Oral health of an indigenous population in northeastern Brazil: a cross-sectional Study of the Fulni-ô ethnic group

Sao Paulo Med J. 2023 Jul 31;142(1):e2022355. doi: 10.1590/1516-3180.2022.0355.R1.10042023. eCollection 2023.

Abstract

Background: There is a lack of studies evaluating the oral health of traditional indigenous communities in Brazil.

Objectives: Thus, the objective of this study was to describe the oral health characteristics of the indigenous Fulni-ô ethnic group in Northeast Brazil.

Design and setting: A cross-sectional observational investigation was conducted within the Project on Atherosclerosis among Indigenous Populations.

Methods: This study included participants of both sexes from the Fulni-ô ethnic group. The participants included in this investigation underwent a comprehensive oral health evaluation by a registered and experienced dentist to assess oral health and identify potentially malignant oral lesions. Participants with suspicious lesions were referred for biopsy. Shapiro-Wilk, Mann-Whitney, and Student's t-tests were used, and measures of central tendency and dispersion were described. Statistical significance was 5%.

Results: A total of 104 individuals were included in this study. The prevalence of the use of tobacco derivatives was 94.0%, with similarities between sexes. The prevalence of oral changes in this study population was 84.4%. Fifty-one individuals who underwent oral reassessment were referred for oral lesion biopsy.

Conclusions: This study demonstrated a high prevalence of oral alterations in the Fulni-ô population. Histopathological analyses indicated the presence of mild oral epithelial dysplasia in five cases.

MeSH terms

  • Brazil / epidemiology
  • Cross-Sectional Studies
  • Ethnicity*
  • Female
  • Humans
  • Indigenous Peoples
  • Male
  • Oral Health*
  • Prevalence