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1.
Int J Paediatr Dent ; 30(1): 11-17, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31464021

RESUMO

BACKGROUND: Knowledge on the association between developmental enamel defects (DED) and early childhood caries (ECC) has importance for the drafting of prevention measures and oral healthcare planning. AIM: To compare the frequency of ECC in children with and without DED and verify their association with sociodemographic factors. DESIGN: This case-control study was carried out with Brazilian children aged one to five years. The case group made up of 98 children with ECC and the control group was made up of 98 children without ECC. DED were classified in diffuse opacity, demarcated opacity and enamel hypoplasia (Developmental Defects of Enamel Index). Sociodemographic data were collected by a questionnaire answered by parents. Statistical analysis used McNemar's test and logistic regression analyses. RESULTS: In the bivariate analysis, ECC was more frequent among children from families with poorer socioeconomic conditions (lower monthly household income [P ≤ .001] and lower maternal schooling [P = .001]) and among those with DED (P ≤ .001). The final logistical model showed that children with DED (OR: 1.94) and a monthly household income less than two Brazilian minimum salaries (OR: 2.24) were more likely to have ECC. CONCLUSIONS: The occurrence of DED and lower household income were pre-disposing factors for the occurrence of ECC.


Assuntos
Cárie Dentária , Brasil , Estudos de Casos e Controles , Criança , Pré-Escolar , Estudos Transversais , Índice CPO , Esmalte Dentário , Humanos , Lactente , Prevalência
2.
Caries Res ; 53(6): 667-674, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31291628

RESUMO

The risk of dental caries seems to be greater in the presence of developmental defects of enamel (DDE). The aim was to determine whether the presence of DDE in the primary teeth of preschool children increases the risk of dental caries in the primary dentition after a period of approximately 2 years. This study was conducted in two stages: baseline (T0) and follow-up (T1). At T0, examinations were conducted for the diagnosis of enamel defects using the DDE index (FDI, 1992), dental caries, and oral hygiene. The participants were allocated to two groups according to the presence (affected) or absence (unaffected) of DDE. At the second evaluation (T1), examinations were performed for the diagnosis of dental caries. Poisson regression analysis with a multilevel approach was used to determine the association between DDE and dental caries. The two levels of the analysis were tooth and child. Among the 339 children (113 affected and 226 unaffected) examined at baseline (T0), 325 were re-examined at follow-up (T1). According to the multilevel analysis, teeth with enamel hypoplasia had a greater risk of having dental caries (RR: 1.99; 95% CI: 1.19-3.33). The risk of caries was greater on posterior teeth (RR: 2.59; 95% CI: 2.18-3.07) and maxillary teeth (RR: 1.48; 95% CI: 1.26-1.75) that had DDE at T0. On the child level, dental caries at T1 was associated with having dental caries at T0 (RR: 1.38; 95% CI: 1.32-1.46). In conclusion, enamel hypoplasia and previous dental caries are risk factors for carious lesions in the primary dentition.


Assuntos
Cárie Dentária/etiologia , Hipoplasia do Esmalte Dentário/complicações , Esmalte Dentário/patologia , Brasil , Criança , Pré-Escolar , Feminino , Humanos , Estudos Longitudinais , Masculino , Prevalência , Estudos Prospectivos , Dente Decíduo
3.
Braz Oral Res ; 30(1)2016 May 20.
Artigo em Inglês | MEDLINE | ID: mdl-27223127

RESUMO

The objectives of this prospective, longitudinal, population-based study were to estimate the incidence of dental caries in the primary dentition, identify risk factors and determine the proportion of children receiving dental treatment, through a two-year follow up. The first dental exam was conducted with 381 children aged one to five years, at health centers during immunization campaigns; 184 of them had dental caries and 197 had no caries experience. The second exam was carried out two years later at a nursery or at home with the same individuals who participated in the first exam. The diagnosis of dental caries was performed using the dmft criteria. Parents were interviewed regarding socioeconomic indicators. Descriptive, bivariate and adjusted Poisson regression analyses were performed. Among the 381 children, 234 were reexamined after two years (non-exposed: 139; exposed: 95). The overall incidence of dental caries was 46.6%. The greatest incidence of dental caries was found in the group of children with previous caries experience (61.1%). Among the children without dental caries in the first exam, 36.7% exhibited caries in the second exam. The majority of children (72.6%) received no treatment for carious lesions in the two-year interval between examinations. Children with previous dental caries (RR: 1.52, 95%CI: 1.12-2.05) had a greater risk of developing new lesions, compared with the children without previous dental caries. The incidence of dental caries was high and most of children's caries were untreated. Previous caries experience is a risk factor for developing new carious lesions in children.


Assuntos
Cárie Dentária/epidemiologia , Dente Decíduo , Fatores Etários , Brasil/epidemiologia , Criança , Pré-Escolar , Cárie Dentária/etiologia , Cárie Dentária/terapia , Métodos Epidemiológicos , Feminino , Nível de Saúde , Humanos , Masculino , Saúde Bucal/estatística & dados numéricos , Medição de Risco/métodos , Fatores de Risco , Fatores Socioeconômicos
4.
Gen Dent ; 64(2): 9-12, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26943081

RESUMO

Exocrine pancreatic insufficiency is a condition capable of promoting changes in craniofacial growth and development. This case report describes treatment of a 9-year-old patient with chronic pancreatic insufficiency, highlighting the diagnostic aspects involved and clinical implications of this condition with respect to dental treatment. The treatment plan involved oral hygiene recommendations and correction of bilateral posterior crossbite and anterior open bite. Just 2 weeks after orthodontic treatment, the corrected dentition relapsed completely, confirming the difficulty of promoting ossification in the median palatine suture. Orthodontists should be careful to develop an individualized treatment plan for each patient with this abnormality, because these determinations could mean the difference between success and failure of the treatment approach.


Assuntos
Insuficiência Pancreática Exócrina/complicações , Má Oclusão/etiologia , Maxila/crescimento & desenvolvimento , Mordida Aberta/etiologia , Criança , Humanos , Masculino , Má Oclusão/diagnóstico por imagem , Má Oclusão/terapia , Mordida Aberta/diagnóstico por imagem , Mordida Aberta/terapia , Higiene Bucal , Aparelhos Ortodônticos , Técnica de Expansão Palatina/efeitos adversos , Radiografia Dentária
5.
Int J Paediatr Dent ; 26(3): 211-9, 2016 May.
Artigo em Inglês | MEDLINE | ID: mdl-26173864

RESUMO

BACKGROUND: Oral diseases can negatively influence the quality of life causing harm in the development of routine activities, child development and their well-being. AIM: To investigate the impact of dental caries, malocclusion and developmental defects of enamel (DDE) on the oral health-related quality of life of preschool children and their parents. DESIGN: A cross-sectional study was carried out with 646 children aged 2-6 years in Diamantina, Brazil. Calibrated dental examiners performed the oral examinations. Parents answered the Brazilian version of the Early Childhood Oral Health Impact Scale (B-ECOHIS) and a questionnaire on socio-economic indicators. Statistical analyses involved the chi-square test and Poisson regression. RESULTS: Malocclusion and DDE did not cause a negative impact on the children's quality of life. Children with dental caries (PR: 1.92; 95%CI: 1.56-2.35) and those aged 5 (PR: 1.51; 95%CI: 1.13-2.02) and 6 years (PR: 1.51; 95%CI: 1.02-2.23) were more likely to have a negative quality of life impact on the total B-ECOHIS. CONCLUSIONS: Dental caries was associated with a negative impact on the quality of life of children. Malocclusion and DDE did not cause a negative impact on the children's quality of life. Older children had higher frequency of negative impact on OHRQoL.


Assuntos
Cárie Dentária , Má Oclusão , Qualidade de Vida , Brasil , Pré-Escolar , Estudos Transversais , Feminino , Humanos , Masculino , Saúde Bucal , Inquéritos e Questionários
6.
Braz. oral res. (Online) ; 30(1): e59, 2016. tab
Artigo em Inglês | LILACS | ID: biblio-952052

RESUMO

Abstract The objectives of this prospective, longitudinal, population-based study were to estimate the incidence of dental caries in the primary dentition, identify risk factors and determine the proportion of children receiving dental treatment, through a two-year follow up. The first dental exam was conducted with 381 children aged one to five years, at health centers during immunization campaigns; 184 of them had dental caries and 197 had no caries experience. The second exam was carried out two years later at a nursery or at home with the same individuals who participated in the first exam. The diagnosis of dental caries was performed using the dmft criteria. Parents were interviewed regarding socioeconomic indicators. Descriptive, bivariate and adjusted Poisson regression analyses were performed. Among the 381 children, 234 were reexamined after two years (non-exposed: 139; exposed: 95). The overall incidence of dental caries was 46.6%. The greatest incidence of dental caries was found in the group of children with previous caries experience (61.1%). Among the children without dental caries in the first exam, 36.7% exhibited caries in the second exam. The majority of children (72.6%) received no treatment for carious lesions in the two-year interval between examinations. Children with previous dental caries (RR: 1.52, 95%CI: 1.12-2.05) had a greater risk of developing new lesions, compared with the children without previous dental caries. The incidence of dental caries was high and most of children's caries were untreated. Previous caries experience is a risk factor for developing new carious lesions in children.


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Criança , Dente Decíduo , Cárie Dentária/epidemiologia , Fatores Socioeconômicos , Brasil/epidemiologia , Nível de Saúde , Saúde Bucal/estatística & dados numéricos , Métodos Epidemiológicos , Fatores de Risco , Fatores Etários , Medição de Risco/métodos , Cárie Dentária/terapia
7.
Int J Paediatr Dent ; 25(2): 103-9, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-24650107

RESUMO

BACKGROUND: The determination of risk factors for early childhood caries (ECC) is important to the implementation of preventive and restorative measures. However, few studies have addressed the association between ECC and developmental defects of enamel (DDE). AIMS: To investigate the association between DDE and ECC, controlling for socioeconomic factors and the presence of dental plaque. DESIGN: A cross-sectional study was carried out with 387 children aged two to 5 years during the National Immunisation Day held in 2010 in Diamantina, Brazil. Data were collected through clinical examinations and interviews with parents/guardians addressing socioeconomic indicators. Statistical analysis involved the chi-squared test and Poisson regression. RESULTS: The prevalence of DDE and ECC was 33.9% and 43.3%, respectively. Children with DDE had a greater prevalence rate of ECC (PR: 1.325; 95% CI: 1.093-1.607). Early childhood caries was more prevalent among children with unsatisfactory oral hygiene (PR: 2.933; 95% CI: 2.22-3.86), those who resided in rural areas (PR: 1.267; 95% CI: 1.03-1.55) and those from families with a lower monthly household income (PR: 1.501; 95% CI: 1.06-2.12). CONCLUSIONS: The presence of ECC was associated with the occurrence of DDE in the primary dentition. Place of residence and monthly household income (socioeconomic indicators) and oral hygiene (behavioural factor) exerted an influence on the occurrence of ECC.


Assuntos
Cárie Dentária/etiologia , Hipoplasia do Esmalte Dentário/complicações , Adulto , Brasil/epidemiologia , Pré-Escolar , Estudos Transversais , Cárie Dentária/epidemiologia , Hipoplasia do Esmalte Dentário/epidemiologia , Feminino , Humanos , Masculino , Higiene Bucal , Projetos Piloto , Prevalência , Fatores de Risco , Fatores Socioeconômicos
8.
Braz. oral res. (Online) ; 29(1): 1-6, 2015. tab
Artigo em Inglês | LILACS | ID: lil-777167

RESUMO

The purpose of the present study was to identify the factors associated with dental trauma in preschool children. This case-control study was nested in a population-based cross-sectional study involving a random sample of 301 children one to five years of age in the city of Diamantina, Brazil. The case group was made up of children with at least one fractured deciduous tooth, and the control group was made up of children with no deciduous tooth fracture. The two groups were matched for age in a proportion of one control for every case. The dependent variable was “dental trauma,” diagnosed according to the criteria proposed by Andreasen and Andreasen. The independent variables were overjet, measured and considered accentuated when surpassing 3 mm, and lip coverage, classified as adequate or inadequate. Clinical oral examinations were performed by calibrated dentists. The parents provided information on the socioeconomic indicators. Statistical analysis involved the McNemar test and logistic regression. Each group (case and control) was composed of 92 children. In the bivariate analysis, traumatic dental injury (TDI) was associated with overjet > 3 mm (p = 0.001), inadequate lip coverage (p < 0.001), mother's schooling (p = 0.028) and household income (p < 0.001). In the multivariate analysis, only inadequate lip coverage was associated with TDI (OR: 5.35; 95% CI: 1.37-20.85). In conclusion, the case group children had a 5.3 - fold more likely chance of presenting inadequate lip coverage, compared with the control children.

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