Abstract
Gender identity is conceptualized as the way a person sees and experiences their own body. Trans refers to a person whose gender identity is different from the sex they were assigned at birth. There is little information about the oral health of this population and few studies that exist indicate that oral health in this population is worse than the general average. Studies in the field of psychology that deal with the population have found that negative experiences related to gender identity can lead to so-called "minority stress". Therefore, this population has higher prevalence of mental disorders, which would cause an increase in the prevalence of disorders that are affected by stress. Oral health is one of the factors considered in the assessment of general health. Thus, problems arising from these negative experiences often affect oral health, since the vulnerability that affects this population is directly linked to oral alterations, which are of multifactorial etiology and one of them involves the emotional. In addition, the professional must be aware of the abuse of harmful substances, use of hormones without monitoring, interpersonal violence and pathologies that can affect this population. Therefore, the dentist must be able to receive, diagnose and treat such disorders demanded by these patients. It is necessary that initially, dental professionals improve themselves in relation to gender and sexuality issues in order to avoid the emergence and spread of prejudice, in addition, professionals must be contributors to current social changes, keeping up to date on rights. of this population in order to ensure welcoming care that does not discriminate on the basis of age, race, color, ethnicity, sexual orientation or gender identity.
References
Jesus JG. Orientações sobre identidade de gênero: conceitos e termos. Guia técnico sobre pessoas transexuais, travestis e demais transgêneros, para formadores de opinião. 2ª Ed., Brasília: [s.n.], 2012.
Petry AR. Mulheres transexuais e o Processo Transexualizador: experiências de sujeição, padecimento e prazer na adequação do corpo. RGE, v. 36, n. 2, p. 70-5, 2015.
Kohlberg LA. A cognitive-developmental analysis of children’s sex role concepts and attiudes. In: PRESS, S.U. The development of Sex Differecens. E. E. (Ed.), v. 3, p. 82-173, 1996.
Mello L, Perilo M, Braz C, Pedrosa C. Políticas de saúde para lésbicas, gays, bissexuais, travestis e transexuais no Brasil: em busca de universalidade, integralidade e equidade. Sex Salud Soc (Rio J.) 2011; 9:7-28.
Meyer IH. Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychological bulletin. 2003; 129(5):674.
Brasil. Ministério da Saúde. Portaria nº 2.836, de 1º de dezembro de 2011. Diário Oficial da República Federativa do Brasil. Dez. 2011.
Lerri MR, Romão APMS, dos Santos MA, Giami A, Ferriani RA, & da Silva Lara LA. Clinical characteristics in a sample of transsexual people. RBGO Gynecology and Obstetrics, 2017; 39(10): 545-51.
Calixtre LB, Grüninger BLS, Chaves TC, Oliveira AB. Is there an association between anxiety/depression and Temporomandibular Disorders in college students? J Appl Oral Sci. 2014;22(1):15-21.
Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet J., ... & Dworkin SF. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group†. J Oral Facial Pain Headache 28, 6-27. Disponível em: https://doi.org/doi:10.11607/jop.1151 (2014).
Kosminsky M, Lucena LBS, Siqueira JTT, Pereira Junior FJ, Góes PSA. Adaptação cultural do questionário Research diagnostic criteria for temporomandibular disorders: axis II para o Português. Jornal Brasileiro de Clínica Odontológica Integrada, v.8, n.43, p.51-61, 2004.
Dworking SF. The OPPERA Study: Act One. The Journal of Pain, v. 12, n. 11, p. 1-3, 2011.
Zarb GA, Carlsson, Sessle BJ, Mohl ND. Disfunções da articulação temporomandibular e dos músculos da mastigação. 1. ed. São Paulo: Santos, 2000.
Cockburn N, Pradhan A, Taing MW, Kisely S, & Ford PJ. (2017). Oral health impacts of medications used to treat mental illness. Journal of affective disorders, 223, 184-93.
Lobbezoo F, Ahlberg J, Raphael KG, Wetselaar P, Glaros AG, Kato T, Santiago V, Winocur E, De Laat A, De Leeuw R, Koyano K, Lavigne GJ, Svensson P, Manfredini D. International consensus on the assessment of bruxism: Report of a work in progress. J Oral Rehabil. 2018;45(11):837-44.
Seabra BGM, Almeida RQ, Ferreira JMS, Seabra FRG. Anorexia nervosa e bulimia nervosa e seus efeitos sobre a saúde bucal. Rev Bras Patol Oral. 2004;3(4):195-8.
Panico R, Piemonte E, Lazos J, Gilligan G, Zampini A, Lanfranchi H. Oral mucosal lesions in anorexia nervosa, bulimia nervosa and EDNOS. J Psychiatr Res. 2018; 96: 178-82.
Gilbert PA, Pass LE, Keuroghlian AS, Greenfield TK, Reisner SL. Alcohol research with transgender populations: A systematic review and recommendations to strengthen future studies. Drug Alcohol Depend. 2018 May 1;186:138-46. Disponível em: https://doi.org/doi:10.1016/j.drugalcdep.2018.01.016. Epub 2018 Mar 10. PMID: 29571076; PMCID: PMC5911250.
Kerr-Corrêa F, Pinheiro FM Júnior, Martins TA, Costa DL, Macena RH, Mota RM, Yaegaschi MY, Carneiro KL, Kendall C, Kerr LR. Hazardous alcohol use among transwomen in a Brazilian city. Cad Saúde Pública. 2017 Apr 3;33(3):e00008815. Disponível em: https://doi.org/doi:10.1590/0102-311X00008815. PMID: 28380136.
Day JK, Fish JN, Perez-Brumer A, Hatzenbuehler ML, Russell ST. Transgender youth substance use disparities: results from a population-based sample. J Adolesc Health. dez 2017;61(6):729-35.
Buchting FO, Emory KT, Scout, Kim Y, Fagan P, Vera LE, Emery S. Transgender Use of Cigarettes, Cigars, and E-Cigarettes in a National Study. Am J Prev Med. 2017 Jul;53(1):e1-e7. Disponível em: https://doi.org/doi:10.1016/j.amepre.2016.11.022. Epub 2017 Jan 13. PMID: 28094133; PMCID: PMC5478444.
Leite RB, Marinho ACO, Costa BL, Laranjeira MBV, Araújo KD, & Cavalcanti AF (2021). A influência da associação de tabaco e álcool no câncer bucal: revisão de literatura. Jornal Brasileiro de Patologia e Medicina Laboratorial, 57.
Ahmad AF, Dantas BRSS, Fraga FA, dos Santos Meneses A, Ribeiro CR, & Lemos, A. (2020). As expectativas dos homens trans diante da hormonização cruzada: contribuições da enfermagem no cuidado em saúde. Research, Society and Development, 9(11), e3919119970-e3919119970.
de Rezende JM (2010). Terapia, terapêutica, tratamento. Revista de Patologia Tropical/Journal of Tropical Pathology, 39(2), 149-50.
Spezzia S. Interrelationship between Sex Hormones and Periodontal Diseases in Women. Periodontia, v.
, n. 2, p. 40-7, 2016.
Kuba T, Wu HB, Nazarian A, Festa ED, Barr GA, Jenab S, Inturrisi CE, Quinones-Jenab V. Estradiol and progesterone differentially regulate formalin-induced nociception in ovariectomized female rats. Horm Behav. 2006; 49:441-9.
Perez CH, Zanatta FB, Flores DM, Pithan,SA, Dotto GN, & Chagas AM (2004). Aumento gengival medicamentoso. Disciplinarum Scientia| Saúde, 5(1), 121-34.
Frush JP, Fisher RD. How dentogenic restorations interpret the sex factor. J Prosthet Den 1956; 6(2): 160-72.
Mavroskoufis F, Ritchie GM. Variation in size and form between left and right maxillary central incisior teeth. J Prosthet Dent 1980; 43(3): 254-7.
Cesário Jr VA, Latta Jr GH. Relationship between the mesiodistal width of maxillary central incisor and interpupillary distance. J Prosthet Dent 1984; 52(5): 641-3.
Dhingra N, Bonati LM, Wang EB, Chou M, Jagdeo J. Medical and aesthetic procedural dermatology recommendations for transgender patients undergoing transition. J Am Acad Dermatol. 2019;80:1712-21.
MacGregor JL, Chang YC. Minimally invasive procedures for gender affirmation. Dermatol Clin. 2020;38(2):249-60. Disponível em: https://doi.org/doi:10.1016/j.det.2019.10.014
Ginsberg BA, Calderon M, Seminara NM, Day D. A potential role for the dermatologist in the physical transformation of transgender people: a survey of attitudes and practices within the transgender community.
Russell S, More F. Addressing health disparities via coordination of care and interprofessional education: lesbian, gay, bisexual, and transgender health and oral health care. Dent Clin North Am. 2016;60(4):891-906.
Macdonald DW, Grossoehme DH, Mazzola A, Pestian T, Schwartz SB. Oral sex knowledge and experience of transgender youth: an opportunity for dental education. J Dent Educ. 2020;84(4):473-7.
Calazans G, Kalichman A,dos Santos MR, Pinheiro TF. Vieira RC, Borret RH. Necessidades de saúde: demografia, panorama epidemiológico e barreiras de acesso. In: Saúde LGBTQIA+ – Práticas de cuidado transdisciplinar. Santana do Parnaíba (SP): Malone; 2021. p. 82.
Garbin CAS, Dias I de A, Rovida TAS, Garbin AJÍ. Desafıos do profıssional de saúde na notifıcação da violência: obrigatoriedade, efetivação e encaminhamento. Ciênc. Saúde Colet. 2015;20 (3):1879–90. Disponível em: https://doi.org/10.1590/1413-81232015206.13442014
Fracon ET, da Silva RHA, Bregagnolo JC. Avaliação da conduta do cirurgião-dentista ante a violência doméstica contra crianças e adolescentes no município de Cravinhos (SP). RSBO. 2011;8(2):153-9. Disponível em: https://www.redalyc.org/articulo.oa?id=153018891006
Santos A, Santos R, Souza M, Boery R, Sena E, Yarid S. Implicações bioéticas no atendimento de saúde ao público LGBTT. Rev Bioética 2015; 23:400-8.
Moscheta M, Souza L, Santos M. Health care provision in Brazil: a dialogue between health professionals and lesbian, gay, bisexual and transgender service users. J Health Psychol 2016; 21:369-78.
Silva MEA (2019). A divisão do esporte deve ser separada por sexo ou gênero. REDOC, 3(1), 236-49.
Monteiro S, & Brigeiro M. (2019). Experiences of transgender women/transvestites with access to health services: progress, limits, and tensions. Cadernos de Saúde Pública, 35.
Brasil. Decreto no 8727, de 28 de abril de 2016. Dispõe sobre o uso do nome social e o reconhecimento da identidade de gênero de pessoas travestis e transexuais no âmbito da administração pública federal direta, autárquica e fundacional [internet]. Diário Oficial da União. 29 abr. 2016 [acesso em: 14 ago. 2022]. Disponível em: http://www.planalto.gov.br/ccivil_03/_ato2015-2018/2016/decreto/d8727.htm
Okano SHP. (2022). Cuidados integrais à população trans: o que cabe ao atendimento na atenção primária à saúde (APS)?. BEPA. Boletim Epidemiológico Paulista, 19, 1-40.
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