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1.
Int. j interdiscip. dent. (Print) ; 17(2): 68-69, ago. 2024.
Article in Spanish | LILACS | ID: biblio-1569235

ABSTRACT

La salud oral abarca el estado de la boca, influyendo en funciones esenciales y dimensiones psicosociales. Las enfermedades orales representan la mayor carga de enfermedad crónica no transmisible a nivel mundial. En Chile, la prevalencia de caries es significativa, situándonos en los primeros lugares de la región de las Américas. Inicialmente, el abordaje de la caries se centraba en su manifestación, sin comprender claramente su proceso. Se asumía una perspectiva infectocontagiosa, pero en la actualidad, se entiende como una enfermedad crónica no transmisible mediada por bacterias, asociada a cambios ecológicos. Se propone que la caries dental es una enfermedad socialmente transmitida, con determinantes sociales y comerciales influyentes. La responsabilidad individual no es suficiente; se debe explorar estrategias de abordaje río arriba, yendo a las causas fundamentales. Es crucial reconocer que las condiciones socioeconómicas y culturales limitan las opciones de cuidado de la salud, y la prevención y el acceso a tratamientos adecuados son desafíos complejos. Se hace un llamado a ir más allá de la odontología tradicional, instando a trabajar en actividades de abogacía junto a la academia, sociedades científicas y el sector gremial para abordar las causas fundamentales y ofrecer alternativas saludables a toda la población.


Oral health encompasses the condition of the mouth influencing essential functions and psychosocial dimensions. Oral diseases constitute the largest burden of non-communicable chronic diseases globally. In Chile, the prevalence of caries is significant, positioning us among the top in the Americas region. Initially, the approach to caries focused on its manifestation without a clear understanding of its process. An infectious perspective was assumed, but presently, it is recognized as a non-communicable chronic disease mediated by bacteria and associated with ecological changes. It is proposed that dental caries is a socially transmitted condition influenced by social and commercial determinants. Individual responsibility is insufficient; upstream approaches must be explored, addressing fundamental causes. Recognizing that socioeconomic and cultural conditions significantly limit healthcare choices, prevention, and access to appropriate treatments become complex challenges. A call is made to transcend traditional dentistry, urging collaboration in advocacy activities with academia, scientific societies, and the professional sector to address root causes and provide healthy alternatives for the entire population.


Subject(s)
Humans , Socioeconomic Factors , Dental Caries/epidemiology , Social Determinants of Health , Noncommunicable Diseases
2.
Int. j. odontostomatol. (Print) ; 18(2): 170-175, jun. 2024. tab
Article in Spanish | LILACS | ID: biblio-1564657

ABSTRACT

Las maloclusiones dentarias pueden afectar la forma, función y estética del sistema estomatognático, que, por su alta prevalencia a nivel mundial, son consideradas un problema de Salud Pública. Rapa Nui es un territorio insular del cual no se tienen datos respecto de la prevalencia de maloclusiones en su población. El objetivo de este estudio fue levantar datos epidemiológicos de maloclusiones dentarias en la población escolar de Rapa Nui y así contribuir a la elaboración de políticas públicas preventivas y terapéuticas. Se realizó un estudio observacional descriptivo de corte transversal para determinar la prevalencia y tipo de maloclusiones dentarias presentes en la población escolar de Rapa Nui. Los instrumentos aplicados fueron: encuesta sociodemográfica, clínica odontológica y obtención de modelos de yeso para determinar alteraciones de la oclusión en los 3 planos del espacio. La población en estudio comprendió a 121 niños (54 mujeres y 67 hombres) entre 5 y 17 años. Se evidenció un alto porcentaje de maloclusiones Clase II en la población estudiada. Destacan altos porcentajes de relación canina y molar clase II de Angle (52 % y 46,3 %, respectivamente), resalte aumentado (25,6 %) y mordida cruzada o vis a vis (36 %). Por lo señalado, se considera relevante sugerir la implementación de programas preven- tivos para mejorar la salud bucal de esta población.


Dental malocclusions can affect the form, function and esthetics of the stomatognathic system, which, due to their high prevalence worldwide, are considered a Public Health problem. Rapa Nui is an island territory for which there is no data on the prevalence of malocclusions in its population. The objective of this study was to collect epidemiological data on dental malocclusions in the school population of Rapa Nui and thus contribute to the elaboration of preventive and therapeutic public policies. A cross-sectional descriptive observational study was carried out to determine the prevalence and type of dental malocclusions present in the school population of Rapa Nui. The instruments applied were: Sociodemographic survey, dental clinic and obtaining plaster models to determine alterations of the occlusion in the 3 planes of space. The study population consisted of 121 children (54 females and 67 males) between 5 and 17 years of age. A high percentage of Class II malocclusions were evidenced. In the population studied anomalies were evidenced, among which the most important were class II canine and molar relation (according to Angle, 52 % and 46.3 % respectively), increased protrusion (25.6 %) and cross bite or vis a vis (36 %). Therefore, it is considered relevant to suggest the implementation of preventive programs to improve oral health of this population.


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Adolescent , Dental Caries/epidemiology , Malocclusion/epidemiology , Indians, South American , Epidemiologic Studies , Chile/ethnology , Chile/epidemiology , DMF Index , Prevalence , Cross-Sectional Studies , Dental Caries/ethnology , Sociodemographic Factors , Malocclusion/ethnology
3.
J. oral res. (Impresa) ; 13(1): 112-121, mayo 29, 2024. tab
Article in English | LILACS | ID: biblio-1563392

ABSTRACT

Introduction: Early childhood caries is still very prevalent, mainly in developing countries, and it is related to the quality of life of children due to early tooth loss. Objective: The study objective was to determine the association between dental caries and its clinical consequences on nutritional status in children of the "Vaso de Leche (Glass of Milk)'' social program, in Puno City, Peru, during the year 2020. Materials and Methods: An observational, descriptive-correlational, cross-sectional study; the sample consisted of 740 children between 1 and 5 years old who met the selection criteria; the clinical consequences of untreated dental caries were evaluated using the PUFA index and the prevalence of caries with def-t; the nutritional status was determined by the weight and height of the child according to protocols (NTS No. 357 - MINSA /2017/ DGIESP); the data were analyzed with the SPSS-v25 program, the association between variables was evaluated with the chi-square test, Mann-Whitney U test and Spearman's Rho test, considering significance at a p-value <0.05. Results: No significant relationship was found when dental caries was evaluated with the nutritional condition (p<0.05). However, when the def-t index values were related to the nutritional condition of the children, a significant difference was found (p<0.05). There was no significant difference with the PUFA index (p>0.05). Conclusions: There is no association between early childhood caries and nutritional status in children aged between 3 and 5 years; however, a significant relationship was found between the values of the def-t index and the nutritional status of the children.


Introducción: La caries infantil temprana sigue siendo muy prevalente, principalmente en los países en desarrollo, y está relacionada con la calidad de vida de los niños debido a la pérdida temprana de dientes Objetivo: El objetivo del estudio fue determinar la asociación entre la caries dental y sus consecuencias clínicas sobre el estado nutricional en niños del programa social "Vaso de Leche", en la ciudad de Puno, Perú, durante el año 2020. Materiales y Métodos: Estudio observacional, estudio descriptivo-correlacional, transversal; la muestra estuvo conformada por 740 niños entre 1 y 5 años que cumplieron con los criterios de selección, se evaluaron las consecuencias clínicas de la caries dental no tratada mediante el índice PUFA y la prevalencia de caries con d-t; el estado nutricional se determinó mediante el peso y talla del niño según protocolos (NTS N°357 MINSA/2017/DGIESP; los datos se analizaron con el programa SPSS-v25, la asociación entre variables se evaluó con el chi); -cuadrado, U de Mann-Whitney y Rho de Spearman, considerando significancia a un valor de p<0,05. Resultado: No se encontró relación significativa cuando se evaluó la caries dental con la condición nutricional (p<0,05). Sin embargo, cuando los valores del índice d-t se relacionaron con la condición nutricional de los niños, se encontró una diferencia significativa (p<0,05). No hubo diferencia significativa con el índice PUFA (p>0,05). Conclusión: No existe asociación entre caries de la primera infancia y el estado nutricional en niños de 3 a 5 años; sin embargo, se encontró una relación significativa entre los valores del índice d-t y el estado nutricional de los niños.


Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Nutritional Status , Dental Caries/epidemiology , Peru/epidemiology , Body Mass Index , Cross-Sectional Studies
4.
Pesqui. bras. odontopediatria clín. integr ; 24: e230117, 2024. tab, graf
Article in English | LILACS, BBO | ID: biblio-1558648

ABSTRACT

ABSTRACT Objective: To evaluate the prevalence of dental caries in children from 18 months to 5 years of age in eastern (near urban centers) and western (far from urban centers) Parakanã, verify the influence of proximity to non-indigenous cultures, and compare with other ethnicities and non-indigenous. Material and Methods: The universe of children was examined by one researcher in a cross-sectional study. Descriptive analysis and the Mann-Whitney test (p<0.05) were performed. Results: It was observed that 68.8% (N = 53) of children from 18 to 36 months of age presented dmft = 0 (without caries), while 12.5% (N = 6) of children of five years of age presented this condition. For children between 18 and 36 months, the average dmft values were 0.74 (SD=1.91) for eastern children and 1.25 (SD=1.65) for western children. At five years of age, the average dmft values were 4.35 (SD=3.29) and 3.75 (SD=2.05) for eastern and western, respectively. Mann-Whitney test (p<0.05) showed no difference between East and Western children. When compared with non-indigenous Brazilian children, the values behaved similarly. Conclusion: Knowledge of the epidemiological profile of dental caries in Indigenous Parakanã children is relevant both in planning oral health actions for this population and for aggregating information, which is still scarce for Indigenous.


Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Health Profile , Child , Dental Caries/epidemiology , Brazil/epidemiology , Cross-Sectional Studies/methods , Surveys and Questionnaires , Statistics, Nonparametric , Indigenous Peoples
5.
Article in English | LILACS, BBO | ID: biblio-1558653

ABSTRACT

ABSTRACT Objective: To investigate factors associated with the experience of dental caries in children in early childhood in two socially distinct centers in the city of São Luís, Maranhão, Brazil. Material and Methods: A cross-sectional study was conducted in two socially distinct daycare centers (private and public). The children were assessed regarding their caries experience, and their parents/guardians were prepared regarding socioeconomic information, parents/guardians' habits, and children's habits. Descriptive and inferential statistics were used. Association tests and multivariate analyses were performed to analyze independent variables and outcomes (type of daycare center and caries experience) using a p-value of 5%. Results: The sample consisted of 89 children aged up to 5 years of both sexes. The type of daycare center was associated with some socioeconomic data, such as family income (p<0.01) and parents' education (p=0.05). Data on oral hygiene and children's habits, such as breastfeeding, also remained associated with the type of daycare center. There was an association between income and DMFT (PR=8.48 - 95%CI 2.26;31.78). Conclusion: The socioeconomic profile of parents/guardians and breastfeeding were associated with the prevalence of caries in deciduous teeth in children aged 10 to 48 months.


Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Child , Oral Hygiene/education , Child Day Care Centers , Oral Health/education , Dental Caries/epidemiology , Parents , Social Class , Brazil/epidemiology , Cross-Sectional Studies/methods , Surveys and Questionnaires , Pediatric Dentistry
6.
Braz. j. oral sci ; 23: e246121, 2024. tab
Article in English | LILACS, BBO | ID: biblio-1579644

ABSTRACT

Aim: The present study aimed to investigate if cannabis use can be associated with gingival bleeding and caries experience among Brazilian students. Methods: A cross-sectional study was performed in 2016 with first-semester university students in Pelotas. Data was collected via a self-administered questionnaire. Self-reported gingival bleeding and caries experienced were collected. Cannabis use was assessed using a modified version of the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST). We define cannabis users as individuals who report using cannabis at least once a month. A Poisson regression model with robust variance was used to analyze the data. Results: A total of 2,058 (64.5% of eligible students) students were assessed. The prevalence of caries experience was 68.2% and gingival bleeding was 50.8%. The prevalence of cannabis use was 11.7%. After controlling (sex, skin color, age, family income, depressive symptoms, oral health self-perception tobacco use), individuals who use cannabis present a prevalence of gingival bleeding 2.51 (CI95%[1.42­4;53]) higher than individuals who did not use cannabis. The association was maintained even when the individuals who used tobacco were excluded from the sample (PR=2.24, CI95%[1.16 ­ 4.31]). Cannabis use did not show an association with the experience of dental caries in both crude (PR 0.91 CI95%[0.82 ­ 1.01]) and adjusted models (PR 0.93 CI 95%[0.83 ­ 1.05]). Conclusion: Cannabis use was associated with the presence of gingival bleeding among the students of a public university in the south of Brazil. However, the experience of dental caries did not present an association with cannabis use


Subject(s)
Humans , Male , Female , Adolescent , Adult , Young Adult , Students , Cannabis , Oral Health , Dental Caries/epidemiology , Gingiva , Hemorrhage/epidemiology
7.
Article in English | LILACS, BBO | ID: biblio-1550595

ABSTRACT

ABSTRACT Objective: To assess the impact of Molar Incisor Hypomineralization (MIH) and confounding factors on oral health-related quality of life (OHRQoL) according to the perception of 8 to 10-year-old children and their parents/caregivers. Material and Methods: A cross-sectional study including 403 students aged 8-10 years was carried out, in which OHRQoL was measured using the Child Perceptions Questionnaire administered to both children and parents/caregivers. The diagnosis of MIH was performed according to the previously proposed index. Dental caries experience, malocclusion, and sociodemographic factors were evaluated as confounders. Cluster analysis and Poisson regression with robust variance (p<0.05) were performed. Results: The prevalence of MIH was 13.4%. Parents/caregivers of children with MIH in incisors showed a higher impact prevalence in the emotional well-being domain (PR=1.92; 95%CI=1.16-3.19). Children with hypoplasia had a higher prevalence of negative impact on OHRQoL in the oral symptoms domain (PR=1.51; 95%CI=1.03-2.23). According to the perception of parents/caregivers, dental caries experience had a negative impact on the quality of life of students in the emotional well-being domain (PR=4.19; 95%CI=1.06-16.49) and in the total questionnaire score (PR=3.21; 95%CI=1.06-9.71). Conclusion: According to the perception of parents/caregivers, children with MIH in incisors showed a greater impact on OHRQoL. Additionally, the presence of hypoplasia affected the self-perception of OHRQoL in children, and caries experience influenced the OHRQoL of children, as perceived by parents/caregivers.


Subject(s)
Humans , Male , Female , Child , Quality of Life/psychology , Oral Health , Tooth Demineralization , Molar Hypomineralization , Self Concept , Cross-Sectional Studies/methods , Multivariate Analysis , Surveys and Questionnaires , Regression Analysis , Dental Caries/epidemiology , Dental Enamel Hypoplasia/diagnosis , Prevalence Ratio , Population Studies in Public Health , Sociodemographic Factors
8.
Pesqui. bras. odontopediatria clín. integr ; 24: e220023, 2024. tab, graf
Article in English | LILACS, BBO | ID: biblio-1529146

ABSTRACT

Abstract Objective: To estimate the incidence of dental caries and associated factors in the school period from six/seven to ten years of age. Material and Methods: A longitudinal study involving 168 children was followed up between 2015 and 2019 in the municipality of Palhoça, Brazil. The dependent variable was the caries incidence rate in the mixed dentition. The independent variables included information regarding demographic and socioeconomic status. Multivariate analyzes were carried out using Poisson Regression with a robust estimator. Variables with p <0.20 in the bivariate analysis were included in the adjusted model. Relative risks were estimated, as well as 95% confidence intervals. Results: Of 168 followed schoolchildren, 32 developed the disease, providing an incidence rate of 19.0%. Female children had a 10% higher risk [RR = 1.10 (95% CI 1.03; 1.18)] of developing caries than males. Also, children born from fathers with ≤ 8 years of schooling at baseline had a 9% higher risk [RR = 1.09 (95% CI 1.01; 1.16)] of developing dental caries compared to fathers with higher education. Conclusion: The incidence of dental caries in a four-year period was 19.0%. Females and children born from fathers with a lower level of education showed higher incidence rates.


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Risk Factors , Dental Caries/epidemiology , Dentition, Mixed , Socioeconomic Factors , Brazil/epidemiology , Regression Analysis , Cohort Studies , Longitudinal Studies
9.
Arch. pediatr. Urug ; 95(1): e204, 2024. graf, tab
Article in Spanish | LILACS, BNUY, UY-BNMED | ID: biblio-1556985

ABSTRACT

Objetivo: conocer la relación entre el perfil de consumo de alimentos (frecuencia y tipo) con la prevalencia, extensión y distribución de las lesiones de caries en niños de 18-35 meses de la ciudad de Montevideo, Uruguay. Material y método: se realizó un estudio transversal con una muestra no probabilística de 50 niños, de ambos sexos. Los padres respondieron a un cuestionario sobre datos sociodemográficos, hábitos alimenticios e higiene bucal. Dos examinadoras calibradas registraron las lesiones de caries de acuerdo al criterio ICDAS-epi, índice de placa visible e índice PUFA. Se realizaron análisis descriptivos para caries dental y dieta (tipo de alimento, incorporación y frecuencia). Resultados: los niños examinados presentaban una edad promedio de 26,6±5,9 meses. La prevalencia de caries fue de 34%, con una extensión de 2,3 y 4,3 para ceo-d y ceo-s, respectivamente. Mayoritariamente se observaron lesiones severas, no tratadas, en el sector anterosuperior y posteroinferior. El índice PUFA fue de 8%. El 30% consumía leche materna, 54% leche con azúcar y el 100% consumía diariamente bebidas azucaradas no lácteas y alimentos azucarados antes de los 11 meses de vida. Los niños que consumían bebidas azucaradas (no lácteas) en biberón presentaron mayor extensión y severidad de las lesiones de caries (ceo-d modificado = 3,5 y ceo-s modificado = 7,8). Conclusiones: el conocimiento de los patrones de alimentación en la primera infancia necesitan ser profundizados. La población estudiada mostró la temprana incorporación de azúcar a la dieta, alertando sobre la presencia de un factor de riesgo común a diversas enfermedades no transmisibles (caries, diabetes, obesidad, enfermedades cardiovasculares).


Objective: to learn the relation between the food consumption profile (frequency and type) and the prevalence, extension and distribution of cavity lesions in children of 18-35 months of age from the city of Montevideo, Uruguay. Material y Methods: a cross-sectional study was carried out in 50 children, of both sexes. Parents answered a questionnaire regarding sociodemographic data, eating habits and oral hygiene. Two examiners recorded caries lesions on each tooth surface according to ICDAS-epi criteria, visible plaque index and PUFA index. Descriptive analysis of the variables were performed. The diet analysis considered food type, incorporation time and frequency through percentages. Results: children examined had an average age of 26.6 ± 5.9 months of age. The cavity prevalence was 34%, with an extension of 2.3 and 4.3 for ceo-d and ceo-s respectively. For the most part, severe untreated injuries were observed located in the anterior superior and posterior-inferior sector. The PUFA index was 8%. 30% consumed breast milk, 54% milk with sugar, 100% consumed beverages and sugary foods, mostly before 11 months and daily. Children who consumed sugary drinks (non-milk) in a bottle presented greater extent and severity of cavity lesions (ceo-d modificated= 3.5 and ceo-s modificated = 7.8). Conclusions: we need to deepen our knowledge of feeding patterns in early childhood. The population studied showed the early incorporation of sugar into the diet, warning about the presence of a common risk factor for various non-communicable diseases (cavities, diabetes, obesity, cardiovascular diseases).


Objetivo: conhecer a relação entre o perfil de consumo alimentar (frequência e tipo) com a prevalência, extensão e distribuição das lesões de cárie em crianças de 18-35 meses da cidade de Montevidéu, Uruguai. Métodos: foi realizado um estudo transversal em 50 crianças, de ambos os sexos. Os pais responderam a um questionário sobre dados sociodemográficos, hábitos alimentares e higiene bucal. Dois examinadores calibrados registraram lesões de cárie em cada superfície dentária de acordo com os critérios ICDAS-epi, índice de placa visível e índice de PUFA. Foi realizada análise descritiva das variáveis. A análise da dieta considerou o tipo de alimento, o tempo de incorporação e a frequência por meio de porcentagens. Resultados: as crianças examinadas tinham idade média de 26,6 ± 5,9 meses. A prevalência de cárie foi de 34%, com extensão de 2,3 e 4,3 para ceo-d e ceo-s respectivamente. Em sua maioria, lesões graves não tratadas foram observadas localizadas no setor anterossuperior e póstero-inferior. O índice PUFA foi de 8%. 30% consumiam leite materno, 54% leite com açúcar, 100% consumiram bebidas e alimentos açucarados antes dos 11 meses e diariamente. Crianças que consumiram bebidas açucaradas (não lácteos) em mamadeira apresentaram maior extensão e gravidade das lesões de cárie (ceo-d = 3,5 e ceo-s = 7,8). Conclusões: o conhecimento dos padrões de alimentação na primeira infância precisa ser aprofundado. A população estudada mostrou a incorporação precoce do açúcar na dieta, alertando para a presença de um fator de risco comum para diversas doenças não transmissíveis (cárie, diabetes, obesidade, doenças cardiovasculares).


Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Dental Caries/epidemiology , Feeding Behavior , Sugar-Sweetened Beverages/adverse effects , Uruguay/epidemiology , Prevalence , Cross-Sectional Studies , Age and Sex Distribution , Patient Acuity
10.
Braz. j. oral sci ; 23: e241338, 2024. tab
Article in English | LILACS, BBO | ID: biblio-1580793

ABSTRACT

Low health literacy in adolescents can negatively impact their health status and quality of life. Objective: This study aims to verify the impact of sociodemographics, caries experience and oral health literacy (OHL) on the quality of life among adolescents aged 11­12. Methods: A cross-sectional study with a cluster sampling design was conducted on public elementary schools in a district of Batu City in January 2020. Self-administered questionnaires regarding sociodemographics, OHL, and child-oral impact on daily performance (C-OIDP) were administered to respondents. Caries examinations were performed by three independent examiners using the decayed, missing, and filled teeth (DMF-T) index after informed consent was received. The data was analyzed with a comparative test and logistic regression with a significance level of < 0.05. Results: 346 students followed the study, with a response rate of 92.22%. The majority of parents were not college-educated. 71.1% of respondents were 12 years old, 85.3% had caries, and 55.3% had a high total OHL score. There was a significant difference between low- and high-quality daily performance in the OHL score and caries experience categories (p=0.006 and p=0.008, respectively). Multivariate analysis showed that the fathers' education, caries experience, and OHL were associated with the quality of daily performance. Conclusions: Health literacy, caries experience, and parental education contribute to the quality of adolescents' daily performance. Adolescents with few caries and high OHL have a better quality of daily performance


Subject(s)
Humans , Male , Female , Child , Quality of Life , Cluster Sampling , Oral Health , Dental Caries/epidemiology , Health Literacy , Sociodemographic Factors
11.
Int. j interdiscip. dent. (Print) ; 16(1): 40-44, abr. 2023. tab, graf
Article in Spanish | LILACS | ID: biblio-1440274

ABSTRACT

Objetivo: Evaluar el estado actual de la salud bucal de niños(as) de 2 a 5 años intervenidos por el programa Sembrando Sonrisas, Comuna de Ovalle, año 2019. Materiales y Métodos: Estudio observacional, de corte transversal, realizado en niños(as) con examen clínico dental que asistían a establecimientos educacionales beneficiados por el programa Sembrando Sonrisas. La información fue solicitada a la Municipalidad de Ovalle mediante ley de transparencia, no teniendo control del levantamiento de los datos. Se abordó la prevalencia de niños(as) sin/con historias de caries según el índice dientes cariados-extraídos-obturados e intensidad del daño, relacionándolas con variables sociodemográficas. Resultados: De los n=4.201 niños(as) evaluados(as), el 62,8% no presentaba historia de caries, disminuyendo de 92,0% (2 años) a 48,9% (5 años) (P<0,001). No hubo diferencias según sexo (P≥0,159) pero fue significativamente menor en niños(as) de sectores urbanos (P≤0,048). Por tipo de establecimiento educacional, la prevalencia de niños(as) con historia de caries y la intensidad del daño fue siempre mayor en el sector rural, mientras que en el sector urbano los menores valores fueron registrados en colegios particulares subvencionados. Conclusiones: El estudio mostró mejoras importantes en la prevalencia de historia de caries, pero sigue evidenciando las desigualdades en acceso a la salud que están presentes en nuestra sociedad.


Objective: To evaluate the current oral health status of children aged 2 to 5 years in Ovalle, treated in the Sembrando Sonrisas program, year 2019. Materials and Methods: Observational, cross-sectional study, carried out in children with a clinical dental examination, who attended educational establishments benefiting from the Sembrando Sonrisas program. The information was requested from the Municipality of Ovalle through the transparency law, without control of the data collection. The prevalence of children with and without caries history according to the decayed, extracted, filled teeth index, and the intensity of the damage were addressed, relating them to sociodemographic variables. Results: A n=4,201 of children was evaluated, where 62.8% did not present a history of caries, decreasing from 92.0% (2 years) to 48.9% (5 years) (P<0.001). There were no differences between sexes (P≥0.159) but it was significantly lower in children from urban sectors (P≤0.048). By type of educational establishment, the prevalence of children with a history of caries and the intensity of the damage was always higher in the rural sector, while in the urban sector the lowest prevalence was registered in private subsidized schools. Conclusions: The study showed important improvements in the prevalence of this disease, but it also showed that inequalities in access to health are still present in our society.


Subject(s)
Humans , Male , Female , Child, Preschool , Primary Health Care , Oral Health , Dental Caries/epidemiology , Rural Population , Chile/epidemiology , Prevalence , Cross-Sectional Studies , Age and Sex Distribution
12.
Chinese Journal of Stomatology ; (12): 101-108, 2023.
Article in Chinese | WPRIM | ID: wpr-970762

ABSTRACT

Conception of public health was firstly put forward by American professor Winslow. Ensuring and promoting the health of general population is the key connotation for the definition of public health. Oral disease has become a public health problem. Caries which preventable and curable is the most common oral disease and the etiology is also clear. Oral health comprehensive intervention program for children in central and western regions was set up in 2008 by Chinese government. The program included sealing on the first permanent molar and oral health education towards primary school children covering mid-west area. This was the first oral health program invested by government and managed by Chinese Stomatological Association. Six years later, the program was popularized to the whole nation, and renamed as national oral health comprehensive intervention program for children in China. The program had made deep impact on development of oral health service in China. The study tries to analyze the challenges of oral health service through reviewing the background, content, organization and effectiveness of the program, aiming to provide suggestions on policy, financing, system, ability and technology for the future development.


Subject(s)
Child , Humans , China , Dental Caries/epidemiology , Oral Health , Public Health , Dental Health Services
13.
Rev. Bras. Saúde Mater. Infant. (Online) ; 23: e20190196, 2023. tab, graf
Article in English | LILACS | ID: biblio-1449146

ABSTRACT

Abstract Objectives: to analyze the factors associatedwith dental cavity in early childhood. Methods: this is a cross-sectional study on oral health condition of 535 children aged between six and 36 months old, at Family Health Units, in Salvador-BA. Information was collected on socioeconomic conditions, mother and child's health, eating and oral hygiene habits, and oral examination. Results: the prevalence of dental cavity was 13.64% (CI95%=11.44 -15.84) and the factors associated were: child's age, number of rooms in the house, "Bolsa Família" (Family Welfare) benefit, prenatal consultations, birth weight and exclusive breastfeeding. Conclusions: socioeconomic conditions strongly influenced oral health, as well as prenatal care and breastfeeding. To prevent childhood cavities, it is pertinent to invest in intersectoral actions and systematized programs, including the medical and nursing staff, as these actions are essential for integral care for the child's health and quality of life


Resumo Objetivos: analisar os fatores associados à cárie dentária na primeira infância. Métodos: trata-se de um estudo transversal das condições de saúde oral de 535 crianças entre seis e 36 meses, em Unidades de Saúde da Família, em Salvador-BA. Foram coletadas informações sobre as condições socioeconômicas, saúde da mãe e da criança, hábitos alimentares e de higiene oral e exame oral. Resultados: a prevalência de cárie dentária foi de 13,64% (IC95%=11,44-15,84) e os fatores associados foram: idade da criança, número de cômodos da casa, benefício "Bolsa Família", consultas de pré-natal, peso ao nascer e aleitamento materno exclusivo. Conclusões: as condições socioeconômicas influenciam fortemente na saúde oral, bem como o pré-natal e o aleitamento materno. Para prevenir cárie na infância, é pertinente investir em ações intersetoriais e programas sistematizados, incluindo a equipe médica e de enfermagem, pois estas ações são imprescindíveis para o cuidado integral à saúde da criança e qualidade de vida


Subject(s)
Humans , Infant , Child, Preschool , Oral Hygiene , Socioeconomic Factors , Dental Caries/epidemiology , Feeding Behavior , Brazil/epidemiology , Child Health , Cross-Sectional Studies , Women's Health
14.
Braz. j. oral sci ; 22: e230692, Jan.-Dec. 2023. ilus
Article in English | LILACS, BBO | ID: biblio-1512676

ABSTRACT

To evaluate the prevalence of untreated caries and its association with biological, individual, and environmental variables in independently-living elderly people. Methods: This cross-sectional study included 72 elderly (≥60 years) patients of a university dental clinic in Belo Horizonte, Brazil. Sociodemographic data, systemic diseases, medications, and free sugar intake were collected. Visible plaque, Decayed, Missing, and Filled Teeth (DMFT), and Decayed and Filled Root (DFR) indexes were assessed through clinical examination. Unstimulated saliva was collected to determine salivary flow, pH, and buffering capacity. Descriptive analysis and multilevel logistic regression analysis were performed following a dental caries theoretical model (p <0.05, 95% CI). Results: The mean DMFT and DFR were 24.44 (SD=4.59) and 3.21 (SD=2.93), respectively. The prevalence of untreated caries was 61.11%. In the adjusted multilevel regression model involving 1639 teeth, untreated dental caries was significantly associated with the presence of biofilm (OR = 1.84; 95% CI: 1.24­2.74), salivary buffering capacity (OR = 0.87; 95% CI: 0.77­0.99) and per capita income (OR = 0.06; 95% CI: 0.004­0.74). Conclusion: The experience of dental caries was widespread among independently-living elderly patients, and its variability was best explained by the presence of biofilm, reduced salivary buffering capacity, and low per capita income. A comprehensive assessment is needed of the biological, individual, and environmental factors related to the presence of dental caries in independently-living elderly people


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged, 80 and over , Saliva , Aged , Oral Health , Dental Caries/epidemiology , Drug Utilization , Sugars , Sociodemographic Factors
15.
Rev. Fac. Odontol. (B.Aires) ; 38(90): 61-65, 2023. ilus, tab
Article in Spanish | LILACS | ID: biblio-1554104

ABSTRACT

Se identificó el perfil epidemiológico y se caracterizó la situación de la población en base al Nivel Socio-Económico (NSE) asociado al estado dentario y se es-tablecieron las zonas geográficas de pacientes que asistieron a la Cátedra Odontología Integral Niños (COIN) de FOUBA durante el año 2019. La muestra total se conformó con 541 niños de 9,2±3,3 años; masculi-nos 51,0%. La segmentación de los estratos sociales dio como resultado que del total de pacientes, el 33,3% perteneció a Clase Baja D2/E, el 39,2% a Clase Baja Superior D1, el 22,4% a Clase Media Baja C3, el 4% a Clase Media Alta C2 y el 1,1% a Clase Alta ABC1. La mayor demanda de atención provino de las dos clases más bajas de la pirámide social, aunque se trata de un servicio arancelado. Los indicadores del estado den-tario ceod, ceos, CPOD y CPOS, indicaron que los niños de menor posición socioeconómica presentaron los índices más altos. La mayor concurrencia provino de la Ciudad Autónoma de Buenos Aires (52%), respecto a los pacientes concurrentes del Gran Buenos Aires (37%), el 80% provino de la zona Oeste y Sur (AU)


The epidemiological profile was identified, and the situation of the population was characterized based on Socio-Economic Status (SES) associated with their dental state. Geographical areas of patients who attended the FOUBA Children's Comprehensive Dentistry Chair during 2019 were established. The total sample consisted of 541 children aged 9.2±3.3 years; males 51.0%. The segmentation of the social strata resulted in 33.3% belonging to Low-Class D2/E, 39.2% to Upper Lower-Class D1, 22.4% to Lower Middle-Class C3, 4% to Upper Middle-Class C2, and 1.1% to Upper-Class ABC1. The largest demand for care came from the two lowest classes of the social pyramid, even though it is a fee-based service. The indicators of dental status dmft, dmfs, DMFT and DMFS, showed that children coming from the lowest socio-economic position presented the highest rate of occurrence. The highest attendance came from the City of Buenos Aires (52%), compared to patients from Buenos Aires suburbs (37%), of which 80% were from the Western and Southern suburbs (AU)


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Socioeconomic Factors , Epidemiologic Factors , Dental Care for Children/methods , Dental Caries/epidemiology , Health Services Needs and Demand/statistics & numerical data , Argentina/epidemiology , Schools, Dental/statistics & numerical data , Social Class , DMF Index , Epidemiology, Descriptive , Cross-Sectional Studies
16.
Article in English | LILACS, BBO | ID: biblio-1529113

ABSTRACT

ABSTRACT Objective: To estimate the prevalence of dental fear and evaluate its association with dental caries and with Molar Incisor Hypomineralization (MIH) in schoolchildren aged 11-14 years. Material and Methods: A cross-sectional study was conducted with 375 adolescents in Campina Grande, Brazil. Socioeconomic and oral health information was collected, while dental fear was measured using the Children's Fear Survey Schedule-Dental Subscale (CFSS-DS). The diagnosis of dental caries and MIH was performed by three trained examiners (κ ≥ 0.61) using the International Caries Detection & Assessment System - ICDAS II and a previously validated index, respectively. Data were descriptively analyzed using the Chi-Square, Fisher's Exact, and Poisson regression tests with robust variance (p<0.05). Results: The prevalence of dental fear was 18.4%, and the mean CFSS-DS total score was 28.96 ± 8.92. After adjusting for covariates family structure, schooling of parents/guardians, type of dental health service and dental pain in the last six months, the prevalence of dental fear was associated with dental pain in the last six months (PR=2.03; 95%CI=1.31-3.16; p=0.002). Conclusion: Although no association was found between dental fear, dental caries and MIH in adolescents, those who experienced dental pain in the last six months had a higher prevalence of dental fear.


Subject(s)
Humans , Male , Female , Child , Adolescent , Dental Anxiety/epidemiology , Dental Caries/epidemiology , Dental Enamel Hypoplasia/epidemiology , Molar , Prevalence , Cross-Sectional Studies/methods , Surveys and Questionnaires , Dental Health Services
17.
Pesqui. bras. odontopediatria clín. integr ; 23: e220073, 2023. tab, graf
Article in English | LILACS, BBO | ID: biblio-1529128

ABSTRACT

ABSTRACT Objective: To evaluate the prevalence of dental caries in children aged five years in a Northeast Brazilian Capital (Fortaleza, CE) and its association with sociodemographic conditions, presence of malocclusion, and gingival bleeding. Material and Methods: This is a quantitative, descriptive, observational, and cross-sectional study carried out in a representative sample of 3,582 children aged five years in the city of Fortaleza-CE. Data was collected in public and private schools distributed in the city's Regional Health Coordination (CORES). Each of the six CORES worked with five field teams, participating in inter-examiner training and calibration with a final KAPPA coefficient of 0.87. Data were collected using a clinical form adapted from the SB Brasil 2010 questionnaire on sociodemographic conditions. The indices of dmft, need for treatment, malocclusion, and gingival bleeding were used for oral health conditions. The data were submitted to Pearson's Chi-square or Fisher's Exact tests, and the variables that show values of p<0.05 were submitted to a multinomial logistic regression model (forward stepwise model). Results: 57.1% of children were caries-free, and the mean dmft-d was 1.65 (1.65±2.65). CORES I and VI were the ones that presented the most significant association with caries attacks in all primary molars. The highest percentage of caries in the 2nd upper molar (60.6%), 1st lower molar (59%), and 2nd lower molar (58.8%) were found in children with normal occlusion. There was a significant association between gingival bleeding and caries in all molars and the need for treatment. Conclusion: These results allow us to observe that the prevalence of dental caries in 5-year-old children in Fortaleza is low, although with a tendency to increase.


Subject(s)
Humans , Child, Preschool , Periodontal Index , Oral Health/education , Dental Caries/epidemiology , Malocclusion/epidemiology , Socioeconomic Factors , Brazil/epidemiology , Chi-Square Distribution , Demography , DMF Index , Epidemiology, Descriptive , Cross-Sectional Studies/methods , Statistics, Nonparametric , Observational Study
18.
Article in English | LILACS | ID: biblio-1428550

ABSTRACT

OBJECTIVE: Prior epidemiological surveys revealed that Chile experiences a high burden of oral diseases. However, no prior study has reported estimates of untreated dental caries, periodontitis, and edentulism over a three-decade period for the country. Using estimates of the Global Burden of Diseases Study (GBD) 2019, the objective of this study is to report the trends of prevalence, incidence, and years-lived with disability (YLDs) due to untreated dental caries, periodontitis, and edentulism in Chilean older adults between 1990 and 2019. METHODS: Estimates of prevalence, incidence, and YLDs due to dental caries, periodontitis, and edentulism were produced for Chile, by age and sex, between 1990 and 2019, using Dismod-MR 2.1. Trends of oral disorders were analyzed using generalized linear regression models applying the Prais-Winsten method. RESULTS: Untreated dental caries and periodontal disease showed an increase in prevalence and YLDs, whereas edentulism prevalence, incidence, and YLDs decreased in all older adults age groups. The incidence of dental caries decreased in the younger groups and increased in the older age groups; while the incidence of periodontal disease increased in the younger and decreased in the older age groups. CONCLUSIONS: Overall, the burden of oral diseases in older Chileans increased between 1990 and 2019. This was particularly relevant for untreated caries and periodontal disease. Future estimates of oral diseases burden in Chile require concerted efforts to produce national health surveys that incorporate oral diseases metrics. These estimates are essential to inform policy formulation, implementation and evaluation. (AU)


OBJETIVO: Pesquisas epidemiológicas anteriores revelaram que o Chile apresenta uma elevada carga de doenças bucais. No entanto, nenhum estudo anterior relatou estimativas de cárie dentária não tratada, periodontite e edentulismo ao longo de um período de três décadas para o país. Usando estimativas do Global Burden of Diseases Study (GBD) 2019, o objetivo deste estudo é relatar as tendências de prevalência, incidência e anos vividos com incapacidade (YLDs) devido a cárie dentária não tratada, periodontite e edentulismo em idosos chilenos entre 1990 e 2019. METODOLOGIA: Estimativas de prevalência, incidência e YLDs devido à cárie dentária, periodontite e edentulismo foram produzidas para o Chile, por idade e sexo, entre 1990 e 2019, usando o Dismod-MR 2.1. Tendências de distúrbios bucais foram analisadas usando modelos de regressão linear generalizada aplicando o método Prais-Winsten. RESULTADOS: A cárie dentária não tratada e a doença periodontal mostraram um aumento na prevalência e nos YLDs, enquanto a prevalência, incidência e YLDs do edentulismo diminuíram em todas as faixas etárias de idosos. A incidência de cárie dentária diminuiu nos grupos mais jovens e aumentou nos grupos etários mais velhos; enquanto a incidência de periodontite aumentou nos grupos mais jovens e diminuiu nos grupos etários mais velhos. CONCLUSÕES: No geral, a carga de doenças bucais em idosos chilenos aumentou entre 1990 e 2019. Isso foi particularmente relevante para cárie não tratada e periodontite. As estimativas futuras da carga de doenças bucais no Chile exigem esforços concentrados para produzir pesquisas nacionais de saúde que incorporem métricas de doenças bucais. Essas estimativas são essenciais para informar a formulação, implementação e avaliação de políticas. (AU)


Subject(s)
Humans , Aged , Aged, 80 and over , Periodontal Diseases/epidemiology , Mouth, Edentulous/epidemiology , Dental Caries/epidemiology , Chile/epidemiology , Incidence , Prevalence
20.
Int. j interdiscip. dent. (Print) ; 15(3): 250-254, dic. 2022. tab, ilus
Article in Spanish | LILACS | ID: biblio-1421734

ABSTRACT

Presentamos una breve revisión de la evolución de los conceptos asociados a la epidemiología, diagnóstico, etiología y tratamiento de la caries para proveer una actualización y orientación a los profesionales odontológicos. El término caries incluye la patología y su signo clínico. La patología involucra una disbiosis del biofilm normal bucal que responde de manera dinámica a la dieta rica en azúcares, metabolizando ácidos que generan la lesión de caries. Actualmente el diagnóstico comienza con la evaluación del riesgo cariogénico seguido de la detección de lesiones y la evaluación de su actividad. Para el tratamiento se indican aquellas intervenciones que permiten el control de la actividad del biofilm y recuperar los tejidos dentarios dañados mediante intervención mínima. En el futuro, intervenciones que reduzcan el consumo de azúcar, unido al conocimiento del microbioma, al uso de inteligencia artificial y uso de materiales biomiméticos permitirán un manejo personalizado para mantener y recuperar la salud oral individual. Finalmente, para trasladar los avances científicos de la cariología a la práctica clínica se requieren urgentes cambios en la educación y el contexto en que luego trabaja un profesional odontológico.


We present a brief review of the evolution of the concepts associated with the epidemiology, diagnosis, etiology and treatment of caries, to provide an update and orientation for dental professionals. The term "caries" includes the disease and its clinical sign. The disease involves a dysbiosis of the normal oral biofilm that responds dynamically to a sugar-rich diet, metabolizing acids that result in caries lesions. Currently, the diagnosis begins with the evaluation of cariogenic risk, followed by the detection of lesions and the evaluation of their activity. For the treatment, interventions allowing the control of biofilm activity and the recovery of damaged dental tissues through minimal intervention are indicated. In the future, interventions reducing sugar consumption, together with the knowledge of the microbiome, the use of artificial intelligence and the use of biomimetic materials will allow for a personalized management to maintain and recover individual oral health. Finally, to transfer the scientific advances made in cariology to the clinical practice, urgent changes are required in education and in the context in which the dental professional works.


Subject(s)
Humans , Dental Caries/therapy , Dentistry , Dental Caries/diagnosis , Dental Caries/etiology , Dental Caries/epidemiology , Dental Plaque
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