Depressive symptoms and untreated dental caries in older independently living South Brazilians.
BACKGROUND
The importance of psychological reactions in modifying oral health behaviors and salivary immunity has been shown previously, but few studies assessed whether psychological reactions are associated with caries in populations. Thus, the aim of this study was to examine the association of depressive symptoms with untreated caries using a hierarchal approach.


METHODS
In this cross-sectional study, a random sample of 390 South Brazilians aged 60 years or more was evaluated using a structured questionnaire assessing sociodemographic, behavior, health and depressive symptoms (Geriatric Depression Scale) data. Oral examinations were carried out in order to assess: (1) dental status, using the DMFT index; (2) dental plaque, using the Visible Plaque Index, and (3) unstimulated saliva flow, using the spit method. A hierarchical model based on the framework of caries was carried out to assess whether depressive symptoms were associated with prevalent untreated dental caries (or D >0).


RESULTS
Depressive symptoms, number of teeth and plaque accumulation were significant predictors of caries with respect to the D >0 outcome.


CONCLUSIONS
Our findings suggest that depressive symptoms may act as determinants of caries, adding to the body of knowledge supporting the importance of psychological reactions in oral health/disease processes.
Center of Social Dentistry Research, Faculty of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil. fernando.hugo@ufrgs.br
F N
FN
Hugo
J B
JB
Hilgert
M D L R
MD
de Sousa
J A
JA
Cury
D000368:Aged; D001938:Brazil; D003430:Cross-Sectional Studies; D004245:DMF Index; D003731:Dental Caries / Q000523:psychology*; D003774:Dental Plaque Index; D003863:Depression / Q000523:psychology*; D004522:Educational Status; D005260:Female; D015577:Geriatric Assessment; D015438:Health Behavior; D006304:Health Status; D006801:Humans; D007182:Income; D057187:Independent Living; D008297:Male; D017533:Marital Status; D008875:Middle Aged; D009909:Oral Health; D055553:Prescription Drugs; D012111:Residence Characteristics; D012463:Saliva / Q000378:metabolism; D012636:Secretory Rate / Q000502:physiology; D012907:Smoking; D014099:Toothbrushing
D055553:Prescription Drugs