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• W223828170 abstract "Identificar a prevalência e a gravidade das más oclusões e fatores associados com a necessidade de tratamento ortodôntico dos adolescentes brasileiros. Estudo transversal feito com base nos dados da pesquisa epidemiológica nacional em saúde bucal no Brasil (2002‐2003). Condições sociodemográficas, autopercepção, existência e nível de gravidade da má oclusão, com o uso do Índice de Estética Dentária, foram avaliados em 16.833 adolescentes brasileiros selecionados por amostra probabilística por conglomerados. A variável dependente – necessidade de tratamento ortodôntico – foi estimada a partir da gravidade da má oclusão. A magnitude e a direção das associações nas análises bivariada e multivariada foram estimadas pela regressão de Poisson. A maioria dos adolescentes apresentou necessidade de tratamento ortodôntico (53,2%). Na análise multivariada, a prevalência da necessidade de tratamento ortodôntico foi maior entre as mulheres, os não brancos, aqueles que autopercebiam a necessidade de tratamento e aqueles que autopercebiam sua aparência como normal, ruim ou muito ruim. A necessidade de tratamento ortodôntico foi menor entre aqueles que viviam nas regiões Nordeste e Centro‐Oeste em comparação com aqueles da Sudeste e também menor entre aqueles que autopercebiam sua mastigação como normal e sua saúde bucal como ruim ou muito ruim. O estudo identificou uma prevalência elevada da necessidade de tratamento ortodôntico em adolescentes no Brasil, associada com questões demográficas e subjetivas de saúde bucal. A alta prevalência de necessidades ortodônticas entre adolescentes é um desafio para o Sistema Único de Saúde (SUS) do Brasil. To identify the prevalence and the severity of malocclusions and to analyze factors associated with the need for orthodontic treatment of Brazilian adolescents. This exploratory, cross‐sectional study was carried out based on secondary data from the national epidemiological survey on oral health in Brazil (2002‐2003). Socio‐demographic conditions, self‐perception, and the existence and degree of malocclusion, using the Dental Aesthetic Index, were evaluated in 16,833 adolescent Brazilians selected by probabilistic sample by conglomerates. The dependent variable – need orthodontic treatment – was estimated from the severity of malocclusion. The magnitude and direction of the association in bivariate and multivariate analyzes from a Robust Poisson regression was estimated. The majority of the adolescents needed orthodontic treatment (53.2%). In the multivariate analysis, the prevalence of the need for orthodontic treatment was larger among females, non‐whites, those that perceived a need for treatment, and those that perceived their appearance as normal, bad, or very bad. The need for orthodontic treatment was smaller among those that lived in the Northeast and Central West macro‐regions compared to those living in Southeast Brazil and it was also smaller among those that perceived their chewing to be normal or their oral health to be bad or very bad. There was a high prevalence of orthodontic treatment need among adolescents in Brazil and this need was associated with demographic and subjective issues. The high prevalence of orthodontic needs in adolescents is a challenge to the goals of Brazil's universal public health system." @default.
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• W223828170 date "2015-06-01" @default.
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• W223828170 title "Necessidade de tratamento ortodôntico em adolescentes brasileiros: avaliação com base na saúde pública" @default.
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• W223828170 doi "https://doi.org/10.1016/j.rpped.2014.04.006" @default.
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