Revista de Odontologia da UNESP
ISSN 1807-2577 (Eletrônico)
Artigo Original

Is severe early childhood caries predictive of caries and fluorosis in permanent teeth? Ten-year follow-up

A cárie severa da infância é um fator preditivo para cárie e fluorose na dentição permanente? Acompanhamento por 10 anos

Danila Lorena NUNES-DOS-SANTOS; Lúcia de Fátima ALMEIDA DE DEUS MOURA; Marina de DEUS MOURA LIMA; Teresinha SOARES PEREIRA LOPES; Marcoeli SILVA DE MOURA

Abstract

Abstract: Introduction: Severe early childhood caries is defined as the presence of any sign of decay in children younger than three years.

Objective: This retrospective longitudinal observational study investigated caries and fluorosis in children with S-ECC from a city with fluoridated water.

Material and method: We included children under the age of three years who followed a maternal and child dental care program between the years of 1997 and 2003. The children were divided into 2 groups: group 1 (S-ECC) and group 2 (no caries). Guardians were contacted by telephone or mail. Caregivers completed questionnaire on socio-demographic and behavioral variables. The clinical dental examinations were performed in a dental clinic to assess caries experience and dental fluorosis. Multiple linear regression was used to determine factors associated with DMFT, and multivariate analysis by multiple logistic regression was used to determine the possible independent factors associated with the occurrence of fluorosis.

Result: The sample consisted of 126 patients aged 8-12 years, of whom 52.4% were male. The presence of S-ECC increased the DMFT by an average of 0.84 (p = 0.02). Both the frequency of tooth brushing and the use of standard toothpaste were protective factors from the development of caries in the permanent dentition (p <0.05). Parents who reported that their children refused to brush their teeth had 70% less chance of developing fluorosis (p = 0.02).

Conclusion: The presence of S-ECC was a risk factor for the development of caries in the permanent dentition, but not for the development of fluorosis.

Keywords

Dental caries, dental fluorosis, child

Resumo

Resumo: Introdução: Cárie severa da infância (S-ECC) é definida como a presença de qualquer sinal de cárie em crianças menores de três anos.

Objetivo: Este estudo observacional longitudinal retrospectivo objetivou avaliar cárie e fluorose em crianças com S-ECC de uma cidade com água fluoretada.

Material e método: Foram incluídas crianças com idade inferior a três anos acompanhadas em um programa de atendimento odontológico materno e infantil entre os anos de 1997 e 2003. As crianças foram divididas em 2 grupos: grupo 1 (S-ECC) e grupo 2 (sem cárie). Os responsáveis foram contatados por telefone ou correio. Os exames clínicos dentários foram realizados no consultório odontológico para avaliar a experiência de cárie e fluorose dentária. Regressão linear múltipla foi utilizada para determinar os fatores associados ao CPOD, e análise multivariada por regressão logística múltipla foi utilizada para determinar os possíveis fatores independentes associados com a ocorrência de fluorose.

Resultado: A amostra foi composta por 126 pacientes com idade entre 8 e 12 anos, dos quais 52,4% eram do sexo masculino. A presença de S-CEC aumentou o CPOD em média de 0,84 (p = 0,02). Tanto a frequência de limpeza, uso de dentifrício padrão foram fatores de proteção para desenvolvimento de cárie na dentição permanente (p <0,05). As crianças cujos pais relataram que se recusaram a escovar os dentes tinham 70% menos chance de desenvolver fluorose (p = 0,02).

Conclusão: A presença de S-ECC não foi fator de risco para o desenvolvimento de fluorose, mas foi para cárie na dentição permanente.
 

Palavras-chave

Cárie dentária, fluorose dentária, criança

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