RESUMO
INTRODUCTION: Evidence regarding the impact of early loss of primary molars (ELPM) on Oral Health-Related Quality of Life (OHRQoL) is lacking. The aim of the present study was evaluating the impact of ELPM on OHRQoL of Brazilian schoolchildren aged 6-10 years. METHODS: This observational prospective cohort study was conducted with 163 schoolchildren, assigned in the primary tooth loss group (PTLG), in which all tooth loss was caused by carious lesions, and in a control group without tooth loss (CG). Two calibrated examiners conducted the clinical oral assessments to determine caries experience and tooth loss. OHRQoL was assessed using the Child Perception Questionnaire 8-10 years (CPQ8-10) instrument administered at baseline and at 10-12 months of follow-up. RESULTS: Children in PTLG exhibited significantly more negative impact on OHRQoL at baseline (p < 0.01) than CG, and also after the follow-up period (p < 0.01). It was also possible to observe a significant reduction in the negative impact on OHRQoL in both CG and PTLG in the longitudinal analysis (p < 0.01). Nevertheless, there was an even more substantial reduction in the negative impact on OHRQoL in children in PTLG. CONCLUSIONS: This study provides evidence that early tooth loss is associated with negative impact on OHRQoL. Moreover, it indicates that access to dental treatment can have a positive impact on the OHRQoL of children with dental caries and ELPM.
Assuntos
Cárie Dentária , Perda de Dente , Criança , Humanos , Qualidade de Vida , Saúde Bucal , Perda de Dente/epidemiologia , Cárie Dentária/complicações , Estudos Prospectivos , Inquéritos e Questionários , Dente Molar/patologiaRESUMO
Purpose: Premature loss of primary teeth can lead to negative consequences in both dentitions. The purpose of this study was to determine the factors associated with the premature loss of primary teeth and the child's socioeconomic status, main caretaker during the day, age range, sex, and previous caries experience. Methods: A total of 192 two- to 10-year-old Brazilian schoolchildren, seen at the Vila Velha University pediatric dental clinic, were assigned to two groups: the primary tooth loss group (PTLG) and a control group without tooth loss (CG)-from May 2016 to March 2017. Two calibrated examiners conducted the children's clinical oral assessments to determine caries experience and tooth loss with the decayed, missing, and filled tooth (dmft) index. Socioeconomic status was assessed using the Brazilian government's socioeconomic classification criteria. A sociodemographic questionnaire regarding the child's age, sex and whom she spent the day with was conducted. Results: There were 94 children in the PTLG and 98 in the CG. Variables associated with the prevalence of tooth loss were spending the day without the mother (P<0.001; odds ratio [OR] = 6.2), higher dmft scores (P<0.01; OR=3.1), and worse socioeconomic and educational status (P=0.01; OR=1.9). Age and sex were not associated with primary tooth loss. Conclusion: Premature loss of primary teeth is associated with poor oral health status, spending the day without mother's care, and low socioeconomic status.
Assuntos
Saúde Bucal/estatística & dados numéricos , Perda de Dente/epidemiologia , Perda de Dente/etiologia , Dente Decíduo , Brasil/epidemiologia , Criança , Pré-Escolar , Estudos Transversais , Cárie Dentária/epidemiologia , Escolaridade , Feminino , Nível de Saúde , Humanos , Masculino , Mães , Razão de Chances , Higiene Bucal , Projetos Piloto , Prevalência , Fatores Socioeconômicos , Inquéritos e QuestionáriosRESUMO
PURPOSE: The purpose of this study was to evaluate the in vivo performance of the International Caries Detection and Assessment System (ICDAS), Lesion Activity Assessment (LAA), and bitewing radiographs (BW) in detecting carious lesions on approximal surfaces of primary teeth and determine their association with treatment decisions (TDs). METHODS: Eighty-nine primary molars (166 approximal surfaces) in 56 eight- to 12-year-old children were clinically evaluated by a single examiner before and after temporary tooth separation. After exfoliation/ extraction, the teeth were histologically analyzed for caries depth and activity. RESULTS: Sensitivities for ICDAS and ICDAS-LAA were higher after tooth separation, while specificities were lower (P<0.05). The sensitivity and specificity values for BW were 0.49 and 0.79, respectively. The strongest correlations were found between ICDAS and BW before and after tooth separation, and between ICDAS and ICDAS-LAA and ICDAS and TDs before tooth separation (P<0.05). CONCLUSIONS: The International Caries Detection and Assessment System assessment after tooth separation presented better clinical performance than bitewing radiography for the detection of approximal carious lesions in primary molars. There was a high correlation between treatment decisions based on ICDAS, ICDAS-Lesion Activity Assessment, and bitewing radiography, highlighting the functional similarity of these tools in the clinical decision-making process.
Assuntos
Dente Decíduo , Criança , Cárie Dentária/diagnóstico , Testes de Atividade de Cárie Dentária , Humanos , Dente Molar , Reprodutibilidade dos TestesRESUMO
Objective: To determine the caries risk by Caries Management by Risk Assessment (CAMBRA) for children with mixed dentition attending a Basic Health Unit (BHU), identifying the main dental caries disease indicators, risk factors and protective factors. Material and Methods: The sample consisted of 89 children of both genders aged 8-12 years. Clinical and bitewing radiographic examinations were performed by a calibrated examiner, as well as the filling of the adapted CAMBRA form. Dental caries disease indicators, risk factors and protective factors of all subjects were determined. Chi-square test and multivariate logistic regression analysis for all CAMBRA variables were applied (p<0.05). Results: Caries risk was considered high in 38.2% of patients, moderate in 32.6% and low in 29.6%. The most frequent disease indicator was white spot lesion on smooth surfaces (73.0%), the most common risk factor was visible biofilm (78.7%) and protective factor was fluoridated water (100.0%). Children with "moderate risk" and "high risk" had risk of visible cavities or radiographic penetration of the dentin (OR=14.689; OR=574.363, respectively) compared to patients with "low risk". Conclusion: Caries risk determined as "high" and "moderate" were classifications most observed among children attending BHU. White spot lesions on smooth surfaces were the most frequent dental caries disease indicators and visible plaque on tooth surface and community water fluoridation were the most significant risk factors and protective factors, respectively.