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Abstract(s)
Introdução: O envelhecimento populacional é a grande conquista e, ao mesmo tempo, o grande desafio do século. A terceira idade acarreta muitas vezes alguma limitação ou dependência, com perda de algumas capacidades e ganho de condições ou patologias inerentes à idade. Esta faixa etária é caracterizada, na generalidade, por graves deficiências ao nível da higiene e/ou cuidado oral seja por falta de conhecimento ou perceção da necessidade, ou pela existência de obstáculos financeiros, físicos, entre outros que impedem o idoso de aceder a um especialista de saúde oral. Objetivos: Este estudo pretende caracterizar os comportamentos de saúde oral numa amostra de idosos institucionalizados bem como avaliar o grau de edentulismo e necessidade de reabilitação protética. Metodologia: A amostra em análise foi constituída por 118 indivíduos institucionalizados com idades compreendidas entre os 50 e os 96 anos, residentes em Viseu, Porto e Arganil nas quatro instituições abrangidas. Realizou-se um estudo epidemiológico observacional transversal em que a recolha de dados foi realizada através de um questionário que infere acerca da saúde oral e através de uma observação e análise intraoral. Resultados: Da amostra de 118 indivíduos (76,3% mulheres; 23,7% homens) a faixa etária predominante foi dos 81 aos 90 anos (39,50%). Verificou-se que os auxiliares do centro de dia ou lar são o principal prestador de cuidados (59,6%). Através da avaliação clínica foi possível verificar que os pacientes eram maioritariamente desdentados totais (50% maxila; 41,4% mandíbula) bem como que a sua própria saúde oral e estado das próteses eram insatisfatórias. Conclusão: É importante prestar uma maior atenção à saúde oral dos idosos institucionalizados e ter uma ponderação acrescida para uma melhor prevenção. Assim, para combater a saúde oral precária associada aos idosos institucionalizados é necessária a implementação de diretivas e estratégias adequadas às falhas ainda existentes na saúde oral direcionada ao idoso.
Introdution: Population aging is a big conquer and, at the same time, a great challenge of our century. The elderly is associated with some sort of limitation or dependency, with some loss of capacities and the gain of conditions or age-associated pathologies. This age group is characterized, in general, by a lack of oral healthcare thanks to the decrease of knowledge needing perception or by the presence of obstacles (financial, physical, among others) that creates difficulties among the senior citizen’s access to an oral health specialist. Objectives: This study aims to characterize the oral health behavior in a sample of institutionalized elderly and to assess the degree of tooth loss and the need of prosthetic rehabilitation. Methodology: The sample analysis consisted of 118 individuals aged between 50 and 96 years old living in Viseu, Porto and Arganil. This epidemiological observational cross-sectional study collected data by carrying out a questionnaire that infered about the oral health of institutionalized elderly in four institutions and through intraoral examination. Results: In the sample of 118 individuals (76.3% - women; 23,7% - men) the predominant age range was 81-90 years (39,5%). It was found that the home and institution caregivers are the primary care providers (59.6 %). Through clinical evaluation it was possible to verify that the patients were mostly edentulous (50% upper jaw; 41,4% lower jaw) and that the oral health and prosthetic rehabilitation of the sample was unsatisfactory. Conclusion: It is important to pay more attention to the oral health of institutionalized elderly and have an increased care in order to obtain better prevention. Thus, to decrease poor oral health associated with institutionalized elderly it is necessary to implemente appropriate policies and strategies to decrease the remaining gaps among the oral health.of the elder.
Introdution: Population aging is a big conquer and, at the same time, a great challenge of our century. The elderly is associated with some sort of limitation or dependency, with some loss of capacities and the gain of conditions or age-associated pathologies. This age group is characterized, in general, by a lack of oral healthcare thanks to the decrease of knowledge needing perception or by the presence of obstacles (financial, physical, among others) that creates difficulties among the senior citizen’s access to an oral health specialist. Objectives: This study aims to characterize the oral health behavior in a sample of institutionalized elderly and to assess the degree of tooth loss and the need of prosthetic rehabilitation. Methodology: The sample analysis consisted of 118 individuals aged between 50 and 96 years old living in Viseu, Porto and Arganil. This epidemiological observational cross-sectional study collected data by carrying out a questionnaire that infered about the oral health of institutionalized elderly in four institutions and through intraoral examination. Results: In the sample of 118 individuals (76.3% - women; 23,7% - men) the predominant age range was 81-90 years (39,5%). It was found that the home and institution caregivers are the primary care providers (59.6 %). Through clinical evaluation it was possible to verify that the patients were mostly edentulous (50% upper jaw; 41,4% lower jaw) and that the oral health and prosthetic rehabilitation of the sample was unsatisfactory. Conclusion: It is important to pay more attention to the oral health of institutionalized elderly and have an increased care in order to obtain better prevention. Thus, to decrease poor oral health associated with institutionalized elderly it is necessary to implemente appropriate policies and strategies to decrease the remaining gaps among the oral health.of the elder.
Description
Keywords
Idoso Institucionalização Prevenção Saúde oral Manifestações orais Elder Institutionalized Prevention Oral health Oral manifestations