RESUMO
A decrease in caries experience among children has been observed in all countries. However, this subject has yet to be further investigated in adolescents. The aim of this study was to describe the prevalence and incidence of caries disease and determine possible factors associated to this condition among adolescents. A 2-phase longitudinal study was performed. The first phase comprised a prevalence study of caries carried out with children aged 11 to 13 years (n=247). The second phase was performed with the same participants at the ages of 15 to 17 years. DMF-T and Significant Caries Index (SiC) were used to assess dental caries experience. A logistic regression model analysis of data was performed. On the first phase, 69.23% of the subjects presented caries. The DMFT was 2.52 ± 2.54 and the SiC was 4.23 ±2.72. In the second phase, 88.26% of the subjects presented caries. The DMFT and the SiC were 5.27 ±4.10 and 10.58 ±3.13, respectively. Caries incidence was 2.94 ±3.05. The multivariate analysis identified that the individuals belonging to the most deprived social classes presented a 2.51-fold (1.22-5.19; p=0.012) higher chance of having experience caries (1st phase). The chance was 2.51-fold (1.21-2.55; p=0.013) higher in the 2nd phase. In conclusion, high caries prevalence and incidence were observed in the studied population and social factors were associated with these findings. Socioeconomic factors showed a direct association with caries experience.
Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Cárie Dentária/epidemiologia , Cárie Dentária/prevenção & controle , Inquéritos de Saúde Bucal , Fatores SocioeconômicosRESUMO
The aim of this study was to assess oral health status and its relationship with quality of life. A household population, cross-sectional study was carried out; participants were between 15 and 17 years of age (n = 247) and were examined by two calibrated dentists. Socio-economic status was classified according to ANEP-ABIPEME criteria. Clinical examinations to observe DMFT, CPI and Dean indices were performed as per WHO criteria. The Significant Caries Index (SiC) was used to evaluate polarization of the occurrence of caries among participants of the tercile with higher DMF-T. The OHIP instrument was used to measure quality of life. The Spearman and Mann-Whitney tests were used for assessing correlations (5% significance level). Examinations were carried out in 117 (47.37%) females and in 130 (52.63%) males. Of the examined participants, 45.75% were classified as belonging to socio-economic class C. Caries occurrence was observed in 218 subjects (88.26%); the mean DMFT was 5.40. The SiC index was 9.97. Almost half (47.77%) of the participants examined did not present sextants affected by periodontal disease. Of the participants examined, 80.16% presented absence of fluorosis. The mean OHIP was 3.95. The following correlations were observed: a positive and statistically significant correlation between the highest score in the OHIP and decayed teeth; a positive correlation with threshold significance between OHIP and DMFT; an inverse correlation between intact teeth and OHIP; and a positive and non statistically significant correlation between SiC and OHIP (correlation coefficient = 0.13, p = 0.245). Association between the mean OHIP and the terciles was not significant (p = 0.146); there were also no associations between periodontal condition and OHIP nor were there associations between the presence of fluorosis and mean OHIP.
Assuntos
Índice CPO , Saúde Bucal , Doenças Periodontais/epidemiologia , Qualidade de Vida/psicologia , Perfil de Impacto da Doença , Adolescente , Brasil/epidemiologia , Estudos Transversais , Cárie Dentária/epidemiologia , Inquéritos de Saúde Bucal , Feminino , Fluorose Dentária/epidemiologia , Humanos , Masculino , Prevalência , Fatores Socioeconômicos , Estatísticas não ParamétricasRESUMO
The aim of this study was to assess oral health status and its relationship with quality of life. A household population, cross-sectional study was carried out; participants were between 15 and 17 years of age (n = 247) and were examined by two calibrated dentists. Socio-economic status was classified according to ANEP-ABIPEME criteria. Clinical examinations to observe DMFT, CPI and Dean indices were performed as per WHO criteria. The Significant Caries Index (SiC) was used to evaluate polarization of the occurrence of caries among participants of the tercile with higher DMF-T. The OHIP instrument was used to measure quality of life. The Spearman and Mann-Whitney tests were used for assessing correlations (5 percent significance level). Examinations were carried out in 117 (47.37 percent) females and in 130 (52.63 percent) males. Of the examined participants, 45.75 percent were classified as belonging to socio-economic class C. Caries occurrence was observed in 218 subjects (88.26 percent); the mean DMFT was 5.40. The SiC index was 9.97. Almost half (47.77 percent) of the participants examined did not present sextants affected by periodontal disease. Of the participants examined, 80.16 percent presented absence of fluorosis. The mean OHIP was 3.95. The following correlations were observed: a positive and statistically significant correlation between the highest score in the OHIP and decayed teeth; a positive correlation with threshold significance between OHIP and DMFT; an inverse correlation between intact teeth and OHIP; and a positive and non statistically significant correlation between SiC and OHIP (correlation coefficient = 0.13, p = 0.245). Association between the mean OHIP and the terciles was not significant (p = 0.146); there were also no associations between periodontal condition and OHIP nor were there associations between the presence of fluorosis and mean OHIP.