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1.
Caries Res ; 57(2): 167-176, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36780891

RESUMO

The aims of this study were to estimate the risk of caries in the permanent teeth at 12 years of age and to describe the diagnostic accuracy of caries patterns in the primary dentition at age 4 years to predict caries at age 12 years. A prospective cohort study followed children from birth to age 12 years in the city of São Leopoldo, Brazil. Sociodemographic variables were collected at birth, and dental caries was measured at 4 and 12 years of age (n = 204). At 4 years, children were classified according to the presence of caries (cavitated and non-cavitated lesions), number of lesions, affected segment (anterior or posterior), and affected surface (occlusal, smooth, or proximal). Prediction of permanent dentition caries occurrence (DMFT ≥1) (primary outcome) involved Poisson regression with robust variance and standard diagnostic accuracy measures. The prevalences of caries at age 4 years (including non-cavitated lesions) and 12 years were 61.8% and 42.2%, respectively. All caries patterns in the primary dentition were associated with caries in the permanent dentition. In multivariable analysis, the strongest associations were carious lesions on the primary posterior teeth (RR 2.2; 95% CI 1.5-3.2) and occlusal surfaces (RR 2.1; 95% CI 1.4-3.0). Among patterns evaluated, the presence of any tooth with caries (cavitated or non-cavitated) had the highest sensitivity (73%), but any tooth with cavitated decay had the highest accuracy (67%). In conclusion, any dental caries experience in early childhood is strongly predictive of dental caries experience in early adolescence. Primary dentition carious lesions on the posterior teeth or occlusal surfaces and the presence of cavitated lesions were stronger predictors.


Assuntos
Cárie Dentária , Dentição Permanente , Criança , Adolescente , Recém-Nascido , Humanos , Pré-Escolar , Cárie Dentária/diagnóstico , Suscetibilidade à Cárie Dentária , Estudos Prospectivos , Dente Decíduo
2.
Eur J Oral Sci ; 130(5): e12889, 2022 10.
Artigo em Inglês | MEDLINE | ID: mdl-35917322

RESUMO

The aim of this study was to evaluate the impact of different patterns of dental caries on oral health-related quality of life (OHRQoL) throughout early childhood. This birth cohort study followed 277 children from southern Brazil for 6 years. Demographic and socioeconomic variables were collected at birth. At age 3 years, children's dental caries experience was quantified by the decayed, missing, or filled teeth (dmft) index. At age 6 years, parents answered the Early Childhood Oral Health Impact Scale (ECOHIS). Poisson regression models were used to estimate associations between caries experience and later OHRQoL, presented as the ratio of ECOHIS scores between the groups. The prevalence of dental caries at 3 years of age was 37.5%. In children with caries, lesions only in anterior teeth, only in posterior teeth, and in both dental segments at age 3 were associated with age 6 ECOHIS scores that were 2.7, 7.8, and 6.2 times higher, respectively, than in children without dental caries experience. OHRQoL was worse among children with higher dmft scores. Dental caries lesions in posterior teeth by age 3 years was strongly predictive of adverse impacts on later OHRQoL, presumably as an indicator of continued disease experience in the intervening years.


Assuntos
Cárie Dentária , Saúde Bucal , Qualidade de Vida , Coorte de Nascimento , Criança , Pré-Escolar , Estudos de Coortes , Estudos Transversais , Cárie Dentária/epidemiologia , Suscetibilidade à Cárie Dentária , Humanos , Recém-Nascido , Inquéritos e Questionários
3.
Caries Res ; 55(5): 505-514, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34428768

RESUMO

Early-life family conditions may presage caries development in childhood. The aim of this study was to evaluate associations between patterns of sugar consumption in early childhood and permanent dentition caries at age 6 years. A cohort enrolled women accessing prenatal care at public health clinics in Porto Alegre, Brazil. Sociodemographic, anthropometric, and dietary data were collected during pregnancy and 6-month, 12-month, and 3-year follow-ups. Calibrated dental examinations occurred at ages 3 and 6 years. Multivariable logistic regression analysis was performed in series to quantify associations between early-life variables and permanent dentition caries. At age 6 years, 7.9% of children (21/266) had ≥1 caries lesion on permanent teeth (first molars). In unadjusted models, gestational weight gain, sweet food introduction (age 6 months), household sugar purchases (age 3 years), and caries (age 3 years) were positively associated with permanent dentition caries (age 6 years). In multivariable models, each 1-kg increase in gestational weight gain (odds ratio [OR]: 1.08; 95% confidence interval [CI]: 1.01, 1.16) and each 1-item increase in sweet food consumption at age 6 months (OR: 1.27; 95% CI: 1.02, 1.59) remained statistically significantly associated with permanent molar caries. Findings from this cohort study suggest family and child factors that long predate the permanent dentition, including sugar-related behaviors, predict future dental status, and may inform prevention strategies.


Assuntos
Cárie Dentária , Dentição Permanente , Coorte de Nascimento , Criança , Pré-Escolar , Estudos de Coortes , Cárie Dentária/epidemiologia , Cárie Dentária/etiologia , Açúcares da Dieta/efeitos adversos , Feminino , Humanos , Lactente , Açúcares
4.
Int J Paediatr Dent ; 28(6): 624-632, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30175414

RESUMO

BACKGROUND: Early-life dental service utilization could improve child dental health. AIM: Identify contextual, socioeconomic, and child characteristics associated with dental visitation by age 3 years. DESIGN: Within a Brazilian birth cohort (N = 435), multivariable regression models were fitted to identify independent predictors of having made a dental visit at age 3 years. Contextual variables considered included health center type (Traditional vs. Family Health Strategy, which perform home visits) and composition of oral health teams at the heath center where mothers accessed prenatal care. RESULTS: Dental visitation was positively associated with Family Health Strategy health centers (36% vs. 23%) and with higher maternal education and family social class. Visitation was lowest among families served by a health center without a dentist, but number of dentists and oral health team composition were not associated with visitation among facilities with ≥1 dentists. Dental visitation was not statistically significantly associated with caries experience but was higher if parents reported worse oral health-related quality of life. The vast majority of dental decay remained untreated. CONCLUSIONS: Dental visits were underutilized, and socioeconomic inequalities were evident. Dental visitation was more common when mothers received prenatal care at Family Health Strategy health centers, suggesting a possible oral health benefit.


Assuntos
Assistência Odontológica para Crianças/estatística & dados numéricos , Saúde da Família , Visita a Consultório Médico , Saúde Bucal , Brasil , Pré-Escolar , Assistência Odontológica para Crianças/psicologia , Cárie Dentária/prevenção & controle , Consultórios Odontológicos , Odontólogos , Escolaridade , Feminino , Humanos , Masculino , Mães/educação , Mães/psicologia , Análise Multivariada , Saúde Bucal/estatística & dados numéricos , Pais , Cuidado Pré-Natal , Qualidade de Vida , Classe Social , Fatores Socioeconômicos , Inquéritos e Questionários
5.
J Evid Based Dent Pract ; 18(2): 178-180, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29747804

RESUMO

ARTICLE TITLE AND BIBLIOGRAPHIC INFORMATION: Silver diamine fluoride has efficacy in controlling caries progression in primary teeth: A systematic review and meta-analysis. Chibinski AC, Wambier LM, Feltrin J, Dourado Loguercio A, Stadler Wambier D, Reis A. Caries Res 2017;51:527-41. SOURCE OF FUNDING: This study was partially supported by the National Council for Scientific and Technological Development of Brazil under grants 304105/2013-9 and 305588/2014-1 TYPE OF STUDY/DESIGN: Systematic review with meta-analysis.


Assuntos
Cárie Dentária , Dente Decíduo , Brasil , Cariostáticos , Fluoretos Tópicos , Humanos , Compostos de Amônio Quaternário , Compostos de Prata
6.
Int Dent J ; 68(2): 113-121, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-28868798

RESUMO

OBJECTIVES: Feeding patterns in infancy are plausible contributors to dental caries later in childhood, yet relatively few cohort studies have examined potential dietary risk factors at this age. This study aimed to investigate the associations between feeding frequency at age 12 months and caries prevalence at age 3 years. METHODS: In this prospective birth cohort of 345 Brazilian children, all foods and drinks consumed at age 12 months, including bottle-use and breastfeeding, were recorded using two 24-hour infant dietary recalls with mothers. The prevalence of early childhood caries (ECC) and severe ECC (S-ECC) at age 38 months were compared in groups defined according to 12-month feeding frequency, using regression models to adjust for sociodemographic characteristics and total carbohydrate intake. RESULTS: Independent of other variables, compared with children with infrequent bottle-use and breastfeeding at 12 months, at 38 months the ECC prevalence was 1.8-times higher in children breastfed more than three times/day (P = 0.001), 1.4-times higher in children bottle-fed more than three times/day (P = 0.07) and 1.5-times higher with combined high frequency of bottle and breastfeeding together (P = 0.04), but the association with consumption of other foods or drinks more than five times/day [risk ratio (RR) = 1.2; P = 0.10] was not statistically significant. Prevalence of S-ECC was significantly associated with frequent breastfeeding (RR = 2.4; P < 0.001) and with greater frequency of consumption of other foods or drinks (RR = 1.7, P = 0.001). CONCLUSIONS: High-frequency feeding in late infancy, including both bottle use and breastfeeding, were positively associated with dental caries in early childhood, suggesting possible early-life targets for caries prevention.


Assuntos
Cárie Dentária/etiologia , Comportamento Alimentar , Alimentação com Mamadeira/estatística & dados numéricos , Brasil/epidemiologia , Aleitamento Materno/estatística & dados numéricos , Pré-Escolar , Cárie Dentária/epidemiologia , Feminino , Humanos , Lactente , Masculino , Prevalência , Estudos Prospectivos , Fatores de Risco , Fatores Socioeconômicos
7.
Dent Traumatol ; 33(6): 465-471, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-28965356

RESUMO

BACKGROUND/AIM: The impact of traumatic dental injuries (TDI) in the primary dentition on oral health-related quality of life indicates the need for the planning of prevention strategies. The aim of this study was to assess whether anthropometric characteristics in early life are associated with TDI by preschool age. MATERIALS AND METHODS: A birth cohort was recruited from the public healthcare system in the city of Porto Alegre, Brazil. Socio-demographic variables, type of birth, head circumference, weight, and length were collected at birth (WHO standards). Head circumference, body mass index for age, and height for age were collected at 12 months. TDI (Andreasen criteria) at three years of age (n = 458) were recorded by two examiners who had undergone training and calibration exercises. Multivariable analysis was carried out with Poisson regression with robust variance. RESULTS: A total of 31.0% of the children (142/458) exhibited TDI at three years of age. In the final model, the risk of TDI was 47% higher among children with a smaller head circumference upon birth and nearly 60% higher among those who were overweight/obese at 12 months of age (RR: 1.58; 95% CI: 1.15-2.17). The risk of TDI was also significantly higher among boys (RR 1.50; 95% CI: 1.13-2.00), but the outcome was not significantly associated with socioeconomic variables or other anthropometric variables. CONCLUSION: Overweight/obesity in early life is a risk factor for TDI in preschool children.


Assuntos
Sobrepeso/epidemiologia , Obesidade Infantil/epidemiologia , Qualidade de Vida , Traumatismos Dentários/epidemiologia , Brasil/epidemiologia , Pré-Escolar , Demografia , Feminino , Humanos , Lactente , Masculino , Estudos Prospectivos , Fatores de Risco , Dente Decíduo
8.
Community Dent Oral Epidemiol ; 45(3): 216-224, 2017 06.
Artigo em Inglês | MEDLINE | ID: mdl-28083880

RESUMO

OBJECTIVES: (i) Quantify the relative association between child dental caries experience and maternal-reported child oral health-related quality of life (OHRQoL); (ii) examine whether that association differed according to family socioeconomic status (SES); and (iii) explore whether absolute OHRQoL varied by family SES at similar levels of child caries experience. METHODS: This study was a cross-sectional analysis of children in southern Brazil (n=456, mean age: 38 months) participating in an existing health centre-based intervention study. OHRQoL impact was quantified as mean score on the Brazilian Early Childhood Oral Health Impact Scale (ECOHIS) and compared over categories of caries experience (dmft: 0, dmft: 1-4, dmft: ≥5). Adjusted ECOHIS ratios between caries categories were calculated using regression modelling, overall and within socioeconomic strata defined by maternal education, social class and household income. RESULTS: Caries prevalence (dmft >0) was 39.7%, mean ECOHIS score was 2.0 (SD: 3.5), and 44.3% of mothers reported OHRQoL impact (ECOHIS score >0). Increasing child caries experience was associated with worsening child and family quality of life: ECOHIS scores were 3.0 times greater (95% CI: 2.0, 4.4) for children with dmft ≥5 vs dmft=0, a pattern that persisted regardless of family socioeconomic status (P for interaction: all >0.3). However, adjusted for dental status and sociodemographic characteristics, mean ECOHIS scores were lower when reported by mothers of less educational attainment (ratio: 0.7; 95% CI: 0.5, 1.0), lower social class (ratio: 0.7; 95% CI: 0.5, 1.0) or in lower income households (ratio: 0.8; 95% CI: 0.6, 1.3). CONCLUSION: Dental caries was associated with negative child and family experiences and lower OHRQoL across all social groups; yet, families facing greater disadvantage may report lesser quality-of-life impact at the same level of disease experience. Thus, subjective quality-of-life measures may differ under varying social contexts, with possible implications for service utilization, evaluating oral health interventions, or quantifying disease morbidity in low-SES groups.


Assuntos
Cárie Dentária/epidemiologia , Saúde Bucal/estatística & dados numéricos , Qualidade de Vida , Classe Social , Adulto , Brasil/epidemiologia , Pré-Escolar , Estudos Transversais , Feminino , Humanos , Masculino , Idade Materna , Mães/estatística & dados numéricos , Saúde Bucal/economia , Prevalência
9.
Community Dent Oral Epidemiol ; 43(4): 338-48, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-25753518

RESUMO

BACKGROUND: Early-life feeding behaviors foretell later dietary habits and health outcomes. Few studies have examined infant dietary patterns and caries occurrence prospectively. OBJECTIVE: Assess whether patterns in food and drink consumption before age 12 months are associated with caries incidence by preschool age. METHODS: We collected early-life feeding data within a birth cohort from low-income families in Porto Alegre, Brazil. Three dietary indexes were defined, based on refined sugar content and/or previously reported caries associations: a count of sweet foods or drinks introduced <6-months (e.g., candy, cookies, soft drinks), a count of other, nonsweet items introduced <6-months (e.g., beans, meat), and a count of sweet items consumed at 12 months. Incidence of severe early childhood caries (S-ECC) at age 38 months (N = 458) was compared by score tertile on each index, adjusted for family, maternal, and child characteristics using regression modeling. RESULTS: Introduction to a greater number of presumably cariogenic items in infancy was positively associated with future caries. S-ECC incidence was highest in the uppermost tertile of the '6-month sweet index' (adjusted cumulative incidence ratio, RR, versus lowest tertile: 1.46; 95% CI: 0.97, 2.04) and the uppermost tertile of the '12-month sweet index' (RR: 1.55; 95% CI: 1.17, 2.23). The association was specific for sweet items: caries incidence did not differ by tertile of the '6-month nonsweet index' (RR: 1.00; 95% CI: 0.70, 1.40). Additionally, each one-unit increase on the 6-month and the 12-month sweet indexes, but not the 6-month nonsweet index, was statistically significantly associated with greater S-ECC incidence and associated with more decayed, missing, or restored teeth. Results were robust to minor changes in the items constituting each index and persisted if liquid items were excluded. CONCLUSIONS: Dietary factors observed before age 12-months were associated with S-ECC at preschool age, highlighting a need for timely, multilevel intervention.


Assuntos
Cárie Dentária/etiologia , Comportamento Alimentar , Adulto , Brasil/epidemiologia , Pré-Escolar , Cárie Dentária/epidemiologia , Dieta/efeitos adversos , Dieta Cariogênica/efeitos adversos , Dieta Cariogênica/estatística & dados numéricos , Carboidratos da Dieta/administração & dosagem , Carboidratos da Dieta/efeitos adversos , Feminino , Humanos , Incidência , Lactente , Masculino , Pobreza/estatística & dados numéricos
10.
Int J Paediatr Dent ; 25(6): 383-92, 2015 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-25323949

RESUMO

UNLABELLED: Oral health inequalities are the measures by which equity in oral health is tracked. Despite widespread improvement in children's dental health globally, substantial socio-economic disparities persist and may be worsening. OBJECTIVES: Quantify 10-year changes in child caries occurrence by socio-economic position in a Southern Brazilian city and compare oral health inequalities over time. METHODS: Representative surveys of dental caries in children (age <6 years) in Canoas, Brazil, were conducted in 2000 and 2010 following standardized methods. For each survey year, we calculated disparities by socio-economic position (maternal education and family income) in age- and sex-standardized caries occurrence (prevalence: dmft > 0; severity: mean dmft) using absolute measures (difference and Slope Index of Inequality) and relative measures (ratio and Relative Index of Inequality). RESULTS: Comparing 2010 to 2000, caries occurrence was lower in all socio-economic strata. However, reductions were more pronounced among socio-economically advantaged groups, yielding no improvement in children's oral health disparities. Some disparity indicators were consistent with increasing inequality. CONCLUSIONS: Overall, dental caries levels among children in Canoas improved, but inequalities in disease distribution endured. Concerted public health efforts targeting socio-economically disadvantaged groups are needed to achieve greater equity in children's oral health.


Assuntos
Cárie Dentária/epidemiologia , Cárie Dentária/prevenção & controle , Disparidades nos Níveis de Saúde , Saúde Bucal/estatística & dados numéricos , Fatores Socioeconômicos , Brasil/epidemiologia , Pré-Escolar , Estudos Transversais , Índice CPO , Inquéritos de Saúde Bucal , Feminino , Humanos , Lactente , Recém-Nascido , Masculino
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