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https://codas.org.br/article/doi/10.1590/2317-1782/20242023072en
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Original Article

Associação entre número de dentes, próteses dentárias e disfagia autorreferida em idosos brasileiros: estudo populacional

Association between number of teeth, dental prostheses, and self-reported dysphagia in brazilian old people: a population-based study

Marina de Macedo Aquino; Rafaela Soares Rech; Alexandre Baumgarten; Bárbara Niegia Garcia de Goulart

http://dx.doi.org/10.1590/2317-1782/20242023072en CoDAS, vol.36, n4, e20230072, 2024
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Resumo

Objetivo: Verificar a associação entre o número de dentes e uso de prótese dentária removível e a ocorrência de disfagia autorreferida em idosos de 60 anos ou mais. Método: Estudo transversal de base populacional com 5.432 idosos, que participaram da linha de base do Estudo Longitudinal da Saúde do Idoso (ELSI-Brasil). O desfecho “disfagia” foi associado ao número de dentes permanentes e ao uso de prótese dentária removível. As variáveis independentes sociodemográficas (idade, sexo e cor/raça) e de histórico clínico (nenhuma morbidade, uma morbidade ou mais de duas morbidades) utilizando Regressão de Poisson com variância robusta e seus respectivos intervalos de confiança (IC) de 95% foram analisados. Resultados: A prevalência de disfagia autorreferida nos idosos não institucionalizados foi de 30%. O grupo de idosos com 10 – 19 dentes permanentes apresentou um risco de 52% de queixa de disfagia autorreferida (RPaj 1,565 IC95% 1,34;1,826) se comparado com seus pares com mais dentes. Conclusão: foi encontrada associação entre o menor número de dentes e próteses removíveis com a ocorrência de disfagia.

Palavras-chave

Disfagia; Número de Dentes; Idoso; Deglutição; Dentes Permanentes

Abstract

Purpose: To investigate the association between the number of permanent teeth and the use of removable dental prostheses with self-reported dysphagia occurrence in individuals aged 60 years or older. Methods: A population-based cross-sectional study was conducted with 5,432 old individuals who participated in the baseline of the Brazilian Longitudinal Study of Elderly Health (ELSI-Brazil). The outcome “dysphagia” was associated with the number of permanent teeth and the use of removable dental prostheses. Sociodemographic independent variables (age, sex, and race/ethnicity) and clinical history variables (no morbidity, one morbidity, or more than two morbidities) were analyzed using Poisson Regression with robust variance and their respective 95% confidence intervals (CI). Results: The prevalence of self-reported dysphagia in non-institutionalized old individuals was 30%. The group of old individuals with 10 – 19 natural teeth showed a 52% increased risk of self-reported dysphagia complaint (PRadj 1,565 IC95% 1,34;1,826) compared to their counterparts with more teeth. Conclusion: An association was found between a lower number of teeth and removable prostheses with the occurrence of dysphagia.

Keywords

Dysphagia; Number of Teeth; Elderly; Swallowing; Permanent Teeth

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Submitted date:
04/23/2023

Accepted date:
12/13/2023

68d32736a953952a3d001456 codas Articles
2317-1782 (Electronic)
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