Untreated early childhood caries: the role of parental eating behavior.

The aim of the present study was to analyze the association between parental eating behavior and untreated early childhood caries (ECC). A cross-sectional study was conducted with a representative sample of 432 parent-child dyads with children aged 18 to 36 months, at Municipal Child Education Centers in São José dos Pinhais, Brazil. The parents answered a questionnaire addressing demographic and socioeconomic characteristics, and the children were examined for dental caries (modified dmft index) by a single examiner (kappa = 0.80). A six-item questionnaire was administered addressing parental food consumption, parental control of the child's food consumption, and parental offering of foods to the child. Three items were considered indicative of positive behavior, and three, of negative behavior. Univariate and multivariate Poisson regression analyses with robust variance were used for the data analysis (α = 0.05). The prevalence of untreated ECC was 20.3% (95%CI: 16.7-24.4). In the multiple regression model adjusted for the child's age and the parent's schooling, negative parental behavior was associated with a greater frequency of untreated ECC (PRa = 1.213; 95%CI:1.032-1.427, p = 0.019), but lost its significance when adjusted by positive parental behavior (PRa = 1.156; 95%CI: 0.983-1.358, p = 0.079). Based on the present findings, positive parental eating behaviors are capable of minimizing the impact of negative parental behaviors on the prevalence of untreated early childhood caries.

Untreated early childhood caries: the role of parental eating behavior

Abstract The aim of the present study was to analyze the association between parental eating behavior and untreated early childhood caries (ECC). A cross-sectional study was conducted with a representative sample of 432 parent-child dyads with children aged 18 to 36 months, at Municipal Child Education Centers in São José dos Pinhais, Brazil. The parents answered a questionnaire addressing demographic and socioeconomic characteristics, and the children were examined for dental caries (modified dmft index) by a single examiner (kappa = 0.80). A six-item questionnaire was administered addressing parental food consumption, parental control of the child's food consumption, and parental offering of foods to the child. Three items were considered indicative of positive behavior, and three, of negative behavior. Univariate and multivariate Poisson regression analyses with robust variance were used for the data analysis (α = 0.05). The prevalence of untreated ECC was 20.3% (95%CI: 16.7-24.4). In the multiple regression model adjusted for the child's age and the parent's schooling, negative parental behavior was associated with a greater frequency of untreated ECC (PRa = 1.213; 95%CI:1.032-1.427, p = 0.019), but lost its significance when adjusted by positive parental behavior (PRa = 1.156; 95%CI: 0.983-1.358, p = 0.079). Based on the present findings, positive parental eating behaviors are capable of minimizing the impact of negative parental behaviors on the prevalence of untreated early childhood caries.

Food insecurity and sociodemographic factors among children in São José dos Pinhais, Paraná, Brazil, 2017: a cross-sectional study. / Insegurança alimentar e fatores sociodemográficos em crianças de São José dos Pinhais, Paraná, 2017: estudo transversal.

OBJECTIVE: To analyze association between food insecurity (FI) and sociodemographic factors among children. METHODS: The study was carried out from May to November 2017 with mothers of children (18 - 35 months old) enrolled at public education facilities in São José dos Pinhais, Paraná, Brazil. FI was determined by the Brazilian Household Food Insecurity Measurement Scale. Multinomial logistic regression was used with a hierarchical model. RESULTS: 395 mothers/children participated. Overall FI prevalence was 34.7% (95%CI 28.5;41.5), with prevalence of 25.7% (95%CI 19.2;32.3) for mild FI (MFI) and 9.0% (95%CI 8.5;9.4) for moderate/severe FI (MSFI). Families in the lowest income tercile had higher likelihood of MFI (OR=3.06 - 95%CI 1.26;7.41) or MSFI (OR=6.35 - 95%CI 1.89;21.4) when compared to the highest tercile. Higher MFI prevalence was identified in male children (OR=2.34 - 95%CI 1.49;3.68). CONCLUSION: FI was associated with lower income and MFI with male children. Public policies to increase income must be included in FI reduction strategies.

Food insecurity and sociodemographic factors in children in São José dos Pinhais, Paraná, Brazil, 2017: cross-sectional study / Inseguridad alimentaria y factores sociodemográficos en niños de São José dos Pinhais, Paraná, Brasil, 2017: estudio transversal / Insegurança alimentar e fatores sociodemográficos em crianças de São José dos Pinhais, Paraná, 2017: estudo transversal

Objective: To analyze the association between food insecurity (FI) and sociodemographic factors in children. Methods: Study carried out from May to November 2017 with mothers of children (18 - 35 months) from the public school in São José dos Pinhais, Paraná, Brazil. FI was accessed through Brazilian Household Food Insecurity Measurement Scale. Multinomial logistic regression was used, with a hierarchical model. Results: 395 mothers/children participated. The prevalence of FI was 34.7 (95%CI 28.5;41.5) with 25.7% (95%CI 19.2;32.3) for mild FI (MiFI) and 9.0% (95%CI 8.5;9.4) for moderate/severe FI (MoSFI). Families in the lowest income tercile had a higher chance of MiFI (OR=3.06 ­ 95%CI 1.26;7.41) or MoSFI (OR=6.35 ­ 95%CI 1.89;21.4) when compared to the largest tercile. Higher prevalence of MiFI was identified in male children (OR=2.34 ­ 95%CI 1.49;3.68). Conclusion: AI was associated with lower income and MiFi with male children. Public policies to increase income must be included in AI reduction strategies.

Objetivo: Analisar a associação entre insegurança alimentar (IA) e fatores sociodemográficos em crianças. Métodos: Estudo realizado no período maio-novembro de 2017, com mães de crianças (18-35 meses) matriculadas na rede pública de ensino de São José dos Pinhais, Paraná, Brasil. A IA foi acessada pela Escala Brasileira de Insegurança Alimentar. Utilizou-se regressão logística multinomial com modelo hierárquico. Resultados: Participaram 395 mães/crianças. A prevalência da IA foi de 34,7% (IC95% 28,5;41,5), sendo 25,7% (IC95% 19,2;32,3) para IA leve (IAL) e 9,0% (IC95% 8,5;9,4) para IA moderada/grave (IAMG). Famílias pertencentes ao menor tercil de renda tiveram maior chance de IAL (OR=3,06 ­ IC95% 1,26;7,41) ou IAMG (OR=6,35 ­ IC95% 1,89;21,4), comparadas ao maior tercil. Maior prevalência de IAL foi identificada em meninos (OR=2,34 ­ IC95% 1,49;3,68). Conclusão: IA foi associada a menor renda; e IAL, ao sexo masculino da criança. Políticas públicas de aumento de renda devem ser incluídas nas estratégias de redução da IA.

Insegurança alimentar e fatores sociodemográficos em crianças de São José dos Pinhais, Paraná, 2017: estudo transversal / Inseguridad alimentaria y factores sociodemográficos en niños de São José dos Pinhais, Paraná, Brasil, 2017: estudio transversal / Food insecurity and sociodemographic factors among children in São José dos Pinhais, Paraná, Brazil, 2017: a cross-sectional study

Objetivo: Analisar a associação entre insegurança alimentar (IA) e fatores sociodemográficos em crianças. Métodos: Estudo realizado no período maio-novembro de 2017, com mães de crianças (18-35 meses) matriculadas na rede pública de ensino de São José dos Pinhais, Paraná, Brasil. A IA foi acessada pela Escala Brasileira de Insegurança Alimentar. Utilizou-se regressão logística multinomial com modelo hierárquico. Resultados: Participaram 395 mães/crianças. A prevalência da IA foi de 34,7% (IC95% 28,5;41,5), sendo 25,7% (IC95% 19,2;32,3) para IA leve (IAL) e 9,0% (IC95% 8,5;9,4) para IA moderada/grave (IAMG). Famílias pertencentes ao menor tercil de renda tiveram maior chance de IAL (OR=3,06 - IC95% 1,26;7,41) ou IAMG (OR=6,35 - IC95% 1,89;21,4), comparadas ao maior tercil. Maior prevalência de IAL foi identificada em meninos (OR=2,34 - IC95% 1,49;3,68). Conclusão: IA foi associada a menor renda; e IAL, ao sexo masculino da criança. Políticas públicas de aumento de renda devem ser incluídas nas estratégias de redução da IA.

Objetivo: Analizar la asociación entre inseguridad alimentaria (IA) y factores sociodemográficos en niños. Métodos: Estudio realizado de mayo a noviembre (2017) con madres de niños (18 - 35 meses) de escuelas públicas de São José dos Pinhais, Paraná, Brasil. AI fue medida por la Escala Brasileña de Inseguridad Alimentaria. Se utilizó regresión logística multinomial, con un modelo jerárquico. Resultados: 395 madres/niños participaron. La prevalencia de IA fue 34,7% (IC95% 28,5;41,5), con 25,7% (IC95% 19,2;32,3) para IA leve (IAL) e 9,0% (IC95% 8,5;9,4) para IA moderada/grave (IAMG). Familias en el tercil de ingresos más bajo tenían mayor IAL (RO=3,06 - IC95% 1,26;7,41) o IAMG (RO=6,35 - IC95% 1,89;21,4) en comparación con el mayor tercil. Hubo mayor prevalencia de IAL en varones (RO=2,34 - IC95% 1,49;3,68). Conclusión: La IA se asoció con menores ingresos y la IAL con el sexo masculino del niño. Las políticas públicas para aumentar los ingresos deben incluirse en las estrategias de reducción de la IA.

Objective: To analyze association between food insecurity (FI) and sociodemographic factors among children. Methods: The study was carried out from May to November 2017 with mothers of children (18 - 35 months old) enrolled at public education facilities in São José dos Pinhais, Paraná, Brazil. FI was determined by the Brazilian Household Food Insecurity Measurement Scale. Multinomial logistic regression was used with a hierarchical model. Results: 395 mothers/children participated. Overall FI prevalence was 34.7% (95%CI 28.5;41.5), with prevalence of 25.7% (95%CI 19.2;32.3) for mild FI (MFI) and 9.0% (95%CI 8.5;9.4) for moderate/severe FI (MSFI). Families in the lowest income tercile had higher likelihood of MFI (OR=3.06 - 95%CI 1.26;7.41) or MSFI (OR=6.35 - 95%CI 1.89;21.4) when compared to the highest tercile. Higher MFI prevalence was identified in male children (OR=2.34 - 95%CI 1.49;3.68). Conclusion: FI was associated with lower income and MFI with male children. Public policies to increase income must be included in FI reduction strategies.

Periostitis ossificans in a 10-year-old child.

Periostitis ossificans (PO) is a type of osteomyelitis stemming from an odontogenic infection, generally found in children and adolescents, and often leads to the loss of the involved tooth. This case presents a less invasive alternative for the treatment of PO. A 10-year-old patient presented with an asymmetrical increase in the left side of the mandible. Tooth 36 exhibited pulp necrosis and incomplete root formation. Radiographically, the bone in the region had the appearance of the layers of an onion. Computed tomography indicated periosteal bone proliferation in the region of the ramus and angle of the mandible adjacent to the vestibular cortical bone. Therapy involved root canal preparation and intracanal medication with calcium hydroxide in tooth 36. Complete remission of the condition occurred within 14 months. In conclusion, endodontic intervention is a less invasive alternative and should be considered to minimize the negative impact of tooth loss in children.