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.
Downloads
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
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
The authors retain the copyright and cede to the journal the right of first publication, with the work registered with the Creative Commons License, which allows third parties to use what is published as long as they mention the authorship of the work, and to the first publication in this journal.