Assessment of absenteeism related to oral disorders among police officers and firefighters of São Paulo state - a census cohort study




Absenteeism; International classification of diseases; Military dentistry; Military medical.


Absenteeism due to illness is recognized as a global public health problem, with major economic and social impacts. Furthermore, information about these conditions among firefighters, police officers, and other professionals in the military forces is very scarce. Thus, the present study aimed to evaluate dental absenteeism of the staff of the Military Police of São Paulo state in 2017. For this, demographic and functional data and information related to the type of absence from work were collected (logistic platform GIS - Health) to calculate odds ratios among socio-demographic and functional variables and convalescence (absence of up to 10 days). The index of severity, frequency, and mean duration of dental absences were also calculated, comparing them with sick leaves during the same period as well. We could identify 80,928 absences related to oral conditions. Functional, socio-demographic, and dental disease characteristics were associated with convalescence, i.e., officers over 50 years old, from the countryside, and in a work leave situation due to caries lesions, dental pulp conditions, or periodontal disease, were associated with absenteeism of up to 10 days. In the Military Police, in 2017, there was an average loss of work period of 2h/person/year exclusively from dental reasons. The mean duration of absences was 2.21 days. Thus, it seems that the older the officers and the further away from the capital of São Paulo, the longer the period of work absence. Furthermore, aging in the occupational context is a strong factor for absenteeism. Caries lesions and periodontal disease are also highly related to absenteeism when compared to other dental diseases.


Antczak, E. & Miszczyńska, K. M. (2021) Causes of Sickness Absenteeism in Europe-Analysis from an Intercountry and Gender Perspective. Int J Environ Res Public Health, 18(22), 11823.

Bonfim, R. A. & Mazzilli, L. E. N. (2013) O Impacto da saúde bucal na concessão de auxílios-doença junto ao instituto nacional de seguridade social (INSS) em 2011. J Manag Prim Health Care, 4(2), 64-69.

Bonfim, R. A.; Camanho, D. L.; Crosato, E. M.; Crosato, E. & Mazzilli, L. E. N. (2013) Absenteísmo por motivo odontológico na prefeitura do município de Gurarulhos. J Manag Prim Health Care, 4(2), 169-175.

Bravo, D. S.; Barbosa, P. M. K. & Calamita, Z. (2016) Absenteísmo e envelhecimento no contexto ocupacional do Policial Militar. Rev Bras Med Trab, 14(2), 134-142.

de Kock, C. A., Lucassen, P. L., Akkermans, R. P., Knottnerus, J. A., Buijs, P. C., Steenbeek, R. & Lagro-Janssen, A. L. (2020) Work-relatedness of the presented health problem and sickness absence. Fam Pract, 37(3), 360–366.

Fekedulegn, D.; Burchfiel, C. M.; Hartley, T. A.; Andrew, M. E.; Charles, L. E.; Tinney-Zara, C. A. & Violanti, J. M. (2013) Shiftwork and sickness absence among police officers: the BCOPS study. Chronobiol Int, 30(7), 930-941.

Gift, H. C., Reisine, S. T. & Larach, D. C. (1992) The social impact of dental problems and visits [published correction appears in Am J Public Health 1993 Jun;83(6):816]. Am J Public Health, 82(12), 1663-1668.

Hayes, A.; Azarpazhooh, A.; Dempster, L.; Ravaghi, V. & Quiñonez C. Time loss due to dental problems and treatment in the Canadian population: analysis of a nationwide cross-sectional survey. BMC Oral Health, 2013;13(1),17.

Harford, J. & Chrisopoulos, S. (2012) Australian Research Centre for Population Oral Health. Productivity losses from dental problems. Aust Dent J, 57(3), 393-397.

IBGE, 2021.

Kelekar, U. & Naavaal, S. (2018) Hours lost to planned and unplanned dental visits among US Adults. Prev Chronic Dis, 15(E04), 1-7.

Körlin, J.; Alexanderson, K. & Svedberg, P. (2009) Sickness absence among women and men in the police: A systematic literature review. Scandinavian Journal of Public Health, 37, 310-319.

Listl, S.; Galloway, J.; Mossey, P. A. & Marcenes, W. (2015) Global Economic Impact of Dental Diseases. J Dent Res, 94(10), 1355-1361.

Locker, D. & Quiñonez, C. (2009) Functional and psychosocial impacts of oral disorders in Canadian adults: a national population survey. J Can Dent Assoc, 75(7):521.

Quick, T. C. & Lapertosa, J. B. (1982) Análise do absentismo em usina siderúrgica. Revista Brasileira de Saúde Ocupacional, 10(40), 62-67.

Reisine, S. T. (1984) Dental disease and work loss. J Dent Res, 63(9), 1158-1161.

Reisine, S. T. & Miller, J. (1985) A longitudinal study of work loss related to dental diseases. Soc Sci Med, 21(12), 1309-1314.

Togna, G. R. D.; Crosato, E.; Melani, R. F. H.; Michel-Crosato, E. & Biazevic, M. G. H. (2011) Uso da Classificação Internacional de Doenças na análise do absenteísmo odontológico. Rev Saude Publica, 45(3), 512-518.

Vandenbroucke, J. P.; von Elm, E.; Altman, D. G.; Gøtzsche, P. C.; Mulrow, C. D.; Pocock, S. J.; Poole, C.; Schlesselman, J. J.; Egger, M. & STROBE Initiative (2007). Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): explanation and elaboration. Epidemiology (Cambridge, Mass.), 18(6), 805–835.



How to Cite

MORIMOTO, S.; SIQUEIRA, J. A. de S. .; RAMALHO, K. M. .; PALMA, L. F.; TEDESCO, T. K. .; BOMFIM , R. A. . Assessment of absenteeism related to oral disorders among police officers and firefighters of São Paulo state - a census cohort study. Research, Society and Development, [S. l.], v. 11, n. 6, p. e8411628912, 2022. DOI: 10.33448/rsd-v11i6.28912. Disponível em: Acesso em: 25 may. 2022.



Health Sciences