Keywords
Epidemiology
Esthetic, dental
Jaw, edentulous
Self concept
How to Cite
Abstract
Aim: This study aimed to evaluate the prevalence of concern with dental appearance (DA) and associated factors among the elderly of two southern Brazilian cities. Methods: A cross-sectional study was conducted in the cities of Cruz Alta and Veranópolis, Brazil. Oral health examination and a structured questionnaire were applied. Questions from the PCATool-SB Brasil tool and the Questionnaire about Teeth Appearance, both validated to Brazilian samples, were used. The collected independent variables were: sex, age, ethnicity, education level, marital status, retirement, health problem, use of medication, smoking exposure, alcohol exposure, access to the dentist, toothbrushing frequency, use of dental floss, edentulism, use of and need for dental prosthesis. Concern with DA was dichotomized into yes/no. Associations between dependent and independent variables were assessed by Chi-square or Mann-Whitney tests. Moreover, uni- and multivariate analyses were conducted by Poisson regression with robust variance. Level of significance was established as p<0.05. Results: The prevalence of concern with DA was 18.8% (n=107). The prevalence ratio (PR) of concern with DA decreased 5.8% for each year increase (PR:0.942; 95% confidence interval [95%CI]:0.911–0.973). Elderly without access to the dentist in the last 12 months presented 62.5% (p=0.006) higher PR of concern with DA when compared to those with access to dental care. Dentate elderly showed 219% higher PR for concern with DA (PR:2.197; 95%CI:1.364–3.539) in comparison to edentulous individuals. Conclusion: Prevalence of concern with DA was low and associated with demographics, access to dental care and edentulism.
References
Tourani S, Behzadifar M, Martini M, Aryankhesal A, Mirghaed MT, Salemiet M, et al. Health-related quality of life among healthy elderly Iranians: a systematic review and meta-analysis of the literature. Health Qual Life Outcomes. 2018 Jan;16(1):18. doi: 10.1186/s12955-018-0845-7.
Kassebaum NJ, Bernabé E, Dahiya M, Bhandari B, Murray CJ, Marcenes W. Global Burden of Severe Tooth Loss: A Systematic Review and Meta-analysis. J Dent Res. 2014 Jul;93(7 Suppl):20S-28S. doi: 10.1177/0022034514537828.
van der Putten GJ, de Baat C, De Visschere L, Schols J. Poor oral health, a potential new geriatric syndrome. Gerodontology. 2014 Feb;31 Suppl 1:17-24. doi: 10.1111/ger.12086.
Moreira RS, Nico LS, Tomita NE, Ruiz T. [Oral health of Brazilian elderly: a systematic review of epidemiologic status and dental care access]. Cad Saude Publica. 2005;21(6):1665-75. doi: 10.1590/s0102-311x2005000600013. Portuguese.
Kossioni AE, Hajto-Bryk J, Maggi S, McKenna G, Petrovic M, Roller-Wirnsberger RE, et al. An Expert Opinion from the European College of Gerodontology and the European Geriatric Medicine Society: European Policy Recommendations on Oral Health in Older Adults. J Am Geriatr Soc. 2018 Mar;66(3):609-613. doi: 10.1111/jgs.15191.
Ribeiro CG, Cascaes AM, Silva AE, Seerig LM, Nascimento GG, Demarco FF. Edentulism, severe tooth loss and lack of functional dentition in elders: a study in southern Brazil. Braz Dent J. 2016;27(3):345-52. doi: 10.1590/0103-6440201600670.
Azevedo JS, Azevedo MS, Oliveira LJC, Correa MB, Demarco FF. [Needs for dental prostheses and their use in elderly Brazilians according to the National Oral Health Survey (SBBrazil 2010): prevalence rates and associated factors]. Cad Saude Publica. 2017 Aug;33(8):e00054016. doi: 10.1590/0102-311X00054016. Portuguese.
Stenman U, Ahlqwist M, Björkelund C, Hakeberg M. Oral health-related quality of life--associations with oral health and conditions in Swedish 70-year-old individuals. Gerodontology. 2012 Jun;29(2):e440-6. doi: 10.1111/j.1741-2358.2011.00495.x.
Lajnert V, Pavičić DK, Gržić R, Pahor D, Kuis D, Simonić-Kocijan S, et al. Influences of age and maxillary anterior teeth status on patient's satisfaction with dental appearance and tooth colour. Gerodontology. 2012 Jun;29(2):e674-9. doi: 10.1111/j.1741-2358.2011.00543.x.
Bidinotto AB, Santos CM, Tôrres LH, de Sousa MD, Hugo FN, Hilgert JB. Change in Quality of Life and Its Association with Oral Health and Other Factors in Community-Dwelling Elderly Adults-A Prospective Cohort Study. J Am Geriatr Soc. 2016 Dec;64(12):2533-8. doi: 10.1111/jgs.14482.
Dalazen CE, Bomfim RA, De-Carli AD. Factors behind self-perceived need for dental treatment and prosthesis in Brazilian elderly people. Cien Saude Colet. 2018 Mar;23(3):945-52. doi: 10.1590/1413-81232018233.09682016.
Vilela EA, Martins AM, Barreto SM, Vargas AM, Ferreira RC. Association between self-rated oral appearance and the need for dental prostheses among elderly Brazilians. Braz Oral Res. 2013;27(3):203-10. doi: 10.1590/S1806-83242013005000010.
Ministry of Planning, Budget and Management. Brazilian Institute of Geography and Statistics - IBGE. [Demographic Census 2010: population characteristics and households - results of the universe]. Rio de Janeiro: IBGE; 2011. Portuguese.
Ministry of Planning, Budget and Management. Brazilian Institute of Geography and Statistics - IBGE. [Human development Index, 2010]. Rio de Janeiro: IBGE; 2010. Portuguese.
Ministry of Health of Brazil. [Gini index of per capita household income - Rio Grande do Sul, 2010]. Brasília: Ministry of Health; 2010. Portuguese.
Liu Y. The relationship between lifestyle and self-reported oral health among American adults. Int Dent J. 2014 Feb;64(1):46-51. doi: 10.1111/idj.12061.
Stoffel LMB, Muniz FWMG, Colussi PRG, Rösing CK, Colussi EL. Nutritional assessment and associated factors in the elderly: apopulation-based cross-sectional study. Nutrition. 2018 Nov;55-56:104-10. doi: 10.1016/j.nut.2018.03.053.
Ministry of Health of Brazil. [Primary Health Care Assessment Instrument Manual: PCATool-Brasil]. Brasília: Ministry of Health; 2010 [access 2019 May 4]. Available from: http://189.28.128.100/dab/docs/publicacoes/geral/manual_instrumento_avaliacao.pdf. Portuguese.
Colaço J, Muniz FWMG, Peron D, Marostega MG, Dias JJ, Rosing CK, et al. Oral health-related quality of life and associated factors in the elderly: a population-based cross-sectional study. Cien Saude Colet 2020. [Access 2020 Jun 17]. Available from: http://www.cienciaesaudecoletiva.com.br/artigos/oral-healthrelated-quality-of-life-and-associated-factors-in-the-elderly-a-populationbased-crosssectional-study/17160.
Furtado GE, Sousa ML, Barbosa TS, Wada RS, Martínez-Mier EA, Almeida ME. [Perceptions of dental fluorosis and evaluation of agreement between parents and children: validation of a questionnaire]. Cad Saude Publica. 2012 Aug;28(8):1493-505. doi: 10.1590/s0102-311x2012000800008. Portuguese.
World Health Organization (WHO). WHO. Oral health surveys—basic methods. 4th ed. Geneva: Switzerland; 1997.
Wulfman C, Tezenas du Montcel S, Jonas P, Fattouh J, Rignon-Bret C. Aesthetic demand of French seniors: a large-scale study. Gerodontology. 2010;27(4):266-71. doi:10.1111/j.1741-2358.2009.00331.x
Goulart MA, Condessa AM, Hilgert JB, Hugo FN, Celeste RK. Concerns about dental aesthetics are associated with oral health related quality of life in Southern Brazilian adults. Cien Saude Colet. 2018 Nov;23(11):3957-64. doi: 10.1590/1413-812320182311.24172016.
Lajnert V, Kovacevic Pavicic D, Pavlic A, Pokrajac-Bulian A, Spalj S. Smile Aesthetics Satisfaction Scale: development and validation of a new brief five-item measure of satisfaction with smile aesthetics in adults and the elderly. Int Dent J. 2018 Jun;68(3):162-70. doi: 10.1111/idj.12362.
Alkhatib MN, Holt R, Bedi R. Age and perception of dental appearance and tooth colour. Gerodontology. 2005 Mar;22(1):32-6. doi: 10.1111/j.1741-2358.2004.00045.x.
Nitschke I, Müller F. The impact of oral health on the quality of life in the elderly. Oral Health Prev Dent. 2004;2 Suppl 1:271-5.
Denissen JJ, Penke L, Schmitt DP, Van Aken MA. Self-esteem reactions to social interactions: evidence for sociometer mechanisms across days, people, and nations. J Pers Soc Psychol. 2008 Jul;95(1):181-96. doi: 10.1037/0022-3514.95.1.181.
Juth V, Smyth JM, Santuzzi AM. How do you feel? Self-esteem predicts affect, stress, social interaction, and symptom severity during daily life in patients with chronic illness. J Health Psychol. 2008 Oct;13(7):884-94. doi: 10.1177/1359105308095062.
Wall TP, Brown LJ. Recent trends in dental visits and private dental insurance, 1989 and 1999. J Am Dent Assoc. 2003 May;134(5):621-7. doi: 10.14219/jada.archive.2003.0231.
Manski RJ, Hyde JS, Chen H, Moeller JF. Differences Among Older Adults in the Types of Dental Services Used in the United States. Inquiry. 2016 Jun;53:0046958016652523. doi: 10.1177/0046958016652523.
Maille G, Saliba-Serre B, Ferrandez AM, Ruquet M. Use of care and the oral health status of people aged 60 years and older in France: results from the National Health and Disability Survey. Clin Interv Aging. 2017 Jul;12:1159-66. doi: 10.2147/CIA.S135542.
Strajnić L, Bulatović D, Stančić I, Živković R. Self-perception and satisfaction with dental appearance and aesthetics with respect to patients’ age, gender, and level of education. Srp Arh Celok Lek. 2016 Nov-Dec;144(11-12):580-9.
Elani HW, Harper S, Thomson WM, Espinoza IL, Mejia GC, Ju X, et al. Social inequalities in tooth loss: A multinational comparison. Community Dent Oral Epidemiol. 2017 Jun;45(3):266-74. doi: 10.1111/cdoe.12285.
Hugo FN, Hilgert JB, de Sousa MaL, da Silva DD, Pucca GA. Correlates of partial tooth loss and edentulism in the Brazilian elderly. Community Dent Oral Epidemiol. 2007 Jun;35(3):224-32. doi: 10.1111/j.0301-5661.2007.00346.x.
de S Leao R, Maior JR, Pereira FC, Monteiro GQ, de Moraes SL. Impact of oral health and sociodemographic factors on quality of life: a cross-sectional Study. J Contemp Dent Pract. 2018 Apr;19(4):438-42.
Xiaoxian Meng, Gilbert GH, Duncan RP, Heft MW. Satisfaction with dental appearance among diverse groups of dentate adults. J Aging Health. 2007 Oct;19(5):778-91. doi: 10.1177/0898264307304373.
Macia E, Duboz P, Chevé D. The paradox of impossible beauty: body changes and beauty practices in aging women. J Women Aging. 2015;27(2):174-87. doi: 10.1080/08952841.2014.929403.
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