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Previous issue date: 2015-03-03 === A trajet?ria de vida percorrida pelo indiv?duo determina sua forma de adoecer e manter-se
saud?vel; al?m disso, os determinantes sociais da sa?de influenciam a sa?de da popula??o ao
longo do seu curso de vida. O objetivo deste trabalho foi investigar a sa?de bucal e seus
fatores determinantes ao longo do curso de vida dos jovens no munic?pio de Sobral, Cear?.
Tratou-se de um estudo de coorte, com tr?s ondas: 2000, 2006 e 2012. Foram examinados e
entrevistados 482 indiv?duos nas tr?s ondas, atualmente, na faixa et?ria de 17 a 21 anos.
Investigaram-se a c?rie dent?ria, m? oclus?o, doen?a periodontal, edentulismo e traumatismo
dent?rio. As vari?veis independentes coletadas na ?ltima onda foram as caracter?sticas
sociodemogr?ficas, utiliza??o de servi?os e a??es de sa?de bucal, autopercep??o de sa?de
bucal e h?bitos e comportamentos de sa?de bucal. Foi analisada a incid?ncia de c?rie de 2006
para 2012, a trajet?ria da c?rie dent?ria, a trajet?ria da assist?ncia odontol?gica e a trajet?ria
da condi??o socioecon?mica familiar. Os dados foram analisados no programa SPSS vers?o
20, no qual foram utilizados os testes t de student, ANOVA e regress?o de Poisson. A
incid?ncia m?dia de c?rie de 2006 para 2012 foi de 2,95 dentes. As condi??es
socioecon?micas apresentaram-se como fatores de risco para todos os desfechos investigados
nas diferentes ondas. A participa??o em grupos de adolescentes apresentou-se como fator de
prote??o para sa?de bucal, enquanto a utiliza??o dos servi?os de sa?de bucal implicou no
aumento da recidiva de c?rie e mutila??o dent?ria. As teorias explicativas do life course
(per?odo cr?tico, mobilidade socioecon?mica e acumula??o de risco) foram comprovadas
neste estudo. Aqueles que nunca foram pobres apresentaram melhores condi??es de sa?de
bucal, enquanto empobrecer acarretou uma piora no quadro de sa?de bucal. Por?m, o risco foi
maior para aqueles que permaneceram sempre pobres e com maior experi?ncia de pobreza ao
longo da vida. Verificou-se a presen?a de iniquidades em sa?de bucal e de assist?ncia
odontol?gica na popula??o investigada. === The life pathway determines the way of getting sick and staying healthy and the social
determinants of health influence population health throughout their life course. The aim of
this study was to investigate the oral health and its determinants throughout the life course of
young people in Sobral, Cear?. This was a cohort study with three waves: 2000, 2006 and
2012. 482 individuals aged 17-21 years were examined and interviewed in the three waves.
Were investigated tooth decay, malocclusion, periodontal disease, tooth loss and dental
trauma. The independent variables collected in the last wave were: sociodemographics
factors, use of dental services and actions, self-perceived oral health and habits and oral health
behaviors. Caries incidence from 2006 to 2012, the trend of dental caries, the trajectory of
dental care and the trajectory of family socioeconomic status was analyzed. Data were
analyzed using SPSS version 20, where the student t test, ANOVA and Poisson regression
were used. The average incidence of caries from 2006 to 2012 was 2.95 teeth. Socioeconomic
conditions presented themselves as risk factors for all outcomes investigated in different
waves. The social capital is presented as a protective factor for oral health, while the use of
oral health services implied an increase of recurrent caries and mutilation. Explanatory
theories of life course (critical period, socioeconomic mobility and accumulation of risk) were
proven in this study. Those who were never poor had better oral health conditions, while
downwardly mobile entails a worsening in the context of oral health. However, the risk was
higher for those who have always remained poor and have had most experienced poverty
throughout life. There was the presence of inequalities in oral health and at the utilization of
dental services.
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