Dental Status of Firefighters of Rio de Janeiro State and Comparison with Brazilian Oral Health Surveys
Keywords:Health Surveys, Oral Health, Firefighters, Dental Caries, Periodontal Diseases
Objective: This cross-sectional study aimed to assess clinical dental status in military firefighters of Rio de Janeiro State and compare data with Brazilian National and Regional oral health surveys. Material and Methods: A sample of 926 military firefighters was examined using the visible biofilm index, the DMFT index and the Community Periodontal Index (CPI). Clinical exams were performed by 15 trained dentists. The Kruskal-Wallis test and Mann-Whitney test with Bonferroni correction were used. Results: Higher biofilm accumulation was associated with increased age. The mean DMFT index for the whole sample of this study was 12.74 (±7.03), and the ‘filled’ component was the most prevalent (69.9%), whereas the ‘decayed’ and ‘missing’ components were, respectively, 8.4% and 21.7%. There was a higher prevalence of periodontal diseases with increasing age, ranging from 57.1% in firefighters of 34 years or less to 70.5% in the ones between 35 and 44 years old and 75.4% in participants at age 45 years or older. Clinical dental status of the military firefighters who belonged to the age group 35-44 was better than the one observed for the Brazilian population at the same age range. However, pathological conditions that can be solved with health promotion strategies associated with dental procedures of low complexity still persist. Conclusion: These results suggest that the availability of dental health care services itself does not represent the most effective approach to the oral health problems found in the studied population.
Jahnke SA, Poston WS, Jitnarin N, Haddock CK. Health concerns of the U.S. fire service: perspectives from the firehouse. Am J Health Promot 2012; 27(2):111-8. https://doi.org/10.4278/ajhp.110311-QUAL-109
Needleman I, Ashley P, Petrie A, Fortune F, Turner W, Jones J, et al. Oral health and impact on performance of athletes participating in the London 2012 Olympic Games: a cross-sectional study. Br J Sports Med 2013; 47(16):1054-8. https://doi.org/10.1136/bjsports-2013-092891
Gay-Escoda C, Vieira-Duarte-Pereira DM, Ardèvol J, Pruna R, Fernandez J, Valmaseda-Castellón E. Study of the effect of oral health on physical condition of professional soccer players of the Football Club Barcelona. Med Oral Patol Oral Cir Bucal 2011; 16(3):436-9. https://doi.org/10.4317/medoral.16.e436
Oliveira JA, Hoppe CB, Gomes MS, Grecca FS, Haas AN. Periodontal disease as a risk indicator for poor physical fitness: a cross-sectional observational study. J Periodontol 2015; 86(1):44-52. https://doi.org/10.1902/jop.2014.140270
Hoppe CB, Oliveira JAP, Grecca FS, Haas AN, Gomes MS. Association between chronic oral inflammatory burden and physical fitness in males: a cross-sectional observational study. Int Endod J 2017; 50(8):740-9. https://doi.org/10.1111/iej.12686
Caúla AL, Lira-Junior R, Tinoco EM, Fischer RG. The effect of periodontal therapy on cardiovascular risk markers: a 6-month randomized clinical trial. J Clin Periodontol 2014; 41(9):875-82. https://doi.org/10.1111/jcpe.12290
Caúla AL, Lira-Junior R, Tinoco EM, Fischer RG. Serum creatinine and alkaline phosphatase levels are associated with severe chronic periodontitis. J Periodontal Res 2015; 50(6):793-7. https://doi.org/10.1111/jre.12266
Kassebaum NJ, Smith AGC, Bernabé E, Fleming TD, Reynolds AE, Vos T, et al. Global, regional, and national prevalence, incidence, and disability-adjusted life years for oral conditions for 195 countries, 1990–2015: a systematic analysis for the global burden of diseases, injuries, and risk factors. J Dent Res 2017; 96(4):380-7. https://doi.org/10.1177/0022034517693566
Chapple IL, Bouchard P, Cagetti MG, Campus G, Carra MC, Cocco F, et al. Interaction of lifestyle, behaviour or systemic diseases with dental caries and periodontal diseases: consensus report of group 2 of the joint EFP/ORCA workshop on the boundaries between caries and periodontal diseases. J Clin Periodontol 2017; 44:39-51. https://doi.org/10.1111/jcpe.12685
Spanemberg JC, Cardoso JA, Slob EMGB, López-López J. Quality of life related to oral health and its impact in adults. J Stomatol Oral Maxillofac Surg 2019; 120(3):234-9. https://doi.org/10.1016/j.jormas.2019.02.004
World Health Organization. Oral Health Surveys: Basic Methods. 4th. ed. Geneva: WHO; 1997.
Brasil. Ministério da Saúde. SB Brasil 2010: Pesquisa Nacional de Saúde Bucal: resultados principais. Brasília: Ministério da Saúde; 2012. 116p. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/pesquisa_nacional_saude_bucal.pdf. [Accessed on February 10, 2018]. [In Portuguese].
Kales SN, Soteriades ES, Christophi CA, Christiani DC. Emergency duties and deaths from heart disease among firefighters in the United States. N Engl J Med 2007; 356(12):1207-15. https://doi.org/10.1016/10.1056/NEJMoa060357
Soteriades ES, Smith DL, Tsismenakis AJ, Baur DM, Kales SN. Cardiovascular disease in US firefighters: a systematic review. Cardiol Rev 2011; 19(4):202-15. https://doi.org/10.1097/CRD.0b013e318215c105
LeMasters GK, Genaidy AM, Succop P, Deddens J, Sobeih T, Barriera-Viruet H, et al. Cancer risk among firefighters: a review and meta- analysis of 32 studies. J Occup Environ Med 2006; 48(11):1189-1202. https://doi.org/10.1097/01.jom.0000246229.68697.90
Frost DM, Beach TA, Crosby I, McGill SM. Firefighter injuries are not just a fireground problem. Work 2015; 52(4):835-42. https://doi.org/10.3233/WOR-152111
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Projeto SB Brasil 2003: condições de saúde bucal da população brasileira 2002-2003: resultados parciais. Brasília: Ministério da Saúde; 2004. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/condicoes_saude_bucal.pdf. [Accessed on April 10, 2017]. [In Portuguese].
Ainamo J, Bay I. Problems and proposals for recording gingivitis and plaque. Int Dent J 1975; 25(4):229-35.
Byrt T. How good is that agreement? Epidemiology 1996; 7(5):561. https://doi.org/10.1097/00001648-199609000-00030
Frias AC, Pereira AC, Vieira V. Pesquisa estadual de saúde bucal: Relatório final. Águas de São Pedro: Livronovo, 2016. Available from: https://w2.fop.unicamp.br/sbsp2015/down/ebook_relatorio_SBSP_2015.pdf. [Accessed on August 19, 2019]. [In Portuguese].
Petersen PE, Baez RJ, World Health Organization. Oral Health Surveys: Basic Methods. 5th ed. Geneve: WHO; 2013.
Bernabé E, Sheiham A. Age, period and cohort trends in caries of permanent teeth in four developed countries. Am J Public Health 2014; 104(7):115-21. https://doi.org/10.2105/AJPH.2014.301869
Simonsen RJ. New materials on the horizon. J Am Dent Assoc 1991; 122(7):24-31. https://doi.org/10.14219/jada.archive.1991.0217
Dennison JB, Hamilton JC. Treatment decisions and conservation of tooth structure. Dent Clin North Am 2005; 49(4):825-45. https://doi.org/10.1016/j.cden.2005.05.007
Mendes SR, Martins RC, Matta-Machado ATGM, Mattos GCM, Gallagher JE, Abreu MHNG. Dental procedures in primary health care of the Brazilian National Health System. Int J Environ Res Public Health 2017; 14(12):1480. https://doi.org/10.3390/ijerph14121480
Paim J, Travassos C, Almeida C, Bahia L, Macinko J. The Brazilian health system: history, advances, and challenges. Lancet 2011; 377(9779):1778-97. https://doi.org/10.1016/S0140-6736(11)60054-8
Nascimento AC, Moysés ST, Werneck RI, Moysés SJ. Oral health in the context of primary care in Brazil. Int Dent J 2013; 63(5):237-43. https://doi.org/10.1111/idj.12039
Baldani MH, Antunes JL. Inequalities in access and utilization of dental services: a cross-sectional study in an area covered by the Family Health Strategy. Cad Saúde Pública 2011; 27:272-83. https://doi.org/10.1590/s0102-311x2011001400014
Kidd E, Fejerskov O. Changing concepts in cariology: Forty years on. Dent Update 2013; 40(4):277-86. https://doi.org/10.12968/denu.2013.40.4.277
Antunes JL, Peres MA, de Campos Mello TR, Waldman EA. Multilevel assessment of determinants of dental caries experience in Brazil. Community Dent Oral Epidemiol 2006; 34(2):146-52. https://doi.org/10.1111/j.1600-0528.2006.00274.x
Miyazaki H, Pilot T, Leclercq MH, WHO Oral Health Programme. Periodontal profiles: an overview of CPITN data in the WHO global oral data bank for the age groups 15-19 years and 35-44 years as of 1 August 1990 / Hideo Miyazaki, Taco Pilot, Marie-Hélène Leclercq. World Health Organization. 1990. Available from: https://apps.who.int/iris/handle/10665/61678. [Accessed on June 22, 2016].
Tonetti MS, Chapple ILC, Jepsen S, Sanz M. Primary and secondary prevention of periodontal and peri-implant diseases–Introduction to, and objectives of the 11th European workshop on periodontology consensus conference. J Clin Periodontol 2015; 42:1-4. https://doi.org/10.1111/jcpe.12382
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