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Indicadores de risco associados à prevalência de erosão dentária em pré-escolares no Município de Diadema, São Paulo
| Content Provider | Semantic Scholar |
|---|---|
| Author | Murakami, Christiana |
| Copyright Year | 2009 |
| Abstract | O presente estudo teve como objetivos avaliar a prevalencia, a distribuicao e ograu de acometimento das lesoes de erosao dentaria em criancas de 36 a 59meses de idade no municipio de Diadema, Sao Paulo. Em posse dessesdados, tambem se objetivou investigar os indicadores de riscosocioeconomicos, ambientais, nutricionais, comportamentais e decaracteristicas da crianca associados a prevalencia de erosao dentaria.Cirurgioes dentistas treinados e calibrados (Kappa interexaminadores = 0,77para erosao e 0,83 para carie) examinaram 967 criancas em Unidades Basicasde Saude (UBS) do municipio de Diadema durante a primeira etapa daCampanha Nacional de Multivacinacao Infantil em Junho de 2008. Para avaliara erosao dentaria, utilizou-se o indice de O'Brien (1994) modificado, para aslesoes de carie dentaria o indice de Knutson (1944) e para o estado nutricionalo padrao de referencia da OMS (WHO Child Growth Standards, 2006). Aocorrencia de fatores associados foi investigada por meio de um questionarioelaborado especificamente para esta pesquisa, com base na literatura.Analises de regressao logistica univariada e multipla com modelo hierarquico(p As lesoes erosivas foram mais prevalentes em incisivos superiores do que em molaresinferiores e houve uma tendencia de bilateralidade no padrao de acometimento.O modelo logistico hierarquico final revelou associacao significativa entre aprevalencia de erosao dentaria e as variaveis comportamentais de consumo derefrigerantes duas vezes ao dia (OR = 0,78; IC 95%: 0,43-1,40; p= 0,043) etres ou mais vezes ao dia (OR=1,74; IC 95%; 1,02-2,99; p=0,023), consumo desucos nos ultimos dois dias previos ao estudo (OR=1,55; IC95%; 1,11-2,16;p=0,009) e a presenca de refluxo gastroesofagico relatado (OR=2,06; IC95%;1,24-3,41; p=0,005). Dentre as variaveis relacionadas com as caracteristicasda crianca apenas o aumento da idade foi significativo (OR=1,48; IC95%; 1,15-1,92; p=0,003). Nao houve associacao significativa entre a prevalencia deerosao dentaria e variaveis socioeconomicas, ambientais e o estado nutricional.Portanto, pode-se inferir que, nesta populacao, a prevalencia de erosaodentaria foi alta e estava associada a ingestao frequente de bebidas acidas, apresenca de refluxo gastroesofagico relatado e a idade da crianca (AU) The aim of the present study was to assess the prevalence, distribution andseverity of erosive lesions in a sample of 36 to 59-month-old children in the cityof Diadema, Sao Paulo. Moreover, the association between dental erosionprevalence and socioeconomic, environmental, nutritional, behavioral, and childcharacteristics variables was investigated. Trained and calibrated dentists(interexaminer Kappa = 0.77 for dental erosion and interexaminer Kappa = 0.83for dental caries) examined 967 children in the Basic Health Units (BHU) of thecity of Diadema during the first stage of the National ChildrenAEs Vaccination Dayin 2008. Dental erosion, dental caries and nutritional status were assessedthrough the use of a modified version of the OAEBrien (1994) index, Knutson(1944) index, and the WHO Child Growth Standards (2006), respectively.Variables associated to the prevalence of dental erosion were investigatedusing a questionnaire that was specifically developed for the present research,based on the literature. Statistical analysis was conducted through univariateand multivariate regressions based on a hierarchical model (p Erosive lesions were more prevalent inthe upper incisors than in lower molars and a symmetrical pattern of distributionwas noted. The final hierarchical logistic model revealed a significantassociation between dental erosion prevalence and the consumption of softdrinks twice (OR = 0.78; CI 95%: 0.43-1.40; p= 0.043) or three or more(OR=1.74; CI 95%; 1.02-2.99; p=0.023) times a day, juice intake on the last twodays before the study (OR=1.55; CI 95%; 1.11-2.16; p=0.009), the presence offrequent reported gastroesophageal reflux (OR=2.06; CI 95%; 1.24-3.41;p=0.005) and increasing age (OR=1.48; CI 95%; 1.15-1.92; p=0.003). Nostatistically significant associations were found between dental erosionprevalence and socioeconomic, environmental or nutritional variables. Inconclusion, a high prevalence of dental erosion was found in this population ofpreschool children, which was associated with frequent consumption of acidicbeverages, frequent episodes of reported gastroesophageal reflux, and anincrease in age (AU) |
| File Format | PDF HTM / HTML |
| DOI | 10.11606/D.23.2009.tde-11122009-093151 |
| Alternate Webpage(s) | https://teses.usp.br/teses/disponiveis/23/23132/tde-11122009-093151/publico/ChristianaMurakami.pdf |
| Alternate Webpage(s) | https://doi.org/10.11606/D.23.2009.tde-11122009-093151 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
