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1.
Braz. j. oral sci ; 20: e211359, jan.-dez. 2021. ilus
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1252506

RESUMO

Aim: To evaluate the effects of an intervention for the prevention of obesity on the prevalence of dental caries disease in Spanish children. Methods: Two cities participated intervention study nested in a cohort IDEFICS (Identification and prevention of dietary and lifestyle induced health effects in children and infants): Huesca, where there was a 2-year intervention, which encouraged less sugar consumption; and Zaragoza (control). The prevalence of caries was evaluated by examining the 1st permanent molars in the 7-11 age range, using the ICDAS (International Caries Detection and Assessment System). These teeth erupt at 6 years of age and at the baseline (2007-2008) were free of caries because they were not present in the oral cavity. As outcomes, white spots were selected, combining the ICDAS criteria 1 and 2, and untreated caries, combining criteria 4, 5 and 6. Their association with socioeconomic variables, BMI (Body Mass Index), frequency of sugar intake, sex and parents' perceptions of their children, was investigated. To do so, the chi-square test was applied (p<0.05). Results: The sample consisted of 281 children. The prevalence of white spots and untreated caries was higher in Huesca, despite the intervention. There was no association between the outcomes and the variables studied (p>0.05). Conclusion: The intervention for the prevention of obesity did not exert any association with the prevalence of caries in Spanish children


Assuntos
Humanos , Masculino , Feminino , Criança , Saúde Bucal , Cárie Dentária/epidemiologia , Obesidade
2.
Pediatr Dent ; 43(4): 276-281, 2021 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-34467843

RESUMO

Purpose: Childhood caries is a highly prevalent disease that is intricately connected to diet and other social and behavioral factors. While it has been established that breastfeeding confers many health benefits for children, previous research found no consensus on the relationship between breastfeeding and caries. The purpose of this study was to examine the relationship between early childhood caries (ECC) and the length of time breastfeeding using the National Health and Nutrition Examination Survey (NHANES). Methods: Four cycles of NHANES (2011 to 2018) were analyzed, including 3,234 children ages two to five years. The association between breastfeeding duration and incidence of ECC and severe earlychildhood caries (S-ECC) was evaluated using logistic regression, adjusting for age, ethnicity, education, income, last dental visit, and sugar-sweetened beverages. Results: In the study population, 16.9 percent had ECC and 12.2 percent had S-ECC. Breastfeeding six months to one year, one to two years, or over two years was not associated with higher odds of ECC or S-ECC than breastfeeding for zero to six months after adjusting for covariates. Conclusions: There was no statistically significant relationship between breastfeeding and early childhood caries, and breastfeeding duration was not associated with increased caries risk. More research from well-controlled analytical studies is needed to establish or refute a relationship between breastfeeding and ECC.


Assuntos
Aleitamento Materno , Cárie Dentária , Criança , Pré-Escolar , Cárie Dentária/epidemiologia , Suscetibilidade à Cárie Dentária , Feminino , Humanos , Inquéritos Nutricionais , Prevalência , Fatores de Risco
3.
Pediatr Dent ; 43(4): 296-300, 2021 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-34467847

RESUMO

Purpose: The purpose of the present study was to evaluate the individual susceptibility of four different types of OXIS contact areas (open [O], point [X], straight [I], and curved [S]) to approximal caries in children. Methods: A retrospective cohort study was performed using clinical photographs and cone-beam computed tomography images of children, available from January 1, 2014, to August 31, 2015, showing the presence of at least one caries-free contact area between the primary molars. A single calibrated examiner scored 1,102 selected contacts using OXIS criteria from the occlusal view and subsequently evaluated the same contacts with a minimum follow-up period of one year for the presence of approximal caries. Results: Of the 1,102 contacts, 259 (23.5 percent) were found to be carious or restored due to approximal caries. Multivariate logistic regression analysis showed that only the type of contact played a significant role in caries prevalence (P<0.05). The odds ratios of OXIS contacts for the development of approximal caries were: S contact-147.4 (95 percent confidence interval [95% CI] equals 19.7 to 1101.7); I contact-24.5 (95% CI equals 3.4 to 177.9); X contact-1.1 (95% CI equals 1.0 to 12.5); and O contact-1.00 (reference). Conclusions: Among the OXIS contacts, the S type was most susceptible to approximal caries due to its complex morphology. The broad contact areas, namely, I and S types, are at greater risk for approximal caries in primary molars than O and X contacts.


Assuntos
Suscetibilidade à Cárie Dentária , Cárie Dentária , Criança , Cárie Dentária/epidemiologia , Cárie Dentária/etiologia , Fumarato de Formoterol , Humanos , Estudos Retrospectivos , Fatores de Risco
4.
Cien Saude Colet ; 26(suppl 2): 3647-3655, 2021.
Artigo em Português | MEDLINE | ID: mdl-34468659

RESUMO

Fluoridation is considered an effective and wide-ranging measure in combatting dental caries. Despite being mandatory in Brazil since 1974, the implementation continues to be unequal throughout the country. The objective was to describe and analyze fluorine levels in the waters of the public supply grid of the 2nd macro region of the state of Pernambuco in municipalities with 50,000 inhabitants or more. This is a descriptive study based on a comparison of data from Pernambuco Sanitation Company (Compesa), the Vigifluor Project, the Water Quality Surveillance Information System for Human Consumption (Sisagua) the Brazilian Institute of Geography and Statistics (IBGE) and the National Sanitation Information System (SNIS), on the fluoridation of water in municipalities of the 2nd health macro region of Pernambuco. Although the municipalities studied do not have artificial fluoridation, significant levels of natural fluorine were found in the sources that supply the regions. However, these levels of fluorine do not remain constant in the waters of the supply network of the municipalities studied, therefore there is no effective prevention against caries. Artificial fluoridation is an effective measure in preventing caries and should therefore be expanded in regions that are not yet fluoridated.


Assuntos
Cárie Dentária , Fluoretos , Brasil , Cidades , Cárie Dentária/epidemiologia , Cárie Dentária/prevenção & controle , Fluoretação , Fluoretos/análise , Humanos , Abastecimento de Água
5.
Pediatr Dent ; 43(4): 287-289, 2021 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-34467845

RESUMO

Purpose: The purpose of this study was to assess the relationship between the number of teeth present at 12 months and decayed, missing, or filled surfaces (dmfs) at 30 and 48 months. Methods: Data are from a longitudinal, multisite study with clinical dental examinations conducted at 12, 30, and 48 months of age. Spearman correlation and chi-square tests assessed relationships between teeth present at 12 months and dmfs at 30 (n equals 1,062) and 48 months (n equals 985). Results: Spearman correlations were weak but significant for both 30- and 48-month time points (R equals 0.066, P=0.032; R equals 0.093, P=0.004, respectively). Mantel-Haenszel chi-square analyses of categories of teeth present at 12 months (zero, one to four, five to eight, and greater than or equal to nine) and categories of dmfs at 30 and 48 months (zero, one to two, three to five, six to 15, and greater than or equal to 16) revealed nonsignificant (P=0.326) relationship with 30-month dmfs but a significant (P=0.013) relationship with 48-month dmfs. Conclusion: Results suggest that early tooth eruption is weakly associated with an occurrence of early childhood caries.


Assuntos
Cárie Dentária , Erupção Dentária , Distribuição de Qui-Quadrado , Pré-Escolar , Cárie Dentária/epidemiologia , Suscetibilidade à Cárie Dentária , Humanos , Estudos Longitudinais
6.
Braz Oral Res ; 35: e071, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34495135

RESUMO

This study investigated the factors associated with new carious lesions in one-to five-year-old children with developmental disabilities. This was a retrospective cohort that evaluated 64 dental charts of individuals with caries or fillings in their first dental appointment. The dependent variable was the occurrence of a new carious lesion or restoration. Gender, age, mother's education, sugar consumption, oral hygiene, mouth breathing, reports of xerostomia, gingival status, use of psychotropic drugs, use of asthma drugs, history of asthma, bronchitis, reflux or seizures and having at least one sibling were covariates. Cox proportional hazards regression model was used to estimate the raw and adjusted hazard ratios with their respective 95% confidence interval. The average time that individuals remained free of dental caries/restoration was 79.49 months (95%CI: 64.37 to 92.61). Increase in sucrose consumption increased the rate of caries recurrence (HR = 1.16; 95%CI: 1.04 to 1.30). Individuals who had poor oral hygiene had higher rate of new dental caries (HR = 3.88; 95%CI: 1.22 to 12.37) compared to those with good oral hygiene. The presence of mouth breathing decreased the rate of recurrence of the disease when compared to the nasal breathing (HR = 0.32; 95%CI: 0.15 to 0.70). Oral health-related behaviors and nasal respiration influenced the rate of dental caries recurrence in individuals with developmental disabilities.


Assuntos
Cárie Dentária , Criança , Pré-Escolar , Cárie Dentária/epidemiologia , Deficiências do Desenvolvimento/epidemiologia , Humanos , Lactente , Estudos Longitudinais , Higiene Bucal , Estudos Retrospectivos
7.
Zhonghua Kou Qiang Yi Xue Za Zhi ; 56(9): 857-865, 2021 Sep 09.
Artigo em Chinês | MEDLINE | ID: mdl-34496533

RESUMO

Objective: To study prospectively the caries characteristics of the children who suffered severe early childhood caries (S-ECC) and received dental caries treatment under general anesthesia and to explore the related risk factors of caries recurrence after treatment. Methods: During December 2012 to August 2014, eighty-three children aged 2-4 years with S-ECC who underwent one caries treatment session under general anesthesia in Peking University School and Hospital of Stomatology participated in this study. Data of demographics, clinical characteristics, dietary and oral hygiene habits of the participants were collected before the treatment and 1-, 7- and 13-months after the treatment. All data were then analyzed to find out whether the factors were related to caries relapse. Results: Among the 70 children who completed 7-13 months follow-up, twenty-nine children (41%) remained caries-free and 41 children (59%) had a few caries recurrence during the observation period. All the teeth suffered different variation of caries recurrence except mandibular deciduous incisors. As for the types of caries recurrence after caries treatment under general anesthesia, the maxillary deciduous incisors usually showed secondary caries (new caries/secondary caries numbers were 1/12), the canines and first deciduous molars occurred both secondary and new caries (new caries/secondary caries numbers in canines were 12/6, in first deciduous molars were 16/12) and the second deciduous molars usually presented new caries (new caries/secondary caries numbers were 19/5). After treatment, the prone tooth surfaces of caries recurrence from high to low were: adjacent surfaces of deciduous molars (37 surfaces), occlusal surface of deciduous molars (28 surfaces), adjacent surfaces of deciduous canines (13 surfaces), buccal and lingual surfaces of deciduous molars (12 surfaces), labial and lingual surfaces of deciduous incisors (10 surfaces), labial and lingual surfaces of deciduous canines (8 surfaces) and adjacent surfaces of deciduous incisors (5 surfaces). There were no significant differences in the children's demographics and clinical characteristics between relapse and non-relapse groups (P>0.05). Patients in the relapse group had higher sugar intake frequencies than those in the non-relapse group at both 7- and 13-month follow-ups (P<0.05). Conclusions: Children of 2-4 years old with S-ECC have a high risk of caries recurrence after caries treatment under general anesthesia and need to recieve regular oral examination. During the follow-ups, the prevention and treatment of new and secondary caries of deciduous molars and secondary caries of deciduous incisors should be focused on. High frequency of sugar intake is an important risk factor of recurrent caries for children with S-ECC after caries treatment.


Assuntos
Cárie Dentária , Anestesia Geral , Pré-Escolar , Cárie Dentária/epidemiologia , Suscetibilidade à Cárie Dentária , Humanos , Recidiva Local de Neoplasia , Estudos Prospectivos , Dente Decíduo
8.
BMC Pediatr ; 21(1): 380, 2021 09 03.
Artigo em Inglês | MEDLINE | ID: mdl-34479530

RESUMO

BACKGROUND: Vitamin D is traditionally associated with the metabolism of calcium and phosphorus, a process essential for the mineralization of hard tissue such as bone or tooth. Deficiency of this vitamin is a problem worldwide, however. Given the possibly significant role of Vitamin D in odontogenesis in children, the objective of our study was to determine the influence of vitamin D levels in the blood on dental anomalies in children between 6 and 10 years of age, by means of 25-hydroxy vitamin D tests performed during pregnancy and the first years of life. METHODS: The data analyzed were sourced from data belonging to the INMA-Asturias birth cohort, a prospective cohort study initiated in 2004 as part of the INMA Project. The 25-hydroxy vitamin D (25(OH)D) test was performed with samples from 188 children in the INMA-Asturias birth cohort with a dental examination performed between 6 and 10 years of age. The samples were taken at three stages: in the mother at 12 weeks of gestation, and subsequently in the child at 4 and 8 years of age. Diet, nutritional and oro-dental hygiene habits were also analyzed by means of questionnaires. RESULTS: The results indicate a significant association between caries and correct or incorrect brushing technique. With incorrect brushing technique, the prevalence of caries was 48.89%, but this dropped to 22.38% with correct brushing technique. An association was also found between tooth decay and frequency of sugar intake. The prevalence of caries was 24.54% with occasional sugar intake, but this rose to 56% with regular sugar intake. On the other hand, levels < 20 ng/ml in both mother and child at 8 years of age would also be risk factors (ORgest = 2.51(1.01-6.36) and OR8years = 3.45(1.14-11.01)) for the presence of caries in children. The risk of caries practically tripled where 25(OH) D values were < 20 ng/ml. CONCLUSIONS: Although incorrect brushing technique and regular sugar consumption was found to be the main cause of caries in the children, the low concentrations of vitamin D in the blood of the pregnant mothers may have magnified this correlation, indicating that the monitoring of vitamin D levels during pregnancy should be included in antenatal programmes. It is particularly striking that 50% of the children were deficient in vitamin D at the age of 4, and that dental floss was practically absent from regular cleaning routines.


Assuntos
Cárie Dentária , Deficiência de Vitamina D , Adulto , Criança , Cárie Dentária/epidemiologia , Cárie Dentária/etiologia , Suscetibilidade à Cárie Dentária , Feminino , Humanos , Gravidez , Estudos Prospectivos , Vitamina D , Deficiência de Vitamina D/diagnóstico , Deficiência de Vitamina D/epidemiologia , Vitaminas
9.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao ; 43(4): 590-594, 2021 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-34494531

RESUMO

Objective To investigate the oral health status and awareness of urban children in Lhasa,aiming to provide a data basis for the prevention and treatment of children's caries and the promotion of oral health education. Methods A total of 504 Tibetan students were selected by cluster sampling from 2 primary schools in Chengguan District of Lhasa.All the participants were required to take oral health examination and complete a questionnaire about oral health awareness and behavior. Results The caries prevalence rate and mean decayed-missing-filled tooth(DMFT)of permanent teeth were 75.00% and 2.18±1.91,respectively.The rates of pit and fissure sealant and filling of permanent teeth were 3.77% and 6.81%,respectively.The caries prevalence rate of first permanent molars was 47.62%.The mean DMFT of permanent teeth and caries prevalence rate of first permanent molar were significantly higher in female group(P=0.001 and P=0.007,respectively).The prevalence rate of dental fluorosis was 61.51%,and the detection rate of dental calculus was 71.83%.Multivariate logistic regression analysis showed that prevalence of caries was influenced by many independent factors including gender,oral health awareness,intention of dental intervention,and dental experience. Conclusion High caries prevalence rate,low filling rate,and poor oral hygiene and health awareness were found among the primary school students in Lhasa,which require continuous dentistry investment and oral health education for the local students and their parents.


Assuntos
Cárie Dentária , Saúde Bucal , Criança , Índice CPO , Cárie Dentária/epidemiologia , Feminino , Humanos , Higiene Bucal , Prevalência , Instituições Acadêmicas , Estudantes , Inquéritos e Questionários
10.
BMC Pediatr ; 21(Suppl 1): 351, 2021 09 08.
Artigo em Inglês | MEDLINE | ID: mdl-34496756

RESUMO

We looked at existing recommendations and supporting evidence on the effectiveness and potential harms of the different fluoride interventions in preventing dental caries in children under 5 years of age.We conducted a literature search up to the 12th of September 2019 by using key terms and manual search in selected sources. We summarized the recommendations and the strength of the recommendation when and as reported by the authors. We summarized the main findings of systematic reviews with the certainty of the evidence as reported.Water fluoridation has been widely implemented worldwide for several decades and evidence shows it reduces the prevalence of dental caries. Salt or milk fluoridation are other collective fluoride interventions that are also effective to prevent dental caries in children. The evidence of effects of oral fluoride supplements for caries prevention is limited and inconsistent. The use of fluoride toothpastes has consistently been proven to be effective in the prevention of dental caries. The evidence for the effects of the different levels of fluoride concentration in toothpastes is more limited. Topical fluorides (gels and varnishes) are effective in preventing dental caries and are mainly recommended to children with high risk of dental caries. Early childhood intake of fluoride supplements and fluoride level of 0.7 ppm (ppm) in drinking water are associated with the risk of dental fluorosis, ranging from minor forms to severe forms that are of aesthetic concerns.


Assuntos
Cárie Dentária , Fluoretos , Cariostáticos/efeitos adversos , Criança , Pré-Escolar , Cárie Dentária/epidemiologia , Cárie Dentária/prevenção & controle , Suscetibilidade à Cárie Dentária , Fluoretos/efeitos adversos , Humanos , Revisões Sistemáticas como Assunto
11.
J Evid Based Dent Pract ; 21(2): 101571, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34391561

RESUMO

ARTICLE TITLE AND BIBLIOGRAPHIC INFORMATION: Silva MCPMD, Lyra MCA, Almeida HCR, Alencar Filho AV, Heimer MV, Rosenblatt A. Caries experience in children and adolescents with Down Syndrome: A systematic review and meta-analysis. Arch Oral Biol. 2020 Jul;115:104,715. doi:10.1016/j.archoralbio.2020.104715. Epub 2020 Apr 8. PMID: 32,422,361. SOURCE OF FUNDING: The Hungarian Human Resources Development Operational Program, the Higher Education Excellence Program of the Hungarian Ministry of Human Capacities to the Therapy Research Module of Semmelweis University, National Research, Development and Innovation Office, Hungarian Scientific Research Fund and the Economic Development and Innovation Operative Programme Grant. TYPE OF STUDY/DESIGN: Systematic review with meta-analysis.


Assuntos
Cárie Dentária , Síndrome de Down , Adolescente , Criança , Cárie Dentária/epidemiologia , Humanos , Prevalência , Desenvolvimento de Programas , Universidades
12.
Niger J Clin Pract ; 24(8): 1109-1116, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34397017

RESUMO

It is the most common and best-known chromosomal disorder in humans. Its incidence in Saudi Arabia is reported to be 1 in 554 live births. and the scientific evidence on the experience of dental caries (Dental Caries) in DS population is non-conclusive. The aim of this systematic review was to report on the Dental Caries experience among DS population in Saudi Arabia. The electronic databases were searched for scientific research articles published from January 2000 to July 2020. The data search was performed in the electronic search engines like PubMed, Google scholar, Scopus, Web of science, Medline, Embase, Cochrane, and Saudi Digital Library. Eight studies which met the eligibility criteria were further analyzed. The qualitative and quantative data were included in the analysis. The sample size of the study population in the included studies varied from 36 to 224 participants and their age ranged from 3 years to 40 years. In this systematic review we found that five studies have reported a higher prevalence of Dental Caries among the DS population. Three studies reported that there was no difference in the Dental Caries prevalence among the DS population when compared to those without DS. The findings of these studies emphasizes the need to prioritize preventive and curative programs for this special care group. Oral health education programs should focus on targeting the DS population as well as their caretakers in order to help them in achieving better quality of life.


Assuntos
Cárie Dentária , Síndrome de Down , Pré-Escolar , Cárie Dentária/epidemiologia , Humanos , Incidência , Qualidade de Vida , Arábia Saudita/epidemiologia
13.
BMJ Open ; 11(8): e048114, 2021 08 18.
Artigo em Inglês | MEDLINE | ID: mdl-34408043

RESUMO

OBJECTIVES: We examined the trend in the number of missing teeth in a Japanese community over a 10-year period and the potential associated explanatory factors. DESIGN: Prospective cohort study. SETTING: A population-based study conducted in 2007, 2012 and 2017 in Japan (Hisayama Study). PARTICIPANTS: Residents of a Japanese community aged 40-79 years undergoing dental examination in 2007 (n=2665), 2012 (n=2325) and 2017 (n=2285). OUTCOME MEASURES: The number of missing teeth, periodontal condition, dental caries experience, dental plaque index and oral health behaviours were evaluated each year. The longitudinal analysis of variation in these factors were assessed using mixed models. RESULTS: The age-adjusted and sex-adjusted mean number of missing teeth decreased with time (6.80 in 2007, 6.01 in 2012 and 4.99 in 2017). The mean clinical attachment level (CAL), prevalence of periodontitis and dental plaque index decreased over the study period, while dental caries experience slightly increased. The level of oral health behaviour increased over time. Poisson mixed models showed that changes in mean CAL and dental caries experience were positively associated with the change in the number of missing teeth over time. Linear mixed models showed that changes in dental plaque index and no regular dental visit were positively associated with changes in mean CAL. CONCLUSIONS: These findings suggest that a decreasing trend regarding the number of missing teeth in Japan might be associated with improvements in the periodontal condition due to changes in oral hygiene level and oral health behaviour.


Assuntos
Cárie Dentária , Perda de Dente , Cárie Dentária/epidemiologia , Humanos , Japão/epidemiologia , Estudos Longitudinais , Estudos Prospectivos , Perda de Dente/epidemiologia
14.
Artigo em Inglês | MEDLINE | ID: mdl-34444374

RESUMO

In conducting a systematic review, assessing the risk of bias of the included studies is a vital step; thus, choosing the most pertinent risk of bias (ROB) tools is crucial. This paper determined the most appropriate ROB tools for assessing observational studies in a systematic review assessing the association between anthropometric measurements and dental caries among children. First, we determined the ROB tools used in previous reviews on a similar topic. Subsequently, we reviewed articles on ROB tools to identify the most recommended ROB tools for observational studies. Of the twelve ROB tools identified from the previous steps, three ROB tools that best fit the eight criteria of a good ROB tool were the Newcastle-Ottawa Scale (NOS) for cohort and case-control studies, and Agency for Healthcare Research and Quality (AHRQ) and the Effective Public Health Practice Project (EPHPP) for a cross-sectional study. We further assessed the inter-rater reliability for all three tools by analysing the percentage agreement, inter-class correlation coefficient (ICC) and kappa score. The overall percentage agreements and reliability scores of these tools ranged from good to excellent. Two ROB tools for the cross-sectional study were further evaluated qualitatively against nine of a tool's advantages and disadvantages. Finally, the AHRQ and NOS were selected as the most appropriate ROB tool to assess cross-sectional and cohort studies in the present review.


Assuntos
Cárie Dentária , Viés , Estudos de Casos e Controles , Criança , Estudos Transversais , Cárie Dentária/epidemiologia , Humanos , Reprodutibilidade dos Testes , Projetos de Pesquisa
15.
Artigo em Inglês | MEDLINE | ID: mdl-34444143

RESUMO

BACKGROUND: The Yi ethnic group is the sixth largest minority in China. The aim of this study was to investigate dental caries status among Yi preschool children in the Yunnan province, China. METHOD: This cross-sectional study invited 5-year-old Yi children using multistage cluster sampling. Two trained and calibrated dentists examined the children in kindergartens. The children's dental caries experience was assessed using the decayed, missing, and filled teeth (dmft) index. Visual plaque on an indexed tooth of each six sextants was recorded and the oral hygiene status was assessed using the Visible Plaque Index. Parents completed questionnaires that surveyed their educational attainment. The questionnaires also collected information about the children's demographics, snacking habits, oral-health-related behaviors and dental visit experiences. The associations between caries experiences and potential factors were analyzed using zero-inflated negative binomial regression. RESULTS: All 452 invited children (249 boys, 55%) participated in this study with a response rate of 100%. Dental caries prevalence rate was 83%. The mean dmft score and decayed teeth score were 5.2 ± 4.4 and 5.1 ± 4.4, respectively. Almost half of the children (n = 211, 47%) had visible plaque on four or more of the six sextants. Most (n = 366, 81%) of the children had not visited a dentist in the prior 12 months. Regression analysis found the children's caries experience was associated with their dental visit experience. CONCLUSION: The great majority of the Yi preschool children experienced dental caries and almost all of the cavities were not restored. Their oral hygiene was poor and visible plaque was commonly found on their teeth.


Assuntos
Cárie Dentária , Pré-Escolar , China/epidemiologia , Estudos Transversais , Índice CPO , Cárie Dentária/epidemiologia , Humanos , Masculino , Saúde Bucal , Prevalência
16.
J Pak Med Assoc ; 71(7): 1799-1803, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34410250

RESUMO

OBJECTIVE: To determine the caries increment rate in children to establish appropriate dental recall interval. METHODS: The prospective longitudinal study was conducted from May 2016 to October 2017 in Bhakkar city of Punjab, Pakistan, and comprised schoolchildren aged 12 years. The caries progression rate was measured using the Modified Beck's method or adjusted caries increment. The response rate at baseline and at each follow-up was compared. Bonferroni correction was used to compare baseline mean caries increment with caries increment at 6, 12 and 18 months. Data was analysed using SPSS 17 and Stata 14. RESULTS: Of the 226 subjects enrolled, 183(81%) were present at the last follow-up. However, only 147(65%) subjects were available for all the four measurements. Significantly high caries increment among cavitated lesions was observed at all the three follow-ups compared to the baseline (p=0.0001). CONCLUSIONS: The caries increment rate was low in cavitated lesions, but when non-cavitated and cavitated lesions were merged, they showed high caries increment.


Assuntos
Cárie Dentária , Grupos Étnicos , Criança , Cárie Dentária/epidemiologia , Humanos , Estudos Longitudinais , Paquistão/epidemiologia , Estudos Prospectivos
17.
Health Qual Life Outcomes ; 19(1): 192, 2021 Aug 03.
Artigo em Inglês | MEDLINE | ID: mdl-34344379

RESUMO

BACKGROUND: The aim of this cross-sectional study was to evaluate the effect of family functioning on oral health related quality of life (OHRQoL) and dental caries status among 4- to 6-year-old Chinese pre-school children in Malaysia. METHODOLOGY: This study was approved by the institutional Joint Research and Ethics Committee, International Medical University, Malaysia (number 373/2016); consisted of 180 eligible pre-school children from a private school. Study tools included demographic, clinical oral health data form, the Early Childhood Oral Health Impact Scale (ECOHIS) and family functioning-12-item general functioning subscale. Written consent was sought prior to data collection. Data were analysed by SPSS v.22.0; descriptive statistics for socio-demographic details, clinical information, HRQoL and FAD scores. The parametric tests included independent sample t test and ANOVA to evaluate the associations between the dependent variable. Binary logistic regression models were applied to assess the impacts on OHRQoL (P value < 0.05). RESULTS: A response rate of 80.5% was achieved. Sample means for FAD-GF12 scores ranged < 2, indicating normal family functioning. The ECOHIS scores mean was 0.52 (SD = 0.68). In the children impact section the highest score of impacts 20 was noted followed by family impact section with the score of 12. It was observed that children with dental caries had a significant (P = 0.014) negative impact on OHRQoL (mean 0.72, SD = 0.50) as compared to children with no caries (mean 0.34 SD = 0.39). The bivariate regression analysis after getting adjusted indicated three predictors associated to poor HRQoL: having two or more siblings (OR = 4.73, P = 0.013), relationship (mother) of the respondent to the child (OR = 2.86, P = 0.013) and having dental caries (OR = 8.12, P ≤ 0.001). CONCLUSION: Findings of this study indicates that number of siblings, relationship of the respondent to the child and dental caries status are independently associated with health-related quality of life. However, family functioning does not mediate poor HRQoL in association to dental caries.


Assuntos
Cárie Dentária/psicologia , Relações Familiares , Família/psicologia , Qualidade de Vida , Criança , Pré-Escolar , Estudos Transversais , Cárie Dentária/epidemiologia , Feminino , Humanos , Masculino , Saúde Bucal , Inquéritos e Questionários
18.
Health Qual Life Outcomes ; 19(1): 201, 2021 Aug 23.
Artigo em Inglês | MEDLINE | ID: mdl-34425825

RESUMO

BACKGROUND: There is limited evidence regarding oral health related quality of life of HIV positive populations in sub-Saharan Africa. Focusing HIV positive- and HIV negative Ugandan mothers, this study assessed the influence of HIV status on oral health related quality of life in terms of oral impacts on daily performances, whilst adjusting for clinical- and socio-behavioural factors. We also examined whether any association of clinical and socio-behavioural factors with oral impacts on daily performances vary according to mothers' HIV status. METHODS: This cross-sectional study used data from a trial (n = 164) and a comparison group (n = 181). The trial comprised of mothers with HIV-1 participating in the ANRS 121741-PROMISE-PEP-trial (NCT00640263) conducted between 2009 and 2013 and from the ANRS 12341-PROMISE-PEP-M&S follow-up study conducted in 2017. The comparison group comprised of HIV negative mothers recruited in 2017. Interviews and clinical oral examinations were performed. The oral health related quality of life was assessed using the oral impacts on daily performances frequency scale. Caries experience and gingival bleeding were assessed using the World Health Organization's Decayed, Missed and Filled teeth indices and community periodontal index. Logistic and negative binomial regression analyses were performed. RESULTS: 29% of HIV-1 positive and 32% among the comparison reported any oral impact on daily performance. In adjusted logistic regression analysis, HIV status was not significantly associated with oral impacts on daily performances. Mother's self-reported oral health, caries experience, gingival bleeding and oral health related quality of life of their children were independently associated with oral impacts on daily performances. Corresponding prevalence ratios and 95% confidence intervals were: 0.3 (0.2-0.6), 1.8 (1.0-3.2), 1.1 (1.0-1.1), and 2.1 (1.1-4.3). No significant interaction between HIV status and covariates were observed. CONCLUSIONS: Oral health related quality of life was substantially impaired in Ugandan mothers but did not discriminate between HIV positive and negative participants. Mothers with impaired oral health related quality of life were more likely to have dental caries and children with impaired oral health related quality of life. HIV positive and negative mothers in Uganda deserve special attention regarding their oral disease and quality of life status.


Assuntos
Cárie Dentária/psicologia , Infecções por HIV/psicologia , Mães/psicologia , Saúde Bucal , Qualidade de Vida/psicologia , Criança , Estudos Transversais , Assistência Odontológica/estatística & dados numéricos , Cárie Dentária/epidemiologia , Feminino , Seguimentos , HIV-1 , Humanos , Mães/estatística & dados numéricos , Higiene Bucal/estatística & dados numéricos , Prevalência , Uganda/epidemiologia
19.
Artigo em Inglês | MEDLINE | ID: mdl-34444591

RESUMO

Obesity and early childhood caries are two prominent health problems affecting the majority of children worldwide. Thus, early childhood caries in obese children must be studied. This study was conducted to investigate the status of early childhood caries in obese children in Hanoi, Vietnam, and its associated factors. A cross-sectional study was conducted on 234 obese children, 234 normal children (non-obese) aged 36 to 71 months, and their mothers at some kindergartens in Hanoi. Study subjects were randomly selected with similarities in age, gender, and study location. Decayed tooth of children was detected by clinical examination and Diagnodent Kavo 2190 machine of Germany. In addition, a questionnaire for their mothers was used to find out related factors. We found that, in the Obese Group, the rate of early childhood caries (ECC), severe-early childhood caries (S-ECC), dmft index (the number of decayed teeth, teeth lost due to cavities, filled decayed teeth or filled cavity), and dmfs index (the number of surfaces of the teeth decay, surfaces of teeth were lost due to cavities, surfaces of filled decayed teeth) were 82.91%, 59.83%, 6.84 ± 4.92, and 9.10 ± 7.48, respectively. In the Normal Group, these rates were smaller than in the Obese Group, but the difference was not statistically significant. Regarding related factors, the hobby of drinking soft drinks, the habits and frequency of drinking milk at night and eating sweet marshmallows were associated with ECC in the Obese Group with p < 0.05. In conclusion, the higher rates of ECC were seen in obese children, with eating hobbies and habits being the related factors. Therefore, it is necessary to have appropriate policies and effective communication strategies to minimize ECC in the future.


Assuntos
Cárie Dentária , Obesidade Pediátrica , Criança , Pré-Escolar , Estudos Transversais , Índice CPO , Cárie Dentária/epidemiologia , Suscetibilidade à Cárie Dentária , Feminino , Humanos , Prevalência , Vietnã/epidemiologia
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