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1.
Rev. ADM ; 77(4): 222-226, jul.-ago. 2020. ilus
Artigo em Espanhol | LILACS | ID: biblio-1130183

RESUMO

Introducción: La disostosis cleidocraneal es un trastorno genético raro con patrón hereditario. Sus rasgos patognomónicos son la aplasia clavicular, fontanelas y suturas abiertas, múltiples anomalías dentales. Su origen se relaciona con alteraciones en el gen RUNX2, importante para la síntesis de CBFA1, que a su vez funciona como un conformador óseo y un diferenciador de osteoblastos. Caso clínico: Paciente de 11 años con características clínicas de CCD, se corroboran los antecedentes genéticos hereditarios y alteraciones dentales relacionados con disostosis cleidocraneal. Resultado: A tres años de tratamiento se observa mejor definición facial, la erupción de piezas permanentes retenidas y mejor función masticatoria. Conclusión: Mejorar la calidad de vida del paciente con tratamientos interceptivos y el conocimiento de las alteraciones causadas por el síndrome, así como el trabajo interdisciplinario (AU)


Introduction: Cleidocranial dysostosis is a rare genetic disorder with a hereditary pattern. Its pathognomonic features are clavicular aplasia, fontanelles and open sutures, multiple dental anomalies. Its origin is related to alterations in the RUNX2 gene, important for the synthesis of CBFA1, which in turn functions as a bone conformer and an osteoblast differentiator. Clinical case: Patient with eleven years old with clinical characteristics of CCD, hereditary genetic background, and dental alterations related to cleidocranial dysostosis are corroborated. Result: After three years of treatment, the facial definition is better, the eruption of permanent pieces retained and better chewing function. Conclusion: Improve the quality of life of the patient with interceptive treatments and the knowledge of the alterations caused by the syndrome, as well as the interdisciplinary work (AU)


Assuntos
Humanos , Feminino , Criança , Ortodontia Interceptora , Anormalidades Dentárias/terapia , Displasia Cleidocraniana/terapia , Doenças Genéticas Inatas , Equipe de Assistência ao Paciente , Qualidade de Vida , Faculdades de Odontologia , Erupção Dentária , México
2.
Medicine (Baltimore) ; 99(7): e19092, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-32049814

RESUMO

To determine the treatment needs and the care index for dental caries in the primary dentition and permanent dentition of schoolchildren and to quantify the cost of care that would represent the treatment of dental caries in Mexico.A secondary analysis of data from the First National Caries Survey was conducted, which was a cross-sectional study conducted in the 32 states of Mexico. Based on dmft (average number of decayed, extracted, and filled teeth in the primary dentition) and DMFT (average number of decayed, extracted, and filled teeth in permanent dentition) information, a treatment needs index (TNI) and a caries care index (CI) were calculated.At age 6, the TNI for the primary dentition ranged from 81.7% to 99.5% and the CI ranged from 0.5% to 17.6%. In the permanent dentition, the TNI ranged from 58.8% to 100%, and the CI ranged from 0.0% to 41.2%. At age 12, the TNI ranged from 55.4% to 93.4%, and the CI ranged from 6.5% to 43.4%. At age 15, the TNI ranged from 50.4% to 98.4%, and the CI ranged from 1.4% to 48.3%. The total cost of treatment at 6 years of age was estimated to range from a purchasing power parity (PPP) of USD $49.1 to 287.7 million in the primary dentition, and from a PPP of USD $3.7 to 24 million in the permanent dentition. For the treatment of the permanent dentition of 12-year-olds, the PPP ranged from USD $13.3 to 85.4 million. The estimated cost of treatment of the permanent dentition of the 15-year-olds ranged from a PPP of USD $10.9 to 70.3 million. The total estimated cost of caries treatment ranged from a PPP of USD $77.1 to 499.6 million, depending on the type of treatment and provider (public or private).High percentages of TNI for dental caries and low CI values were observed. The estimated costs associated with the treatment for caries have an impact because they represent a considerable percentage of the total health expenditure in Mexico.


Assuntos
Cárie Dentária/epidemiologia , Cárie Dentária/terapia , Adolescente , Criança , Custos e Análise de Custo , Estudos Transversais , Índice CPO , Cárie Dentária/economia , Feminino , Humanos , Masculino , México/epidemiologia , Prevalência
3.
Medicine (Baltimore) ; 99(5): e19061, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32000455

RESUMO

To analyze whether a correlation exists between the caries status (Decayed, Missing and Filled Teeth, DMFT Index) of the first permanent molars (FPMs) and that of the full permanent dentition of Mexican adolescents, and to propose its use in large epidemiological studies of dental caries.We conducted a cross-sectional study of 1538 adolescents from 12 to 15 years old. Based on a clinical oral examination, we determined the DMFT Indices of their FPMs (FPM-DMFT) and of their full permanent dentition (comprehensive DMFT Index). We explored each FPM to determine whether it was with or without caries, filled, missing or sealed. For our statistical analysis, we used Fisher exact test and Spearman correlation in Stata software.After examining a total of 6157 FPMs, we found that 56.8% of our sample of adolescents had no caries in their 4 FPMs whereas 4.9% experienced caries in all 4. No significant differences emerged by sex (P > .05); however, by age, the older adolescents experienced greater FPM-DMFT (P < .05). Analysis yielded a correlation of r = 0.8693 between the FPM-DMFT and comprehensive DMFT scores (P < .0001) of participants. The underestimation of caries prevalence (DMFT > 0) was 5.4% (48.6% vs 43.2%), while the DMFT Index was underestimated at 0.34 (1.15 vs 0.81).The strong correlation between the FPM-DMFT and comprehensive DMFT Indices suggests that overall caries status can be inferred on the basis of FPM caries status. This evidence is useful when conducting large epidemiological studies such as national surveys.


Assuntos
Cárie Dentária/epidemiologia , Dentição Permanente , Dente Molar , Adolescente , Criança , Estudos Transversais , Índice CPO , Feminino , Humanos , Masculino , México/epidemiologia , Prevalência
4.
Medicine (Baltimore) ; 98(30): e16634, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31348316

RESUMO

INTRODUCTION: Dental caries is the most frequent oral disease worldwide and the main cause of tooth loss in children and young adults. One of the most frequently affected areas is the occlusal surfaces of the first permanent molars (FPM) due to their morphological complexity. At present, several preventive treatments can reduce the incidence of this disease in school populations. In Mexico, the most commonly used technologies are those derived from some presentation of fluoride; on the other hand, research on this topic has been limited. OBJECTIVE: To determine the cost-effectiveness of two different methods for preventing the incidence of caries on the FPM of schoolchildren (6-8 years of age) from public primary schools. MATERIAL AND METHODS: This is a randomized experimental design. Participants will be assigned to two treatment groups of 114 each. In the first group, pit and fissure sealants will be applied, whereas the second group will receive a fluoride varnish. The work will be carried out in schoolchildren that attend public elementary schools in the state of Hidalgo, Mexico. The result variable will be the incidence of caries and the total cost of each of the interventions will be calculated in order to calculate the intervention's cost-effectiveness. CONCLUSION: This work will allow us to compare the cost-effectiveness of the pit and fissure sealants and the fluoride varnish in order to determine which offers the best results.


Assuntos
Cárie Dentária/prevenção & controle , Fluoretos Tópicos/uso terapêutico , Selantes de Fossas e Fissuras/uso terapêutico , Criança , Análise Custo-Benefício , Método Duplo-Cego , Feminino , Fluoretos Tópicos/administração & dosagem , Fluoretos Tópicos/economia , Humanos , Masculino , México , Selantes de Fossas e Fissuras/economia , Projetos de Pesquisa
5.
Clin Interv Aging ; 14: 219-224, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30787597

RESUMO

Purpose: The aim of this study was to determine whether there are differences in the distribution of various indicators of oral health among elderly people with and without multimorbidity (ie, two or more chronic diseases). Subjects and methods: A cross-sectional, comparative study was conducted using a sample of Mexican elderly individuals aged ≥60 years. The average age of the cohort was 79.06±9.78 years, and 69.1% were women. The variables indicating oral health were as follows: functional dentition, edentulism, hyposalivation, xerostomia, root caries and periodontitis. The multimorbidity variable was operationally categorized as follows: 0= subjects with no chronic disease or one chronic disease and 1= subjects with two or more chronic diseases. Questionnaires were used to collect information on various variables regarding general health. Likewise, the participants underwent a clinical oral examination. The analysis was performed using Stata 11.0. Results: The overall prevalence of multimorbidity was 27.3%. The prevalences of various oral health indicators were as follows: without functional dentition 89.9%; hyposalivation 59.7%; edentulism 38.9% and self-reported xerostomia 25.2%. Dental caries were observed in 95.3% of the subjects, and the prevalence of severe periodontitis was 80%. We found a significant difference only in edentulism; its prevalence was higher among subjects with multimorbidity (55.3% vs 32.7%, P=0.015) than among those without multimorbidity. Conclusion: The presence of edentulism in this sample of Mexican older adults was higher in subjects with multimorbidity. Multimorbidity and oral diseases constitute a true challenge in elderly people, because they affect quality of life and are associated with high health care costs.


Assuntos
Inquéritos de Saúde Bucal/estatística & dados numéricos , Indicadores Básicos de Saúde , Multimorbidade , Saúde Bucal/estatística & dados numéricos , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Cárie Dentária/epidemiologia , Feminino , Humanos , Masculino , México/epidemiologia , Pessoa de Meia-Idade , Boca Edêntula/epidemiologia , Prevalência , Qualidade de Vida , Autorrelato , Inquéritos e Questionários
6.
P R Health Sci J ; 36(3): 146-151, 2017 09.
Artigo em Inglês | MEDLINE | ID: mdl-28915303

RESUMO

OBJECTIVE: To determine the prevalence of functional dentition and associated periodontal variables in a sample of Mexican adult males. METHODS: A cross-sectional study of 161 policemen in Campeche, Mexico, was carried out. A clinical examination using an electronic probe was used to collect variables (dental plaque, periodontal pockets, gingival recession, suppuration, and bleeding on probing) on 6 periodontal sites (a maximum of 168 sites, excluding third molars). Sociodemographic, socioeconomic, and behavioral variables were collected through a self-administered survey. Functional dentition was defined as having 21 or more natural teeth. Data were analyzed with STATA 11.0, using logistic regression models. RESULTS: Mean age was 38.3 (±10.9) years. The prevalence of having a functional dentition was 83.8% in the sample. The odds of having a functional dentition declined with age (odds ratio [OR] = 0.93), having diabetes (OR = 0.27) and with having a high percentage of sites with plaque (OR = 0.77), with bleeding on probing (OR = 0.97), and with gingival recession (OR = 0.82). CONCLUSION: While a large proportion of subjects had a functional dentition in this community-dwelling sample of adult Mexican males, the likelihood of their having a functional dentition decreased with age, with their having been diagnosed with diabetes, and with assorted negative indicators of periodontal/gingival status.


Assuntos
Placa Dentária/epidemiologia , Dentição , Retração Gengival/epidemiologia , Bolsa Periodontal/epidemiologia , Adulto , Fatores Etários , Idoso , Estudos Transversais , Diabetes Mellitus/epidemiologia , Hemorragia Gengival/epidemiologia , Humanos , Modelos Logísticos , Masculino , México/epidemiologia , Pessoa de Meia-Idade , Polícia , Prevalência , Fatores Socioeconômicos , Adulto Jovem
7.
Artigo em Inglês | MEDLINE | ID: mdl-28800094

RESUMO

OBJECTIVE: To determine the frequency and associated factors of visits to the dentist in the last year by Nicaraguan schoolchildren to receive professionally applied topical fluoride (PATF). MATERIAL AND METHODS: A cross-sectional study was designed in children from public schools in the city of León, Nicaragua, were included. A series of socioeconomic, sociodemographic, and behavioural variables were collected through a questionnaire. The dependent variable was the visit to the dentist to receive professionally applied topical fluoride in the last year, which was dichotomised as (0) Did not receive PATF and (1) Yes received PATF. In the statistical analysis, binary logistic regression was used. RESULTS: The mean age of the students included was 9 years, and 49.9% were girls. The prevalence of visits to the dentist in the last year to receive PATF was 3.1%. In the multivariate model, the associated characteristics (p < 0.05) were: female (OR = 2.73, 95% CI = 1.34-4.50); the positive attitude of the mother to the oral health of her child (OR = 2.15, 95% CI = 1.03-4.50); and the best socioeconomic position (OR = 2.68, 95% CI = 1.36-5.31). CONCLUSIONS: The prevalence of visits to the dentist in the last year to receive professionally applied topical fluoride was very low (3.1%). The results of the socioeconomic position suggest the existence of certain inequalities in oral health. It is necessary to implement policies and programs aimed at improving this scenario.


Assuntos
Países em Desenvolvimento , Fluoretos Tópicos , Fatores Socioeconômicos , Criança , Estudos Transversais , Assistência Odontológica , Feminino , Humanos , Modelos Logísticos , Masculino , Nicarágua , Instituições Acadêmicas , Estudantes , Inquéritos e Questionários
8.
Biomed Res Int ; 2017: 7431301, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28685149

RESUMO

OBJECTIVE: To identify dental pain prevalence and associated factors in Mexican schoolchildren. METHODS: This cross-sectional study included 1,404 schoolchildren aged 6 to 12 years from public schools in the city of Pachuca de Soto, Hidalgo, Mexico. Data were collected through a questionnaire that addressed sociodemographic and socioeconomic factors, eating and dental hygiene habits, and behavior variables. The dependent variable was self-reported dental pain in the 12 months prior to the survey. Data were analyzed using nonparametric statistics and a binary logistical regression model. RESULTS: Dental pain prevalence among the studied children was 49.9%. The variables associated in the final model (p < 0.05) were younger mother's age, higher socioeconomic level, absence of an automobile in the home, fried food, fruit intake, lower tooth brushing frequency, never having used mouthwash or not knowing about it, and parents/guardians with regular to high levels of knowledge about oral health and a regular or good/very good perception of their child's oral health. CONCLUSIONS: One in two children in the study had experienced dental pain in the twelve months prior to the survey. The association of socioeconomic variables with dental pain suggested inequalities among the children in terms of oral health.


Assuntos
Dor/epidemiologia , Criança , Estudos Transversais , Feminino , Humanos , Masculino , México/epidemiologia , Dor/fisiopatologia , Prevalência , Fatores de Risco , Fatores Socioeconômicos
9.
Artigo em Espanhol | LILACS | ID: lil-780563

RESUMO

Introducción La pérdida de dientes se ha convertido en un problema de salud pública bucal. Objetivo Determinar la prevalencia y distribución del edentulismo, así como las variables sociodemográficas y socioeconómicas asociadas en individuos de 35 años y más. Materiales y métodos Se realizó un estudio transversal en 656 sujetos seleccionados de forma aleatoria. En el estudio se incluyeron hombres y mujeres de 35 años y más, asistentes a las clínicas de atención dental de la Universidad Autónoma del Estado de Hidalgo (UAEH), una universidad pública de México. Para la realización de este estudio los examinadores fueron capacitados en la cumplimentación de los cuestionarios y estandarizados en el criterio diagnóstico de la pérdida de dientes. La variable dependiente fue el edentulismo. Los datos fueron analizados en Stata 11. Resultados El promedio de edad fue de 49,06 ± 10,33. Los individuos fueron principalmente mujeres (63,3%). La prevalencia general de edentulismo fue de 15,7% (IC 95%: 12,9-18,5); entre las mujeres fue de 17,6% y en los hombres de 12,5% (p = 0,081). La prevalencia de edentulismo fue mayor entre los sujetos de más edad (p < 0,001). Se observó que a mayor escolaridad (p < 0,001), a mejor nivel socioeconómico (p < 0,001) y en quienes tuvieron automóvil en el hogar (p < 0,05), la prevalencia de edentulismo fue menor. Conclusiones La prevalencia de edentulismo en adultos mayores de 35 años que acuden a las clínicas de esta universidad fue del 15,7%. Se observó diferencia de la prevalencia de edentulismo por edad, pero no por sexo. Se observaron diferencias socioeconómicas, sugiriendo ciertas desigualdades en salud bucal.


Introduction Tooth loss has become a problem of oral health. Objective To determine the prevalence and distribution of edentulism, as well as the associated sociodemographic and socioeconomic variables in subjects aged 35 and older. Materials and methods A cross-sectional study was conducted on 656 randomly selected subjects. The study included men and women aged 35 years and older attending dental care clinics at a public university in Mexico. Examiners were trained in filling out questionnaires and receiving training in order to standardise the criteria of tooth loss. The dependent variable was the presence of edentulism. The data were analysed using Stata 11. Results The mean age of the population was 49.06 ± 10.33 years, and the majority (63.3%) were women. The overall prevalence of edentulism was 15.7% (95% CI: 12.9-18.5%); the prevalence among women was 17.6% and the prevalence among men was 12.5% (P = .081). The prevalence of edentulism was higher among older subjects (P < .001). The prevalence of edentulism was lower among individuals with higher levels of education (P < .001), those with higher socioeconomic status (P < .001), and those who had a car at home (P < 0.05) Conclusions The prevalence of edentulism in adults over 35 years of age attending dental care clinics at this public university was 15.7%. Differences were observed in the prevalence of edentulism by age, but not by gender. Socioeconomic differences were observed, suggesting certain oral health inequalities.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Perda de Dente/epidemiologia , Boca Edêntula/epidemiologia , Classe Social , Fatores Socioeconômicos , Prevalência , Estudos Transversais , Análise Multivariada , Distribuição por Idade e Sexo , México/epidemiologia
10.
Rev. Univ. Ind. Santander, Salud ; 47(3): 291-299, sep.-dic. 2015. tab
Artigo em Espanhol | LILACS-Express | LILACS | ID: lil-768102

RESUMO

Objetivo: Determinar la gravedad de caries (tamaño de la lesión) y las variables asociadas en niños escolares mexicanos. Materiales y Métodos: Se realizó un estudio transversal en 1373 escolares de 6 a 12 años de edad inscritos en escuelas públicas de Campeche, México. Se distribuyeron cuestionarios para determinar una serie de variables sociodemográficas, socioeconómicas y conductuales. Se realizó un examen bucal a cada niño para establecer el tamaño de las lesiones de caries de acuerdo al índice llamado "criterio de magnitud de la lesión cariosa" y asignarlo de acuerdo al número de lesiones presentes a uno de 4 grupos de riesgo para desarrollar caries, en donde el primer grupo representa a los menos afectados. Se generó un modelo multivariado de regresión logística multinomial. Resultados: Los grupos de riesgo a caries quedaron distribuidos de la siguiente manera: 598 (43.6%) fueron del grupo 1; 261 (19.0%) se asignaron al grupo 2; 316 (23.0%) estuvieron en el grupo 3; y 198 (14.4%) en el grupo 4. Comparando con el grupo menos afectado por lesiones cariosas, las variables asociadas en los diferentes grupos de gravedad en el modelo multivariado fueron: grupo de riesgo 2: edad, sexo y defectos de desarrollo del esmalte; grupo de riesgo 3: atención dental en el último año, actitud de la madre hacia la salud bucal y defectos de desarrollo del esmalte; grupo de riesgo 4: edad, atención dental en el último año, actitud de la madre hacia la salud bucal y defectos de desarrollo del esmalte. Conclusión: La gravedad de caries está influenciada por variables demográficas, conductuales y clínicas.


Objective: To determine the severity of caries (lesion size) and associated variables in Mexican schoolchildren. Material and Methods: A cross-sectional study was conducted in 1373 schoolchildren 6-12 years old enrolled in public schools in Campeche, Mexico. Questionnaires were distributed to determine demographic, socioeconomic and behavioral variables. Dental examination was performed to each child to establish the size of caries lesions according "Criterion of carious lesion magnitude" index and to allocate according to the number of lesions present to one of four risk groups for developing cavities wherein the first group represents the least affected. A multivariate multinomial logistic regression model was generated. Results: Caries risk groups were distributed as follows: 598 (43.6%) were in group 1; 261 (19.0%) were assigned to group 2; 316 (23.0%) were in group 3; and 198 (14.4%) in group 4. Comparing with the least affected group by carious lesions, associated variables for severity in the multivariate model were "Risk Group 2": age, sex and developmental enamel defects; "Risk Group 3": dental care in the past year, mother's attitude toward oral health and developmental enamel defects; "Risk Group 4": age, dental care in the past year, mother's attitude toward oral health and developmental enamel defects. Conclusion: Severity of decay is influenced by demographic, behavioral and clinical variables.

11.
Med Sci Monit ; 20: 938-44, 2014 Jun 07.
Artigo em Inglês | MEDLINE | ID: mdl-24907713

RESUMO

BACKGROUND: Tooth brushing (with fluoridated toothpaste) is the most cost-effective intervention in dentistry and it is widely recommended to preserve good oral health. We aimed to determine the frequency of tooth brushing and the variables associated with this practice in schoolchildren living in southeast Mexico. MATERIAL AND METHODS: A cross-sectional study was carried out in 1644 schoolchildren, 6 to 13 years old. Questionnaires with socio-demographic, socioeconomic, and dental variables were administered to mothers/guardians of children. The dependent variable was the frequency of tooth brushing, which was categorized as 0 = tooth brushing less than once a day and 1 = tooth brushing at least once a day. A logistic regression model was used to evaluate the final results. RESULTS: Mean age was 9.06±2.02 years and 49.1% were girls. The prevalence of tooth brushing at least once a day was 49.8%. In the multivariate model, characteristics related to tooth brushing frequency (p<0.05) were: older age (OR=1.11), being female (OR=1.64), having a larger family (OR=0.87), having had a visit to a dentist during the year preceding the study (OR=1.37), and having had fluoride applications by a professional (OR=1.39). CONCLUSIONS: The results suggested that different variables (demographic, socioeconomic and dental) are associated with the frequency of tooth brushing. Family size (proxy variable for socioeconomic status) may indicate certain oral health inequalities in this population.


Assuntos
Saúde Bucal , Instituições Acadêmicas/estatística & dados numéricos , Estudantes/estatística & dados numéricos , Escovação Dentária/estatística & dados numéricos , Criança , Demografia , Feminino , Humanos , Modelos Logísticos , Masculino , México/epidemiologia , Análise Multivariada , Fatores Socioeconômicos
12.
Med Sci Monit ; 19: 1019-26, 2013 Nov 19.
Artigo em Inglês | MEDLINE | ID: mdl-24247119

RESUMO

BACKGROUND: Our study aimed to evaluate the effect of various risk indicators for dental caries on primary teeth of Nicaraguan children (from Leon, Nicaragua) ages 6 to 9, using the negative binomial regression model. MATERIAL/METHODS: A cross-sectional study was carried out to collect clinical, demographic, socioeconomic, and behavioral data from 794 schoolchildren ages 6 to 9 years, randomly selected from 25 schools in the city of León, Nicaragua. Clinical examinations for dental caries (dmft index) were performed by 2 trained and standardized examiners. Socio-demographic, socioeconomic, and behavioral data were self-reported using questionnaires. Multivariate negative binomial regression (NBR) analysis was used. RESULTS: Mean age was 7.49 ± 1.12 years. Boys accounted for 50.1% of the sample. Mean dmft was 3.54 ± 3.13 and caries prevalence (dmft >0) was 77.6%. In the NBR multivariate model (p<0.05), for each year of age, the expected mean dmft decreased by 7.5%. Brushing teeth at least once a day and having received preventive dental care in the last year before data collection were associated with declines in the expected mean dmft by 19.5% and 69.6%, respectively. Presence of dental plaque increased the expected mean dmft by 395.5%. CONCLUSIONS: The proportion of students with caries in this sample was high. We found associations between dental caries in the primary dentition and dental plaque, brushing teeth at least once a day, and having received preventive dental care. To improve oral health, school programs and/or age-appropriate interventions need to be developed based on the specific profile of caries experience and the associated risk indicators.


Assuntos
Cárie Dentária/epidemiologia , Cárie Dentária/prevenção & controle , Placa Dentária/patologia , Dente Decíduo/patologia , Escovação Dentária/estatística & dados numéricos , Criança , Estudos Transversais , Cárie Dentária/etiologia , Cárie Dentária/patologia , Placa Dentária/complicações , Feminino , Humanos , Masculino , Nicarágua/epidemiologia , Análise de Regressão , Fatores de Risco , Fatores Socioeconômicos , Inquéritos e Questionários
13.
Salud(i)ciencia (Impresa) ; 20(2): 128-133, oct-2013.
Artigo em Espanhol | LILACS | ID: lil-790843

RESUMO

Determinar la existencia, prevalencia y gravedad de caries dental, así como establecer las necesidades de tratamiento y el índice de cuidados en la dentición primaria de niños mexicanos de 6 y 7 años de edad. Material y métodos: Este estudio transversal incluyó 357 escolares de la ciudad de Campeche, México. El índice de dientes cariados, indicados para extracción/extraídos y perdidos (índice ceod) fue utilizado para determinar la existencia de caries dental, y con él se calcularon igualmente la prevalencia (ceod > 0), la gravedad (ceod ≥ 4), así como las necesidades de tratamiento (INT) y el índice de cuidados. Se utilizaron cuestionarios para identificar las variables sociodemográficas, socioeconómicas y de conductas de salud bucal. En el análisis se empleó el modelo de regresión logística binaria. Resultados: El índice ceod global fue de 2.29 ± 2.95. La prevalencia y la gravedad fueron 52.4% y 29.1%, respectivamente. El porcentaje del INT fue de 88.1% y el índice de cuidados de 11.4%. En el modelo multivariado, la actitud negativa hacia la salud bucal (odds ratio [OR] = 2.32; intervalo de confianza [IC] del 95%: 1.36-3.94) y las visitas al dentista en el año previo al estudio (OR = 1.93; IC 95%: 1.44-2.54), resultaron asociadas a la prevalencia de caries. Conclusiones: Más de la mitad de los escolares presentan lesiones de caries en la dentición primaria. Se observó un alto porcentaje de lesiones cariosas con necesidad de tratamiento. Observamos que la actitud que tiene la madre hacia la salud bucal de su hijo tiene cierto grado de influencia sobre la prevalencia de caries en la dentición primaria. Es necesario implementar estrategias que permitan mejorar la salud bucal de los escolares...


Assuntos
Masculino , Feminino , Criança , Cárie Dentária , Dentição , México , Saúde Bucal , Higiene Bucal
14.
Gac Med Mex ; 148(3): 218-26, 2012.
Artigo em Espanhol | MEDLINE | ID: mdl-22820354

RESUMO

OBJECTIVE: The purpose of this study was to quantify the influence of some of the predisposing, enabling, and healthcare need variables on dental health services utilization (DHSU) among Mexican adolescents. MATERIAL AND METHODS: This is a cross-sectional analytical study including 1,538 Mexican teenagers 12 and 15 years of age. The dependent variable was DHSU in the previous 12 months. Data were collected through a questionnaire and included demographic, socioeconomic, and behavioral factors. The study included an oral examination. The analysis included nonparametric statistics and a logistic regression model. RESULTS: Of the 1,538 adolescents, 688 were 12 years old and 850 were 15 years old. Girls accounted for 49.9%. The prevalence of DHSU was 15%. In the final model we found that having moved at least once from the community in which the child was born was associated with DHSU (OR: 1.24; 95% CI: 1.10-1.40; p > 0.05), just as it was observed for purchasing purified water for home consumption instead of relying on piped water supplies (OR: 1.52; 95% CI: 1.03-2.25), higher educational attainment of the mother (OR: 1.39; 95% CI: 1.02-1.91) and of the father (OR: 1.87; 95% CI: 1.09-3.19). Having more sound teeth (OR: 0.96; 95% CI: 0.94-0.98), and having at least one tooth with caries (OR: 1.10; 95% CI: 1.01-1.18) were also associated with DHSU (p > 0.05). CONCLUSION: The percentage of subjects with DHSU in the prior 12 months was low compared with other studies. Our identification of the variables associated with DHSU (often surrogates of socioeconomic position) indicated the existence of oral health inequalities and the need to develop strategies to reduce the gaps identified.


Assuntos
Serviços de Saúde Bucal/estatística & dados numéricos , Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Adolescente , Criança , Estudos Transversais , Feminino , Humanos , Masculino , México , Saúde da População Rural
15.
Med. oral patol. oral cir. bucal (Internet) ; 17(5): 807-813, sept. 2012. tab
Artigo em Inglês | IBECS | ID: ibc-103124

RESUMO

Background: Diverse variables are implicated in the pathogenesis of gingival recession; more detailed knowledge about the relationship between the clinical presentation of gingival recession and assorted risk indicators may lead to improved patient monitoring, early intervention, and subsequent prevention. The objective was to evaluate clinically gingival recession in a homogeneous Mexican adult male population and to determine the strength of association with related factors. Method: A cross-sectional study was carried out in a largely homogeneous group in terms of ethnic background, socioeconomic status, gender, occupation, and medical/dental insurance, in Campeche, Mexico. Periodontal examinations were undertaken to determine diverse clinical dental variables. All periodontal clinical examinations were assessed using the Florida Probe System, a dental chair and one examiner. Questionnaires were used to collect diverse risk indicators. Statistical analyses were undertaken with negative binomial regression models. Results: The mean number of sites with gingival recession per subject was 6.73±5.81; the prevalence was 87.6%. In the negative binomial regression model we observed that for (i) each year of age, and (ii) each percentage unit of increase in sites with plaque, and (iii) with suppuration, mean sites with gingival recession increased 2.9%, 1.0% and 13.0%, respectively. Having a spouse was associated with gingival recession. Conclusions: We observed association between gingival recession, and sociodemographic and clinical parameters. Patients need to be educated about risk indicators for gingival recession as well as the preventive maneuvers that may be implemented to minimize its occurrence. The potential of improved oral self-care to prevent a largely benign condition such as gingival recession is important, given the associated disorders that may ensue root exposure, such as root caries and root hypersensitivity (AU)


Assuntos
Humanos , Retração Gengival/epidemiologia , Doenças Periodontais/epidemiologia , Assistência Odontológica , México/epidemiologia , Saúde Bucal/estatística & dados numéricos , Índice Periodontal , Fatores de Risco
16.
CES odontol ; 25(1): 22-31, ene.-jun. 2012. tab
Artigo em Espanhol | LILACS | ID: lil-652816

RESUMO

Introducción y ObjetivoLos defectos de desarrollo del esmalte (DDE) son alteraciones del esmalte dental que resulta de diversosdisturbios durante la amelogénesis.Determinar el impacto de la posición socioeconómica (PSE) sobre los DDE en la dentición primaria deniños escolares de 6 a 9 años de edad.Material y MétodosSe realizó un estudio transversal en 925 escolares de seis a nueve años de edad. El criterio utilizado paraDDE fue el propuesto por la Federación Dental Internacional, específicamente las opacidades marcadasy difusas e hipoplasias, excluyendo fluorosis dental y otras decoloraciones, a través de un examen clínicorealizado por tres examinadores previamente estandarizados (kappa> 0,80). Se utilizó un cuestionariodirigido a las madres/tutores de los niños se recogieron diversas variables sociodemográficas ysocioeconómicas. La PSE fue determinada con la ocupación y escolaridad de los padres. El análisisestadístico se realizó calculando razones de momios con regresión logística en STATA 9.0.ResultadosLa edad promedio fue 7,56±1,13 años y 50,3% fueron varones. El promedio de DDE fue 0,17±0,75, y laprevalencia de 9,9%. En el análisis multivariado de regresión logística, se observó que los momios depresentar DDE en los dientes primarios aumentaron (p<0,05) en los niños de 8-9 años, en los que visitanal dentista con mayor frecuencia y los de peor PSE.ConclusionesEste estudio permitió identificar que la PSE tiene un impacto en la presencia de DDE en la denticiónprimaria. Es necesario realizar más estudios que confirmen esta asociación y clarifiquen la relación,preferentemente de tipo longitudinal.


Introduction and objectiveDevelopmental enamel defects (DED) can be defined as any alteration of tooth enamel resulting fromvarious disturbances during amelogenesis. The objective of this report was to determine the impact ofsocioeconomic position (SEP) on the DEDin primary teeth of 6 to 9 year old school children.Material and MethodsA cross-sectional study in 925 school children from six to nine years old was carried out. The diagnosticcriteria used for DED was proposed by the FDI, specifically marked and diffuse opacities and hypoplasia,excluding dental fluorosis and other discolorations, through a clinical examination conducted by threetrained and calibrated examiners (kappa> 0,80). Sociodemographic and socioeconomic variables werecollected through a questionnaire directed to mothers / guardians of children. Socioeconomic position(SEP) was determined with the parental occupation and schooling. Statistical analysis was performed bycalculating odds ratios with logistic regression in STATA 9.0.ResultsThe mean age was 7,56±1,13 years and 50,3% were male. Average DED was 0,17 ± 0,75, and theprevalence of 9,9%. Multivariate logistic regression analysis indicated that the odds presenting DED inprimary teeth increased (p <0,05) in children between 8-9 years old, visiting the dentist more often andthe worst SEP.ConclusionsThis study has shown that the PSE has an impact on the presence of DED in the primary dentition.Further studies, which are preferably longitudinal, are needed to confirm this association and clarify therelationship.


Assuntos
Humanos , Esmalte Dentário , Saúde Bucal , Dente Decíduo
17.
Med Oral Patol Oral Cir Bucal ; 17(5): e807-13, 2012 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-22549678

RESUMO

BACKGROUND: Diverse variables are implicated in the pathogenesis of gingival recession; more detailed knowledge about the relationship between the clinical presentation of gingival recession and assorted risk indicators may lead to improved patient monitoring, early intervention, and subsequent prevention. The objective was to evaluate clinically gingival recession in a homogeneous Mexican adult male population and to determine the strength of association with related factors. METHOD: A cross-sectional study was carried out in a largely homogeneous group in terms of ethnic background, socioeconomic status, gender, occupation, and medical/dental insurance, in Campeche, Mexico. Periodontal examinations were undertaken to determine diverse clinical dental variables. All periodontal clinical examinations were assessed using the Florida Probe System, a dental chair and one examiner. Questionnaires were used to collect diverse risk indicators. Statistical analyses were undertaken with negative binomial regression models. RESULTS: The mean number of sites with gingival recession per subject was 6.73±5.81; the prevalence was 87.6%. In the negative binomial regression model we observed that for (i) each year of age, and (ii) each percentage unit of increase in sites with plaque, and (iii) with suppuration, mean sites with gingival recession increased 2.9%, 1.0% and 13.0%, respectively. Having a spouse was associated with gingival recession. CONCLUSIONS: We observed association between gingival recession, and sociodemographic and clinical parameters. Patients need be educated about risk indicators for gingival recession as well as the preventive maneuvers that may be implemented to minimize its occurrence. The potential of improved oral self-care to prevent a largely benign condition such as gingival recession is important, given the associated disorders that may ensue root exposure, such as root caries and root hypersensitivity.


Assuntos
Retração Gengival/epidemiologia , Adulto , Estudos Transversais , Humanos , Masculino , México , Fatores de Risco
18.
Geriatr Gerontol Int ; 12(2): 271-6, 2012 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-22032698

RESUMO

AIM: To determine the prevalence of root caries and the root caries index in a population of older Mexicans, and its relationship to socioeconomic, sociodemographic and dental factors. METHODS: We carried out a cross-sectional study in 85 persons 60 years and older living either in long-term care facilities, or independently and attending an elder day-care group. Each subject underwent an oral examination, performed by a trained and standardized dentist, to determine the root caries index and other clinical variables. Questionnaires were administered to collect socioeconomic, sociodemographic and hygiene data. Statistical analyses were performed using non-parametric tests. RESULTS: The prevalence of root caries was 96.5%. The root caries index was 37.7% ± 21.7%. Statistically significant differences (P < 0.05) of root caries index were observed across residential arrangements and marital statuses, and were higher in publicly funded long-term care and among single subjects (P < 0.05). Those who had poor hygiene had more root caries (P < 0.05); persons with a low level of schooling and who brushed their teeth less frequently also showed a difference (P < 0.05). CONCLUSIONS: The prevalence of root caries was very high. The type of long-term care, marital status, schooling and oral hygiene were associated with a higher root caries index. Oral health programs and preventive caries interventions are needed for this age group in general; targeted strategies may be better focused if sociodemographic profiles are used to characterize high need groups.


Assuntos
Cárie Radicular/epidemiologia , Idoso , Estudos Transversais , Feminino , Humanos , Masculino , México/epidemiologia , Pessoa de Meia-Idade , Prevalência
19.
Gac Med Mex ; 146(4): 264-8, 2010.
Artigo em Espanhol | MEDLINE | ID: mdl-20964069

RESUMO

OBJECTIVE: Identify the variables associated with periodontal status and tooth loss among a sample of adults. MATERIAL AND METHODS: We carried out a cross-sectional study among 161 policemen. Our sample was representative of socioeconomics status and lifestyle among policemen in Campeche, Mexico. All periodontal clinical examinations were assessed using the Florida Probe System using a fixed dental chair and one examiner. The variables we measured included presence of dental plaque, calculus, probing deep, gingival insertion, loss of attachment, gingival retraction, suppuration, and probing blood. We examined six sites surrounding all teeth available in the mouth (maximum 168 sites and excluded third molars). Statistical analyses were performed with STATA 8.2 using a bivariate negative binomial regression model due to over-dispersion in the dependent variable. RESULTS: The mean age was 38.36 +/- 10.99 (range: 20-78). The mean of tooth and sites examined in participants was 24.45 +/- 4.63 and 146.72 +/- 27.80, respectively. The prevalence of tooth loss was 73.3%. 571 teeth were missing and the overall mean of missing teeth was 3.55 +/- 4.63 and within subjects with tooth loss was 4.84 +/- 4.80. The prevalence of functional dentition (21 tooth or more) was 83.8%. To have > 20% gingivitis, > 5% of sites with probing deep > or = 4 mm, > 5% of sites with gingival retraction, > 70% of sites with attachment loss > 2 mm, and each unit of age increase the mean expected of tooth loss by 70.6%, 41.8, 156.4%, 86.9%, and 3.6%, respectively. CONCLUSIONS: Our study findings confirm that lost teeth are common among study participants. Higher prevalence and average of tooth loss was observed among this adult population. Several variables of periodontal status were associated with tooth loss.


Assuntos
Saúde Bucal , Doenças Periodontais/epidemiologia , Polícia , Perda de Dente/epidemiologia , Adulto , Idoso , Estudos Transversais , Humanos , Masculino , México , Pessoa de Meia-Idade , Prevalência , Adulto Jovem
20.
J Am Dent Assoc ; 139(6): 743-9, 2008 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-18519998

RESUMO

BACKGROUND: Toothbrushing may help prevent some oral health diseases considered to be public health problems--in particular, certain presentations of chronic periodontal diseases and dental caries. The authors conducted a study to identify variables associated with frequency of toothbrushing with toothpaste among schoolchildren aged 6 to 12 years. METHODS: The authors collected data regarding sociodemographic, socioeconomic, oral hygiene and attitudinal variables through a cross-sectional questionnaire administered to 1,373 schoolchildren from Campeche, Mexico. They categorized toothbrushing frequency as "two times a day or fewer" and "three times a day or more." The authors used logistic regression to analyze the data. RESULTS: Multivariate analyses showed that girls (odds ratio [OR]=1.41), older children (OR=1.07) and offspring of mothers with higher levels of schooling (OR=1.07) were more likely to brush more frequently. The results showed an interaction between the attitude of the mother toward oral health and the use of dental care in the previous 12 months. When mothers had a positive attitude, the likelihood of their children's brushing more frequently was higher among those who received dental care in the previous 12 months (OR=2.43; P

Assuntos
Comportamento Infantil , Comportamentos Relacionados com a Saúde , Escovação Dentária/estatística & dados numéricos , Fatores Etários , Atitude Frente a Saúde , Criança , Estudos Transversais , Assistência Odontológica/psicologia , Assistência Odontológica/estatística & dados numéricos , Escolaridade , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , México , Relações Mãe-Filho , Mães/educação , Mães/psicologia , Higiene Bucal , Fatores Sexuais , Fatores Socioeconômicos , Escovação Dentária/psicologia
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