CONDIÇÃO BUCAL DE ADOLESCENTES AUTORES DE ATO INFRACIONAL ASSISTIDOS PELO CENTRO DE SOCIOEDUCAÇÃO DE PONTA GROSSA E FATORES ASSOCIADOS

• Ano de defesa: 2012
• Autor(a) principal: Martins, Alessandra de Souza
• Orientador(a): Wambier, Denise Stadler
• Banca de defesa: Ditterich, Rafael Gomes , Fadel, Cristina Berger
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: UNIVERSIDADE ESTADUAL DE PONTA GROSSA
• Programa de Pós-Graduação: Programa de Pós-Graduação em Odontologia
• Departamento: Clinica Integrada, Dentística Restauradora e Periodontia
• País: BR
• Palavras-chave em Português: adolescente institucionalizado; saúde bucal; condições sociais
• Palavras-chave em Inglês: adolescent institutionalized; oral health; social conditions
• Área do conhecimento CNPq: CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA
• Link de acesso: http://tede2.uepg.br/jspui/handle/prefix/1784

This study aimed to identify the oral conditions in law offenders adolescents assisted by the Center for Socioeducation of Ponta Grossa – PR (CENSE / PG) and investigate the socioeconomic, environmental and behavioral factors that were associated. The sample of the study was made up of 107 young male that were assessed by means of self-administered questionnaires and clinical examinations. The variables analyzed included: demographic and socioeconomic factors; habitual behavior - oral hygiene practices and the use of licit and illicit drugs; self-perception of oral health - the need for dental care and the impact of dental conditions on patients' quality of life, according to OHIP-14 index (Oral Health Impact Profile). Dental caries, periodontal disease, dental trauma, dental injuries, and changes in the oral mucosa, were investigated. Dental decay was measured by the DMFT index (decayed, missing and filled teeth) and periodontal disease by the CPI (Community Periodontal Index), according to the protocol of the World Health Organization (WHO) adopted by the SB Brazil 2010. The associations were analyzed using chi-square, Mann-Whitney and Kruskal-Wallis. The mean age of the adolescents was 16.53 years, and the sample was define as low education and low income. The use, abuse or dependence of illicit drugs was diagnosed in 71.0% of these individuals. The prevalence of dental caries was 95.3% with mean DMFT of 9.55 and prevalence of tooth decay. Different degrees of periodontal disease were diagnosed in 88.8% of the sample. Changes in the normality and lesions in the buccal mucosa, affected, respectively, 68.2% and 36.4% of these adolescents and 32.7% had dental trauma. The DMFT index and the number of untreated decayed teeth were inversely associated with schooling. The highest number of filled teeth was identified in those with higher incomes and social class. Low education, worse oral hygiene, and shorter arrested stays were associated with periodontal disease. The presence of caries and periodontal disease is related to the impact of oral conditions on their quality of life. Color, socioeconomic status and use of drugs (tobacco, alcohol and marijuana) were related to the mucosal changes. It was concluded that the oral health conditions of the adolescents assisted at the CENSE, in relation to tooth decay, is very precarious. The social determinants, particularly the low educational level and the use of drugs were associated with the oral health of these individuals.