Risco social familiar e agravo à saúde bucal em uma área da Estratégia Saúde da Família

Abstract

The present study aimed to evaluate the association among family social risk and oral conditions in individuals aged 15-19 years in relation to the outcomes tooth decay and gum disease. The sample consisted of 200 individuals, the healthcare team L112, registered in the Basic Health Unit Extended Family (UBSFA) Dr. Silas de Oliveira Santos, at Manaus city. Based on the record of the Primary Care Information System (SIAB), it was taken to collect data from families and they were transferred to the score of the Family Risk Score of the Need for Oral Health Index (INASB) instrument measure of family social risk, which resulted in a rating of 85% low, 11.5% medium and 3.5% high family social risk. Using this classification and after signing the Informed Consent Form (ICF), all subjects were assessed individually as to the oral situation by Dental Surgeon team of oral health unit (intra-rater diagnostic agreement kappa = 0.996), which it was verified caries experience, according to the DMFT index (number of decayed, missing and filled teeth), periodontal condition, according to the CPI index (Community Periodontal index) and the use and need of dentures, adopting the criteria used in Finally nationwide epidemiological survey - SB Brazil 2010. Concomitantly to the oral examination, questions about the frequency of toothache in the last six months and access to dental care in the last twelve months were made. Data were analyzed using descriptive analysis and inferential analyzes using tests: Generalized Fisher exact, chi-square, Kruskal - Wallis test in conjunction with the non-parametric Bonferroni multiple comparison test. It was found that the mean DMFT was 3.65, with a predominance of fillings (57.5 %). The prevalence of gingival bleeding and dental calculus, values of 85%, 78 %, respectively, and no individual of the target population had shallow or deep pockets are found. The access of these individuals to the dentist in the last twelve months was 54.5% and the frequency of toothache in the last six months was 31%. The use of dentures was not observed in teens, but 27% required some type of them. It was observed in the study that there was an association of the frequency of "lost" component of DMFT with INASB (p = 0.0100). There was also statistical significance in the association access to dentists and gender (p = 0.0440) and between pain and micro-area (p = 0.0150). It was concluded that the risk classification of the families proposed by INASB was associated with the missing component of the DMFT Index between the classification of medium risk to low risk, also showing an exclusionary dental practice, however, striking environmental contrasts direct to the need for a planning focused at micro-areas of greatest precariousness.