Condições bucais do idoso em unidades asilares da região metropolitana de Fortaleza

Abstract

Oral health conditions of institutionalized elderly in fortaleza’s metropolitan region. This study had as main purpose to describe the situation of the oral health of old-aged people from 60 to 75 years old, who live in five units of shelters of the metropolitan region of Fortaleza. The research had as a crosssectional desing with descriptive character, verifying the reality of all old-aged people from this age range with a total of 160 people investigated. A epidemic survey was accomplished investigating the CPOD indexes to obtain the prevalent and severe situation of the caries disease, CPI (Community Periodontal Index) to verify the periodontal condition, the use and necessity of prosthesis to inquire the extension of dental mutilation and attempt of rehabilitation. A structured and standardized questionnaire was applied about social-economic variables, hygiene habits, access to dental services and the GOHAI (Geriatric Oral Health Assessment) index which sounds the capacity and auto-perception of old-aged people and their mouth problems. The average CPOD found was 29.6, with 88.3% of excluded teeth, 56.9% of the examined people had no teeth in both maxillaries; concerning the use of prosthesis, it was noticed that 58.8% of the people who were interviewed did not wear upper prosthesis while 73.7% of these people needed partial or total upper prosthesis;analyzing the lower dental arch it was noticed that 74.4% did not use the lower prosthesis and that 81.2% needed this kind of prosthesis. The IPC result allowed a visualization of the extension of mouth mutilated people because 66.2% of people who were interviewed did not show any problem that could be codified by the lack of teeth. Among the examined people, the most frequent problem was the mid-lower ,15.6% of the people interviewed had as the higher code of IPC the presence of dental stone. The average GOHAI of the population was 34.4 revealing that despite of all the unpropitious epidemiological situation, this population estimates as good their oral condition, not presenting major difficulties to accomplish daily tasks such as to feed themselves, to talk and to relate to other people