Revista de Odontologia da UNESP
https://revodontolunesp.com.br/article/doi/10.1590/1807-2577.17916
Revista de Odontologia da UNESP
Original Article

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

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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

References

American Academy of Pediatric Dentistry and the American Academy of Pediatrics. Wicy on early childhood caries (ECC): classifications, consequences, and preventive strategies. Oral Health Policies. 2010;31(6):40-3.

Li Y, Zhang Y, Yang R, Zhang Q, Zou J, Kang D. Associations of social and behavioural factors with early childhood caries in Xiamen city in China. Int J Paediatr Dent. 2011 Mar;21(2):103-11. PMid:21121987. http://dx.doi.org/10.1111/j.1365-263X.2010.01093.x.

Zhou Y, Yang JY, Lo ECM, Lin HC. The Contribution of life course determinants to early childhood caries: a 2-year cohort study. Caries Res. 2012;46(2):87-94. PMid:22343693. http://dx.doi.org/10.1159/000335574.

Petersen PE. World Health Organization global policy for improvement of oral health: World Health Assembly 2007. Int Dent J. 2008 Jun;58(3):115-21. PMid:18630105. http://dx.doi.org/10.1111/j.1875-595X.2008.tb00185.x.

Lauris JR, Bastos RS, Bastos JRM. Decline in dental caries among 12-year-old children in Brazil, 1980–2005. Int Dent J. 2012 Dec;62(6):308-14. PMid:23252588. http://dx.doi.org/10.1111/j.1875-595x.2012.00124.x.

Tenuta LMA, Cury JA. Fluoride: its role in dentistry. Braz Oral Res. 2010;24(Suppl 1):9-17. PMid:20857070. http://dx.doi.org/10.1590/S1806-83242010000500003.

García-Pérez A, Irigoyen-Camacho ME, Borges-Yáñez A. Fluorosis and dental caries in mexican schoolchildren residing in areas with different water fluoride concentrations and receiving fluoridated salt. Caries Res. 2013;47(4):299-308. PMid:23406606. http://dx.doi.org/10.1159/000346616.

McGrady MG, Ellwood RP, Srisilapanan P, Korwanich N, Worthington HV, Pretty IA. Dental fluorosis in populations from Chiang Mai, Thailand with different fluoride exposures. Paper 1: assessing fluorosis risk, predictors of fluorosis and the potential role of food preparation. BMC Oral Health. 2012;12(16):1-12. http://dx.doi.org/10.1186/1472-6831-12-16. PMid:22720834.

Falcão A, Tenuta LM, Cury JA. Fluoride gastrointestinal absorption from Na 2 FPO 3 /CaCO 3 - and NaF/SiO 2 – based toothpastes. Caries Res. 2013;47(3):226-33. PMid:23295625. http://dx.doi.org/10.1159/000346006.

Moura LFAD, Moura MS, Toledo OA. Dental caries in children who participated in a dental program providing mother and child care. J Appl Oral Sci. 2006 Jan;14(1):53-60. PMid:19089031. http://dx.doi.org/10.1590/S1678-77572006000100011.

World Health Organization. Oral health surveys, basics methods. 4th ed. Geneve: WHO; 1997.

Fejerskov O, Baelum V, Manji F, Moller J. Dental fluorosis: a handbook for health workers. Copenhagen: Munksgaard; 1988.

Vanobbergen J, Martens L, Lesaffre E, Bogaerts K, Declerck D. The value of a baseline caries risk assessment model in the primary dentition for the prediction of caries incidence in the permanent dentition. Caries Res. 2001 Nov-Dec;35(6):442-50. PMid:11799285. http://dx.doi.org/10.1159/000047488.

Brasil. Ministério da Saúde. Secretaria de Atenção a Saúde. Secretaria de Vigilância em Saúde. Departamento de Atenção Básica. Coordenação Geral de Saúde Bucal. SB Brasil 2010: resultados principais. Brasília; 2011.

Sheiham A, James WP. Diet and dental caries: the pivotal role of free sugars reemphasized. J Dent Res. 2015 Oct;94(10):1341-7. PMid:26261186. http://dx.doi.org/10.1177/0022034515590377.

Wong MC, Lu HX, Lo EC. Caries increment over 2 years in preschool children: a life course approach. Int J Paediatr Dent. 2012 Mar;22(2):77-84. PMid:21771124. http://dx.doi.org/10.1111/j.1365-263X.2011.01159.x.

Santos AP, Oliveira BH, Nadanovsky P. Effects of low and standard fluoride toothpastes on caries and fluorosis: systematic review and meta-analysis. Caries Res. 2013;47(5):382-90. PMid:23572031. http://dx.doi.org/10.1159/000348492.

Hong L, Levy SM, Broffitt B, Warren JJ, Kanellis MJ, Wefel JS, et al. Timing of fluoride intake in relation to development of fluorosis on maxillary central incisors. Community Dent Oral Epidemiol. 2006 Aug;34(4):299-309. PMid:16856950. http://dx.doi.org/10.1111/j.1600-0528.2006.00281.x.

Fejerskov O, Manji F, Baelum V. The nature and mechanisms of dental fluorosis in man. J Dent Res. 1990 Feb;69(2):692-700. PMid:2179331. http://dx.doi.org/10.1177/00220345900690S135.

Kobayashi CAN, Belini MR, Italiani FM, Pauleto ARC, Araújo JJ, Tessarolli V, et al. Factors influencing fluoride ingestion from dentifrice by children. Community Dent Oral Epidemiol. 2011 Oct;39(5):426-32. PMid:21557754. http://dx.doi.org/10.1111/j.1600-0528.2011.00615.x.

Benazzi AST, Silva RP, Meneghim MC, Pereira AC, Ambrosano GMB. Trends in dental caries experience and fluorosis prevalence in 12-year-old Brazilian schoolchildren from two different towns. Braz J Oral Sci. 2012 Jan-Mar;11(1):62-6.

Moura MS, Barbosa PRR, Nunes-dos-Santos DL, Dantas-Neta NB, Moura LFAD, Lima MDM. Vigilância epidemiológica da fluorose dentária em município de clima tropical com água de abastecimento público fluoretada. Cien Saude Colet. 2016 Apr;21(4):1247-54. PMid:27076023. http://dx.doi.org/10.1590/1413-81232015214.13852015.

Aguilar-Diáz FC, Irigoyen-Camacho ME, Borges-Yáñez SA. Oral-health-related quality of life in schoolchildren in an endemic fluorosis area of Mexico. Qual Life Res. 2011 Dec;20(10):1699-706. PMid:21472394. http://dx.doi.org/10.1007/s11136-011-9897-4.

Hoffmann RHS, Sousa MLR, Cypriano S. Prevalência de defeitos de esmalte e sua relação com cárie dentária nas dentições decídua e permanente, Indaiatuba, São Paulo, Brasil. Cad Saude Publica. 2007 Feb;23(2):435-44. PMid:17221093. http://dx.doi.org/10.1590/S0102-311X2007000200020.
 

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