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O impacto da cárie dentária na qualidade de vida relacionada com saúde oral em diabéticos
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Abstract(s)
Introdução: A diabetes mellitus (DM) é uma doença crónica a nível metabólico com alta prevalência nas idades mais avançadas, com implicações orais nos pacientes. Cabe ao médico dentista fazer o diagnóstico precoce e acompanhar, de forma mais efetiva este tipo de pacientes, com o intuito de prevenir as complicações decorrentes da doença e auxiliar no controlo da própria doença.
Métodos: Foi realizado um estudo observacional, analítico e transversal através da aplicação de um questionário OHIP-14 aos pacientes diabéticos que são seguidos na Consulta de endocrinologia do Hospital Pedro Hispano, sendo também avaliada a condição oral através do índice de cárie CPOD.
Resultados O score total do OHIP- 14 obtido (M=9,02, dp=8,36), pode demonstrar que a amostra tem um nível baixo na perceção/impacto na QVRSO. Na análise dos itens do OHIP-14, as dimensões mais pontuadas são as relativas à incapacidade física e a dor física e as menos pontuadas são a incapacidade social e desvantagem. O OHIP-14 com o CPOD, tem significado estatístico (p=0,005) e com o número de dentes perdidos (p=0,001) o que sugere que o número de dentes na boca do paciente tem impacto na QVRSO.
Conclusão: No estudo constatou-se que não há impacto da DM na QVRSO nos diabéticos, podendo-se concluir que os mesmos não relacionam os problemas dentários a doença. Os pacientes com DM com níveis mais elevados de CPOD tem mais impacto na QVRSO destes pacientes.
Introduction: Diabetes Mellitus (DM) is a chronic metabolic disease with a high prevalence in older age groups, with oral implications in patients. It is the responsibility of the dentist to make an early diagnosis and effectively monitor these patients in order to prevent disease- related complications and assist in controlling the disease itself. Methods: an observational, analytical and cross-sectional study was conducted by applying the OHIP-14 questionnaire to diabetic patients who are followed up in the endocrinology department of Hospital Pedro Hispano. The oral condition was assessed using the DMFT index. Results: The OHIP-14 total score obtained (M= 9.02, Sd= 8.36) may demonstrate that the sample has a low level of perception/impact on OHRQoL. In the analysis of the OHIP-14 items, the dimensions with the highest scores are those relating to physical disability and physical pain, and the least scored are social disability and disadvantage. The OHIP-14 with DMFT, has statistical significance (p=0.005) aquand with the number of missing teeth (p=0.001) which suggests that the number of teeth in the patient`s mouth has an impact on the OHRQoL Conclusion: In the study, it was found that there is no impact of DM on OHRQol in diabetics, and it can be concluded that they do not relate dental problems to the disease. DM patients with higher DMFT have more impact it has on the OHRQoL of these patients.
Introduction: Diabetes Mellitus (DM) is a chronic metabolic disease with a high prevalence in older age groups, with oral implications in patients. It is the responsibility of the dentist to make an early diagnosis and effectively monitor these patients in order to prevent disease- related complications and assist in controlling the disease itself. Methods: an observational, analytical and cross-sectional study was conducted by applying the OHIP-14 questionnaire to diabetic patients who are followed up in the endocrinology department of Hospital Pedro Hispano. The oral condition was assessed using the DMFT index. Results: The OHIP-14 total score obtained (M= 9.02, Sd= 8.36) may demonstrate that the sample has a low level of perception/impact on OHRQoL. In the analysis of the OHIP-14 items, the dimensions with the highest scores are those relating to physical disability and physical pain, and the least scored are social disability and disadvantage. The OHIP-14 with DMFT, has statistical significance (p=0.005) aquand with the number of missing teeth (p=0.001) which suggests that the number of teeth in the patient`s mouth has an impact on the OHRQoL Conclusion: In the study, it was found that there is no impact of DM on OHRQol in diabetics, and it can be concluded that they do not relate dental problems to the disease. DM patients with higher DMFT have more impact it has on the OHRQoL of these patients.
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Diabetes mellitus QVRSO Cárie dentária Medicina dentária hospitalar Diabetes mellitus OHRQoL Dental caries Hospital dentistry