao papel das principais variáveis sociais como moduladores de impactos. Este estudo objetivou revisar sistematicamente a literatura para evidenciar a associação entre seis parâmetros sociais e OHR-QoL. Baseados em seis critérios de exclusão, a pesquisa bibliográfica revelou quarenta artigos para análise. A frequência de associações esperadas (positivas) entre os parâmetros sociais e OHRQoL foi maior que as associações não esperadas (negativas) para os seis parâmetros. Concluiu-se que as condições sociais mais claramente associadas à percepção de impactos negativos da saúde bucal na qualidade de vida foram mulheres, de baixa escolaridade e baixa renda, imigrantes ou pessoas pertencentes a grupos étnicos minoritários. Palavras-chave Saúde bucal, Qualidade de vida, Fatores sociais, Revisão Abstract Sociodental indicators have been widely used in epidemiological research related to oral health, as they add the dimension of the impact of oral health on the quality of life of individuals and populations. Various studies have been done in order to validate new instruments to assess these subjective perceptions, however, the association between social parameters and impact on oral health-related quality of life (OHRQoL) has not been systematically studied, thus there is still doubt as to the role of the main social variables as OHRQoL impact modulators. This study aims to systematically review the literature in order to evidence the association between six social parameters and OHRQoL. Based on six exclusion criteria, the literature search revealed 40 eligible publications for analyses. The frequency of expected (positive) association between the social parameters and OHRQoL was greater than the non-expected (negative) associations for the six parameters. Conclusions: The social conditions most clearly associated with the perception of negative impact on OHRQoL were: women, with poor education and low income, immigrants or people belonging to minority ethnic groups.
Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 2014
Journal of Dentistry, 2012
j o u r n a l o f d e n t i s t r y 4 0 ( 2 0 1 2 ) 3 -1 4
Restorative Dentistry & Endodontics, 2015