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VOLUME 19 , ISSUE 11 ( November, 2018 ) > List of Articles

ORIGINAL ARTICLE

Human Development Index, Ratio of Dentists and Inhabitants, and the Decayed, Missing or Filled Teeth Index in Large Cities

Fabio A Pereira, Iranilda A de Mendonça, Renata I Werneck, Simone T Moysés, Marilisa CL Gabardo, Samuel J Moysés

Keywords : Dental caries, Epidemiology, Human development, Social determinants

Citation Information : Pereira FA, de Mendonça IA, Werneck RI, Moysés ST, Gabardo MC, Moysés SJ. Human Development Index, Ratio of Dentists and Inhabitants, and the Decayed, Missing or Filled Teeth Index in Large Cities. J Contemp Dent Pract 2018; 19 (11):1363-1369.

DOI: 10.5005/jp-journals-10024-2433

License: CC BY-NC 4.0

Published Online: 00-11-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim: This study aimed to investigate the associations between human development and the demographic ratio of dentists with the prevalence of dental caries at 12 years of age in large Brazilian cities. Materials and methods: Data were collected from 27 state capitals, Secondary databases were used: the municipal human development index (MDHI); the ratio of dentists qualified to exercise their profession according to the number of inhabitants; and the decayed, missing or filled teeth index (DMFT). Pearson correlation coefficient analysis and multiple logarithmic regression analysis were performed. Results: The MDHI showed a strong correlation with DMFT and explained 48.1% of the variation in the cities. The ratio of dentists to the number of inhabitants displayed an insignificant, weak correlation with the variations in the DMFT. Conclusion: Social factors strongly influence the oral health/ disease process in Brazilian capitals, thus actions are needed for the promotion of health at more distal, or structural levels that modify the environment, thus enabling healthier choices for individuals. These results challenge traditional beliefs that only the ratio of professional dentists to inhabitants and the provision of dental services have beneficial effects on the prevention and control of oral health problems. Clinical significance: The prevalence of dental caries is strongly correlated with social factors, as the MDHI.


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  1. Lauris JR, da Silva Bastos R, de Magalhães Bastos J R. Decline in dental caries among 12-year-old children in Brazil, 1980-
  2. Int Dent J 2012 Dec; 62(6): 308-414.
  3. Irigoyen ME, Mejía-González A, Zepeda-Zepeda MA, Betancourt-Linares A, Lezana-Fernández AA, Álvarez-Lucas CH. Dental caries in Mexican schoolchildren: a comparison of 1988-1989 and 1998-2001 surveys. Med Oral Patol Oral Cir Bucal 2012 Sep 1; 17(5): 825-832.
  4. Elani HW, Harper S, Allison PJ, Bedos C, Kaufman JS. Socioeconomic inequalities and oral health in Canada and the United States. J Dent Res 2012 Sep; 91(9): 865-870.
  5. Do LG. Distribution of caries in children: variations between and within populations. J Dent Res 2012 Jun; 91(6): 536-543.
  6. Brasil. Ministério da Saúde. Projeto SB Brasil 2010. Pesquisa Nacional de Saúde Bucal - Principais Resultados. Brasília; 2012.
  7. Narvai PC, Frazão P, Roncalli AG, Antunes JL. Dental caries in Brazil: decline, polarization, inequality and social exclusion. Rev Panam Salud Publica 2006 Jun; 19(6): 385-393.
  8. Programa das Nações Unidas para o Desenvolvimento (PNUD). Relatório do Desenvolvimento Humano 2013. A Ascensão do Sul: Progresso Humano num Mundo Diversificado [Internet]. New York: PNUD; 2013 [cited 2013 Dec 18]. 224 p. Available from: http://hdr.undp.org/sites/default/ files/hdr2013_portuguese.pdf
  9. Instituto de Pesquisa Econômica Aplicada (IPEA). Índice de Desenvolvimento Humano Municipal Brasileiro [Internet]. Brasília: PNUD; 2013 [cited 2013 Dec 18]. 96 p. (Atlas do Desenvolvimento Humano no Brasil 2013). Available from: http://www.ipea.gov.br/agencia/images/stories/ PDFs/130729_AtlasPNUD_2013.pdf
  10. Antunes JL, Peres MA, de Campos Mello TR, Waldman EA. Multilevel assessment of determinants of dental caries experience in Brazil. Community Dent Oral Epidemiol 2006 Apr; 34(2): 146-152.
  11. Gabardo MCL, Ditterich RG, Cubas MR, Moysés ST, Moysés SJ. Inequalities in the workforce distribution in the Brazilian Dentistry. RGO Rev Gaúch Odontol 2017; 65(1): 70-76.
  12. Pewa P, Garla BK, Dagli R, Bhateja GA, Solanki J. Utilization of dental services in public health center: dental attendance, awareness and felt needs. J Contemp Dent Pract 2015 Oct 1; 16(10):829-833.
  13. Morita MC, Haddad AE, Araújo ME. Perfil atual e tendência do Cirurgião-Dentista Brasileiro [Internet]. Maringá: Dental Press; 2010 (cited 2013 Dec 10). 96 p. Available from: http://abeno.org. br/arquivos/downloads/download_20111202125600.pdf
  14. Conselho Federal de Odontologia. Dados Estatísticos. 2001. Available at: http://cfo.org.br/servicos-e-consultas/dadosestatisticos/
  15. Instituto Brasileiro de Geografia e Estatística. Sinopse do Censo Demográfico 2010. 2010. Avaliable at: http://www. pnud.org.br/IDH/Atlas2013.aspx?indiceAccordion=1&li=li_ Atlas2013
  16. Viana RL. Introdução à dinâmica não-linear e caos em Economia.
  17. Available from: http://dcm.ffclrp.usp.br/~jair/ listas/EDO-Economic-Model.pdf
  18. Nadanovsky P, Sheiham A. Relative contribution of dental services to the changes in caries levels of 12-year-old children in 18 industrialized coutries in the 1970s and early 1980s. Community Dent Oral Epidemiol 1995 Dec; 23(6): 331-339.
  19. Baldani MH, Narvai PC, Antunes JLF. Dental caries and socioeconomic conditions in the State of Paraná, Brazil, 1996. Cad Saude Publica 2002 May-Jun; 18(3): 755-763.
  20. McKernan S, Kuthy RA, Hanley PF, Jones MP, Momany ET, McQuistan MR, Damiano PC. Geographic variation of dental utilization among low income children. Health Place 2015 Jul; 34: 150-156.
  21. Fernandes LS, Peres MA. Association between primary dental care and municipal socioeconomic indicators. Rev Saude Publica 2005 Dec; 39(6): 930-936.
  22. Moysés SJ, Moysés ST, McCarthy M, Sheiham A. Intra-urban differentials in child dental trauma in relation to Healthy Cities policies in Curitiba, Brazil. Health Place 2006 Mar; 12(1): 48-64.
  23. Moysés SJ. Inequalities in oral health and oral health promotion. Braz Oral Res 2012; 26 (Supp 1): 86-93.
  24. Watt R. From victim blaming to upstream action: tackling the social determinants of oral health inequalities. Community Dent Oral Epidemiol 2007 Feb; 35(1): 1-11.
  25. Watt R, Sheiham A. Integrating the common risk factor approach into a social determinants framework. Community Dent Oral Epidemiol 2012 Aug; 40(4): 289-296.
  26. Cangussu MCT, Castellanos RA, Pinheiro MF, Albuquerque SR de, Pinho C. Cárie dentária em escolares de 12 e 15 anos de escolas públicas e privadas de Salvador, Bahia, Brasil, em 2001. Pesqui Odontol Bras 2002; 16(4): 3793-84.
  27. da Fonseca MA, Avenetti D. Social determinants of pediatric oral health. Dent Clin North Am 2017 Jul; 61(3): 519-532.ficado [Internet]. New York: PNUD; 2013 [cited 2013 Dec 18]. 224 p. Available from: http://hdr.undp.org/sites/default/files/ hdr2013_portuguese.pdf
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