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1.
Evid Based Dent ; 20(4): 115-116, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31863047

RESUMO

Data sources Databases searched included the International Database for Medical Research MEDLINE/Pubmed, ISI Web of Science, Scopus, Scientific Electronic Library Online (SciELO), and Latin American and Caribbean Health Sciences (LILACS).Study selection Studies of observational design that examined the association between any screen-time behaviour and dietary intake in preschool and school-aged children (younger than 12 years) were selected by two independent reviewers. If a consensus could not be reached, a third reviewer was consulted.Data extraction and synthesis Data were extracted independently by two reviewers using a pre-tested data extraction form. Risk of bias was assessed using an adapted version of the Newcastle-Ottawa Quality Assessment Scale for cross-sectional studies. A PRISMA flow chart was used to present the study selection results. The GRADE system was used to evaluate the strength of evidence. A qualitative synthesis was used to report the results. A meta-analysis was not conducted.Results Nineteen studies were included in the review, all of which were of cross sectional design or conducted cross-sectional analysis. Fourteen studies were assessed as high quality, three as moderate quality and two as low quality. All studies found a significant positive association between television and/or total screen-time viewing and poor quality diet including lower intake of fruit and vegetables and higher intake of unhealthy foods. Screen-based sedentary behaviour was positively associated with cariogenic foods consumption in 15 studies. Based on the GRADE rating, there was moderate evidence of an association between TV viewing and intake of potentially cariogenic diet.Conclusions Although there could be an association between TV viewing and poor quality cariogenic diet in preschool and school-aged children, the authors conclude that the strength of evidence is limited.Commentary.


Assuntos
Dieta Cariogênica , Tempo de Tela , Região do Caribe , Criança , Pré-Escolar , Estudos Transversais , Humanos , Verduras
2.
Arch Oral Biol ; 105: 13-19, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31226577

RESUMO

OBJECTIVE: The objective of this study was to examine the relationship between iron deficiency and caries susceptibility in a mouse model. MATERIALS AND METHODS: Three-week-old C57BL/J6 mice were fed a cariogenic diet containing either standard iron (48 ppm Fe) or low iron (4 ppm Fe) levels. Concurrently, groups of mice with both diets were orally inoculated with Streptococcus mutans (1 × 108) cells on three consecutive days. At the end of the 5th week after infection, mice were sacrificed and jaws were collected for caries scoring, rating the number and severity of lesions using a modified Keyes method applicable to mice. RESULTS: Blood analysis by the end of the 5th week revealed marked reduction in the hemoglobin and hematocrit levels of the mice fed the iron deficient diet (IDA and IDA-S. mutans). Anemic mice in both groups lacked the incisor enamel pigmentation observed in mice fed an iron deficient diet. Anemic infected mice had the highest caries severity scores reflecting extensive deep lesions (P < 0.05). S. mutans infected mice fed a standard iron diet had similar numbers of lesions and severity scores as un-infected IDA animals (p < 0.05). IDA did not alter S. mutans CFU counts in infected animals (P < 0.05). CONCLUSION: These results demonstrated that IDA mice are at a higher risk of developing deep dental caries compared to non-anemic mice; highlighting the protective role of iron against dental caries.


Assuntos
Anemia Ferropriva/complicações , Cárie Dentária/complicações , Animais , Dieta Cariogênica , Camundongos , Camundongos Endogâmicos C57BL , Streptococcus mutans
3.
Pesqui. bras. odontopediatria clín. integr ; 19(1): 4488, 01 Fevereiro 2019. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-998039

RESUMO

Objective: To determine the risk factors of caries among adolescents in Padang City, by assessing the frequency of sugary snack consumption. Material and Methods: A cross-sectional study was conducted on 150 randomly selected junior high school students using a selfadministered questionnaire along with oral examinations. The questionnaire consisted of questions on socio-demographic characteristics, oral health behavior, and frequency of consumption of sugary foods. Data were analyzed using the Chi-square tests and multivariate analysis. Results: Dental caries was found in 61% of the total students and was more prevalent in males when compared with females. The mean DMFT score was 1.3±1.4. Sugary snack consumption, attitude, and protective factors were significantly related to the occurrence of caries (p<0.001). The risk of dental caries in subjects with high amounts of sugary snack consumption was 5.67 times higher (OR=5.7; CI: 2.7-11.9) than those with low consumption. Subjects with low protective factors, high consumption of sugary foods and drinks, and bad attitude presented with a caries prevalence of 94%. Conclusion: The consumption of sugary foods was found to play an important role in the development of caries in the current study.


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Cárie Dentária/prevenção & controle , Dieta Cariogênica , Açúcares/administração & dosagem , Comportamentos de Risco à Saúde , Indonésia , Distribuição de Qui-Quadrado , Modelos Logísticos , Estudos Transversais/métodos , Análise Multivariada , Inquéritos e Questionários , Adolescente
4.
Pesqui. bras. odontopediatria clín. integr ; 19(1): 4511, 01 Fevereiro 2019. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-998257

RESUMO

Objective: To verify the relationship of feeding practices of potential risk to dental caries in early childhood with sociodemographic variables, prematurity and Neonatal Intensive Care Unit admission (NICU). Material and Methods: Data from medical records of infants and preschool children, including feeding practices (breastfeeding, bottle feeding, feeding during sleep, introduction and frequency of sugar use), sociodemographic variables, prematurity and NICU admission were collected. Chi-square, Fisher and Maximum Likelihood Ratio tests were used. Results: The number of medical records was 222 in the age group of 01-45 months. Breastfeeding was not present in 66.7% of preterm infants (p=0.003) and 66.1% of infants admitted at NICU (p=0.011). The use of feeding bottle occurred in 58.4% of infants whose mothers work / study; 58.4% of preterm infants and 60.9% of children admitted at NICU (p<0.001). Feeding during sleep occurred in 70.5% of infants aged 1-24 months (p<0.001); 51.4% were single children (p=0.010) and 76.7% did not attend daycare centers (p=0.003). The introduction of sugar occurred in 60.6% in the age group of 01-24 months. The use of sugar more than 3x / day occurred in 52.6% of infants aged 25-45 months (p=0.003) and; 51.8% with mothers whose schooling corresponded to elementary school (p=0.039). Conclusion: Among caries-risk feeding practices, there was relationship between breastfeeding and prematurity and NICU admission; use of feeding bottle and mothers who worked and / or studied, prematurity and NICU admission; feeding during sleep and younger children, single child and those who did not attend daycare centers; and higher frequency of sugar use and older infants, and maternal schooling corresponding to elementary school.


Assuntos
Humanos , Masculino , Feminino , Recém-Nascido , Lactente , Pré-Escolar , Criança , Recém-Nascido Prematuro , Cárie Dentária/diagnóstico , Dieta Cariogênica/métodos , Comportamento Alimentar , Brasil , Distribuição de Qui-Quadrado , Registros Médicos , Fatores de Risco
5.
Int J Paediatr Dent ; 29(3): 310-324, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30666740

RESUMO

BACKGROUND: Diet cariogenicity plays a major role as both a protective and risk factor in the development of early childhood caries (ECC). AIM: Develop a scale measuring the cariogenicity of foods and beverages and employ it to describe the cariogenicity of young children's diets and predict dental caries outcomes. DESIGN: Scores of cariogenicity and consumption frequency were applied to food frequency questionnaire (FFQ) collected from an Australian children's cohort study with three time-points of data. One-way ANOVA, with post hoc Tukey test compared mean cariogenic scale measured at 18 months between the subsample of children with caries classification at age 5 years. RESULTS: At 6 months, children's mean cariogenic score was 10.05, increasing to 34.18 at 12 and 50.00 at 18 months. Mean cariogenic scale score at 18 months was significantly higher in children with advanced disease at 5 years (mean scale score: 59.0 ± 15.9) compared to those that were healthy (mean score 47.7 ± 17.5, P = 0.007) or had mild-moderate disease (mean score 48.2 ± 17.3, P = 0.008). CONCLUSIONS: The cariogenic diet scale provides a useful indication of the increasing cariogenicity of children's diets with age and highlights the incorporation of discretionary choice foods and beverages into the diets of young children much earlier than nutritionally recommended.


Assuntos
Cárie Dentária , Dieta Cariogênica , Austrália , Criança , Pré-Escolar , Estudos de Coortes , Dieta , Estudos de Viabilidade , Humanos
6.
Caries Res ; 53(1): 76-83, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-29945138

RESUMO

The aim of this study was to evaluate the cariogenicity of a milk-based drink intended for older adults that was used as part of a governmental initiative in Chile to improve their nutritional conditions. This drink contains a high concentration of sugars, which can contribute to root caries development. To test this hypothesis, an experimental biofilm/caries model was used. Dentin slabs were used to grow biofilms of Streptococcus mutans UA159. Slabs/biofilms were exposed 3× per day to bovine milk with different fat content, the milk-based drink, and the milk-based drink supplemented with 10 g of sucrose added per serving. Slabs exposed to 10% sucrose or 0.9% NaCl were used as positive and negative controls, respectively. Biofilms were analyzed for bacterial counts and acidogenicity. Dentin demineralization was estimated by the loss of surface microhardness and integrated mineral loss. Results were compared by analysis of variance and Tukey's test. The milk-based drink showed higher acidogenicity than milk with its entire (whole) or reduced total fat content (skim). The milk-based drink supplemented with -sucrose had similar acidogenicity as the 10% sucrose positive control (p = 0.506). Whole milk exposure elicited lower bacterial counts than the positive control, the milk-based drink, and the milk-based drink supplemented with sucrose (p = 0.002; 0.006 and 0.014 respectively). Although skim milk induced higher demineralization than whole milk, both milk types produced lower demineralization than the milk-based drink. Regarding integrated mineral loss, demineralization induced by the milk-based drink and the milk-based drink supplemented with sucrose was similar to that induced by the positive control and skim milk (p > 0.05). Sugar-containing milk-based drinks used as dietary supplements for older adults may be highly cariogenic and could represent a potential risk for root caries.


Assuntos
Biofilmes/efeitos dos fármacos , Dentina/efeitos dos fármacos , Dieta Cariogênica , Suplementos Nutricionais/efeitos adversos , Leite/efeitos adversos , Cárie Radicular/etiologia , Streptococcus mutans/fisiologia , Animais , Carga Bacteriana , Bovinos , Chile , Humanos , Saliva , Cloreto de Sódio/efeitos adversos , Estatísticas não Paramétricas , Sacarose/efeitos adversos , Desmineralização do Dente/etiologia
7.
Crit Rev Food Sci Nutr ; 59(7): 1058-1070, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-29190114

RESUMO

Dietary guidelines indicate that complex carbohydrates should provide around half of the calories in a balanced diet, while sugars (i.e., simple carbohydrates) should be limited to no more than 5-10% of total energy intake. To achieve this public health goal a collective effort from different entities including governments, food & beverage industries and consumers is required. Some food companies have committed to continually reduce sugars in their products. Different solutions can be used to replace sugars in food products but it is important to ensure that these solutions are more healthful than the sugars they replace. The objectives of this paper are, (1) to identify carbohydrates and carbohydrates sources to promote and those to limit for dietary intake and food product development, based on current knowledge about the impact of carbohydrates on the development of dental caries, obesity and cardio-metabolic disorders (2) to evaluate the impact of food processing on the quality of carbohydrates and (3) to highlight the challenges of developing healthier products due to the limitations and gaps in food regulations, science & technology and consumer education.


Assuntos
Dieta Cariogênica , Carboidratos da Dieta , Manipulação de Alimentos , Saúde Pública , Doenças Cardiovasculares/etiologia , Cárie Dentária/etiologia , Diabetes Mellitus Tipo 2/etiologia , Dieta Cariogênica/efeitos adversos , Dieta Cariogênica/classificação , Fibras na Dieta , Ingestão de Energia , Indústria Alimentícia , Humanos , Doenças Metabólicas/etiologia , Política Nutricional , Obesidade/etiologia
8.
BMC Oral Health ; 18(1): 224, 2018 12 20.
Artigo em Inglês | MEDLINE | ID: mdl-30572852

RESUMO

BACKGROUND: The purpose of this study was to investigate the status of caries in deciduous teeth and the effect of diet and lifestyle habits on dental caries among 3- to 5-year-old preschool children in Jiangxi Province, China. METHODS: In total, 2880 cases involving preschool children were selected by stratified cluster sampling. The dental examination methods and criteria followed the WHO guidelines. SPSS 19.0 was used for the statistical analysis. Chi square tests were used to compare the caries prevalence among children with different social characteristics. Non-parametric tests were used to compare the decayed, missing and filled teeth (dmft) index values. Univariate and multivariate regression analyses were used to study the effect of diet and lifestyle habits on dental caries. RESULTS: The caries prevalence among the 2880 cases of 3- to 5-year-old preschool children in Jiangxi Province, China was 49.13%. There was no gender difference in this rate (P > 0.05). The caries prevalence increased with age (P < 0.05). The prevalence of caries in the rural areas was higher than that in the urban areas (P < 0.05). The deciduous central incisors and deciduous molars had a higher caries prevalence than the other deciduous teeth. According to the multivariate logistic regression analysis, the caries risk increased with living in a rural area, exclusive breastfeeding, greater frequency of daily snacking, high frequency of snacking before sleep and beginning to brush teeth at a late age; the caries risk decreased when parents helped their children brush their teeth. CONCLUSION: The caries prevalence among 3- to 5-year-old preschool children in Jiangxi was lower than the level throughout the country and lower than the rate in other developing countries. The children's diet and lifestyle habits were closely related to dental caries. Parents and children should be more aware of oral health, and parents should help their children develop healthy lifestyle behaviours.


Assuntos
Cárie Dentária/etiologia , Dieta/efeitos adversos , Estilo de Vida , Dente Decíduo , Fatores Etários , Pré-Escolar , China/epidemiologia , Cárie Dentária/epidemiologia , Dieta Cariogênica/efeitos adversos , Feminino , Humanos , Masculino , Prevalência , Fatores de Risco , Inquéritos e Questionários
9.
BMC Pediatr ; 18(1): 384, 2018 12 07.
Artigo em Inglês | MEDLINE | ID: mdl-30526559

RESUMO

BACKGROUND: Children's preferences for cariogenic foods and/or drinks has been proven to be associated with exposure to advertisements. This study aimed to assess and compare the proportion of cariogenic food and /or drink advertisements aired on three metropolitan Sydney commercial television channels at different broadcast times during school term and school holidays. METHODS: Three Sydney free-to-air television channels (Channels Seven, Nine, and Ten) were recorded between June 2016 and January 2017. Two weekdays and one weekend day were recorded for a week for each channel during the school term and school holidays, respectively. All channels were recorded from 0630 h until 2300 h. Food and/or drink advertisements were categorised according to the time they were aired and their sugar and acid content. For each channel, school holiday data was compared with school term data. Pearson chi-squared testing was used to determine the difference in advertisements rates across TV channels and broadcast times including school holidays and school term. RESULTS: The proportion of food and/or drink advertisements for all networks was less than 10% of all advertisements. Overall, Channel Ten had the most food and/or drink advertisements (39.74%) and Channel Seven had the lowest (28.60%). Channel Ten aired the largest proportion of food and/or drink advertisements (27.18%) during school term Channel Nine aired the highest number of food and/or drink adverts (15.50%) during school holidays. There were more food and/or drink advertisements during children's viewing hours compared to overlap, adult, and other viewing periods respectively, with Channel Ten airing the highest advertisements (15.72%) and Channel Seven airing the least (11.35%) food and/or drink advertisements. For all analyses, Pearson chi-square tests had a p-value < 0.001. CONCLUSION: Although the overall proportion of food and/or drink advertisements aired on Sydney television is low, the advertisements containing high sugar and /or acid were broadcasted more during children's viewing times than other times and during school term compared to school holidays.


Assuntos
Saúde do Adolescente , Publicidade/estatística & dados numéricos , Saúde da Criança , Saúde Bucal , Televisão/estatística & dados numéricos , Adolescente , Austrália , Bebidas , Criança , Dieta Cariogênica , Alimentos , Humanos
10.
Braz Oral Res ; 32: e109, 2018 Oct 11.
Artigo em Inglês | MEDLINE | ID: mdl-30328901

RESUMO

This study investigated the effect of human milk, alone and associated with sucrose, in the cariogenicity of biofilms in a microcosm biofilm model and compared with the cariogenicity of sucrose and bovine milk. Microcosm biofilms were grown in enamel discs in 24-well plates. Six growth conditions were studied: DMM (chemically defined artificial saliva - negative control), DMM with 1% of sucrose (DMM+s) (positive control), human milk with DMM, human milk with DMM+s, bovine milk with DMM, and bovine milk with DMM+s. After 5 days, the outcome variables surface hardness change (%SHC), microbiological composition of biofilms, and pH of supernatant were analyzed. All groups had significantly lower hardness loss compared to the DMM group with 1% of sucrose. Human and bovine milk associated with sucrose showed higher hardness loss. The supernatant pH values after 6 hours of different treatments were similar for the groups sucrose and human milk associated with sucrose (p>0.05). After 18 hours at rest in pure DMM, an increase in the pH of the supernatant was observed. Higher values of total microorganisms count were found for sucrose and bovine milk groups compared to the group supplemented only by DMM. Bovine milk group showed greater amount of total aciduric microorganisms in comparison to human milk group. Within the limits of this study, it can be infered that both human and cow milks have some cariogenic potential, although differing from sucrose in terms of mineral loss.


Assuntos
Biofilmes/crescimento & desenvolvimento , Cariogênicos/efeitos adversos , Cárie Dentária/microbiologia , Esmalte Dentário/microbiologia , Leite Humano/microbiologia , Sacarose/efeitos adversos , Análise de Variância , Animais , Aleitamento Materno/efeitos adversos , Cariogênicos/química , Bovinos , Contagem de Colônia Microbiana , Dieta Cariogênica/efeitos adversos , Testes de Dureza , Humanos , Concentração de Íons de Hidrogênio , Leite/microbiologia , Leite Humano/química , Valores de Referência , Fatores de Risco , Saliva/microbiologia , Sacarose/química , Propriedades de Superfície , Fatores de Tempo
11.
Rev. ADM ; 75(5): 261-268, sept.-oct. 2018. tab
Artigo em Espanhol | LILACS | ID: biblio-979930

RESUMO

Antecedentes: La caries tiene etiología multifactorial, se presenta por desbalance entre factores patológicos y protectores, es un problema de salud pública que en México afecta a 95% de los niños. Objetivo: Determinar la prevalencia de caries, establecer el nivel de riesgo y evaluar su relación con la incidencia de caries a los tres y seis meses. Material y métodos: Estudio observacional, descriptivo y longitudinal en clínica estomatológica de una universidad ubicada al sur de la Ciudad de México. Previo consentimiento informado, se realizó revisión bucal por dos cirujanos dentistas calibrados para el diagnóstico de caries/ICDAS (kappa 95.37%), llevada a cabo en sillón dental con luz artificial bajo principios para el control de infecciones. Se estableció nivel de riesgo mediante el Sistema Internacional para la Gestión de Caries/ICCMS empleando como indicadores: consumo de alimentos cariogénicos (Lipari/Andrade), pH (tiras Hidryon), prueba de saliva estimulada, experiencia de caries (CPOD/ceod), higiene bucal (O'Leary) y cultivo de Streptococcus mutans. Se realizó análisis estadístico para determinar medidas de tendencia central, dispersión y asociación entre variables mediante exacta de Fisher, STATA.SE/10. Resultados: La población en estudio fue de 42 niños con rango de edad de tres a 15 años, mediana de 7.04 (RIC = 5-9). La prevalencia de caries fue 95.23%, con estadios severos en 83.3%, el nivel de riesgo fue alto en 73.7% y se asoció con severidad de caries (p = 0.000), consumo de carbohidratos (p = 0.000), experiencia de caries (ceod) (p = 0.000) y S. mutans (p = 0.000). La incidencia de caries a los tres meses fue de 71.0% y a los seis meses de 11.1%. Conclusiones: La prevalencia de caries fue alta (95.23%) así como el riesgo de caries (73.7%), con elevada incidencia a tres meses (71%), aun cuando los pacientes estaban en tratamiento odontológico. La atención restaurativa prevalece a pesar de hacer diagnóstico de lesiones reversibles y determinación del nivel de riesgo (AU)


Background: Caries has multifactorial etiology, presented by the imbalance between pathological/protective factors, is a public health problem, affecting 95% of children in México. Objective: To determine the prevalence of caries, to establish the level of risk and to evaluate its relation with incidence of caries at three and six months. Material and methods: Observational, descriptive and longitudinal study in the stomatologic clinic of the UAM-Xochimilco. Before informed consent, oral revision was performed by two dental surgeons calibrated for the diagnosis of caries/ICDAS (kappa 95.37%), carried out in dental chair with artificial light under principles for the control of infections. Risk level was established through the International System for Caries Management/ICCMS; using as indicators: consumption of cariogenic foods (Lipari/Andrade), pH (Hidryon strips), stimulated saliva test, caries experience (CPOD/ceod), oral hygiene (O'Leary) and culture of Streptococcus mutans. Statistical analysis was performed to determine measures of central tendency, dispersion and association between variables with Fisher's exact, STATA.SE/10. Results: The study population consisted of 42 children with ages ranging from 3 to 15 years, median of 7.04 (Q1 = 5-Q3 = 9). The prevalence of caries was 95.23%, with severe stages in 83.3%, the risk level was high in 73.7% and was associated with caries severity (p = 0.000), carbohydrate consumption (p = 0.000), caries experience (ceod) (p = 0.000) and S. mutans (p = 0.000). The incidence of caries at three months was 71.0% and at six months 11.1%. Conclusions: The prevalence of caries was high (95.23%), as well as the risk for caries (73.7%), and high incidence at three months (71%), despite the fact that the patients were in dental treatment. Restorative care prevails despite the diagnosis of reversible lesions and determination of the level of risk (AU)


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Criança , Adolescente , Assistência Odontológica para Crianças , Cárie Dentária/epidemiologia , Suscetibilidade à Cárie Dentária , Educação Pré-Odontológica , Higiene Bucal , Índice CPO , Epidemiologia Descritiva , Análise Estatística , Estudos Longitudinais , Medição de Risco , Dieta Cariogênica , Estudo Observacional , México
12.
Sci Rep ; 8(1): 10173, 2018 07 05.
Artigo em Inglês | MEDLINE | ID: mdl-29976956

RESUMO

Streptococcus mutans and Streptococcus sobrinus are the main causative agents of human dental caries. Current strategies for treating caries are costly and do not completely eradicate them completely. Passive immunization using nonhuman antibodies against Streptococcal surface antigens has shown success in human trials, however they often invoke immune reactions. We used phage display to generate human antigen-binding fragments (Fabs) against S. mutans and S. sobrinus. These Fabs were readily expressed in E. coli and bound to the surface S. mutans and S. sobrinus. Fabs inhibited sucrose-induced S. mutans and S. sobrinus biofilm formation in vitro and a combination of S. mutans and S. sobrinus Fabs prevented dental caries formation in a rat caries model. These results demonstrated that S. mutans and S. sobrinus Fabs could be used in passive immunization strategies to prevent dental caries. In the future, this strategy may be applied towards a caries therapy, whereby Fabs are topically applied to the tooth surface.


Assuntos
Vacinas Bacterianas/imunologia , Cárie Dentária/prevenção & controle , Fragmentos Fab das Imunoglobulinas/imunologia , Streptococcus mutans/imunologia , Streptococcus sobrinus/imunologia , Animais , Antígenos de Bactérias/imunologia , Vacinas Bacterianas/administração & dosagem , Biofilmes , Clonagem Molecular , Cárie Dentária/etiologia , Cárie Dentária/microbiologia , Dieta Cariogênica/efeitos adversos , Modelos Animais de Doenças , Humanos , Fragmentos Fab das Imunoglobulinas/administração & dosagem , Fragmentos Fab das Imunoglobulinas/isolamento & purificação , Biblioteca de Peptídeos , Ratos , Ratos Sprague-Dawley , Proteínas Recombinantes/administração & dosagem , Proteínas Recombinantes/imunologia , Proteínas Recombinantes/isolamento & purificação , Vacinas Sintéticas/administração & dosagem , Vacinas Sintéticas/imunologia
13.
Oral Dis ; 24(7): 1310-1317, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-29878498

RESUMO

OBJECTIVE: To evaluate the association of the consumption of healthy and cariogenic foods with the prevalence of untreated dental caries among preschool children. MATERIALS AND METHODS: A cross-sectional study was conducted with 427 5-year-old preschoolers. Caries was evaluated through a clinical examination using dmft index. Parents/guardians answered a questionnaire addressing socioeconomic status, eating frequency, and oral hygiene habits. RESULTS: The prevalence of untreated caries was 51%. The multiple models demonstrated a seven percent increase in the prevalence of untreated caries with each additional daily contact with cariogenic foods, whereas a four percent reduction in this prevalence rate was found for each additional contact with healthy foods. When the number of daily contacts with cariogenic and healthy foods was incorporated into the same model, the former reached only borderline statistical significance (p = 0.05), whereas the latter maintained an association with lower caries rates (p = 0.01). CONCLUSION: A dietary assessment based solely on the frequency of the consumption of cariogenic foods may not be sufficient to understand the occurrence of dental caries in preschool children. It is necessary a more comprehensive evaluation of the dietary pattern, once a healthy diet can present an association with lower prevalence of caries even among preschool children who consume cariogenic foods.


Assuntos
Cárie Dentária/epidemiologia , Dieta Cariogênica , Dieta Saudável , Alimentos , Brasil/epidemiologia , Pré-Escolar , Estudos Transversais , Feminino , Humanos , Masculino , Prevalência
14.
BMC Oral Health ; 18(1): 111, 2018 06 19.
Artigo em Inglês | MEDLINE | ID: mdl-29921269

RESUMO

BACKGROUND: This study aims to understand the deciduous dental caries status of preschool children in Xuhui District of Shanghai, China and to analyze the associated risk factors. METHODS: In January of 2016, a cross-sectional investigation was conducted to examine the oral health of all the kindergarten children in Xuihui District of Shanghai, China. Meanwhile, a field questionnaire survey was conducted with the children's guardians to ascertain the potential risk factors associated with deciduous dental caries. RESULTS: Among 11,153 children, the prevalence of deciduous dental caries was 47.02%, and the mean dmft score was 2.21. The first three predilection sites were maxillary central primary incisors, mandible second primary molars, and mandible first primary molars. There were statistically significant differences in caries prevalence and dmft among different age groups and different household registration (Hukou) types (P < 0.001). Multivariate Logistic regression suggested that the possible risk factors for deciduous caries included: older age, drinking sweetened beverages frequently, often or usually eating sweets before sleep compared to rarely/never eat them at this time, exclusive or predominant breastfeeding compared to exclusive or predominant artificial feeding and latter introduction of toothbrushing. On the other hand, Shanghai Hukou families, high educational level of guardians (high school or college education), regular parental support for children's toothbrushing, guardians' oral health knowledge, and a good perception about children's oral health conditions were shown as potential protective factors for deciduous dental caries. CONCLUSIONS: The deciduous dental caries status of preschool children in Xuhui District of Shanghai was still serious. The caries prevalence in Xuhui, China, is associated with children's age, household registration type, oral health habits, feeding habits, guardians' education level, parental perception about children's oral health and knowledge about oral health.


Assuntos
Cárie Dentária/epidemiologia , Dente Decíduo , Fatores Etários , Bebidas Gaseificadas/efeitos adversos , Criança , Pré-Escolar , China/epidemiologia , Estudos Transversais , Índice CPO , Cárie Dentária/etiologia , Dieta Cariogênica/efeitos adversos , Feminino , Humanos , Modelos Logísticos , Masculino , Prevalência , Fatores de Risco , Inquéritos e Questionários
15.
Wiad Lek ; 71(2 pt 2): 378-382, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29786589

RESUMO

OBJECTIVE: Introduction: According to the 2003 WHO report, dental caries affects from 60% to 90% of school-age children and adults that makes it one of the most common diseases worldwide. The aim was to systematize data about the modern conception of plaque formation and role of microorganisms in its development. PATIENTS AND METHODS: Materials and methods: Biblosemantic, 50 medical literature sources were systematically reviewed as the material for the research. RESULTS: Review: According to Miller's theory, oral microorganisms can decompose dietary carbohydrates into acids, which in turn dissolve the calcium phosphates found in the enamel, causing it demineralisation Along with Streptococcus mutans, nowadays some other bacteria as Streptococcus sorbinus, Lactobacillus spp. and Actinomyces spp. have been well studied as caries contributors. However, the disease is related to plaque-mediated, because a much larger number of normal oral microflora representatives are involved in creating favourable preconditions for its development. There are a lot of original research papers about a role of bacteria in caries decay but compositions and characters of oral microflora are changing nowadays. Therefore, authors show the main cariogenic bacteria and their factors of pathogenicity which create special conditions for caries lesions. Modern concepts of dental plaque formation and pathogenesis of plaque-assosiative diseases are presented according to the new actual dental research. A lot of attention is paid to the biochemical properties of cariogenic bacteria and chemical process in biofilm. Role of acid and alkali production by oral bacteria in caries decay are shown in this article. Moreover, mechanisms of bacterial acid-fast and acid-tolerance are presented. CONCLUSION: Conclusions: Analysis of literature demonstrates a lot of bacterial pathogenicity factors which play key role in caries development.


Assuntos
Cariogênicos/efeitos adversos , Cárie Dentária/metabolismo , Placa Dentária/metabolismo , Dieta Cariogênica/efeitos adversos , Carboidratos da Dieta/efeitos adversos , Desmineralização do Dente/metabolismo , Cariogênicos/metabolismo , Criança , Humanos , Concentração de Íons de Hidrogênio
16.
Medisan ; 22(5)mayo 2018. tab
Artigo em Espanhol | LILACS | ID: biblio-955031

RESUMO

Se realizó un estudio descriptivo y transversal, desde noviembre de 2016 hasta abril de 2017, de los 166 adultos mayores pertenecientes al consultorio médico No 20 del Policlínico Carlos Juan Finlay del municipio de Santiago de Cuba, para evaluar la presencia de enfermedades bucodentales y los factores de riesgo. Para la recolección de la información se utilizó la encuesta de salud bucal de la Organización Mundial de la Salud y la historia de salud bucal familiar. Los hábitos nocivos como la deficiente higiene bucal y la dieta cariogénica, además de las enfermedades crónicas no transmisibles, fueron los factores de riesgo más comunes en esta población, en quienes la disfunción masticatoria y la caries dental constituyeron los problemas principales


A descriptive and cross-sectional study of 166 elderly belonging to the family doctor office No 20 of Carlos J Finlay Polyclinic in the municipality of Santiago de Cuba, was carried out from November, 2016 to April, 2017, to evaluate the presence of oral-dental diseases and risk factors. The survey of oral health from the World Health Organization and the medical record of family oral health were used for gathering the information. Harmful habits as poor oral hygiene and a cariogenic diet, besides non communicable chronic diseases, were the most common risk factors in this population, for whom masticatory dysfuntion and dental decay constituted the main problems


Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Fatores de Risco , Odontologia Geriátrica , Doenças da Boca/epidemiologia , Higiene Bucal , Atenção Primária à Saúde , Estudos Transversais , Dieta Cariogênica/efeitos adversos
17.
Pesqui. bras. odontopediatria clín. integr ; 18(1): 4037, 15/01/2018. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-966882

RESUMO

Objective: To evaluate the determinant factors of dental caries in Indonesian children aged 8-12 years. Material and Methods: This study was observational and analytical with a cross-sectional design. A total of 114 children were selected using simple random sampling technique. Primary data was obtained from a questionnaire about tooth brushing habits, the use of toothpaste containing fluoride and cariogenic eating habits and data of dental caries obtained from direct observed by a dentist. Univariat data were analyzed using descriptive and bivariate data were analyzed using Chi-square tests. Results: The results obtained by 44.8% fair category of children who have toothbrushing habits, use of toothpaste containing fluoride was 100%, and 71% middle category children who have cariogenic eating habits. The most consumed cariogenic food was ice cream with 76.3% participants consumed it one to three times a week. The most eaten cariogenic foods every day in this sample were syroup/pop ice soft drink (42.1%). No significant association between gender and dental caries incidence was observed (p>0.05). Conclusion: There is significant association between tooth brushing habits with dental caries in Indonesian children aged 8-12 years at primary school in district of East Luwu Regency Tomoni.


Assuntos
Humanos , Masculino , Feminino , Criança , Escovação Dentária , Fatores Epidemiológicos , Criança , Cárie Dentária , Dieta Cariogênica , Indonésia , Distribuição de Qui-Quadrado , Estudos Transversais/métodos , Inquéritos e Questionários
18.
Clin Oral Investig ; 22(3): 1579-1586, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29063383

RESUMO

OBJECTIVE: The objective of this study is to analyze the factors associated with the occurrence of caries in the permanent teeth (PT) and in the permanent first molar (PFM) 5 years after their eruption. MATERIAL AND METHODS: Children born in 2005 and enrolled in a community dental program were included. The inclusion criteria were: age 10 years in 2015; the availability of clinical dental history (CDH) data from before eruption of the PT and a follow-up period of 5 years after eruption of the PT. A total of 206 children were enrolled. Risk factors evaluated were: caries experience in the mother, educational level of the mother, frequent drug use, systemic diseases, eating habits, brushing frequency, presence of molar incisor hypomineralization (MIH) in PT, and caries in deciduous teeth (DT). Associations between explanatory factors and the DMF-T (decayed, missing, filled teeth in PT) and DMFT-M (DMF in PFM) indexes, independently considering cavitated or cavitated and non-cavitated caries as outcomes, were evaluated by poisson regression with robust variance analysis. RESULTS: In the multivariate analysis, a cariogenic diet, especially soft drinks, was associated to high DMF-T and DMFT-M scores when both cavitated and non-cavitated caries were considered. A brushing frequency < 1 a day was significantly associated to high DMF-T scores. The presence of df-t (decayed and filled temporary teeth) score > 0 and MIH conditioned high DMF-T or DMFT-M values, considering cavitated or cavitated and non-cavitated caries. CONCLUSIONS: The intake of sweets and soft drinks, brushing frequency, caries in DT, and MIH in PT were the best predictors of caries in PT. CLINICAL RELEVANCE: Control of risk factors in early childhood is important for preventing caries in PT.


Assuntos
Cárie Dentária/epidemiologia , Criança , Índice CPO , Cárie Dentária/patologia , Dentição Permanente , Dieta Cariogênica , Feminino , Seguimentos , Humanos , Masculino , Dente Molar/patologia , Fatores de Risco , Espanha/epidemiologia , Escovação Dentária
19.
Int J Dent Hyg ; 16(2): 249-256, 2018 May.
Artigo em Inglês | MEDLINE | ID: mdl-28984027

RESUMO

OBJECTIVE: To evaluate oral hygiene habits, decayed, missing and filled teeth (DMFT) and surfaces (DMFS), dental care, dietetic habits and anti-Streptococcus mutans salivary secretory Immunoglobulin A (SIgA) in young adults who attended a preventive programme during preschool age. MATERIAL AND METHODS: The study group (Baby Clinic) comprised 72 patients, aged 18-25 years, who had participated in the Baby Clinic preventive programme. The control group was age- and gender-matched. The patients were examined and unstimulated whole saliva was sampled for detection of anti-S. mutansSIgA antibodies. RESULTS: Control patients presented increased DMFS scores (P < .05). Hygiene habits, cariogenic diet and antibody levels were not different between groups (P > .05). Baby Clinic patients presented better periodontal status (P < .005), less calculus (P < .005) and bleeding on probing (P < .005), and reported visiting dental services more regularly (P < .05). Adjusted multivariate linear regression analysis demonstrated that DMFT was associated with study group (P < .05), gender (P < .05), parents' education (P < .05), carbohydrate intake (P < .001) and levels of anti-S. mutansSIgA (P < .007). DMFS was associated with time elapsed since the last visit to the dentist (P < .005) and weekly carbohydrate intake (P < .005). CONCLUSION: Preventive programmes for preschool children positively impact on DMFS and periodontal status in young adults, but have no long-term effects on dietary or hygiene habits.


Assuntos
Cárie Dentária/epidemiologia , Cárie Dentária/prevenção & controle , Imunoglobulina A/imunologia , Prevenção Primária , Streptococcus mutans/imunologia , Adolescente , Brasil/epidemiologia , Pré-Escolar , Índice CPO , Dieta Cariogênica , Feminino , Humanos , Masculino , Índice de Higiene Oral , Prevalência , Estudos Retrospectivos , Saliva/química , Adulto Jovem
20.
Community Dent Health ; 34(1): 8-13, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-28561551

RESUMO

Clinical care pathways have placed renewed emphasis on caries risk assessment and the ability to predict and prevent further disease. With diet considered a key factor in the development of caries, the level of caries risk posed by dietary habits, such as the frequency of intake and timing of free sugars is questioned. OBJECTIVE: To identify reliable and simple dietary risk factors for caries experience. RESEARCH DESIGN: A cross-sectional observational study of a convenience sample with data gained from clinical examinations, questionnaire and a 24 hour dietary-recall interview. PARTICIPANTS: 128 subjects aged 11-12 from comprehensive schools in Greater Manchester and Newcastle upon-Tyne, UK. OUTCOME MEASURES: free sugars consumed between meals, before bed and total % of total free sugars consumed were assessed from dietary assessments led by a dietitian. D4-6MFT was generated with a caries threshold of ICDAS stage 4 from clinical examinations. RESULTS: Analysis revealed no significant differences in caries experience when looking specifically at caries into dentine, referred to as the cavity group (split at D4-6MFT), between high and low deprivation, consumption of free sugars between meals and free sugars (%). The consumption of free sugars within the hour before bed revealed a statistically significant difference between the cavity/no cavity groups (p=0.002). Logistic regression analysis on the cavity/no cavity groups revealed an odds ratio of 2.4 (95%CI 1.3,4.4) for free sugars consumption before bedtime. CONCLUSIONS: The study suggests that the consumption of free sugars before bedtime may be an important risk factor for adolescent caries into dentine experience.


Assuntos
Cárie Dentária/epidemiologia , Cárie Dentária/etiologia , Dieta Cariogênica/efeitos adversos , Açúcares da Dieta/efeitos adversos , Adolescente , Criança , Estudos Transversais , Feminino , Humanos , Masculino , Fatores de Risco
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