Oral Health Impact Profile: need and use of dental prostheses among Northeast Brazilian independent-living elderly

Silva, Michelle Almeida; Batista, André Ulisses Dantas; Abreu, Mauro Henrique Nogueira Guimarães; Forte, Franklin Delano Soares

doi:10.1590/1413-812320182411.32472017

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FREE THEMES • Ciênc. saúde coletiva 24 (11) • Nov 2019 • https://doi.org/10.1590/1413-812320182411.32472017 copy

Oral Health Impact Profile: need and use of dental prostheses among Northeast Brazilian independent-living elderly

Oral Health Impact Profile: uso e necessidade de próteses em idosos do nordeste do Brasil

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

This study aimed to explore the association between use and need of dental prostheses to the quality of life in elderly individuals in a Referral Center for Elderly Care in the northeastern of Brazil. A cross-sectional study was developed with 199 elderlies of both sexes. Data were collected from clinical examinations (WHO criteria) and a questionnaire regarding socioeconomic status, Oral Health Impact Profile index (OHIP-14) by a single calibrated examiner with Kappa = 0.91. Data were analyzed using Mann-Whitney test, Poisson regression (p<0,05). The sample consisted of 84.9% women, mean age of 70.02 (sd±6.50) years. There was an independent association between quality of life and the covariates sex and need of dental prostheses. Men showed lower values of the score (PR = 0.734, p = 0.011) than women. Individuals without normative need for dental prostheses showed lower values of OHIP-14 (PR = 0.767; p = 0.003) than those in need.

Key words
Quality of Life; Dental Prosthesis; Oral Health

OHIP-14 domains	Dental prosthesis		p value	Need dental prosthesis		p value
OHIP-14 domains	With (mean±sd)	Without (mean±sd)	p value	Need (mean±sd)	Don´t need (mean±sd)	p value
Functional limitation	1.77 ±1.74	1.38 ±1.57	0.167	1.65 ±1.62	1.25 ±1.59	0.063
Physical pain	1.23 ±1.98	2.03 ±2.28	0.023	1.72 ±2.29	1.95 ±2.14	0.327
Psychological discomfort	2.08 ±2.93	1.19 ±2.28	0.042	1.82 ±2.80	0.87 ±1.85	0.017
Physical disability	1.52 ±2.02	2.09 ±2.14	0.074	2.09 ±2.29	1.72 ±1.84	0.400
Psychological disability	2.67 ±2.31	1.82 ±1.84	0.022	2.41 ±2.18	1.53 ±1.61	0.008
Social disability	0.75 ±1.23	0.78 ±1.09	0.596	0.86 ±1.22	1.64 ±1.94	0.359
Handicap	3.88 ±3.48	0.75 ±1.42	0.653	3.63 ±1.19	3.52 ±1.41	0.653

Variables	OHIP scores (mean ± sd)	Unadjusted Prevalence Rate Ratios (95% CI)	p value	Adjusted Prevalence Rate Ratios (95%CI)	p value
Sex
Male (n=30)	10.8 ±6.3	0.805 (0.643-1.010)	0.061	0.734 (0.578-0.931)	0.011
Female (n=169)	13.4 ±8.1	1	0.061	1	0.011
Age		0.987 (0.975-1.000)	0.045
Family income
Less than 1 minimum wage (n=10)	16.9 ±12.3	1.290 (0.795-2.094)	0.303
1 minimum wage (n=159)	12.8 ±7.5	0.977 (0.770-1.241)	0.852
More than 1 minimum wage (n=30)	13.1 ±8.2	1
Formal scholarship
Up to 8 years (n=147)	13.6 ±8.0	1.204 (0.985-1.477)	0.071
More than 8 years (n=52)	11.3 ±7.4	1	0.071
Use of dental prosthesis
No (n=52)	13.9 ±8.1	1.090 (0.905-1.313)	0.364
Yes (n=147)	12.7±7.8	1	0.364
Need dental prosthesis
No (n=83)	11.4 ±6.8	0.810 (0.685-0.957)	0.013	0.767 (0.646-0.911)	0.003
Yes (n=116)	14.1 ±8.4	1	0.013	1	0.003

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E-mail: cienciasaudecoletiva@fiocruz.br

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[1] Authors’ contributions

MA Silva and FDS Forte conceived the study and participated in the draft, data analysis and writing of the manuscript. AUD Batista contributed in the data analysis and interpretation and writing of the manuscript. MH Abreu performed the statistical analysis and writing of the manuscript. All authors read and approved the final manuscript.