Relationship between the perception of dental care and Oral Health conditions in hypertensive and diabetic patients

Oliveira, Eduardo José Pereira; Nogueira, Denismar Alves; Pereira, Alessandro Aparecido

doi:10.1590/1413-812320182311.19872016

Eduardo José Pereira Oliveira

Programa de Pós-Graduação em Ciências Odontológicas, Universidade Federal de Alfenas (Unifal). R. Gabriel Monteiro da Silva 700, Centro. 37130-001 Alfenas MG Brasil. eduardo.oliveira@oi.com.br

Denismar Alves Nogueira

Instituto de Ciências Exatas, Unifal. Alfenas MG Brasil.

Alessandro Aparecido Pereira

Departamento de Clínica e Cirurgia, Unifal. Alfenas MG Brasil.

Collaborations

The authors EJP Oliveira, DA Nogueira, AA Pereira worked in all stages of the article.

Gender, n, %								Male					60			32,26
								Female					126			67,74
Life cycle n, %								Adults					88			47,31
								Elderly people					98			52,69
Systemic condition n,%								SAH					109			58,60
								DM					22			11,83
								SAH + DM					55			29,57
Dental condition, µ (dp)								DMFT					27,00			(6.24)
								FS-T					8,94			(10.28)
								DCI %					19,42			(26.80)
								Missing Teeth					22,58			(10.57)
Use/need of prosthesis n,%								Does not use PD					112			60,22
								Uses PD					74			39,78
								Does not use CD					81			43,55
								Uses CD					105			56,45
								Requires no PD					119			63,98
								Needs PD					67			36,02
								Requires no CD					133			71,51
								Needs CD					53			28,49
OHPCA-user %
	Q1	Q2	Q3	Q4	Q5	Q6	Q7	Q8	Q9	Q10	Q11	Q12		Q14	Q17		Q18	Q20
nR	184	186	186	180	181	184	183	181	184	175	184	181		180	181		174	182
No	6,52	76,35	5,91	14,44	16,58	3,26	7,65	45,30	1,63	16,57	25,00	4,97		8,89	3,32		4,02	21,43
Yes	93,48	23,65	94,09	85,56	83,42	96,74	92,35	54,70	98,37	83,43	75,00	95,03		91,11	96,68		95,98	78,57
Total n, %														186			100,00

1	It's easy to get dental treatment in the health center where I attend.	Yes / sometimes	No / never	I do not know
2	In order to consult with the dentist who meets me in the health center, I have to stop working during a period of the day	Yes / sometimes	No / never	I do not know
3	Talking to the dentist, who meets me at the health center, whenever I need is easy.	Yes / sometimes	No / never	I do not know
4	The dentist who meets me at the health center does more for me than I need.	Yes / sometimes	No / never	I do not know
5	I recommend to others the clinic where I get dental treatment.	Yes / sometimes	No / never	I do not know
6	The dentist who meets me at the health center listens to me carefully.	Yes / sometimes	No / never	I do not know
7	I quite understand what the dentist from the health center explains.	Yes / sometimes	No / never	I do not know
8	The dentist who meets me at the health center knows me well.	Yes / sometimes	No / never	I do not know
9	The dentist who meets me at the health center and I have a good relationship.	Yes / sometimes	No / never	I do not know
10	The dentist who meets me at the health center cares about my health.	Yes / sometimes	No / never	I do not know
11	In the health center which I attend, I am asked to return for query with the dentist who meets me.	Yes / sometimes	No / never	I do not know
12	I have confidence in the work of the dentist who meets me at the health center.	Yes / sometimes	No / never	I do not know
13*	When other health professionals help the dentist who meets me at the health center, the outcome of treatment is better.	Yes / sometimes	No / never	I do not know
14	The quality of the work of the dentist who meets me at the health center is good.	Yes / sometimes	No / never	I do not know
15*	My oral health needs are solved in the same quality as the treatment provided by a private dentist.	Yes / sometimes	No / never	I do not know
16*	The community health agents play an important role with their work for the community.	Yes / sometimes	No / never	I do not know
17	In general, the health center where I am served is clean and organized.	Yes / sometimes	No / never	I do not know
18	The equipments which are used are good and work well.	Yes / sometimes	No / never	I do not know
19*	The dentist who meets me at the health center does a good job, regardless of the political system.	Yes / sometimes	No / never	I do not know
20	The treatment with the dentist who meets me at the health center is fast.	Yes / sometimes	No / never	I do not know

Q1 It's easy to get dental treatment in the health center where I attend.	96.23% of Private Service users, 95.56% of FHS and 81.82% of Clinics of Education clients believe to be easy to get dental treatment (ρ = 0.011). Among the individuals who do not require CD, 96.30% find it easy to get treatment. Among those who require CD, this percentage is 86.79% (ρ = 0.016).
Q3. Talking to the dentist, who meets me at the health center, whenever I need is easy.	96.32% of the individuals that do not require CD find it easy to talk to the dentist. Among those who require CD, 88.89% share that vision (ρ = 0.048).
Q7. I quite understand what the dentist from the health center explains.	At Clinics of Education, 100% of users believe they understand well what the dentist explains. In the private service this percentage is 93.27% and in FHS 84.78% have the same opinion (ρ = 0.037).
Q8. The dentist who meets me at the health center knows me well.	60.58% of Private Service users, 55.56% of FHS and 34.38% of those who attend the Clinics of Education consider the dentists know them well (ρ = 0.033). People who think that the dentist knows them well feature: less DMFT (26.24 x 28.54; ρ = 0.005) and larger FS-T (10.84 x 5.84; ρ = 0.001); bigger DCI (24.59 x 11.39; ρ = 0.001) and lower number of missing teeth (20.57 x 25.82; ρ = 0.001) when compared to those who think that the dentist did not know them well. 72.73% of the people who do not use CD and 43.52% of those people who use CD consider that the dentists know them well (ρ < 0.001). -60.61% of the individuals that do not require 43.40% of CD and among those who require CD think the dentists know them well (ρ = 0.033).
Q10. The dentist who meets me at the health center cares about my health.	86.82% of the people that do not require CD and 74.00% of the ones who require it think dentists care about their health (ρ = 0.039).
Q18. The equipments which are used are good and work well.	Those who believe that the equipment used by the dentists are good or work well featured worst FS-T (8.12 x 17.00; ρ = 0.020) and DCI (17.41 x 44.32; ρ = 0.026) results and the highest number of missing teeth (23.45 x 14.75; ρ = 0.022) compared to those who consider that the equipments are not good and do not work well.
Q20. The treatment with the dentist who meets me at the health center is fast.	88.37% of the users from FHS, 84.91% of private sector users and 45.46% of the regular users of the Clinics of Education consider their dental treatments fast (ρ < 0.001).

	G	LC	SC	OS	DMF	FST	DCI	M	UPP	UCD	NPP	NCD

	ρ^Q	ρ^Q	ρ^Q	ρ^Q	ρ^M	ρ^M	ρ^M	ρ^M	ρ^Q	ρ^Q	ρ^Q	ρ^Q
Q1	0,165	0,849	0,360	0,011	0,779	0,734	0,733	0,726	0,260	0,888	0,385	0,016
Q2	0,059	0,368	0,637	0,328	0,387	0,818	0,852	0,845	0,399	0,485	0,150	0,569
Q3	0,725	0,924	0,399	0,685^F	0,703	0,598	0,743	0,560	0,800	0,639	0,521	0,048
Q4	0,714	0,996	0,948	0,302	0,978	0,832	0,697	0,758	0,491	0,588	0,305	0,486
Q5	0,466	0,820	0,726	0,427	0,337	0,398	0,730	0,472	0,872	0,762	0,362	0,280
Q6	1,000^F	1,000^F	0,483^F	0,853^F	0,209	0,247	0,395	0,261	1,000^F	0,238^F	1,000^F	0,357^F
Q7	0,803	0,384	0,804	0,037	0,277	0,305	0,709	0,199	0,861	0,259	0,993	0,551
Q8	0,465	0,694	0,417	0,033	0,005	0,001	0,001	0,001	0,087	<0,001	0,105	0,033
Q9	1,000^F	1,000^F	0,510^F	0,232^F	0,078	0,073	0,104	0,073	0,274	1,000^F	0,555	0,199^F
Q10	0,184	0,169	0,869	0,309	0,296	0,352	0,741	0,346	0,653	0,765	0,710	0,039
Q11	0,696	0,702	0,372	0,398	0,703	0,571	0,601	0,570	0,370	0,736	0,518	0,874
Q12	0,953	0,086^F	0,525	0,340	0,684	0,547	0,406	0,518	0,264	0,203	0,370	0,721
Q14	0,806	0,317	0,237	0,299	0,934	0,932	0,653	0,950	0,261	0,953	0,285	0,649
Q17	0,680^F	0,708^F	0,539^F	0,322^F	0,479	0,267	0,151	0,273	0,440	0,139	0,257	0,675^F
Q18	0,248	0,473^F	0,879^F	0,501^F	0,066	0,020	0,026	0,022	0,718^F	0,065^F	0,093	0,274
Q20	0,792	0,979	0,330	<0,001	0,895	0,730	0,253	0,715	0,626	0,427	0,817	0,812

[1] Collaborations

The authors EJP Oliveira, DA Nogueira, AA Pereira worked in all stages of the article.

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Relationship between the perception of dental care and Oral Health conditions in hypertensive and diabetic patients

Abstract