Perception of toothache in adults from state capitals and interior cities within the Brazilian geographic regions

BMC Oral Health

Maria da Luz Rosário Sousa¹  Marília Jesus Batista¹  Vera Lucia Rasera Zotelli¹  Juliana Zanatta¹  Maylu Botta Hafner¹ 

[1] Department of Social Dentistry/Psychology Applied to Dentistry, University of Campinas–UNICAMP, Piracicaba Dental School (FOP), Av. Limeira, 901-Bairro Areião, CEP: 13414-903, Piracicaba, SP, Brazil

关键词: Behavior;    Epidemiological survey;    Oral health;    Toothache;   

Others  :  1126043
DOI  :  10.1186/1472-6831-13-35

 received in 2012-12-07, accepted in 2013-07-18,  发布年份 2013

【 摘 要 】

Background

Studies emphasizing toothache in adulthood are scarce in Brazil. A greater understanding of both the prevalence and the self-perception of pain among individuals in this age group (35 to 44 years old) is important, especially considering that this is an economically active population. To describe reports of oral pain and oral pain-related aspects in from Brazilian state capitals and interior cities.

Methods

The sample comprised 9779 adults residing in the state capitals and interior cities from each Brazilian region in the SB Brazil 2010 report, regarding reports of oral pain and their intensity in the last 6 months. The descriptive analysis comparing pain reports between and within the regions and regression analysis of pain related to socioeconomic aspects per region were performed considering α=0.05 difference.

Results

The highest prevalence of pain was found in the Southeast region (p<0.01), and there was also difference between the state capitals and interior cities in the South (p<0.01), where the prevalence was higher in the capitals, and in the Southeast, where the higher prevalence was in the interior cities (p=0.03). The Northern region had lower pain intensity than the Southeast and Midwest. Comparing pain intensity, only the Northeast region showed statistical difference between state capitals and the interior cities for pain intensity, where the interior cities had higher pain intensity than the three state capitals. Regarding dental office visitations, the Southeast capitals have the highest prevalence (100%) compared to the North and South. The toothache impact on daily activities was as follows: eating difficulty (29.8% to 72.7%), uncomfortable teeth brushing (over 50%), and sleep disturbance (above 13%). Between the Brazilian regions the socioeconomic aspects differ in relation to the pain; the exception being the association between pain, dental care and income, which occurred in the 5 regions. Users of public dental care services were more likely to present pain, comparing to private dental services, OR ranging from 1.72 in the Northeast to 2.85 in the Southeast.

Conclusion

The prevalence of pain was higher among Brazilian adults, impacting some of the daily activities. The data also showed many differences in the prevalence and intensity of pain among both the Brazilian regions and the cities within the same region.

【 授权许可】

   
2013 Botta Hafner et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Silva JA, Ribeiro–Filho NP: Avaliação e mensuração de dor: pesquisa, teoria e prática. Ribeirão Preto: FUNPEC editora; 2006.
• [2]Bonica JJ, Loeser JD, Chapman CR, et al.: The management of pain. Philadelphia: Lea and Febiger; 1990.
• [3]World Health Organization (WHO): Preparing patients for invasive medical and surgical procedures: behavioural and cognitive aspects. In Behaviour Science Learning Modules. Geneva: World Health Organization; 1993.
• [4]Lacerda JT, Simionato EM, Peres KG, et al.: Dental pain as the reason for visiting a dentist in a Brazilian adult population. Rev Saúde Pública 2004, 38:453-458.
• [5]Locker D, Grushka M: The impact of dental and facial pain. J Dent Res 1987, 66:1414-1417.
• [6]Kuhnem M, Peres MA, Masiero AV, et al.: Toothache and associated factors in Brazilian adults: a cross-sectional population-based study. BMC Oral Health 2009, 9:7. BioMed Central Full Text
• [7]Costa EB, Carneiro VSM, Pedrosa HLO, et al.: Dor de dente: percepção dos usuários da atenção básica de saúde. Odontologia Clín-Científ 2009, 8(1):53-58.
• [8]Bastos JL, Gigante DP, Peres KG: Toothache prevalence and associated factors: a population-based study in southern Brazil. Oral Disease 2008, 14:320-326.
• [9]Miotto MHMB, Silotti JCB, Barcellos LA: Dor dentária como motivo de absenteísmo em uma população de trabalhadores. Ciência e saúde coletiva [online] 2012, 17(5):1357-1363.
• [10]Ministério da Saúde: Projeto SB 2003: condições de saúde bucal da população brasileira 2002–2003. Rio de Janeiro;
• [11]Ministério da Saúde: Projeto SB 2010: condições de saúde bucal da população brasileira 2009–2010. Rio de Janeiro;
• [12]World Health Organization (WHO): Calibration of examiners for oral health epidemiological surveys. Geneva: World Health Organization; 1993.
• [13]Gibilini C, Esmeriz CEC, Volpato LF, et al.: Acesso a serviços odontológicos e auto-percepção de saúde bucalem adolescentes, adultos e idosos. Arquivos em Odontologia 2010, 46(4):213-223.
• [14]Peres MA, Iser BPM, Peres KG, et al.: Desigualdades contextuais e individuais da prevalência de dor dentária em adultos e idosos no Brasil. Cad Saúde Pública 2012, 28(Sup):114-123.
• [15]Macfarlane TV, Blinkhorn AS, Davies RM, et al.: Orofacial pain: just another chronic pain? Results from a population-based survey. Pain 2002, 99(3):453-458.
• [16]Gomes AS, Abegg C: O impacto odontológico no desempenho diário dos trabalhadores do Departamento Municipal de Limpeza Urbana de Porto Alegre, Rio Grande do Sul, Brasil. Cad Saúde Pública 2007, 23(7):1707-1714.
• [17]Pinto RS, Matos DL, Loyola Filho AI: Características associadas ao uso de serviços odontológicos públicos pela população adulta brasileira. Ciência Saúde Coletiva 2012, 17(2):531-544.
• [18]Bastos JLD, Gigante DP, Peres KG, et al.: Determinação social da odontalgia em estudos epidemiológicos: revisão teórica e proposta de um modelo conceitual. Ciência Saúde Coletiva 2007, 12(6):1611-1621.
• [19]Marmot M: Social Determinants of health inequalities. Lancet 2005, 365(9464):1099-1104.
• [20]Sheiham A, Alexander D, Cohen L, et al.: Global Oral Health Inequalities: Task Group-Implementation and delivery of oral health strategies. Adv Dent Res 2011, 23(2):259-267.