Lesions in dental tissues and oral health disorders in the occupational medical examination of workers in the construction sector in Lima, Peru
DOI:
https://doi.org/10.20453/reh.v33i4.5110Keywords:
occupational dentistry, occupational medicine, occupational exposure, occupational health, dental caries, dental trauma.Abstract
Objective: To describe the lesions in dental tissues and oral health disorders found during the occupational medical examination of workers in the construction sector in Lima, Peru. Material and methods: A cross-sectional epidemiological study was carried out on 150 workers in the construction sector, selected by simple random sampling. A stomatological evaluation was carried out by direct observation, and a dental-occupational evaluation instrument was used with indexes for dental caries, caries severity and dental trauma, and indicators of clinical consequences of untreated caries (pulp pathology) and non-carious lesions. Results: The caries experience of operators without higher education (CPOD = 14.99) and with higher education (CPOD = 13.06) was higher than that of supervisors (CPOD = 8.23) and administrative workers (CPOD = 5.08). The operators without higher education (SiC = 18.04) and with higher education (SiC = 17.17) presented worse caries significance indicators compared to supervisors (SiC = 13.67) and administrative workers (SiC = 8.25). In addition, operators without higher education had a higher burden of clinical consequences of untreated caries (PUFA = 2.35; severity = 9.2%) compared to operators with higher education (PUFA = 1.91; severity = 8.4%), supervisors (PUFA = 0.53; severity = 2.1%) and administrators (PUFA = 0.46; severity = 1.8%), as well as a higher frequency of non-carious lesions (47.3%) and dental trauma (21.3%). Conclusions: Dental health, its clinical consequences, and the structure of the dental tissues of the operative workers of a construction company are more affected compared to the other labor groups of the same company.
References
Ley n.° 29783, Ley de Seguridad y Salud en el Trabajo [Internet]. Lima: Congreso de la República; 2011. Disponible en: https://web.ins.gob.pe/sites/default/files/Archivos/Ley%2029783%20SEGURIDAD%20SALUD%20EN%20EL%20TRABAJO.pdf
Decreto Supremo n.° 005-2012-TR, que aprueba el Reglamento de la Ley n.° 29783, Ley de Seguridad y Salud en el Trabajo [Internet]. Lima: Congreso de la República; 2012. Disponible en: https://busquedas.elperuano.pe/dispositivo/NL/781249-1
Ley n.° 30222, Ley que modifica la Ley n.° 29783, Ley de Seguridad y Salud en el Trabajo [Internet]. Lima: Congreso de la República; 2014. Disponible en: https://www.gob.pe/institucion/minedu/normas-legales/118483-30222
Decreto Supremo n.º 006-2014-TR, que modifica el Reglamento de la Ley n.° 29783, Ley de Seguridad y Salud en el Trabajo, aprobado por Decreto Supremo n.° 005-2012-TR [Internet]. Lima: Congreso de la República; 2014. Disponible en: https://busquedas.elperuano.pe/dispositivo/NL/1121443-3
Resolución Ministerial n.° 571-2014/MINSA, que modifica documento técnico «Protocolos de Exámenes Médico Ocupacionales y Guías de Diagnóstico de los Exámenes Médicos Obligatorios por Actividad», aprobado por RM n.° 312-2011/MINSA [Internet]. Lima: Ministerio de Salud; 2014. Disponible en: https://www.gob.pe/institucion/minsa/normas-legales/198521-571-2014-minsa
Resolución Ministerial n.° 312-2011-MINSA, que aprueba documento técnico «Protocolos de Exámenes Médico Ocupacionales y Guías de Diagnósticos de los Exámenes Médicos Obligatorios por Actividad» [Internet]. Lima: Ministerio de Salud; 2011. Disponible en: https://www.gob.pe/institucion/minsa/normas-legales/243792-312-2011-minsa
Sharma A, Thomas S, Dagli RJ, Solanki J, Arora G, Singh A. Oral health status of cement factory workers, Sirohi, Rajasthan, India. J Health Res Rev [Internet]. 2014; 1(1): 15-19. Disponible en: https://www.jhrr.org/article.asp?issn=2394-2010;year=2014;volume=1;issue=1;spage=15;epage=19;aulast=Sharma
Tomita NE, Montenegro Chinellato LE, Pereira Lauris JR, Minami Kussano C, Mendes HJ, Valente Cardoso MR. Oral health of building construction workers: an epidemiological approach. J Appl Oral Sci [Internet]. 2005; 13(1): 24-27. Disponible en: https://www.scielo.br/j/jaos/a/w3Bdr4kXSjwBKwDf3KDymXk/?lang=en
Sakthi SS, John J, Saravanan S, Kumar RP. Periodontal health status and treatment needs among building construction workers in Chennai, India. J Int Oral Health [Internet]. 2011; 3(6): 7-13. Disponible en: https://www.ispcd.org/userfiles/rishabh/jioh-03-06-008.pdf
Nagarajappa R, Sanadhya S, Sharda AJ, Asawa K, Tak M, Batra M, et al. Assessment of the periodontal status among Kota stone workers in Jhalawar, India. J Clin Diagn Res [Internet]. 2013; 7(7): 1498-1503. Disponible en: https://www.jcdr.net/article_fulltext.asp?issn=0973-709x&year=2013&month=July&volume=7&issue=7&page=1498-1503&id=3173
Sakthi S, John J, Saravanan S, Kumar P. Dental caries and treatment needs in construction workers. J Oral Health Res [Internet]. 2010; 1(3): 118-123. Disponible en: https://go.gale.com/ps/i.do?p=AONE&u=googlescholar&id=GALE|A254402272&v=2.1&it=r&sid=AONE&asid=3d67f895
Nogueira DP. Odontologia e saúde ocupacional. Rev Saúde Pública [Internet]. 1972; 6(2): 211-223. Disponible en: https://www.scielo.br/j/rsp/a/5Hsp54QRjDwp5TRvJ8qknFB/?lang=pt
Amin WM, Al-Omoush SA, Hattab FN. Oral health status of workers exposed to acid fumes in phosphate and battery industries in Jordan. Int Endod J [Internet]. 2001; 51(3): 169-174. Disponible en: https://www.sciencedirect.com/science/article/pii/S0020653920355982?via%3Dihub
Pereira Vianna MI, Sousa Santana V. Exposição ocupacional a névoas ácidas e alterações bucais: uma revisão. Cad Saúde Pública [Internet]. 2001; 17(6): 1335-1344. Disponible en: https://www.scielo.br/j/csp/a/nHFLvtZXBzNPjQPSj3MsBHx/?lang=pt
Mazzilli LEN. Odontologia do trabalho. Teoria e prática. São Paulo: Santos; 2013.
Baptista P. Odontologia do trabalho. Uma visão multidisciplinar. São Paulo: Rubio; 2014.
Da Silva E, Martins I. Odontologia do trabalho. Construção e conhecimento. ABOT. São Paulo: Rubio; 2009.
Medeiros U. Fundamentos de odontologia do trabalho. São Paulo: Santos; 2011.
Kopias JA. Multidisciplinary model of occupational health servicies. Medical and non-medical aspects of occupational health. Int J Occup Med Environ Health [Internet]. 2001; 14(1): 23-28. Disponible en: https://pubmed.ncbi.nlm.nih.gov/11428252/
Gomero Cuadra R, Zevallos Enriquez C, Llapyesan C. Medicina del trabajo, medicina ocupacional y del medio ambiente y salud ocupacional. Rev Med Hered [Internet]. 2006; 17(2): 105-108. Disponible en: https://revistas.upch.edu.pe/index.php/RMH/article/view/915
Ministerio de Salud; Instituto Nacional de Salud; Centro Nacional de Salud Ocupacional y Protección del Ambiente para la Salud. Guía de práctica clínica para el examen médico ocupacional. Guías de Evaluación Médico-Ocupacional (GEMO-001). Lima: Minsa; 2008. Disponible en: https://www.gob.pe/institucion/minsa/informes-publicaciones/314103-guia-de-practica-clinica-para-el-examen-medico-ocupacional
World Health Organization. Oral health surveys: basic methods. Geneva: WHO; 1971.
World Health Organization. Oral health surveys: basic methods. 2nd ed. Geneva: WHO; 1977.
World Health Organization. Oral health surveys: basic methods. 3rd ed. Geneva: WHO; 1987.
World Health Organization. Oral health surveys: basic methods. 4th ed. Geneva: WHO; 1997.
World Health Organization. Oral health surveys: basic methods. 5th ed. Geneva: WHO; 2013.
Klein H, Palmer CE. Dental caries in American Indian children. Washington D. C.: U. S. Treasury Department; 1937.
Cuniberti N, Rossi G. Lesiones cervicales no cariosas: la lesión dental del futuro. Buenos Aires: Editorial Médica Panamericana; 2009.
Monse B, Heinrich-Weltzien R, Benzian H, Holmgren C, Van Palenstein Helderman W. PUFA – An index of clinical consequences of untreated dental caries. Community Dent Oral Epidemiol [Internet]. 2010; 38(1): 77-82. Disponible en: https://onlinelibrary.wiley.com/doi/10.1111/j.1600-0528.2009.00514.x
Zaitsu T, Kanazawa T, Shizuma Y, Oshiro A, Takehara S, Ueno M, et al. Relationships between occupational and behavioral parameters and oral health status. Ind Health [Internet]. 2017; 55(4): 381-390. Disponible en: https://www.jstage.jst.go.jp/article/indhealth/55/4/55_2017-0011/_article
Janapareddy K, Parlapalli V, Pydi S, Pottem N, Chatti P, Teja A. Oral Health Status and Oral Health-Related Quality of Life (OHRQoL) among Steel factory workers of Visakhapatnam – A cross-sectional study. J Family Med Prim Care [Internet]. 2020; 9(10): 5309-5315. Disponible en: https://journals.lww.com/jfmpc/Fulltext/2020/09100/Oral_Health_Status_and_Oral_Health_Related_Quality.39.aspx
Chaturvedi P, Bhat N, Asawa K, Tak M, Bapat S, Vardhan V. Assessment of tooth wear among glass factory workers: WHO 2013 Oral Health Survey. J Clin Diagn Res [Internet]. 2015; 9(8): ZC63-ZC66. Disponible en: https://jcdr.net/article_fulltext.asp?issn=0973-709x&year=2015&volume=9&issue=8&page=ZC63&issn=0973-709x&id=6352
Kumar A, Puranik MP, Sowmya KR, Rajput S. Impact of occupational dental erosion on oral health-related quality of life among battery factory workers in Bengaluru, India. Dent Res J (Isfahan) [Internet]. 2019; 16(1): 12-17. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30745913/
Ugolini A, Battista G, Casali C, Silvestrini-Biavati A, Giacinti F. Work-related traumatic dental injuries: prevalence, characteristics and risk factors. Dent Traumatol [Internet]. 2018; 34(1): 36-40. Disponible en: https://onlinelibrary.wiley.com/doi/10.1111/edt.12376
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