Root caries among homeless people: prevalence and associated factors
DOI:
https://doi.org/10.21270/archi.v10i9.5221Keywords:
Root Caries, Homeless Persons, Adults, Elderly patient. Chlorhexidine. Pneumonia., Oral Health, Health VulnerabilityAbstract
Introduction: Root caries has been investigated in the general population, but the evidence in homeless people is limited. Objective: To investigate the prevalence of root caries and its association with sociodemographic factors, drug use and oral health in homeless persons. Material and Method: Cross-sectional study with 116 individuals aged 18 to 68 years from Goiânia, Goiás. Data were collected through interviews and clinical examination, based on the criteria of the World Health Organization. The outcome was the prevalence of root caries. The covariables were sociodemographic characteristics, use of licit and illicit drugs, number of remaining teeth, DMFT index and use of removable partial denture. In the statistical analysis, bivariate comparisons and Poisson regression with robust variance were used. Results: The prevalence of root caries was 26.4% (95% CI = 19.0-35.5), with an average of 0.76 roots per individual. All affected roots were decayed and untreated and the most affected teeth were the posterior ones. A higher prevalence was found in individuals with higher age, number of remaining teeth and DMFT index. After adjustment, only age remained associated with the outcome (PR = 1.03; 95% CI = 1.00-1.06). Conclusion: More than ¼ of the homeless individuals surveyed had root caries and the prevalence was associated with increasing age. The lack of restored roots suggests the need to promote the access of this population group to health services.
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