Evaluation of the Impact of Oral Health on the Daily Activities of Users of the National Health System
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Definition and Inclusion
2.2. Sample Calculation and Data Collection
2.3. Data Analysis
2.3.1. Part 1—Pre-Production
2.3.2. Part 2—Production
2.3.3. Part 3—Post-Production
3. Results
3.1. Data Collection
3.2. Socioeconomic and Clinical Variables
3.3. Young People’sOIDP Score
3.4. Adult OIDP Questionnaire Stratified by Family Risk
3.5. The Wood Classification
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Gusso, G.; Lopes, J.M.C. Tratado de medicina de família e comunidade: Princípios, formaçãoe prática. Artes Méd. 2018, II, 845–xxii. [Google Scholar]
- Cunha, C.L.F.; Gama, M.E.A. A Visita Domiciliar no Âmbito da Atenção Primária em Saúde. Publicado em Malagutti W (Organizador). Assistência Domiciliar. Assistência Domiciliar—Atualidadesda Assistência de Enfermagem. 2012. Volume 336. Available online: https://edisciplinas.usp.br/pluginfile.php/3509189/mod_resource/content/1/A_VISITA_DOMICILIAR_NO_MBITO_DA_ATENO_PRIMRIA_EM_SADE.pdf (accessed on 3 May 2023).
- Abrahão, A.L.; Lagrange, V. Abrahão, A.L.; Lagrange, V. A Visita Domiciliar Como uma Estratégia da Assistência no Domicílio. In Modelos de Atenção e a Saúde da Família; Morosini, M.V.G.C., Corbo, A.D., Eds.; ESPJV/FIOCRUZ: Rio de Janeiro, Brazil, 2007; pp. 151–171. Available online: https://www.arca.fiocruz.br/handle/icict/39173 (accessed on 3 May 2023).
- De Albuquerque, A.B.B.; Bosi, M.L.M. Visita domiciliar no âmbito da Estratégia Saúde da Família: Percepções de usuários no Município de Fortaleza, Ceará, Brasil. Cad. Saúde Pública 2009, 25, 1103–1112. [Google Scholar] [CrossRef] [PubMed]
- Da Cunha, M.S.; Sá, M.D.C. A visita domiciliar na estratégia de saúde da família: Os desafios de se mover no território. Interface-Comun. Saúde Educ. 2013, 17, 61–73. [Google Scholar] [CrossRef]
- Baldani, M.H.; Fadel, C.B.; Possamai, T.; Queiroz, M.G.S. A inclusão da odontologia no Programa Saúde da Família no Estado do Paraná, Brasil. Cad. Saúde Pública 2005, 21, 1026–1035. [Google Scholar] [CrossRef] [PubMed]
- De Lucena, E.H.G.; de Lucena, C.D.R.X.; Alemán, J.A.d.S.; Júnior, G.A.P.; Pereira, A.C.; Cavalcanti, Y.W. Monitoramento das equipes de saúde bucal após a Política Nacional de Atenção Básica 2017. Rev. Saúde Publica 2020, 54, 99. [Google Scholar] [CrossRef] [PubMed]
- Raymundo, M.L.; Freire, A.R.; Gomes-Freire, D.E.; Silva, R.O.; Araújo, E.C.; Ishigame, R.T.; Sousa, S.; Lucena, E.; Cavalcanti, Y. Trend of hospitalized cases of oral cancer in Brazil and its relationship with oral health coverage in public health system between 2009 and 2017. Med. Oral Patol. Oral Cir. Bucal 2021, 26, e78–e83. [Google Scholar] [CrossRef] [PubMed]
- Pourat, N.; Chen, X.; Lu, C.; Zhou, W.; Hoang, H.; Hair, B.; Bolton, J.; Sripipatana, A. The role of dentist supply, need for care and long-term continuity in Health Resources and Services Administration-funded health centres in the United States. Community Dent. Oral Epidemiol. 2020, 49, 291–300. [Google Scholar] [CrossRef]
- Fiorillo, L. Oral Health: The First Step to Well-Being. Medicina 2019, 55, 676. [Google Scholar] [CrossRef]
- Faria, D.R.G.; Bartole, M.C.S. Educação e aprendizagem em saúde bucal: A experiência de um trabalho voluntário. Cad. Odontol. UNIFESO 2020, 2, 126–134. [Google Scholar]
- Gill, B.; Harris, A.; Tredwin, C.; Gill, P. Multimorbidity and oral health: Need for new models of care. Fam. Med. Community Health 2020, 8, e000387. [Google Scholar] [CrossRef]
- Kallio, J.; Kauppila, T.; Suominen, L.; Heikkinen, A.M. Recording of diagnoses in public primary oral health care in a retrospective longitudinal observational study in a Finnish town: Underrepresentation of periodontitis diagnoses. Clin. Exp. Dent. Res. 2020, 6, 457–461. [Google Scholar] [CrossRef] [PubMed]
- Everaars, B.; Ćosić, K.J.; Bleijenberg, N.; De Wit, N.J.; Van Der Heijden, G.J.M.G. Exploring associations between oral health and frailty in community-dwelling older people. J. Frailty Aging 2020, 10, 56–62. [Google Scholar] [CrossRef] [PubMed]
- Krausch-Hofmann, S.; Tran, T.D.; Janssens, B.; Declerck, D.; Lesaffre, E.; de Almeida Mello, J.; Declercq, A.; De Lepeleire, J.; Duyck, J. Assessment of oral health in older adults by non-dental professional caregivers—Development and validation of a photograph-supported oral health–related section for the interRAI suite of instruments. Clin. Oral Investig. 2020, 25, 3475–3486. [Google Scholar] [CrossRef] [PubMed]
- Aerts, D.; Abegg, C.; Cesa, K. O papel do cirurgião-dentista no Sistema Único de Saúde. Ciênc. Saúde Colet. 2004, 9, 131–138. [Google Scholar] [CrossRef]
- Reis, W.G.; Scherer, M.D.d.A.; Carcereri, D.L. O trabalho do Cirurgião-Dentista na Atenção Primária à Saúde: Entre o prescrito e o real. Saúde Debate 2015, 39, 56–64. [Google Scholar] [CrossRef]
- Pinheiro, P.M.; de Oliveira, L.C. A contribuição do acolhimento e do vínculo na humanização da prática do cirurgião-dentista no Programa Saúde da Família. Interface-Comun. Saúde Educ. 2010, 15, 185–198. [Google Scholar] [CrossRef]
- Franciscatto, G.J.; Brennan, D.S.; Gomes, M.S.; Rossi-Fedele, G. Association between pulp and periapical conditions and dental emergency visits involving pain relief: Epidemiological profile and risk indicators in private practice in Australia. Int. Endod. J. 2020, 53, 887–894. [Google Scholar] [CrossRef]
- Harris, R.; Vernazza, C.; Laverty, L.; Lowers, V.; Burnside, G.; Brown, S.; Higham, S.; Ternent, L. Presenting patients with information on their oral health risk: The PREFER three-arm RCT and ethnography. Health Serv. Deliv. Res. 2020, 8, 1–126. [Google Scholar] [CrossRef]
- Savassi, L.C.M.; Lage, J.L.; Coelho, F.L.G. Sistematização de instrumento de estratificação de risco familiar: A Escala de Risco Familiar de Coelho-Savassi. JMPHC J. Manag. Prim. Health Care 2013, 3, 179–185. [Google Scholar] [CrossRef]
- Coelho, F.L.G.; Savassi, L.C.M. Aplicação de Escala de Risco Familiar como instrumento de priorização das Visitas Domiciliares. Rev. Bras. Med. Fam. Comunidade 2004, 1, 19–26. [Google Scholar] [CrossRef]
- Adulyanon, S.; Vourapukjaru, J.; Sheiham, A. Oral impacts affecting daily performance in a low dental disease Thai population. Community Dent. Oral Epidemiol. 1996, 24, 385–389. [Google Scholar] [CrossRef] [PubMed]
- Gomes, A.S.; Abegg, C. O impacto odontológico no desempenho diário dos trabalhadores do Departamento Municipal de Limpeza Urbana de Porto Alegre, Rio Grande do Sul, Brasil. Cad. Saúde Pública 2007, 23, 1707–1714. [Google Scholar] [CrossRef] [PubMed]
- World Health Organization. International Classification of Impairments, Disabilities, and Handicaps: A Manual of Classi-Fication Relating to the Consequences of Disease; Published in Accordance with Resolution WHA29; 35 of the Twenty-Ninth World Health Assembly, May 1976; World Health Organization: Geneva, Switzerland, 1980. [Google Scholar]
- Masalu, J.R.; Åstrøm, A.N. Applicability of an abbreviated version of the oral impacts on daily performances (OIDP) scale for use among Tanzanian students. Community Dent. Oral Epidemiol. 2003, 31, 7–14. [Google Scholar] [CrossRef] [PubMed]
- Slade, G.D. Measuring Oral Health and Quality of Life; Chapel Hill Press: Chapel Hill, CA, USA, 1997; p. 385. [Google Scholar]
- Sheiham, A. A. A determinação de necessidades de tratamento odontológico: Uma abordagem social. In Saúde Buccal Coletiva; Editora Santos: São Paulo, Brazil, 2000; pp. 223–250. [Google Scholar]
- Braine, T. More oralh ealth care needed for ageing populations. Bull. World Health Organ. 2005, 83, 646–647. [Google Scholar]
- Gherunpong, S.; Sheiham, A.; Tsakos, G. A sociodental approach to assessing children’s oral health needs: Integrating an oral health-related quality of life (OHRQoL) measure into oral health service planning. Bull. World Health Organ. 2004, 84, 36–42. [Google Scholar] [CrossRef] [PubMed]
- Allen, P.F.; Locker, D. Do item weights matter? An assessment using the oral health impact profile. Community Dent. Health 1997, 14, 133–138. [Google Scholar]
- McGrath, C.; Bedi, R. Why are we ‘weighting’? An assessment of a self-weighting approach to measuring oral health-related quality of life. Community Dent. Oral Epidemiol. 2003, 32, 19–24. [Google Scholar] [CrossRef]
- Kida, I.; Åstrøm, A.; Strand, G.; Masalu, J.; Tsakos, G. Psychometric properties and the prevalence, intensity and causes of oral impacts on daily performance (OIDP) in a population of older Tanzanians. Health Qual. Life Outcomes 2006, 4, 56. [Google Scholar] [CrossRef]
- Bulgareli, J.V.; de Faria, E.T.; CortellazziI, K.L.; Guerra, L.M.; Meneghim, M.d.C.; Ambrosano, G.M.B.; Frias, A.C.; Pereira, A.C. Factors influencing the impact of oral health on the daily activities of adolescents, adults and older adults. Rev. Saude Publica 2018, 52, 44. [Google Scholar] [CrossRef]
- Castro, R.A.; Cortes, M.I.; Leão, A.T.; Portela, M.C.; Souza, I.P.; Tsakos, G.; Marcenes, W.; Sheiham, A. Child-OIDP index in Brazil: Cross-cultural adaptation and validation. Health Qual. Life Outcomes 2008, 6, 68. [Google Scholar] [CrossRef]
- Kimmie-Dhansay, F.; Pontes, C.C.; Chikte, U.M.E.; Chinhenzva, A.; Erasmus, R.T.; Kengne, A.P.; Matsha, T.E. Impacts of Tooth Loss on OHRQoL in an Adult Population in Cape Town, South Africa. Int. J. Environ. Res. Public Health 2021, 18, 4989. [Google Scholar] [CrossRef] [PubMed]
- Godinho, G.F.; Cavalheiro, A.; Luís, H.S.; Mexia, R. Validação do oral impacts on daily performances para a população portuguesa. Ciênc. Saúde Colet. 2018, 23, 4351–4360. [Google Scholar] [CrossRef]
- Åstrøm, A.N.; Haugejorden, O.; Skaret, E.; Trovik, T.A.; Klock, K.S. Oral Impacts on Daily Performance in Norwegian adults: Validity, reliability and prevalence estimates. Eur. J. Oral Sci. 2005, 113, 289–296. [Google Scholar] [CrossRef] [PubMed]
- Peres, K.G.; Cascaes, A.M.; Leão, A.T.T.; Côrtes, M.I.d.S.; Vettore, M.V. Sociodemographic and clinical aspects of quality of life related to oral health in adolescents. Rev. Saúde Pública 2013, 47, 19–28. [Google Scholar] [CrossRef] [PubMed]
- Da Cunha, I.P.; Pereira, A.C.; Frias, A.C.; Vieira, V.; Meneghim, M.d.C.; Batista, M.J.; Cortellazzi, K.L.; Bulgareli, J.V. Social vulnerability and factors associated with oral impact on daily performance among adolescents. Health Qual. Life Outcomes 2017, 15, 173. [Google Scholar] [CrossRef] [PubMed]
- Vale, E.B.D.; Mendes, A.D.C.G.; Moreira, R.D.S. Autopercepção da saúde bucal entre adultos na região Nordeste do Brasil. Rev. Saúde Pública 2013, 47, 98–108. [Google Scholar] [CrossRef]
- Peres, J.; Mendes, K.L.C.; Wada, R.S.; Sousa, M.d.L.R.d. Relação entre classificações de risco utilizadas para organização da demanda em saúde bucal em município de pequeno porte de São Paulo, Brasil. Ciênc. Saúde Colet. 2017, 22, 1905–1911. [Google Scholar] [CrossRef]
- Gouvêa, G.R.; Bulgareli, J.V.; David, L.L.; Ambrosano, G.M.B.; Cortellazzi, K.L.; Guerra, L.M.; Frias, A.C.; Meneghim, M.d.C.; Pereira, A.C. Variables associated with the oral impact on daily performance of adults in the state of São Paulo: A population-based study. PLoS ONE 2018, 13, e0203777. [Google Scholar] [CrossRef]
- Rebouças, A.G.; Cavalli, A.M.; Zanin, L.; Ambrosano, G.; Florio, F.M. Factors associated with Brazilian adolescents’ satisfaction with oral health. Community Dent. Health 2018, 35, 95–101. [Google Scholar] [CrossRef]
- Levorato, C.D.; Mello, L.M.; Silva, A.S.; Nunes, A.A. Fatores associados à procura por serviços de saúde numa perspectiva relacional de gênero. Ciênc. Saúde Colet. 2014, 19, 1263–1274. [Google Scholar] [CrossRef]
- Marques, L.S.; Ramos-Jorge, M.L.; Paiva, S.M.; Pordeus, I.A. Malocclusion: Esthetic impact and quality of life among Brazilian school children. Am. J. Orthod. Dentofac. Orthop. 2006, 129, 424–427. [Google Scholar] [CrossRef] [PubMed]
- Gushi, L.L.; Sousa, M.d.L.R.d.; Frias, A.C.; Antunes, J.L.F. Fatores associados ao impacto das condições de saúde bucal nas atividades de vida diária de adolescentes, Estado de São Paulo, 2015. Rev. Bras. Epidemiol. 2020, 23, e200098. [Google Scholar] [CrossRef] [PubMed]
- KatsueGuiotoku, S.; Tetu Moysés, S.; Jorge Moysés, S.; Sottile França, B.H.; Cezar Bisinelli, J. Iniquidades raciais em saúde bucal no Brasil. Rev. Panam. Salud Publica 2012, 31, 135–141. [Google Scholar]
- Pacheco, T.F.F.; de Faria, A.L.S.; Rezende, A.C.A.; Cozac, F.R.D.; de Lima, A.A.; Stefani, C.M. Influência do status tabágico na autopercepção de saúde bucal de Universitários. Rev. Odontol. Bras. Cent. 2014, 23, 24–29. [Google Scholar]
- Fausto, H.V.C.; de Sousa, R.S.; de Carvalho, C.A.P.; de Carvalho, F.S. Classificação do risco individual em saúde bucal para organização do atendimento odontológico. Rev. APS 2021, 23, 301–315. [Google Scholar] [CrossRef]
- De Jesus, J.T.A.; de Oliveira, T.Z.; de Carvalho, C.A.P.; de Carvalho, F.S. Autopercepção em saúde bucal de acordo com risco familiar. Arch. Health Investig. 2020, 9, 23–27. [Google Scholar] [CrossRef]
- Anghinoni, C.C. Proposta de mecanismos para organização da demanda de atendimento odontológico em unidades de saúde com uso de estratificação de risco. Rev. Compet. Sustentabilidade 2020, 7, 558–566. [Google Scholar] [CrossRef]
Socioeconomic and Clinical Variables | Young n (%) | Adults n (%) | |
---|---|---|---|
Age | 14.8 (SD = 1.77) a | 50.3 (SD = 17.65) a | |
Family Risk | 1 | 11 (57.9) | 219 (53.3) |
2 | 3 (15.8) | 93 (22.6) | |
3 | 5 (26.3) | 99 (24.1) | |
Sex | Female | 8 (42.1) | 257 (62.5) |
Male | 11 (57.9) | 154 (37.5) | |
Ethnicity | White | 12 (63.2) | 247 (61.9) |
Non-white | 7 (36.9) | 152 (38.1) | |
Marital Status | Single | 19 (100.0) | 107 (26.2) |
Married | - | 222 (54.4) | |
Widowed | - | 43 (10.5) | |
Divorced | - | 36 (8.8) | |
Educational Level | <4 years of study | 14 (73.7) | 140 (34.0) |
<8 years of study | 4 (21.1) | 65 (15.9) | |
<12 years of study | 1 (5.3) | 171 (41.6) | |
≥12 years of study | - | 35 (8.5) | |
Dental Flossing | Yes | 4 (21.1) | 199 (48.4) |
No | 15 (78.9) | 212 (51.6) | |
Tobacco Use | Yes | 3 (15.8) | 88 (21.4) |
No | 16 (84.2) | 323 (78.6) | |
Time of Tobacco Use | Months | 1 (33.3) | 1 (1.1) |
Years | 2 (66.7) | 87 (98.9) | |
Last Visit to the Dentist | Up to 6 months | 8 (42.1) | 156 (38.0) |
Up to 12 months | 5 (26.3) | 124 (30.2) | |
Up to 24 months | 3 (15.8) | 38 (9.2) | |
Over 24 months | 3 (15.8) | 93 (22.6) | |
Reason for Visit | Routine care | 14 (73.7) | 255 (62.0) |
Emergency | 5 (26.3) | 154 (37.5) | |
Other | - | 2 (0.5) | |
Denture Use | Yes | - | 130 (31.6) |
No | - | 281 (68.4) | |
Monthly Family Income | 1 minimum wage | - | 119 (29.2) |
2 minimum wages b | - | 156 (38.3) | |
More than 3 minimum wages b | - | 132 (32.4) |
Socioeconomic and Clinical Variables | R1n (%) | R2n (%) | R3n (%) | p-Value | |
---|---|---|---|---|---|
Sex | Female | 132 (51.4) | 63 (24.5) | 62 (24.1) | 0.460 |
Male | 87 (56.5) | 30 (19.5) | 37 (24) | ||
Ethnicity | White | 128 (51.8) | 57 (23.1) | 62 (25.1) | 0.574 |
Non-white | 82 (54) | 35 (23) | 35 (23) | ||
Marital Status | Single | 47 (43.9) | 33 (30.8) | 27 (25.2) | 0.295 |
Married | 127 (57.2) | 44 (19.8) | 51 (23) | ||
Widowed | 25 (58.1) | 8 (18.6) | 10 (23.3) | ||
Divorced | 18 (50) | 8 (22.2) | 10 (27.8) | ||
Educational Level | <4 years of study | 53 (37.9) | 36 (25.7) | 51 (36.4) | 0.004 |
<8 years of study | 41 (63.1) | 16 (24.6) | 8 (12.3) | ||
<12 years of study | 102 (59.6) | 36 (21.1) | 33 (19.3) | ||
≥12 years of study | 23 (65.7) | 5 (14.3) | 7 (20) | ||
Dental Flossing | Yes | 121 (60.8) | 43 (21.6) | 35 (17.6) | 0.004 |
No | 98 (46.2) | 50 (23.6) | 64 (30.2) | ||
Toothpick Use | Yes | 23 (29.5) | 25 (32.1) | 30 (38.5) | ≤0.0001 |
No | 196 (58.9) | 68 (20.4) | 69 (20.7) | ||
Tobacco Use | Yes | 34 (38.6) | 33 (37.5) | 21 (23.9) | ≤0.0001 |
No | 185 (57.3) | 60 (18.6) | 78 (24.1) | ||
Last Visit to the Dentist | Up to 6 months | 90 (57.7) | 32 (20.5) | 34 (21.8) | 0.335 |
Up to 12 months | 62 (50) | 35 (28.2) | 27 (21.8) | ||
Up to 24 months | 22 (57.9) | 5 (13.2) | 11 (28.9) | ||
Over 24 months | 45 (48.4) | 21 (22.6) | 27 (29) | ||
Reason for Visit | Routine Care | 148 (58.0) | 52 (20.4) | 55 (21.6) | 0.041 |
Emergency | 71 (46.1) | 40 (26) | 43 (27.9) | ||
Other | 0 (-) | 1 (50) | 1 (50) | ||
Denture Use | Yes | 62 (47.7) | 28 (21.5) | 40 (30.8) | 0.093 |
No | 157 (55.9) | 65 (23.1) | 59 (21.0) | ||
Monthly Family Income | 1 minimum wage a | 59 (49.6) | 31 (26.1) | 29 (24.4) | |
2 minimum wages a | 80 (51.3) | 38 (24.4) | 38 (24.4) | 0.358 | |
More than 3 minimum wages a | 80 (60.6) | 23 (17.4) | 29 (22) |
Variables | Adults | |||||||
---|---|---|---|---|---|---|---|---|
R1 | R2 | R3 | p-Value | Total | ||||
Mean (SD) a | n (%) | Mean (SD) a | n (%) | Mean (SD) a | n (%) | |||
A—Eating | 5.28 (3.36) | 46 (53.4) | 6.53 (3.20) | 19 (22.1) | 5.19 (3.04) | 21 (24.5) | 0.328 | 86 |
B—Talking | 5.33 (3.45) | 12 (54.5) | 3.80 (3.27) | 5 (22.7) | 3.60 (3.71) | 5 (22.7) | 0.510 | 22 |
C—Cleaning | 6.17 (3.05) | 18 (56.3) | 4.67 (3.61) | 6 (18.8) | 5.13 (3.44) | 8 (25) | 0.521 | 32 |
D—Sleeping | 6.32 (3.04) | 19 (48.7) | 5.58 (3.20) | 12 (30.8) | 6.38 (2.33) | 8 (20.5) | 0.756 | 39 |
E—Smiling | 7.00 (3.17) | 26 (59.1) | 8.38 (1.77) | 8 (18.2) | 7.70 (2.83) | 10 (22.7) | 0.495 | 44 |
F—Emotional state | 6.46 (2.87) | 28 (50) | 6.18 (3.40) | 11 (19.6) | 3.94 (3.19) | 17 (30.4) | 0.029 | 56 |
G—Performingwork | 7.56 (2.66) | 16 (48.5) | 6.50 (2.67) | 8 (24.3) | 5.78 (3.93) | 9 (27.3) | 0.384 | 33 |
H—Contact with people | 6.52 (3.36) | 23 (63.9) | 6.50 (2.89) | 4 (11.1) | 7.89 (2.20) | 9 (25) | 0.523 | 36 |
General | 17.24 (17.27) | 57 (44.9) | 16.70 (13.29) | 27 (21.6) | 15.19 (14.53) | 43 (33.9) | 0.881 | 127 |
Variable | Overall OIDP for Adult Tertiles | Total | |||
---|---|---|---|---|---|
From 0 to 8 | From 9 to 19 | Up to 20 | |||
Family Risk | 1 | a W1 (27) | b W2 (16) | W2 (20) | 63 |
2 | W1 (10) | W2 (6) | c W3 (10) | 26 | |
3 | W2 (13) | W3 (12) | W3 (13) | 38 | |
Total | 58 | 34 | 43 | 127 |
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Wood, A.; Pereira, A.; Araújo, E.; Ferigatto, J.; Buexm, L.; Barroso, E.; Vazquez, F. Evaluation of the Impact of Oral Health on the Daily Activities of Users of the National Health System. Int. J. Environ. Res. Public Health 2024, 21, 92. https://doi.org/10.3390/ijerph21010092
Wood A, Pereira A, Araújo E, Ferigatto J, Buexm L, Barroso E, Vazquez F. Evaluation of the Impact of Oral Health on the Daily Activities of Users of the National Health System. International Journal of Environmental Research and Public Health. 2024; 21(1):92. https://doi.org/10.3390/ijerph21010092
Chicago/Turabian StyleWood, Adriane, Antonio Pereira, Enoque Araújo, Júlia Ferigatto, Luisa Buexm, Eliane Barroso, and Fabiana Vazquez. 2024. "Evaluation of the Impact of Oral Health on the Daily Activities of Users of the National Health System" International Journal of Environmental Research and Public Health 21, no. 1: 92. https://doi.org/10.3390/ijerph21010092