{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T01:52:55Z","timestamp":1774576375240,"version":"3.50.1"},"reference-count":57,"publisher":"Universidad Nacional de Lanus","license":[{"start":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T00:00:00Z","timestamp":1774483200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100008736","name":"Fondo de Fomento al Desarrollo Cient\u00edfico y Tecnol\u00f3gico","doi-asserted-by":"publisher","award":["ID22I101"],"award-info":[{"award-number":["ID22I101"]}],"id":[{"id":"10.13039\/501100008736","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SCOL"],"abstract":"<jats:p>El art\u00edculo analiza c\u00f3mo la p\u00e9rdida dental en adultos mayores no es solo un problema cl\u00ednico, sino un fen\u00f3meno social y emocional marcado por la verg\u00fcenza, el estigma y la desigualdad estructural en la salud oral chilena. Desde un enfoque cualitativo de tipo narrativo, con un alcance descriptivo y una orientaci\u00f3n hermen\u00e9utica (interpretativa), se realizaron 12 entrevistas en la comuna Cerro Navia, en la Regi\u00f3n Metropolitana de Chile, entre agosto y septiembre de 2024. En los relatos se evidencia que la ausencia de dientes impacta en la autoestima, la identidad y la participaci\u00f3n social. La verg\u00fcenza se manifiesta en conductas como cubrirse la boca, evitar sonre\u00edr, hablar en p\u00fablico o asistir a reuniones, lo que genera aislamiento social y sufrimiento ps\u00edquico. Los testimonios muestran que la falta de recursos econ\u00f3micos y el limitado acceso a atenci\u00f3n dental p\u00fablica profundizan este malestar, obligando a muchas personas a resignarse a la p\u00e9rdida dental. Esta condici\u00f3n, adem\u00e1s de limitar la alimentaci\u00f3n y la funcionalidad cotidiana, se convierte en un marcador social de clase, reforzando juicios morales asociados a la pobreza y la falta de higiene. La investigaci\u00f3n concluye que la verg\u00fcenza no puede comprenderse \u00fanicamente como una emoci\u00f3n individual, sino como un dispositivo social que reproduce desigualdades y exclusiones. Se propone un enfoque integral en salud oral que garantice acceso equitativo a tratamientos, dignidad y calidad de vida, reconociendo su v\u00ednculo directo con la salud mental.<\/jats:p>","DOI":"10.18294\/sc.2026.5911","type":"journal-article","created":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T01:14:06Z","timestamp":1774574046000},"page":"e5911","source":"Crossref","is-referenced-by-count":0,"title":["La verg\u00fcenza por la p\u00e9rdida de dientes: entre el sufrimiento ps\u00edquico y la desigualdad estructural en la salud oral chilena","Shame over tooth loss: between psychological suffering and structural inequality in Chilean oral health"],"prefix":"10.18294","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2141-7273","authenticated-orcid":false,"given":"Manuel Alejandro","family":"Castro Gatica","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6802-5034","authenticated-orcid":false,"given":"Karen","family":"Danke Hausdorf","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7253-1319","authenticated-orcid":false,"given":"Ingeborg","family":"Bevensee Canavati","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Beatriz","family":"Silva Lopes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7703-6587","authenticated-orcid":false,"given":"Jorge","family":"Gamonal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7901","published-online":{"date-parts":[[2026,3,26]]},"reference":[{"key":"31713","doi-asserted-by":"crossref","unstructured":"Scheff T. 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