Palabras clave
Caries dental
epidemiología
preescolares
prevalencia
ICDAS
epidemiología
preescolares
prevalencia
ICDAS
Cómo citar
Caries dental en preescolares: estudio transversal de base poblacional en Montevideo, Uruguay. (2023). Odontoestomatología, 25(41), 12. https://doi.org/10.22592/ode2023n41e228
Resumen
Prevalencia/extensión/severidad de caries, registrada según ICDAS, en niños de 5 años de Montevideo-Uruguay. Estudio transversal de base poblacional de 614 niños de escuelas públicas/privadas. Se evaluó la asociación entre variables predictoras, prevalencia/extensión de caries mediante regresión de Poisson. Prevalencia 70,9 (95%IC=66,40-75,50) y extensión 10,0(95%IC=8,70-11,30) superficies. La prevalencia mostró diferencias significativas entre categorías de escuelas, SEC, nivel educativo de la madre (NEM) y alimentación, y la extensión entre el tipo de escuelas, SEC, NEM, frecuencia de cepillado y de consumo de refrescos. Niños con SEC bajo/medio (RP=1,55;IC95%=1,15-2,08 y PR=1,50;IC95%=1,12-2,01 respectivamente), NEM primario (RP=1,35;IC95%=1,11-1,65),
de escuela pública (RP=1,21;95%IC=1,08-1,36) y que consumían gaseosa diariamente (RP=1,20;95%IC=1,01-1,43) mostraron significancia en el modelo no-ajustado. Preescolares con SEC bajo/medio (RR=1,78;IC95%=1,01-3,11 y RR=1,66;IC95%=0,99-2,79 respectivamente), NEM primario (RR=1,86; IC95%=1,21-2,87); bajo SEC (RR=1.78;IC95%=1.01-3.11) y consumo diario de refrescos (RR=1.79;IC95%=1.20-2.68) tenían mayor probabilidad de caries en el análisis ajustado. La prevalencia/extensión de caries fue alta, asociándose con variables sociodemográficas/comportamentales.
Referencias
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27. Folayan MO.et al. Association between maternal socioeconomic factors, decision-making status, and dental utilization by children with early childhood caries in sub-urban Nigeria. J Public Heal Dent. 2020;80:288–296.
28. Rai NK. Tiwari T. Parental Factors Influencing the Development of Early Childhood Caries in Developing Nations: A Systematic Review. Front Public Heal. 2018;6(64).
29. MSP. Programa Nacional de salud bucal. [Internet]. 2008 [cited 2021 Aug 3]. Available from: https:// www.gub.uy/ministerio-salud-publica/sites/ministerio-salud-publica/files/documentos/publicaciones/ PROGRAMA SALUD BUCAL 2008.pdf
30. Pitts N. Diaz-Guallory. et al. Early Childhood Caries: IAPD Bangkok Declaration. Int J Paediatr Dent. 2019;29(3):384–6.
31. Wong MC, Clarkson J, Glenny AM, et al. Cochrane reviews on the benefits/risks of fluoride toothpastes. J Dent Res. 2010;90(5):573–9.
32. Pita-Fernández S et al. Clinical relevance of tooth brushing in relation to dental caries. Aten Primaria.2010;42:372–9.
33. Uribe S. Gomez S. Mariño R. Ortiz ME. Systematic review on the use of fluoride toothpastes in preschool
children. [Internet]. Res gate. 2014;
34. World Health Organization. Guideline: Sugars intake for adults and children. [Internet]. 2015 [cited 2020 Apr 17]. Available from: https://apps.who.int/iris/handle/10665/149782.
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36. Health M of P. Uruguay. Minstry of Public Health. Oral Health Survey in schoolchildren from 11 to 14 years old. Public Sector. Uruguay, Montevideo, 1999. 1999.
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38. Tagliaferro Pereira AC. Meneghim MDC. Ambrosano GM. Assessment of dental caries predictors in a seven-year longitudinal study. J Public Heal Dent. 2006;66(3):169–73.
2. World Health Organization. Oral health surveys: basic methods, ed 5. Geneva: WHO, 2013. 2013.
3. Chen KJ. et al. Prevalence of early childhood caries among 5-year-old children: A systematic review. J Invest Clin Dent. 2019;
4. Narvai PC. Frazao P. Roncalli AG. Antunes JL. Dental caries in Brazil: decline, polarization, inequality and social exclusion. Rev Panam Salud Publica. 2006;19(6):385-93.
5. Machiulskiene V. et al. Terminology of Dental Caries and Dental Caries Management: Consensus Report of a Workshop Organized by ORCA and Cariology Research Group of IADR. Caries res. 2020;54:7–14.
6. Sheiham, A James WPT. Diet and dental caries: The pivotal role of free sugars reemphasized. Vol. 94, Journal of Dental Research. 2015. p. 1341–7.
7. Marshall TA. Dietary Implications for Dental Caries: A Practical Approach on Dietary Counseling. Dent Clin North Am. 2019;63(4):595–605.
8. De Almeida Pinto-Sarmento TC. Abreu MH., Gomes MC. De Brito Costa EM. Melo MC. Castro Granville-Garcia AF. Paiva SM. Determinant factors of untreated dental caries and lesion activity in preschool children using ICDAS. PLoS One. 2016;11(2).
9. Kale SS. et al. Dental caries prevalence among 5- to 15-year-old children from SEAR countries of WHO: A systematic review and meta-analysis. Indian J Dent Res. 2019;30(6):937–47.
10. Kale S. et al. Prevalence of dental caries among children aged 5–15 years from 9 countries in the Eastern Mediterranean Region: a meta-analysis. East Mediterr Heal J. 2020;26(6).
11. United Nation Development Program. Human Development Report Office. [Internet]. 2020 [cited 2021 Aug 2]. Available from: http://hdr.undp.org/en/data
12. Sheiham A. James WPT. A reappraisal of the quantitative relationship between sugar intake and dental caries: The need for new criteria for developing goals for sugar intake. BMC Public Heal. 2014;14(1):1–8.
13. Montti O. Cuidados en primera infancia. Análisis descriptivo de los datos del censo 2011 [Internet]. [cited 2021 Aug 2]. Available from: http://guiaderecursos.mides.gub.uy/innovaportal/file/23304/1/13.05_-_snc_informe_censo_-_infancia.pdf
14. Ismail AI et al. The International Caries Detection and Assessment System (ICDAS): An integrated system for measuring dental caries: Methods. Community Dent Oral Epidemiol. 2007;35(3):170–8.
15. Nyvad B. Baelum V. Nyvad Criteria for Caries Lesion Activity and Severity Assessment: A Validated Approach for Clinical Management and Research. Caries Res. 2018;52:393–405.
16. Pitts NB. et al. ICCMS TM Guide for practitioner and educators. 2014.
17. Llambí C. Piñeyro L. Índice de nivel socioeconómico (INSE): revisión anual 2012. 2012.
18. R Foundation. R: The R Project for Statistical Computing [Internet]. [cited 2019 Feb 21]. Available from: https://www.r-project.org/
19. Saldarriaga Cadavid A. Arango Lince CM. Cossio Jaramillo M. Dental caries in the primary dentition of a Colombian population according to the ICDAS criteria. Braz Oral Res [Internet]. 2010;24(2):211–6. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242010000200014&lng=en&tlng=en
20. Carvalho Borges H. Saliba Garbín CA. Saliba O. Saliba NA. Saliba Moimaz SA. Socio-behavioral factors influence prevalence and severity of dental caries in children with primary dentition. Braz Oral Res. 2012;26(6):564–70.
21. Wang X, Wei Z, Li Q, Mei L. A longitudinal study of early childhood caries incidence in Wenzhou preschool children. BMC Oral Heal 2017; 17 105. 2017;17(105):1–5.
22. Sarumathi T, Saravana Kumar B, Manjula Datta, Hemalatha VT, Aarthi NiSha V. Prevalence, Severity and Associated Factors of Dental Caries in 3-6 Year Old Children. J Clin Diagnostic Res [Internet].
2013;7(8):1789–92. Available from: https://www.jcdr.net/articles/PDF/3277/84- 6201_E(C)_ PF1(M)_F(P)_PF1(PP)_PFA(P)_OLF_PF3_(PUH)_B.pdf
23. Bernabe E. et al. Global, Regional, and National Levels and Trends in Burden of Oral Conditions from 1990 to 2017: A Systematic Analysis for the Global Burden of Disease 2017 Study. J Dent Res. 2020;99(4):362–373.
24. Antunes JLF. Narvai PC. Nugent ZJ. Measuring inequalities in the distribution of dental caries. Community Dent Oral Epidemiol. 2004;32(1):41–8.
25. Piovesan Ch et al. Can type of school be used as an alternative indicator of socioeconomic status in dental caries studies? A cross-sectional study. BMC Med Res Methodol 2011, 1137 [Internet]. 2011;11(37). Available from: http://www.biomedcentral.com/1471-2288/11/37
26. Piovesan C. Tomazoni F. Del Fabro J. Buzzati BCS. Mendes FM. Antunes JLF. et al. Inequality in dental caries distribution at noncavitated and cavitated thresholds in preschool children. J Public Heal Dent. 2014;74(2):120–6.
27. Folayan MO.et al. Association between maternal socioeconomic factors, decision-making status, and dental utilization by children with early childhood caries in sub-urban Nigeria. J Public Heal Dent. 2020;80:288–296.
28. Rai NK. Tiwari T. Parental Factors Influencing the Development of Early Childhood Caries in Developing Nations: A Systematic Review. Front Public Heal. 2018;6(64).
29. MSP. Programa Nacional de salud bucal. [Internet]. 2008 [cited 2021 Aug 3]. Available from: https:// www.gub.uy/ministerio-salud-publica/sites/ministerio-salud-publica/files/documentos/publicaciones/ PROGRAMA SALUD BUCAL 2008.pdf
30. Pitts N. Diaz-Guallory. et al. Early Childhood Caries: IAPD Bangkok Declaration. Int J Paediatr Dent. 2019;29(3):384–6.
31. Wong MC, Clarkson J, Glenny AM, et al. Cochrane reviews on the benefits/risks of fluoride toothpastes. J Dent Res. 2010;90(5):573–9.
32. Pita-Fernández S et al. Clinical relevance of tooth brushing in relation to dental caries. Aten Primaria.2010;42:372–9.
33. Uribe S. Gomez S. Mariño R. Ortiz ME. Systematic review on the use of fluoride toothpastes in preschool
children. [Internet]. Res gate. 2014;
34. World Health Organization. Guideline: Sugars intake for adults and children. [Internet]. 2015 [cited 2020 Apr 17]. Available from: https://apps.who.int/iris/handle/10665/149782.
35. Instituto Nacional de Estadísticas. Encuesta de Nutrición, Desarrollo Infantil y Salud (ENDIS 2018).2018.
36. Health M of P. Uruguay. Minstry of Public Health. Oral Health Survey in schoolchildren from 11 to 14 years old. Public Sector. Uruguay, Montevideo, 1999. 1999.
37. Dall’Onder AP. Fabruccini A. Alvarez L. Hashizume LN. Concentración de fluoruros en la sal de uso doméstico comercializada en Montevideo, Uruguay. Odontoestomatologia. 2021;23(38).
38. Tagliaferro Pereira AC. Meneghim MDC. Ambrosano GM. Assessment of dental caries predictors in a seven-year longitudinal study. J Public Heal Dent. 2006;66(3):169–73.