RESUMO
AIM: To investigate iron-deficiency anemia as a risk factor for dental pulp disease in children from the central Peruvian jungle. METHODOLOGY: A case-control study was carried out with 270 children, of which 90 referred to cases and 180, to controls. Patients with pulp disease were diagnosed according to the criteria of the Association of Endodontists and the American Board of Endodontics. A specific questionnaire was used to assess ferrous sulfate consumption, maternal education level, maternal age, occupation, and household income. Data were analyzed using Pearson's correlation coefficient and a binary logistic regression. RESULTS: Iron deficiency anemia offers a risk factor for pulp disease in children (OR 7.44, IC 95% 4.0-13.8). According to multivariate analysis using binary logistic regression, ferrous sulfate consumption (OR 13.8, IC 95% 5.6.33.9), maternal education level (OR 2.4, IC 95% 1.1-5.3), maternal age (OR 7.5, IC 95% 2.9-19.4), household income (OR 4.0, IC 95% 1.6-9.6), and caries (OR 10.7, IC 95% 4.5-25.7) configured independent factors that were statistically associated with pulp disease. CONCLUSION: Iron deficiency anemia, ferrous sulfate consumption, maternal education level, maternal age, household income, and dental caries were positively associated with pulp disease in children.
Assuntos
Anemia Ferropriva , Doenças da Polpa Dentária , Fatores Socioeconômicos , Humanos , Anemia Ferropriva/epidemiologia , Anemia Ferropriva/etiologia , Peru/epidemiologia , Feminino , Fatores de Risco , Estudos de Casos e Controles , Masculino , Criança , Doenças da Polpa Dentária/epidemiologia , Pré-Escolar , Compostos Ferrosos , Escolaridade , Idade Materna , Adolescente , Renda/estatística & dados numéricos , Cárie Dentária/epidemiologia , Cárie Dentária/etiologiaRESUMO
Abstract Aim To investigate iron-deficiency anemia as a risk factor for dental pulp disease in children from the central Peruvian jungle. Methodology A case-control study was carried out with 270 children, of which 90 referred to cases and 180, to controls. Patients with pulp disease were diagnosed according to the criteria of the Association of Endodontists and the American Board of Endodontics. A specific questionnaire was used to assess ferrous sulfate consumption, maternal education level, maternal age, occupation, and household income. Data were analyzed using Pearson's correlation coefficient and a binary logistic regression. Results Iron deficiency anemia offers a risk factor for pulp disease in children (OR 7.44, IC 95% 4.0-13.8). According to multivariate analysis using binary logistic regression, ferrous sulfate consumption (OR 13.8, IC 95% 5.6.33.9), maternal education level (OR 2.4, IC 95% 1.1-5.3), maternal age (OR 7.5, IC 95% 2.9-19.4), household income (OR 4.0, IC 95% 1.6-9.6), and caries (OR 10.7, IC 95% 4.5-25.7) configured independent factors that were statistically associated with pulp disease. Conclusion Iron deficiency anemia, ferrous sulfate consumption, maternal education level, maternal age, household income, and dental caries were positively associated with pulp disease in children
RESUMO
Abstract Introduction: Adjunctive treatment for periodontal disease is quite varied and depends on many factors. This study aims to compare the effectiveness of 0.12% chlorhexidine and essential oils associated with scaling and root planing in the treatment of chronic periodontitis. Material and methods: The sample included 42 patients randomly assigned to three groups. Decrease in periodontal status was measured with the World Health Organization's periodontal probe by analyzing probe depth values and level of clinical insertion at 3, 4, and 5 months. Statistical analysis of the progress of the three therapies was conducted using Student's t, Anova, and Tukey tests with a significance level of p < 0.05. Results: The obtained values demonstrated that 0.12% chlorhexidine is more effective in all of its follow ups, whereas no significant difference existed between essential oils and the control group. A significant difference was observed over time in each separate treatment. Conclusión: Chlorhexidine at a 0.12% concentration associated with root scaling and planing is better than essential oil therapies for the treatment of chronic periodontitis.
Resumen Introducción: el tratamiento coadyuvante de la enfermedad periodontal es muy variado y depende de muchos factores. El objetivo del presente artículo fue comparar la efectividad entre clorhexidina al 0.12 % y aceites esenciales asociados al raspado y alisado radicular en el tratamiento de periodontitis crónica. Materiales y métodos: la muestra estuvo conformada por 42 pacientes distribuidos aleatoriamente en 3 grupos. La disminución del estado periodontal se midió con la sonda periodontal de la Organización Mundial de la Salud, analizando los valores profundidad al sondaje y el nivel de inserción clínica a los 3, 4 y 5 meses. Para el análisis estadístico de la evolución de las 3 terapias se empleó la t de Student, análisis de varianza y test de Tukey con un nivel de significancia de p < 0.05. Resultados: los valores obtenidos demostraron que la clorhexidina al 0.12 % es más efectiva en todos sus controles; mientras que no existe diferencia significativa entre aceites esenciales y el grupo control. Existe diferencia significativa a través del tiempo en cada tratamiento por separado. Conclusión: la clorhexidina al 0.12 %> asociada al raspado y alisado radicular es superior a los tratamientos con aceites esenciales en el tratamiento de la periodontitis crónica.
Resumo Introdução: o tratamento coadjuvante da doença periodontal é muito variado e depende de muitos fatores. O objetivo do presente estudo foi comprar a efetividade entre clorexidina ao 0.12% e aceites essenciais associados à raspagem e alisamento radicular no tratamento de periodontite crónica. Materiais e métodos: a amostra esteve conformada por 42 pacientes distribuídos aleatoriamente em 3 grupos. A diminuição de estado periodontal se mediu com a sonda periodontal as Organização Mundial da Saúde analisando os valores profundidade à sondagem e nível de inserção clínica aos 3, 4 e 5 meses. A análise estatística da evolução das 3 terapias, se realizou empregando t de Student, Anova e teste de Tukey com um nível de significancia de p < 0.05. Resultados: os valores obtidos demostraram que a clorexidina ao 0.12% é mais efetiva em todos seus controles, enquanto não existe diferença significativa entre aceites essenciais e o grupo controle. Existe diferença significativa através do tempo em cada tratamento por separado. Conclusão: a clorexidina ao 0.12% associada à raspagem e alisamento radicular é superior aos tratamentos com aceites essenciais no tratamento da periodontite crónica.