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RESUMEN. Antecedentes: Se requiere analizar la situacion de salud bucal en grupos vulnerables desde la perspectiva de los determinantes sociales para establecer estrategias de intervencion efectivas. Objetivo: Describir el estado de salud bucal y factores relacionados en un grupo de mujeres en situacion de prostitucion en la ciudad de Medellin (Colombia). Metodos: Este fue un estudio descriptivo en una muestra por conveniencia de 53 mujeres que ejercen la prostitucion. Se aplico encuesta y examen clinico y se analizaron variables de autopercepcion de salud bucal, indice COP-D (cariados, obturados y perdidos), indice de caries significativa (SiC), problemas de articulacion temporomandibular (ATM) y estado protesico. Resultados: 88,2 % de las mujeres encuestadas reportaron un mal estado de salud bucal, 81 % se sentian insatisfechas con su estado bucal y 60 % reporto problemas bucales. La prevalencia de caries dental fue del 64 %, con un COP-D de 15,6 (±8,4), y un SiC de 25,5 (±3,6). Se presentaron diferencias en el estado de salud bucal en indicadores clinicos y subjetivos segun factores sociodemograficos. Mas de tres cuartas partes requerian cambia o realizar nuevas protesis superiores o inferiores. En casi la mitad se hallaron ruidos articulares en la ATM segun evaluacion clinica. Conclusiones: El estado de salud bucal segun los indicadores analizados es reflejo de las condiciones sociales en que se encuentran estas mujeres. Se encontraron diferencias en los indicadores de salud bucal de acuerdo con diferentes factores sociodemograficos, lo cual sugiere la influencia de los determinantes sociales en las desigualdades en salud bucal.ABSTRACT. Background: The analysis of the oral health situation in vulnerable groups from a perspective of social determinants is required to implement effective intervention strategies. Purpose: To describe the oral health status and its related factors in a group of women in situation of prostitution in Medellin (Colombia). Methods: A descriptive study was conducted with a convenience sample of 53 women. A survey and clinical examination was carried out. The study analyzed variables related to self-perceived oral health, DTMF Index, Significant Caries Index (SiC), temporomandibular joint problems (TMJ), and the status of fixed/removable prosthesis. Results: 88.2 % of the surveyed women reported their oral health status was poor, 81 % of them felt unsatisfied with their mouth, and 60 % reported oral problems. The prevalence of dental caries was 64 %, with a DTMF of 15.6 (± 8.4), and a SiC of 25.5 (± 3.6). There were differences in oral health status in clinical and subjective indicators according to sociodemographic factors. More than three-quarters required changing or making new upper and/or lower partial or fixed dentures. In almost half, articular noises were found in TMJ according to the clinical evaluation. Conclusions: The oral health status, from the basis of the indicators analyzed, reflects the social conditions found in these women. Differences in the oral health indicators were in accordance to sociodemographic factors. This situation suggests that there is an influence of social determinants on oral health inequalities.

universitas odontológica

Estado de salud bucal y factores relacionados en mujeres en situación de prostitución en Medellín (Colombia) / Oral health status and its related factors in a group of women in situation of prostitution in Medellín (Colombia)