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1.
Artigo em Inglês | MEDLINE | ID: mdl-33704655

RESUMO

The objective of the present study was to characterize socioeconomic inequalities in the patterns of professionally applied topical fluoride (PATF) in Mexican schoolchildren. A cross-sectional study was carried out on 3029 Mexican schoolchildren. A questionnaire was administered to caregivers to determine sociodemographic, socioeconomic, and behavioral variables. The dependent variable was prevalence of PATF, coded as 0 = without PATF and 1 = with PATF, at any point in life, and separately, in the previous year. Various indicators of socioeconomic position were included. Logistic regression was used in the final multivariate analysis. The prevalence of PATF any time in life was 33.8%, while in the previous year it was 11.4%. The variables associated (p < 0.05) with PATF any time in life were child's older age (OR = 1.12), older age when tooth brushing started (OR = 1.57), higher brushing frequency (OR = 1.60), having health insurance [public (OR = 1.61) or private (OR = 1.45)], if family owned a car (OR = 1.29) and better socioeconomic position [parents' education, second (OR = 1.48) and third (OR = 1.75) tertile]. For PATF in the previous year, the variables associated were older age of mother (OR = 1.03), older age when tooth brushing started (OR = 1.99), higher brushing frequency (OR = 1.68), having health insurance [public (OR = 1.62)] and better socioeconomic position (parents' education, second (OR = 1.57) and third (OR = 1.97) tertile). This study suggests the existence of socioeconomic inequalities in PATF, manifested through socioeconomic position, access to health insurance and household having a car. Identifying and addressing PATF inequalities would improve oral health in the child population.

2.
Children (Basel) ; 8(2)2021 Feb 03.
Artigo em Inglês | MEDLINE | ID: mdl-33546186

RESUMO

OBJECTIVE: To describe the experience and prevalence of dental caries in schoolchildren aged 6-12 years belonging to agricultural manual worker households. MATERIAL AND METHODS: A comparative cross-sectional study was conducted in two groups of schoolchildren: One considered "children of agricultural worker migrant parents" (n = 157) and the other "children of agricultural worker non-migrant parents" (n = 164). Epidemiological indices for dental caries were calculated for primary (dmft) and permanent (DMFT) dentitions, and compared in terms of age, sex, and the Simplified Oral Hygiene Index (SOHI). Two binary logistic regression models for caries prevalence in primary and permanent dentitions were generated in Stata. RESULTS: For primary dentition, we observed the following dmft index: Non-migrants = 1.73 ± 2.18 vs. migrants = 1.68 ± 2.14. Additionally, we recorded the following caries prevalence: Non-migrants = 59.1% vs. migrants = 51.3%. For permanent dentition, we observed the following DMFT index: Non-migrants = 0.32 ± 0.81 vs. migrants = 0.29 ± 0.95. Further, we recorded the following caries prevalence: Non-migrants = 17.6% vs. migrants = 12.8%. No differences were observed for either dentition (p > 0.05) in caries indices and their components or in caries prevalence. When both caries indices (dmft and DMFT) were combined, the non-migrant group had a higher level of caries experience than the migrant group (p < 0.05). No relationship (p > 0.05) with migrant status was observed in either multivariate models of caries prevalence. However, age did exhibit an association (p < 0.05) with caries. Only the plaque component of SOHI was associated (p < 0.05) with caries in permanent dentition. CONCLUSIONS: Although over half of school children from agricultural manual worker households had caries in either or both dentitions and a considerable proportion were untreated lesions, the prevalence levels were somewhat lower than other reports from Mexico in similar age groups. No statistically significant differences were found in caries experience or prevalence in either dentition between non-migrant and migrant groups.

3.
P R Health Sci J ; 39(2): 203-209, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32663919

RESUMO

OBJECTIVE: To identify the prevalence of and factors associated with the use of dental health services to receive professionally applied topical fluoride (DHSU-PATF) in the 12 months prior to the study among Mexican schoolchildren aged 6 to 12 years. METHODS: A cross-sectional study was performed in 1,404 schoolchildren selected randomly from 15 public schools in the city of Pachuca, Mexico. Questionnaires were distributed to determine the demographic, socioeconomic, and behavioral variables. The dependent variable was the DHSU-PATF in the year before the study, which was dichotomized as 0 (no DHSU-PATF) or 1 (yes, DHSU-PATF). We calculated odds ratios (OR) and 95% confidence intervals. The analysis was performed in Stata 11.0. RESULTS: The prevalence of DHSU-PATF was 5.1%, but lower among younger children (OR = 0.86) and greater among children with health insurance (private insurance, OR = 3.64; insurance provided by the government owned oil company, the Army, or the Navy, OR = 5.03). The level of knowledge about oral health among guardians/ parents was also a factor (medium, OR = 2.37; high, OR = 4.05). Additionally, among the children whose parents/guardians perceived them (the children) as having good or very good oral health, the OR was 3.33; among children whose parents brushed their teeth with greater relative frequency, the OR was 8.74. Finally, DHSU-PATF was greater among children with relatively higher socioeconomic status (2nd quartile, OR = 3.29; 3rd quartile, OR = 5.99; 4th quartile, OR = 4.64). CONCLUSION: The receipt of PATF was low in this sample of Mexican schoolchildren and is associated with socioeconomic and behavioral factors. This gives us a guideline to create or improve topical fluoride application strategies in the public and private Mexican health systems.

4.
J Am Dent Assoc ; 151(4): 276-286, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-32222176

RESUMO

BACKGROUND: The objective of this study was to compare the experience and distribution of tooth loss in people with and without diabetes. METHODS: The authors conducted a comparative cross-sectional study of patients at a public university. Analysis included medical records of those treated from 2013 through 2017. The dependent and main independent variables were the number of missing teeth and a diagnosis of diabetes, respectively. As covariables, the authors analyzed the sociodemographic and socioeconomic characteristics, as well as the general and oral health status of patients. A multivariate model based on negative binomial regression was constructed. RESULTS: Of the 3,406 medical records analyzed, 64.2% (n = 2,185) pertained to women, the mean age was 42.45 years, 87.9% did not have diabetes, and 12.1% had received a diagnosis of diabetes. The mean (standard deviation) number of missing teeth was 7.46 (7.89), 7.09 (7.60) in patients without diabetes, and 10.12 (9.32) in patients with diabetes. According to our final multivariate model, the expected mean number of missing teeth was 11.4% higher in patients with diabetes than in those without (P = .006). For every 1-year increase in age, the expected mean number of missing teeth increased by 3.9% (P < .001). Other variables related to tooth loss included occupation, marital status, and type of insurance. CONCLUSIONS: The results of the study indicate that the mean number of missing teeth is higher in people with diabetes and suggest that certain socioeconomic inequalities exist in the area of oral health. PRACTICAL IMPLICATIONS: The population needs to be apprised of the impact of diabetes on oral health.


Assuntos
Diabetes Mellitus , Perda de Dente , Adulto , Estudos Transversais , Feminino , Humanos , México , Saúde Bucal
5.
Clin Interv Aging ; 13: 1129-1133, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29942121

RESUMO

Background: Aging is one of the most prominent features in recent population dynamics around the world. As populations age, the prevalence of simultaneous chronic diseases increases, which is known as multimorbidity. Objective: The aim of the present study was to determine the prevalence of multimorbidity and associated factors in a sample of elderly Mexican subjects. Materials and methods: A cross-sectional descriptive study was performed on a convenience sample of 139 subjects aged ≥60 years. The dependent variable was the multimorbidity diagnosis performed by a physician, which was categorized as 0 for subjects with no chronic disease or only 1 disease and 1 for subjects with 2 or more chronic diseases. Questionnaires were used to collect the information on the different variables. A statistical analysis was performed in Stata 11.0. Results: The mean age was 79.06±9.78 years, and 69.1% of the subjects were women. A total of 69.1% (95% confidence interval =61.3-76.8) reported at least 1 morbidity. The mean morbidity by subject was 1.04±1.90. Cardiovascular diseases (25.9%), hypertension (20.1%), musculoskeletal disorders (19.4%), and diabetes (13.7%) were the most frequently reported conditions. The prevalence of multimorbidity (2 or more diseases) was 27.3% (95% confidence interval =19.8-34.8). No significant differences were observed in the independent variables. Conclusion: In conclusion, the prevalence of multimorbidity in this sample of elderly Mexican subjects was relatively low. The distribution across the included variables was not significantly different. Interventions focused on the health care of older adults with multimorbidity should pay special attention to cardiovascular diseases, hypertension, and musculoskeletal disorders.


Assuntos
Doença Crônica/epidemiologia , Países em Desenvolvimento , Multimorbidade , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino , México/epidemiologia , Pessoa de Meia-Idade , Prevalência
6.
P R Health Sci J ; 35(2): 88-92, 2016 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-27232870

RESUMO

OBJECTIVE: This study was conducted to determine the experience of tooth loss, as well as its associated variables, in a sample of adult Mexicans, aged 60 years and older. MATERIALS AND METHODS: This cross-sectional study was part of a larger project to measure diverse oral health indicators in a convenience sample: it included 139 adult Mexican seniors (69.1% of whom were women), ages 60 years and older, either living in long-term care facilities or living independently and participating in adult day care services. Each participant underwent an oral examination to determine the number of missing teeth. Questionnaires were administered to collect sociodemographic, socioeconomic, and behavioral data. Statistical analyses were performed using nonparametric tests and negative binomial regression. RESULTS: The mean age was 79.06 (±9.78 years). The mean number of missing teeth was 20.02 (±8.61; median, 24); 99.3% of the participants had at least 1 missing tooth, and only 14 had 20 teeth or more. Using a negative binomial regression multivariate model, we found that for each year's increase in age, the mean number of teeth lost increased by 1% (p<0.05). In individuals who brushed their teeth fewer than two times a day, who had received radiotherapy, or who were currently smokers, the average tooth loss increased 49.2%, 22.6%, and 19.0%, respectively (p<0.01). CONCLUSION: Tooth-loss experience in these Mexican seniors was very high (20.02±8.61). Older age (within the range of this group of seniors), tooth-brushing patterns, the receipt of radiation therapy, and (current) tobacco use were associated with higher experience of tooth loss.


Assuntos
Saúde Bucal/estatística & dados numéricos , Higiene Bucal/estatística & dados numéricos , Fumar/epidemiologia , Perda de Dente/epidemiologia , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Feminino , Humanos , Masculino , México/epidemiologia , Pessoa de Meia-Idade , Análise Multivariada , Lesões por Radiação/epidemiologia , Fatores de Risco , Fumar/efeitos adversos , Fatores Socioeconômicos , Inquéritos e Questionários
7.
Sci Rep ; 6: 21147, 2016 Feb 26.
Artigo em Inglês | MEDLINE | ID: mdl-26916132

RESUMO

We determine the relationship between premature loss of primary teeth and oral hygiene, consumption of soft drinks, dental care and previous caries experience. This study focused on 833 Mexican schoolchildren aged 6-7. We performed an oral examination to determine caries experience and the simplified oral hygiene index. The dependent variable was the prevalence of at least one missing tooth (or indicated for extraction) of the primary dentition; this variable was coded as 0 = no loss of teeth and 1 = at least one lost primary tooth. The prevalence of at least one missing tooth was 24.7% (n = 206) (95% CI = 21.8-27.7). The variables that were associated with the prevalence of tooth loss (p < 0.05) included: the largest number of decayed teeth (OR = 1.11), the largest number of filled teeth (OR = 1.23), the worst oral hygiene (OR = 3.24), a lower frequency of brushing (OR = 1.60), an increased consumption of soda (OR = 1.89) and use of dental care (curative: OR = 2.83, preventive: OR = 1.93). This study suggests that the premature loss of teeth in the primary dentition is associated with oral hygiene, consumption of soft drinks, dental care and previous caries experience in Mexican schoolchildren. These data provide relevant information for the design of preventive dentistry programs.


Assuntos
Bebidas Gaseificadas , Cárie Dentária , Higiene Bucal , Perda de Dente/patologia , Dente Decíduo/patologia , Criança , Assistência Odontológica , Feminino , Humanos , Masculino , México , Prevalência , Perda de Dente/epidemiologia , Perda de Dente/prevenção & controle
8.
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
9.
Gac Med Mex ; 149(1): 27-35, 2013.
Artigo em Espanhol | MEDLINE | ID: mdl-23435073

RESUMO

OBJECTIVE: to determine the effect of birth cohort on dental fluorosis in Mexican schoolchildren during the implementation of the national program to fluoridate domestic salt. MATERIAL AND METHODS: in a cross-sectional study we examined 1,644 schoolchildren 6-13 years old born between 1985-1992 in Campeche, México; a community where there is negligible naturally available fluoride in water supplies. Dental fluorosis was assessed with the Dean's index in the permanent dentition. Questionnaires were used to identify diverse socio-demographic and socio-economic variables. In the statistical analysis logistic regression was used. RESULTS: the prevalence of fluorosis was 15.5%. In the multivariate model,we observed fluorosis was associated with larger family sizes (OR: 0.91; 95% CI: 0.84-0.99) and female sex (OR: 0.74; 95%CI: 0.57-0.98). Furthermore, using the cohort of 1985 as a comparison group, no significant dental fluorosis differences were found with those born between 1986-1987; in contrast, in the cohorts born between 1989-1992 the risk of dental fluorosis increased by almost four times (p < 0.05). CONCLUSION: the prevalence of fluorosis was low compared to other studies in Mexico. In this community with negligible fluoride in water supplies the likelihood of dental fluorosis increased as the windows of susceptibility in birth cohorts were closer to the chronologic beginning of the national domestic salt fluoridation program in 1991. This trend was more apparent after 1991.


Assuntos
Fluoretação , Fluorose Dentária/epidemiologia , Fluorose Dentária/prevenção & controle , Criança , Estudos Transversais , Feminino , Programas Governamentais , Humanos , Masculino , México , Análise Multivariada , Prevalência
10.
J Orofac Pain ; 24(3): 279-86, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-20664829

RESUMO

AIMS: To identify the effect of unmet dental treatment needs and socioeconomic and sociodemographic variables on the patterns of dental visits in the presence of dental pain in 6- to 12-year-old Mexican schoolchildren. METHODS: A case-control study included 379 patients that had a dental visit because of dental pain in the 12 months preceding this study and 1,137 controls. Mothers and/or guardians supplied sociodemographic, socioeconomic, and oral health-related information through a questionnaire. The profiles of unmet dental needs and of oral hygiene were ascertained by means of a standardized dental examination administered to participating children. Odds ratios (OR) and 95% confidence intervals (CIs) were calculated with logistic regression. RESULTS: Higher unmet dental needs and lack of health insurance were associated with the experience of dental visits because of dental pain in the preceding 12 months. Boys who attended public schools had a 70% (95% CI = 1.29 to 2.23) higher probability of having had a dental visit in which dental pain was one of the main reasons for attendance, compared to boys attending private schools. The effect for girls was only 28% (95% CI = 1.10 to 1.50) higher for girls attending a public school, compared to girls attending private schools. Older children had a higher occurrence of dental visits because of dental pain than younger children. CONCLUSIONS: While higher unmet dental needs and lack of health insurance were strong predictors of having had dental visits because of dental pain in the preceding 12 months, some socioeconomic variables and sociodemographic variables modified these relationships.


Assuntos
Assistência Odontológica/estatística & dados numéricos , Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Classe Social , Odontalgia/terapia , Fatores Etários , Automóveis , Estudos de Casos e Controles , Criança , Índice CPO , Escolaridade , Características da Família , Feminino , Humanos , Seguro Saúde/estatística & dados numéricos , Masculino , México , Ocupações , Higiene Bucal , Índice de Higiene Oral , Propriedade , Pais/educação , Setor Privado , Setor Público , Fatores Sexuais , Escovação Dentária/estatística & dados numéricos
11.
Cad. saúde pública ; 25(12): 2621-2631, dez. 2009. tab
Artigo em Espanhol | LILACS | ID: lil-538412

RESUMO

El objetivo del estudio fue evaluar la asociación entre diversos indicadores socioeconómicos y la utilización de servicios de salud bucal. Se realizó un estudio transversal en 3.048 escolares. La variable utilización de servicios de salud bucal y las variables sociodemográficas y socioeconómicas se colectaron a través de un cuestionario dirigido a las madres. Para determinar las necesidades de salud se realizó un examen clínico bucal a los niños. Las asociaciones ajustadas fueron evaluadas con regresión logística politómica. Las variables asociadas a servicios preventivos y curativos fueron mayor edad, mayor frecuencia de cepillado y menor edad al inicio de cepillado dental, tener seguro público o privado, y mejor nivel socioeconómico. Además, sólo para los servicios preventivos, también se asoció estar inscrito en una escuela privada, y sólo para los servicios curativos, la posesión de automóvil y tener necesidades de salud bucal entre moderadas y muy altas. Los resultados sugieren la existencia de desigualdades socioeconómicas en la utilización de servicios de salud bucal en niños mexicanos.


The aim of this cross-sectional study was to evaluate the association between socioeconomic indicators and use of dental services in a sample of 3,048 Mexican schoolchildren. The dependent variable "use of dental services" and independent variables were collected through a questionnaire addressed to mothers. To determine oral health needs, a clinical oral examination was performed. The adjusted associations were evaluated using polytomous logistic regression. Adjusted by gender, the categories associated with both preventive and curative services were age, greater frequency of brushing, earlier initiation of brushing, healthcare coverage, and better socioeconomic status. In addition, for preventive services only, use of services was associated with enrolment in private school, and for curative services only, family's possession of an automobile and having moderate to high oral health needs. The results suggest the existence of socioeconomic inequalities in the use of both preventive and curative dental services by Mexican children.


Assuntos
Criança , Feminino , Humanos , Masculino , Assistência Odontológica para Crianças , Serviços de Saúde Bucal , Acesso aos Serviços de Saúde/estatística & dados numéricos , Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Saúde Bucal , Estudos Transversais , Cárie Dentária/prevenção & controle , Disparidades em Assistência à Saúde , México , Previdência Social , Fatores Socioeconômicos , Inquéritos e Questionários , Escovação Dentária/estatística & dados numéricos
12.
Cad Saude Publica ; 25(12): 2621-31, 2009 Dec.
Artigo em Espanhol | MEDLINE | ID: mdl-20191153

RESUMO

The aim of this cross-sectional study was to evaluate the association between socioeconomic indicators and use of dental services in a sample of 3,048 Mexican schoolchildren. The dependent variable 'use of dental services' and independent variables were collected through a questionnaire addressed to mothers. To determine oral health needs, a clinical oral examination was performed. The adjusted associations were evaluated using polytomous logistic regression. Adjusted by gender, the categories associated with both preventive and curative services were age, greater frequency of brushing, earlier initiation of brushing, healthcare coverage, and better socioeconomic status. In addition, for preventive services only, use of services was associated with enrolment in private school, and for curative services only, family's possession of an automobile and having moderate to high oral health needs. The results suggest the existence of socioeconomic inequalities in the use of both preventive and curative dental services by Mexican children.


Assuntos
Assistência Odontológica para Crianças/estatística & dados numéricos , Serviços de Saúde Bucal/estatística & dados numéricos , Acesso aos Serviços de Saúde/estatística & dados numéricos , Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Saúde Bucal , Criança , Estudos Transversais , Cárie Dentária/prevenção & controle , Feminino , Disparidades em Assistência à Saúde , Humanos , Masculino , México , Previdência Social , Fatores Socioeconômicos , Inquéritos e Questionários , Escovação Dentária/estatística & dados numéricos
13.
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
14.
Clin Oral Investig ; 12(3): 197-202, 2008 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-18183431

RESUMO

To contrast the sensitivity, specificity, and positive-negative predictive values between dental fluorosis prevalence scored on 28 (DF28) and on six permanent teeth (DF6), we undertook a cross-sectional study on 1,538 adolescents (12 and 15 years old) residing in Hidalgo State, Mexico, a naturally fluoridated (>0.7 ppm) area at an elevated altitude (>2,500 m above sea level). Dental fluorosis was scored using Deans modified index. Using the scores obtained for all teeth present (DF28) as a gold standard, we calculated the sensitivity, specificity, positive-negative predictive values, and receiver operating characteristic and concordance index pertaining to the scores based on six teeth (upper incisors and canines). DF28 fluorosis prevalence was 81.7%; based on DF6, it was 58.7% (23% difference). Among 12 year olds, the difference between DF28 and DF6 was 20.1% (84.5 vs. 64.4%); among 15 year olds, it was 25.4% (79.4 vs. 54%). Among girls, it was 23.2% (81.1 vs. 57.9%) and among boys, 22.8% (82.2 vs. 59.4%). The fluorosis community indices were 1.75 (DF28) and 1.11 (DF6). All positive predictive values reached 100% while negative predictive values were below 45%. Concordance between DF28 and DF6 was 53.9%, and kappa coefficient was 0.40. Partial scoring of fluorosis based on esthetically important permanent teeth underestimated prevalence, compared to full-mouth scoring. The decision to use an abridged Dean's index protocol must take into account the number of teeth examined, and which specific teeth are examined, to appraise the benefit of reduced data collection effort against possible information loss.


Assuntos
Fluorose Dentária/epidemiologia , Adolescente , Criança , Estudos Transversais , Inquéritos de Saúde Bucal , Feminino , Fluorose Dentária/patologia , Humanos , Masculino , México/epidemiologia , Prevalência , Curva ROC , Sensibilidade e Especificidade
15.
Rev Invest Clin ; 59(4): 256-67, 2007.
Artigo em Espanhol | MEDLINE | ID: mdl-18019598

RESUMO

OBJECTIVES: To identify some of the clinical, socio-demographic, and socio-economic variables associated with dental caries prevalence in primary teeth, as well as the prevalence and severity of caries in permanent teeth, among 6-to-10 years old with mixed dentition. MATERIAL AND METHOD: A cross-sectional study on 2270 school children with mixed dentition in Northwest Mexico was undertaken, with oral exams used to collect data on oral hygiene and dental caries experience--based on criteria by the World Health Organization, and on Pitts D1/d1 lesion classification. Dependent variables were d1eft > 0, D1MFT >0, and D1MFT > or =4. We used questionnaires filled out by the mothers/guardians to ascertain socio-demographic and socio-economic variables. Data were analyzed using logistic regression. RESULTS: Mean age was 8.1 +/- 1.3 years, and 50.9% of participants were female. Mean deft was 5.0 +/- 3.2 (d1eft > 0 = 91.6% of participants), and mean D1MFT was 2.5 +/- 1.9 (D1MFT >0 = 77.1% of participants). Variables associated with caries in the primary dentition were younger age (odds ratio (OR) = 0.76), high sugar intake (OR = 1.34), mediocre oral hygiene (OR = 2.24) and poor/very poor hygiene (OR = 3.86), frequent intake of soft drinks (OR = 2.25), having had a preventive dental visit in the 12 months prior to the study (OR = 0.70), having health insurance with a public sector provider (OR = 0.63), and having low socio-economic level (OR = 1.92). For the primary dentition, variables were female sex (OR = 1.43), older age of the child (OR = 2.21), older age of the father (OR = 1.03), high sugar intake (OR = 1.38), mediocre oral hygiene (OR = 4.89), poor/very poor hygiene (OR = 8.74), and having had caries in the primary dentition (OR = 6.88). In terms of severity (D1MFT > or =4), trends were similar to prevalence. CONCLUSIONS: Dental caries remains a public health problem for this population. Diverse clinical, sociodemographic, and socio-economic variables were associated with dental caries experience in both dentitions.


Assuntos
Cárie Dentária/epidemiologia , Bebidas Gaseificadas/efeitos adversos , Criança , Estudos de Coortes , Dentição Mista , Sacarose na Dieta/efeitos adversos , Comportamento Alimentar , Feminino , Humanos , Masculino , México/epidemiologia , Higiene Bucal , Fatores de Risco , Fatores Socioeconômicos
16.
Biomedica ; 26(2): 224-33, 2006 Jun.
Artigo em Espanhol | MEDLINE | ID: mdl-16925095

RESUMO

INTRODUCTION: Dental caries is the most prevalent disease in children. OBJECTIVE: To determine the caries experience, prevalence, and severity in temporal and permanent dentition, likewise to establish the significant caries index in schoolchildren of Navolato, Sinaloa, Mexico as well as their treatment needs. MATERIAL AND METHODS: A cross sectional study in 3048 schoolchildren aged 6 to 12 years. All subjects were clinically examined by three examiners (kappa>0.85), according to World Health Organization (WHO) guidelines. Caries detection criteria used were the WHO's criteria and Pitts' lesion d1. RESULTS: The mean age was 8.81 +/- 1.79 years old and 52.2% were girls. In the temporal dentition; the dmft was 4.68 +/- 3.21 and caries prevalence of 90.2% (dmft>3 was 60.8%, and dmft>6 was 27.4%). The overall significant caries index was 10.52 for 6 year olds. The noncavitated lesions (d1) represented 37.1% of the "decay" component. In the permanent dentition; the DMFT was 3.24 +/- 2.72 and caries prevalence was 82.0% (DMFT>3 was 47.8%, and DMFT>6 was 9.0%). The overall significant caries index was 10.87 for 12 year olds. The noncavitated lesions (d1) represented 63.4% of the "decay" component. The majority, 89.6% and 81.1% of children needed at least one restoration of one and two dental surfaces, respectively. Girls were more affected by caries than boys in permanent dentition, but not in temporal dentition. The caries experience increased with age. CONCLUSIONS: We observed high indices of caries, and high prevalence, severity and treatment needs. Noncavitated lesions were higher in permanent dentition that in primary dentition.


Assuntos
Cárie Dentária , Inquéritos de Saúde Bucal , Criança , Estudos Transversais , Índice CPO , Assistência Odontológica para Crianças , Cárie Dentária/epidemiologia , Cárie Dentária/fisiopatologia , Cárie Dentária/terapia , Suscetibilidade à Cárie Dentária , Feminino , Humanos , Masculino , México/epidemiologia
17.
Biomédica (Bogotá) ; 26(2): 224-233, jun. 2006. tab, graf
Artigo em Espanhol | LILACS | ID: lil-434536

RESUMO

Introducción. La caries dental es una de las enfermedades más prevalentes en los niños. Objetivo. Determinar la experiencia, prevalencia y gravedad de caries en la dentición temporal y permanente; establecer igualmente el índice de caries significativa (SiC, por sus siglas en inglés), en escolares de Navolato, Sinaloa, México, así como sus necesidades de tratamiento. Materiales y métodos. Se realizó un estudio transversal en 3.048 niños de 6 a 12 años de edad. Los sujetos fueron examinados clínicamente por tres examinadores (índice k > 0,85), de acuerdo a los lineamientos establecidos por la Organización Mundial de la Salud (OMS). Para la detección de caries se empleó el criterio de la OMS y la lesión d1 de Pitts. Resultados. La media de edad fue de 8,81±1,79 años y el porcentaje de niñas fue de 52,2 por ciento. En la dentición temporal, el ceod (Promedio de dientes cariados, extraídos/perdidos y obturados) fue de 4,68±3,21 y la prevalencia de caries 90,2 por ciento (ceod > 3 = 60,8 por ciento). El índice significativo de caries fue de 10,52 para los niños de seis años de edad. Las lesiones no cavitadas (d1) representaron 37,1 por ciento del componente "cariados". En la dentición permanente, el índice CPOD (Promedio de dientes permanentes cariados, perdidos y obturados) fue de 3,24±2,72 y la prevalencia de caries, 82 por ciento (CPOD > 3 = 47,8 por ciento). El índice de caries significativa fue de 10,87 para los niños de 12 años. Las lesiones no cavitadas representaron 63,4 por ciento del componente "cariados". Al menos 81,1 por cientode los niños necesitó la restauración de una superficie dental y 89,6 por ciento, de dos. Las niñas presentaron más caries que los niños en su dentición permanente. Se observó que conforme aumentó la edad se incrementó la experiencia de caries.


Assuntos
Criança , Cárie Dentária/epidemiologia , Cárie Dentária/prevenção & controle , Inquéritos de Saúde Bucal , Saúde Bucal , Índice Periodontal
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