Abstract

Even assuming a significant role in prevention model in Brazilian health, oral cancer continues to raise the rates of morbidity and mortality, becoming a national public health problem. To examine changes in the mouths of individuals in the population, seek and identify the presence of lesions, minor or not, and raise awareness about the risks of oral cancer. 21,018 patients over 30 years of age in 98 municipalities in Paraná were examined between 1989 and 2011, and fragmented 5 in 5 years. This period from 2004 to 2008. A questionnaire was wondering about education, family income, often the dentist, prevention of oral cancer, alcoholism, smoking and consumption of mate. Data such as sex and race. On clinical examination were observed: complete dentures, oral hygiene and oral lesions, and information about oral cancer. We evaluated 1826 individuals, of whom 54.9% female and 45.1% male, 94.4% were Caucasian and 58.4% reported a family income less than two minimum wages per month. Regarding education 190 (50.7%) had incomplete primary education, 9 (21.1%) high school, 51 (13.6%) college, 55 (14.6%) were illiterate. Sent the 375 (20.5%) patients with suspicious lesions. Of these, 123 (33.2%) inflammatory, 167 (45%) traumatic, 63 (17%) leukoplakic, 02 (0.5%) and 12 red lesions (3.2%) others. The frequency was reported to the dentist: 85 (22.7%) with only pain, 97 (25.8%) will not, 53 (14.1%) were edentulous, 79 (21.1%) once a year and 61 (16.3%) once every two years. We also collected data on poor oral hygiene 35.9%; denture 65.4%; 17.6% alcohol, smoking 20.3%, 36.0% consumption mate. Some people had never heard of prevention of oral cancer 28 (7.5%), since 81 (21.6%) have made prevention and 266 (70.9%) never did. Although effective, cancer prevention campaigns Hospital Erastus Gaertner serve only a small segment of the population.

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