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Previsão da perda dentária devido à periodontite na população portuguesa com recurso ao periodontal risk score
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Advisor(s)
Abstract(s)
Introdução: A periodontite, doença inflamatória crónica que resulta da disbiose do microbioma periodontal, caracterizada pela destruição progressiva do aparelho de suporte dentário é também considerada como uma das doenças mais prevalentes a nível mundial e principal causa de perda dentária. Esta por sua vez, tem impacto negativo na qualidade de vida e como repercussões a disfunção mastigatória, alterações na dieta, para além de que está provado a sua relação com diversas doenças sistémicas, e com os rendimentos a
nível global. Com o propósito de planear estratégias de saúde pública para evitar tais implicações, um novo índice de prognóstico capaz de prever o risco de perda dentária foi desenvolvido e validado recentemente. Este estudo teve o intuito de aplicar o PRS, para estimar o risco de perda dentária na população portuguesa em 5 a 10 e 15 a 20 anos.
Materiais e Métodos: Esta investigação secundária utilizou os dados de uma amostra do estudo SoPHiAS. Foram incluídos participantes adultos e idosos, da zona sul da Área Metropolitana de Lisboa. Foram definidos os casos de periodontite com base no novo consenso AAP/EFP e realizado um exame clínico periodontal de toda a cavidade oral. As características sociodemográficas e comportamentos foram registados por meio de um questionário auto-relatado. As variáveis foram categorizadas e através de uma base de dados no Excel foi feita a análise estatística dos resultados.
Resultados: Num total de 1.064 participantes, foi aplicado na amostra estudada o sistema de prognóstico PRS com o devido valor científico e com excelente capacidade preditiva e verificou-se que os dentes posteriores são os que têm maior risco de serem perdidos, com maior destaque para os primeiros molares inferiores e segundos pré-molares superiores, sendo o canino inferior, o dente que tem menor probabilidade de ser perdido.
Discussão e Conclusões: De todos os dentes, os posteriores apresentam um maior risco de perda do que os anteriores. Esta previsão será útil para alertar os sistemas de saúde e os clínicos quanto ao risco da população se tornar edêntula futuramente e será fundamental para serem elaboradas estratégias de tratamento mais eficientes e direcionadas consoante a viabilidade de cada dente.
Introduction: Periodontitis, a chronic inflammatory disease that results from the dysbiosis of the periodontal microbiome, characterised by the progressive destruction of the dental support apparatus, is also considered to be one of the most prevalent diseases worldwide and the main cause of tooth loss. This, in turn, has a negative impact on quality of life and repercussions such as masticatory dysfunction and diet, in addition to its proven relationship with various systemic diseases and with global income. In order to plan public health strategies to avoid such implications, a new prognostic index capable of predicting the risk of tooth loss has recently been developed and validated. This study aimed to apply the PRS to estimate the risk of tooth loss in the Portuguese population in 5 to 10 and 15 to 20 years. Materials and Methods: This secondary research used data from a sample of the SoPHiAS study. Adult and elderly participants from the southern part of the Lisbon Metropolitan Area were included. Cases of periodontitis were defined based on the new AAP/EFP consensus and a clinical periodontal examination of the whole oral cavity was performed. Sociodemographic characteristics and behaviours were recorded by means of a self-reported questionnaire. The variables were categorised and through a database in Excel the statistical analysis of the results was performed. Results: In a total of 1,064 participants, the PRS prognostic system with due scientific value and excellent predictive capacity was applied to the sample studied and it was found that the posterior teeth are those with the highest risk of being lost, with the lower first molars and upper second premolars being the most prominent, with the lower canine being the tooth with the lowest probability of being lost. Discussion and Conclusions: Of all the teeth, posterior teeth present a higher risk of loss than anterior teeth. This prediction will be useful in alerting health systems and clinicians to the risk of the population becoming edentulous in the future and will be fundamental in developing more efficient and targeted treatment strategies according to the viability of each tooth.
Introduction: Periodontitis, a chronic inflammatory disease that results from the dysbiosis of the periodontal microbiome, characterised by the progressive destruction of the dental support apparatus, is also considered to be one of the most prevalent diseases worldwide and the main cause of tooth loss. This, in turn, has a negative impact on quality of life and repercussions such as masticatory dysfunction and diet, in addition to its proven relationship with various systemic diseases and with global income. In order to plan public health strategies to avoid such implications, a new prognostic index capable of predicting the risk of tooth loss has recently been developed and validated. This study aimed to apply the PRS to estimate the risk of tooth loss in the Portuguese population in 5 to 10 and 15 to 20 years. Materials and Methods: This secondary research used data from a sample of the SoPHiAS study. Adult and elderly participants from the southern part of the Lisbon Metropolitan Area were included. Cases of periodontitis were defined based on the new AAP/EFP consensus and a clinical periodontal examination of the whole oral cavity was performed. Sociodemographic characteristics and behaviours were recorded by means of a self-reported questionnaire. The variables were categorised and through a database in Excel the statistical analysis of the results was performed. Results: In a total of 1,064 participants, the PRS prognostic system with due scientific value and excellent predictive capacity was applied to the sample studied and it was found that the posterior teeth are those with the highest risk of being lost, with the lower first molars and upper second premolars being the most prominent, with the lower canine being the tooth with the lowest probability of being lost. Discussion and Conclusions: Of all the teeth, posterior teeth present a higher risk of loss than anterior teeth. This prediction will be useful in alerting health systems and clinicians to the risk of the population becoming edentulous in the future and will be fundamental in developing more efficient and targeted treatment strategies according to the viability of each tooth.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Edentulismo Perda dentária Periodontite Previsão