Evaluation of the history of caries and associated factors among quilombolas in Southeastern Brazil

  • Maria Cristina Almeida de Souza
  • Flávia Martão Flório


Aim: To evaluate caries prevalence and associated factors in Quilombola communities. Methods: The study involved a cross-sectional study with Quilombola communities in Southeastern Brazil, in 2011. The data were collected by interviews and clinical examination. The sample was checked for caries prevalence (dmft and DMFT index) by one trained and calibrated dentist, reaching acceptable levels of agreement for data collection. The data were analyzed using descriptive statistics and frequency distribution. The significance of the associations between the dependent variable (dental caries) and the independent variables was verified using chi-squared or Fisher’s Exact tests. Variables with a p-value <0.25 were tested using multiple logistic regression models in order to keep those with a pd”0.05 value. Odds ratios were estimated using regression models and 95% confidence intervals. The population consisted of 171 quilombolas (97% of total). Results: Mean dmft value was 1.91 (± 2.71) at age d”5 years and mean DMFT values were 1.20 (± 1.49), 3.50 (± 2.23), 10.3 (± 4.79), 22.9 (± 5.37), 22.8 (± 4.12), respectively in the age groups: 6-12, 13-18, 19-34, 35-59 years and 60 years or older. Age less than 5 years (p-value 0.014), own perception of oral health (p-value 0.040) and education level were variables associated with dental caries in permanent teeth and need for treatment in the deciduous dentition. Conclusions: High prevalence of dental caries indicates the need for restructuring the dental care provided to the quilombolas.


1. Brazilian Institute of Geography and Statistics. 2010 Census: overall results of the sample. Rio de Janeiro: IBGE; 2010.
2. Paixão M, Rossetto I, Montovanele F, Carvano LM. Annual Report of Racial Inequality in Brazil; 2009 to 2010. LAESER. Rio de Janeiro: Federal University of Rio de Janeiro; 2010.
3. Palmares Cultural Foundation. Quilombo communities [Internet]. 2011 [cited 2012 Feb 02]. Available from: http://www.palmares.gov.br/ quilombola/ #; 2000
4. Brazil. Presidency of the Republic. Decree 4887, 2003 November 20. Regulates the procedure for identification, recognition, delimitation, demarcation and granting of tenure of lands occupied by remnants of quilombo mentioned in art. 68 of the Temporary Constitutional Provisions. Official Gazette of the Federative Republic of Brazil, Brasília (DF), 2003. [Internet]. 2011. [cited 2012 Feb 02]. Available from: http:// www.planalto.gov.br/ccivil_03/decreto/2003/d4887.htm
5. Soares EF, Freire MCM, Araújo AC. Kalunga Community – GO, Brazil: first report on caries experience and oral health behaviour. Rev Paul Odontol. 2002; 24: 21-5.
6. Rose JAA. Epidemiology of oral health in quilombola community Patioba Sergipe-Brazil [dissertation]. Aracaju (SE): University of Tiradentes; 2012.
7. World Health Organization. Oral health surveys: basic methods. 4th ed. São Paulo: Santos; 1999.
8. Brazil. Ministry of Health. National oral health survey 2010. Main Results. Brazilia: Ministry of Health, 2011. Available from: dab/docs/geral/projeto_sb2010_relatorio_final.pdf.
9. Silva MEA, Rosa PCF, Neves ACC, Rode SM. Prosthetics needs of the Quilombola Population of Santo Antonio Guaporé, Rondônia. Braz Dent Sci. 2011; 14: 62-6.
10. Marques AS, Caldeira AP, Souza LR, Zucchi P, Cardoso WDA. The population slave descendents in the North of Minas Gerais: invisibility, inequalities, and denial of access to the public health system. Bol Inst Saude. 2010; 12: 154-61.
11. BRAZIL. Ministry of Health Department of Health Care, Department of Primary Care. Primary care information system: indicators 2011. Brasilia: Ministry of Health; 2011.
12. Brazilian Institute of Geography and Statistics [Internet]. 2010 [cited 2013 May 24]. Available from: http://cidades.ibge.gov.br/xtras/home.php
13. National Household Sample Survey 2011. [Internet]. 2012 [cited 2012 Sept 24]. Available from: http://www.ibge.gov.br/home/estatistica/ populacao/trabalhoerendimento/pnad2011/
14. Gibran TM. Quality of life and oral esthetic in the remanscent community of “Quilombo de Furnas do Dionísio, Mato Grosso do Sul” [master´s dissertation]. Campo Grande, MS: Dom Bosco Catholic University; 2006.
15. Silva JAN. Sanitary and health conditions at Caiana of Crioulos, a quilombo community in the State of Paraíba. Saude Soc. 2007; 16: 111-24.
16. Araújo MAR, Santana MC, Azevedo Filho RD. Epidemiological profile of the quilombo Sierra Bone-Pernambuco [monography]. Recife: Center of Research Ageu Magalhães; 2009.
17. National Registry of Health [Internet]. 2011 [cited 2013 May 23]. Available from: http://cnes.datasus.gov.br/Lista_Tot_Equipes.asp.
18. Peres KG, Peres MA, Boing AF, Bertoldi AD, Bastos JL, Barros AJB. Reduction of social inequalities in utilization of dental care in Brazil from 1998 to 2008. Rev Saude Publica. 2012; 46: 1-8.
19. Azenha MR, Lacerda AS, Handem RH, Ferreira EGP. Epidemiologic analysis of health buccal condition in elderly population. Int Dent J. 2011; 10: 228-33.
20. Prakash P, Subramaniam P, Durgesh BH, Konde S. Prevalence of early childhood caries and associated risk factors in preschool children of urban Bangalore, India: a cross-sectional study. Eur J Dent. 2012; 6: 141-52.
21. Amaral RC, Batista MJ, Meirelles MPMR, Cypriano S, Sousa MLR. Dental caries trends among preschool children in Indaiatuba, SP, Brazil. Braz J Oral Sci. 2014. 13:1-5.
22. Almeida DL, Nascimento DOR, Rocha ND, Dias AGA, Castro RFM, Closs OS. Oral health assessment of preschool children aged 4 to 7 years attending a philanthropic daycare center. RGO. 2011; 59: 271-5.
23. Prado SU, Bastos JRM, Mestriner JW. Epidemiology of carious lesions in the primary dentition of pre-school children of Brodowski-SP. Rev ABO Nac. 2003; 11: 343-9.
24. Brazil. Ministry of Health. National oral health survey 2010. Main Results. Brasilia: Ministry of Health; 2011.
25. Melo MMDC, Souza WV, Lima MLC, Braga C. Factors associated with dental caries in preschoolers in Recife, Pernambuco State, Brazil. Cad Saude Publica. 2011; 27: 471-85.
26. Baldani MH, Brito WH, Lawder JAC, Mendes YBE, Silva FFM, Antunes JLF. Individual determinants of dental care utilization among low-income adult and elderly individuals. Rev Bras Epidemiol. 2010; 13: 150-62.
27. Antunes JLF, Peres MA, Mello TRC. Individual and contextual determinants of dental treatment needs of children with primary dentition in Brazil. Cienc Saude Col. 2006; 11: 79-87.
28. Tobias R, Parente RCP, Rebelo MAB. Prevalence of dental caries and treatment needs among 12-year-old children in a small-sized municipality in the Amazon region. Rev Bras Epidemiol. 2008; 11: 608-18.
29. Araújo MVA. Study of oral health conditions and treatment needs of patients of the dentistry course at the Federal University of Para [dissertation]. São Paulo: University of São Paulo; 2003.
How to Cite
DE SOUZA, Maria Cristina Almeida; FLÓRIO, Flávia Martão. Evaluation of the history of caries and associated factors among quilombolas in Southeastern Brazil. Brazilian Journal of Oral Sciences, [S.l.], p. 175-181, dec. 2016. ISSN 1677-3225. Available at: <https://www.fop.unicamp.br/bjos/index.php/bjos/article/view/425>. Date accessed: 17 july 2019.
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