Alessandro Aparecido Pereira

Qualidade de vida e condições de saúde bucal de hipertensos e diabéticos em um município do Sudeste Brasileiro

Resumo O objetivo deste estudo foi avaliar a qualidade de vida relacionada as condicoes clinicas de saude bucal entre hipertensos e diabeticos de Alfenas, MG, Brasil. Estudo domiciliar, descritivo-analitico, transversal, com amostra randomizada, sistematica, estratificada por Equipe Saude da Familia, composta por 218 sujeitos. Aplicou-se os indices CPOD, T-Health, FS-T, SiC index, uso e necessidade de proteses e OHIP-14. A maioria dos sujeitos (56,42%) apresenta apenas Hipertensao Arterial, e do sexo feminino (67,43%), com idade media de 64,83 (± 11,99), variando entre 35 e 93 anos. Nao se observou diferencas significativas para as variaveis entre hipertensos, diabeticos e hipertensos-diabeticos. Registrou-se CPOD = 27,16 (± 6,15), com 22,94 (± 10,46) dentes perdidos; T-Health = 5,23 (± 6,52); FS-T = 8,53 (± 10,12) e SiC = 32 (± 0,00). Dos sujeitos, 85,78% usavam proteses (58,72% Protese Total) e 61,01% necessitavam das mesmas (58,26% no arco inferior). As correlacoes entre OHIP-14 (5,37 [± 4,95]) e condicoes clinicas evidenciaram a presenca de dentes afetando dimensoes psicologicas, alem de uso e necessidade de proteses associadas a impactos fisicos e sociais (p < 0,05). Concluiu-se que edentulismo, uso e necessidade de proteses afetaram a qualidade de vida de hipertensos e diabeticos em aspectos psicologicos, fisicos e sociais.This research aimed to assess the oral health related to quality of life among hypertensive and diabetic patients in the city of Alfenas, Brazil. This was a domiciliary-based, descriptive-analytical, cross-sectional research with a random, systematic sample stratified by the Family Health Team, consisting of 218 individuals. The following indexes were applied: DMFT, T-Health, FS-T, SiC index, use and need of prosthesis and OHIP-14. Most of the patients (56.42%) had only high blood pressure, were females (67.43%), with an average age of 64.83 (±11.99) years old, varying between 35 and 93 years old. No significant differences on the variables between hypertensives, diabetics and hypertensive-diabetics were noticed. The following data was registered: DMFT=27.16 (± 6.15), with 22.94 (± 10.46) of missing teeth; T-Health=5.23 (± 6.52); FS-T=8.53 (± 10.12) and SiC=32 (± 0.00). 85.78% of the individuals were using prosthesis (58.72% Dentures) and 61.01% needed prostheses (58.26% in the jaw).The correlations between OHIP-14 (5.37 [± 4.95]) and oral health evidenced the increase in the number of teeth affecting psychological dimensions, besides the use and need of prostheses were associated to physical and social impacts (p < 0.05). We concluded that edentulism, use and need of prostheses affected quality of life in hypertensive and diabetic patients concerning psychological, physical and social aspects.