Proposta de reorganização da atenção em saúde bucal prestada ao idoso, nas equipes de saúde bucal do município de Conselheiro Lafaiete (MG)

Abstract

This study had the objective of discussing the present situation of oral health attention offered to individuals of 60 years and older by the Oral Health Team (ESB) established in the Family Health Strategy in the municipality of Conselheiro Lafaiete. It elaborates a proposal to reorganize the current model, with the objective of promoting improvements in the health and well-being of the elderly. The study of the necessities in oral health of the elderly in the implanted ESBS, in relation to the CPOD index, Community Periodontal Index, mucal lesions and dental prosthesis needs, proposed in one of the activities of the Oral Health Module Attention to the Elderly of the Specialization Course in Basic Attention of Family Health; had as objective not only to gain knowledge of the needs of the odontological attention of elderly patients but also how to proportion subsidies to the teams for the construction of a plan with the objective of improving the quality of life of the registered patients. The results have shown that the median age of the sample researched was that of 69 years of age within a group of 60 elderly patients. The values of CPOD found were considered too high with the average of 30.17, with component P. lost (tooth lost because of cavity) which contributed the most for this result. Only 103 dental elements were present in the bucal cavity of the 60 patients examined, which corresponds to an average of 1.7 teeth per individual. Also standing out is the average of lost teeth which is 94.6% in the examined groups. Of the dental elements present 04 teeth with cavity lesions were found an 39 teeth with indication toward exodontia due to periodontal disease. As to the necessity for the use of dental prosthesis, 29 elderly edentulous were in need of total lower prosthesis. In 20 patients the presence of 22 mucal lesions was registered, the palate being the most frequent region and the macula the lesion most encountered. It can be concluded that the condition of oral health of the registered elderly in the respective areas of the implanted ESB is dissatisfactory, being necessary therefore the implementation of a health practice that will reorganize the current attention dispensed.