Correlação entre o índice de dependência de nicotina e lesões de mucosa oral nos índios Guarani Kaiowá/Nandeva

AUTOR(ES)
DATA DE PUBLICAÇÃO

2007

RESUMO

The present research evaluated the index of nicotine dependence, using the rate of ependence of Fagerström, to examine the conditions of the oral mucosa and to correlate the ndices between Guarani Kaiowá/Nandeva aboriginals that live at Bororó village, located very ext to the Dourados city (MS). In the studied sample, composed by 312 patients, all older han 20 years old, and those that looked for the odontological service in the health station, to ach two taken patients, one was invited to participate of the research. The application of the uestionnaire and the clinical examination of the mucosa were after the signature of the term f free and clarified assent, in accordance with the Brazilian legislation. The patients, based n auto-declaration, had been distributed in four groups: smokers, former-smokers, not moking and smoking liabilities. They had been also selected by an age band. Of 312 nterviewed aboriginals 80 belong of the masculine sort and 232 to the feminine sort. The tudy demonstrated that 24.68% (77) of the interviewed are smoking, what it corresponds 1.25% (33) of men and 18.97% (44) of the women. The application of the test of Fagerström howed 36.36% (28) have been classified as having a high degree of nicotine dependence. he study found 406 pathological alterations, but 55 cases (14,4%) had been only considered s injuries properly said. The most prevalent injuries were: nicotínica estomatite, 24 cases 6,32%); fibroma 5 cases (1,32%); illness of Heck, 5 cases (1,32%); leucoplasia 9 cases 2,37%) and ulceration, 12 cases (3,16%). In a similar way, 187 variations of normality had een found. The variations of normality most prevalent were: melânica pigmentation (53 ases), granules of Fordyce 48 cases (25.87%) and fissurated language 41cases (21,93%). Using a reliable interval of 0,005 and applying the accurate test of Fischer, significant tatistically were the cases of leucoplasia, nicotínica estomatite and granules of Fordyce. The ame test did not demonstrate statistically differences between the rate of nicotine dependence nd the prevalence of the injuries. The results point out to the necessity of changes in the oarding of the aboriginal oral health; which today is exclusively toward the rehabilitation reatment. As the numbers shows in this work is necessary that the surgeon-dentist carries hrough a detailed clinical examination that makes possible to establish the diagnosis and reatment of oral injuries in some categories: inflammatory, reacionais, infectious, daily pay- malignant and malignant. It is also necessary that the surgeon-dentist participate of the lanning of the odontológical services to respect and to incorporate the local culture and ssumes the prevention and treatment of the abuse of smoking.

ASSUNTO(S)

mucosa oral indígenas tabaco oral mucosal ciencias da saude alterações clínicas indians clinical alterations tobacco

ACESSO AO ARTIGO

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