Fatores associados à dor nos dentes dos indivíduos atingidos pelo rompimento da barragem do Fundão - Mariana - MG

Abstract

Introduction: Technological disasters yield both immediate and long-lasting negative consequences on the general, mental, and oral health. The evidence suggests a multidirectional overlap between oral, mental, and general health. The burst of Fundão's dam in Mariana, Brazil, was one of the most significant technological disasters and, for instance, may be associated with negative consequences in oral and mental health. Objective: The present study aimed to investigate the toothache prevalence and the associated factors in disaster survivors. Method: A survey consisted of a questionnaire developed by the Research Center on Vulnerabilities and Health at UFMG, with questions involving mental health and oral health. All individuals selected or directly exposed to the disaster that fit the included inclusion criteria invited to participate in the study. 225 results selected for study. To evaluate the participants, we used instruments divided into individual constructs, related to the event, mental health, oral health. The collected data were transmitted via the internet to a database installed on the server that it stored as information and analyzed using the SPSS® software. Results: At the endpoint, the study included 225 adults, age mean 45.5±17.8 years. In univariate analysis, the prevalence of toothache was 16.9% and was higher in women (20.1% versus 11.1%, χ2 = 3.01, p= 0.097) subjects with generalized anxiety disorders (GAD) (57.9% versus 25.8%;χ2 = 14.9, p≥0.0001), major depressive disorder (MDD) (50 versus 24.6%, χ2 = 9.919, p=0.003), post-traumatic stress disorder (26.3 versus 9%, χ2 = 8.873, p=0.006), a lower social support satisfaction (SSSS). Conclusion: We found that post-disaster survivors in Brazil presented an elevated prevalence of toothache, and this oral symptom correlated with other dental impairments, anxiety disorder, and social support.