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A eficácia da motivação para a higiene oral na população geriátrica portadora de prótese parcial removível : estudo piloto
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Resumo(s)
Introdução: Com o envelhecimento populacional, assistimos a um aumento da prevalência de prótese dentária removível. A fraca higiene oral torna-se impactante na qualidade de vida dos pacientes. Cabe ao médico dentista informar o paciente, educando-o com hábitos corretos de higiene oral, e investir na prevenção e diagnóstico precoce. A instrução poderá ser insuficiente, sendo importante o cumprimento/motivação do
paciente.
Objetivos: Analisar a influência da motivação para a higiene oral nos hábitos de higiene oral da população geriátrica reabilitada proteticamente na CDEM.
Materiais e Métodos: 50 pacientes da CDEM, com idade igual ou superior a 65 anos, portadores de PPR, responderam a um questionário sobre hábitos de higiene oral e realizaram um exame intra-oral para a medição de parâmetros de saúde oral. Foi também realizada instrução para a higiene oral/protética, através
dos métodos “Campaign” e “Face to Face”, recorrendo a um follow-up de 2 meses para analisar a eficácia da instrução. Os dados foram analisados através do programa estatístico IBM SPSS Statistics, versão 29.0.
Resultados: A maioria da amostra pertencia ao sexo masculino (56%), sendo a idade predominante igual ou superior a 75 anos (68%). Entre a consulta inicial e o follow-up foram registadas melhorias em todos os parâmetros, nomeadamente frequência de escovagem da cavidade oral e da prótese, dureza da escova de dentes e da prótese, utilização de fio dentário e colutório/elixir, higienização da prótese dentária, dormir com
a prótese, presença de lesões e valores de IP, IHO-S e HPD. Não foram registadas diferenças significativas entre os dois métodos de motivação, no entanto notou-se uma tendência para uma maior melhoria nos participantes sujeitos ao método mais personalizado (“Face to Face”).
Conclusões: Foram verificadas melhorias em ambos os métodos, comprovando a eficácia da instrução/motivação para a higiene oral na população geriátrica portadora de PPR.
Introduction: As the population ages, we are seeing an increase in the prevalence of removable dentures. Poor oral hygiene has an impact on patients' quality of life. It is up to the dentist to inform the patient, educating them in correct oral hygiene habits and investing in prevention and early diagnosis. Instruction may be insufficient, and patient compliance/motivation is important. Objectives: To analyze the influence of motivation for oral hygiene on the oral hygiene habits of the geriatric population prosthetically rehabilitated at CDEM. Materials and Methods: 50 CDEM patients, aged 65 or over, with PPRs, answered a questionnaire on oral hygiene habits and underwent an intra-oral examination to measure oral health parameters. Oral hygiene/prosthetic instruction was also carried out using the "Campaign" and "Face to Face" methods, with a 2-month follow-up to analyze the effectiveness of the instruction. The data was analyzed using IBM SPSS Statistics, version 29.0. Results: The majority of the sample was male (56%) and the predominant age was 75 or over (68%). Between the initial consultation and the follow-up, improvements were recorded in all the parameters assessed, namely the frequency of brushing the oral cavity and dentures, the hardness of the toothbrush and dentures, the use of dental floss and mouthwash, the hygiene of dentures, sleeping with dentures, the presence of lesions and PI, IHO-S and HPD values. There were no significant differences between the two motivation methods applied, but there was a tendency for greater improvement in the participants subjected to the more personalized method (“Face to Face”). Conclusion: Improvements were seen in both methods, proving the effectiveness of oral hygiene instruction/motivation in the geriatric population with PPRs.
Introduction: As the population ages, we are seeing an increase in the prevalence of removable dentures. Poor oral hygiene has an impact on patients' quality of life. It is up to the dentist to inform the patient, educating them in correct oral hygiene habits and investing in prevention and early diagnosis. Instruction may be insufficient, and patient compliance/motivation is important. Objectives: To analyze the influence of motivation for oral hygiene on the oral hygiene habits of the geriatric population prosthetically rehabilitated at CDEM. Materials and Methods: 50 CDEM patients, aged 65 or over, with PPRs, answered a questionnaire on oral hygiene habits and underwent an intra-oral examination to measure oral health parameters. Oral hygiene/prosthetic instruction was also carried out using the "Campaign" and "Face to Face" methods, with a 2-month follow-up to analyze the effectiveness of the instruction. The data was analyzed using IBM SPSS Statistics, version 29.0. Results: The majority of the sample was male (56%) and the predominant age was 75 or over (68%). Between the initial consultation and the follow-up, improvements were recorded in all the parameters assessed, namely the frequency of brushing the oral cavity and dentures, the hardness of the toothbrush and dentures, the use of dental floss and mouthwash, the hygiene of dentures, sleeping with dentures, the presence of lesions and PI, IHO-S and HPD values. There were no significant differences between the two motivation methods applied, but there was a tendency for greater improvement in the participants subjected to the more personalized method (“Face to Face”). Conclusion: Improvements were seen in both methods, proving the effectiveness of oral hygiene instruction/motivation in the geriatric population with PPRs.
Descrição
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Palavras-chave
Prótese dentária Idoso Higiene oral Educação