Avaliação da saúde bucal autopercebida e clínica de idosos institucionalizados e residentes nas comunidades urbanas e rurais do interior da Paraíba

Abstract

Objective: To evaluate the self-perception of oral health in the physical and psychosocial dimensions, besides the orofacial pain of institutionalized elderly people, living in the urban area and rural area in the interior of Paraíba. Method: Observational, cross-sectional study, quantitative approach, population base and non-probabilistic sampling for convenience among 81 elderly: 27 residents in a long-stay institution and the other males by age and gender between urban (n = 27) and rural (n = 27). Two validated questionnaires were used, one of them the GOHAI (Oral Health Assessment Index) for the evaluation of self-perception of oral health in quality of life and the other, QST / DTM (Questionnaire for Screening of Patients with Temporomandibular Disorders) for influences of the orofacial pains and the indices of biofilm in tooth proposed by Silness and Loe and in prosthetics by Ambjornsen. Results: The data were studied through a descriptive and inferential analysis, with a predominance of females (74.1%), 77.8% of whom were born in the city of Cuité-PB and a higher frequency (32.1%) of age range of 60-65 years. The frequency of GOHAI related to high perception obtained a higher frequency between the urban area (77.8%) and lower frequency (66.7) in the rural area, with a p-value of 0.004, showing a statistical difference among the dwelling places. In the QST / DTM, all frequencies indicated the majority of individuals as non-carriers, but with a statistical relation related to gender (p = 0.007) and income (p = 0.002). The highest frequencies for the biofilm analysis were related to the presence of this in teeth or prosthesis, more frequently linked to the inhabitants of the rural area, 84.6%. Conclusion: There was a difference between the samples related to self-perception and the place of residence, showing the elderly with excellent oral health, not consistent with the clinical condition found, showing the secondarily of oral health problems.