Osteoporose e doen?a periodontal em mulheres p?s-menopausadas

• Author(s): Passos, Johelle de Santana
• Date: 2019
• Origin: Oasisbr
• Subject(s): Osteoporose; Doen?a periodontal; P?s-menopausa; Osteoporosis; Periodontal disease; Post-menopausal; CIENCIAS DA SAUDE::SAUDE COLETIVA; CIENCIAS DA SAUDE::ODONTOLOGIA
• Document Type: Master thesis
• Language: Portuguese

Description

Submitted by Ricardo Cedraz Duque Moliterno ([e-mail]) on 2019-10-22T21:56:51Z No. of bitstreams: 1 Disserta??o Final Johelle de Santana Passos 2007-UEFS.pdf: 2100254 bytes, checksum: 55c5db2a8eea2aef3c655d3f82a19d4a (MD5)

Made available in DSpace on 2019-10-22T21:56:51Z (GMT). No. of bitstreams: 1 Disserta??o Final Johelle de Santana Passos 2007-UEFS.pdf: 2100254 bytes, checksum: 55c5db2a8eea2aef3c655d3f82a19d4a (MD5) Previous issue date: 2007-01-26

Funda??o de Amparo ? Pesquisa do Estado da Bahia - FAPEB

Osteoporosis represents a serious problem of public health that reaches frequently the postmenopausal women. The clinical importance of systemic bone loss as a contributory factor towards alveolar bone loss and subsequent loss of teeth still merits further study, given that osteoporosis and periodontal disease lead to significantly increased morbidity and mortality, and also higher public expenditure. This case-control study had the aim of evaluating the association between osteoporosis and PD in postmenopausal women, aged 50 and over, invited on CEPARH-Feira de Santana-BA to oral exam and dental treatment at Diagnostic Oral I Subject Clinic from State University of Feira de Santana-BA. The sample consisted of 139 postmenopausal women, being 48 of the case group (women with periodontal disease) and 91 of the control group (women without periodontal disease). The diagnosis of periodontal disease was established after oral clinic exam utilizing as descriptors the measurements of probing depths of sulcus/pockets, recession/hyperplasia, clinic attachment level, index of plaque, bleeding on probing and gingival, being confirmed by panoramic radiographic exam with bone resorption evaluation. The diagnosis of osteoporosis was made by investigating densitometry reports obtained previously. After systematization of colleted data, descriptive analysis of the variables, stratified analysis, and multivariate analysis using logistic regression were applied. Comparisons of proportions were performed using the Chi-square and Fisher test. Crude odds ratios (OR) and adjusted for confounders and controlled for effects modifiers were calculated with significance level at 5%. The results showed a principal association crude OR of 2.58 (95%IC: [1.01-6.82]), while on model controlled for schooling and adjusted for smoking habits and age, the OR was 6.70 (95%IC: [1.34-41.66]). The findings showed a statistically significant association between osteoporosis and PD, indicating that postmenopausal women with osteoporosis and low schooling levels have a greater chance of having PD than do those without osteoporosis.

A osteoporose representa um grave problema de sa?de p?blica que atinge frequentemente as mulheres p?s-menopausadas. A import?ncia cl?nica da perda ?ssea sist?mica como um fator contribuinte para a perda ?ssea alveolar e subseq?ente perda dent?ria ainda merece maiores estudos, desde que a osteoporose e a doen?a periodontal t?m proporcionado significantes aumentos de morbi-mortalidade al?m dos gastos p?blicos. Este estudo de caso-controle se prop?s a avaliar a associa??o entre osteoporose e doen?a periodontal em mulheres p?s-menopausadas, com idade superior a 50 anos, convidadas no CEPARH - Feira de Santana-BA para avalia??o e tratamento odontol?gico na Cl?nica de Extens?o da Disciplina Diagn?stico Oral I da Universidade Estadual de Feira de Santana-BA. A amostra consistiu de 139 mulheres p?s-menopausadas, sendo 48 do grupo caso (mulheres p?s-menopausadas com doen?a periodontal); e 91 do grupo controle (mulheres p?s-menopausadas sem doen?a periodontal). O diagn?stico da doen?a periodontal foi estabelecido ap?s exame cl?nico bucal utilizando como descritores as medidas de profundidade de sondagem de sulco/bolsa, de recess?o e hiperplasia gengival, perda de inser??o cl?nica, ?ndices de placa, sangramento e vermelhid?o, sendo confirmado por exame radiogr?fico panor?mico atrav?s de avalia??o da reabsor??o ?ssea. O diagn?stico da osteoporose foi determinado mediante verifica??o dos laudos diagn?sticos densitom?tricos obtidos previamente. Ap?s a estrutura??o da base de banco de dados, foi realizada an?lise descritiva das vari?veis de interesse, an?lise estratificada e an?lise multivariada empregando a regress?o log?stica. A compara??o de propor??es foi realizada usando os testes Qui-quadrado e Fisher. Medidas de associa??o (odds ratio) bruta e ajustada para confundidores e controlada para modificadores de efeito foram obtidas a n?vel de signific?ncia de 5%. Os resultados apresentaram uma ORbruta da associa??o principal de 2,58 (IC95%: [1,01-6,82]), enquanto na an?lise de subgrupos, o modelo estratificado para escolaridade e ajustado para h?bito de fumar e idade indicou uma ORajustada de 6,70 (IC95%: [1,34-25,05]), tamb?m estatisticamente significante. Os achados desse estudo mostraram uma associa??o entre osteoporose e doen?a periodontal indicando que mulheres p?s-menopausadas com osteoporose e baixo n?vel de escolaridade t?m mais chance de ter doen?a periodontal do que aquelas sem osteoporose.