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Percepção do impacto na cavidade oral do uso intenso de máscaras de proteção
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Introdução: Em Junho de 2020 a Organização Mundial de Saúde promulgou como medida não farmacêutica o uso obrigatório de máscaras de proteção na comunidade como uma barreira para evitar a contaminação pelo vírus da COVID-19. O balanço da utilização de máscara como medida de proteção e contenção do vírus é bastante positivo. No entanto, as consequências da sua utilização intensiva são ainda pouco exploradas na literatura.
Materiais e Métodos: Um questionário para avaliar a perceção do impacto do uso de máscara na cavidade oral foi aplicado a um conjunto de pacientes de clínicas dentárias. Foi realizada uma análise estatística quantitativa com recurso ao SPSSv.27 para avaliação de significância estatística entre associação entre as variáveis em estudo. O nível de significância considerado foi de p=0,05.
Resultados: Dos 205 inquiridos, 22,4 % associam a existência de alteração recente de bem-estar recentes na cavidade oral com o uso intenso de máscara de proteção. As alterações mais reportadas são a secura da mucosa oral (40,5 %), alterações mandibulares (14,3%) e halitose (14,3%). Não há diferenças estatisticamente significativos entre sexos. O uso de máscara por períodos de 9-12 horas por dia apresenta associação positiva com uma maior perceção de alteração do bem-estar da cavidade oral, uma maior secura da boca e com alteração na oclusão dos lábios, com diferenças estatisticamente significativas (p=0,045). Destes, 60% apresenta como principal alteração a secura da mucosa oral e 13,3% apresentam alterações na articulação temperomandibular (ATM).
Conclusão: As alterações auto-percecionadas de boca seca e mau hálito parecem estar associadas ao uso intensivo de máscara, uma vez que a frequência do relato da sintomatologia aumenta progressivamente em acordo com o tempo de utilização. Estudos futuros são necessários de modo a comprovar esta associação.
Introduction: In June 2020, the World Health Organization enacted as a non-pharmaceutical measure the mandatory use of protective masks in the community as a barrier to prevent contamination by the COVID-19 virus. The balance of the use of masks as a measure of protection and containment of the virus is quite positive. However, the consequences of its intensive use are less explored in the literature. Materials and Methods: A questionnaire to assess the perception of the impact of using a mask in the oral cavity was applied to a group of patients from dental clinics. A quantitative statistical analysis was performed using SPSSv.27 to assess the association between the variables under study. The significance level considered was p=0.05. Results: Of the 205 respondents, 22.4% associated the existence of recent changes in well-being in the oral cavity with the intense use of a protective mask. The most reported alterations are dryness of the oral mucosa (40.5%), mandibular alterations (14.3%), and halitosis (14.3%). There are no statistically significant differences between sexes. The use of a mask for periods of 9-12 hours a day is positively associated with a greater perception of change in the well-being of the oral cavity, greater dryness of the mouth and change in lip occlusion, with statistically significant differences (p= 0.045). Of these, 60% present as main alteration the dryness of the oral mucosa and 13.3% present alterations in the temporomandibular joint disfunction (TMJ). Conclusion: The self-perceived alterations of dry mouth and halitosis seem to be associated with the intensive use of masks since the frequency of symptomatology report increases progressively with the time of use. Future studies are needed in order to corroborate this association.
Introduction: In June 2020, the World Health Organization enacted as a non-pharmaceutical measure the mandatory use of protective masks in the community as a barrier to prevent contamination by the COVID-19 virus. The balance of the use of masks as a measure of protection and containment of the virus is quite positive. However, the consequences of its intensive use are less explored in the literature. Materials and Methods: A questionnaire to assess the perception of the impact of using a mask in the oral cavity was applied to a group of patients from dental clinics. A quantitative statistical analysis was performed using SPSSv.27 to assess the association between the variables under study. The significance level considered was p=0.05. Results: Of the 205 respondents, 22.4% associated the existence of recent changes in well-being in the oral cavity with the intense use of a protective mask. The most reported alterations are dryness of the oral mucosa (40.5%), mandibular alterations (14.3%), and halitosis (14.3%). There are no statistically significant differences between sexes. The use of a mask for periods of 9-12 hours a day is positively associated with a greater perception of change in the well-being of the oral cavity, greater dryness of the mouth and change in lip occlusion, with statistically significant differences (p= 0.045). Of these, 60% present as main alteration the dryness of the oral mucosa and 13.3% present alterations in the temporomandibular joint disfunction (TMJ). Conclusion: The self-perceived alterations of dry mouth and halitosis seem to be associated with the intensive use of masks since the frequency of symptomatology report increases progressively with the time of use. Future studies are needed in order to corroborate this association.
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Keywords
Máscara Percepção de doença Questionário epidemiológico Impactos na cavidade oral Masks Perception of disease Epidemiological questionnaire Impacts on the oral cavity