Department of Community and Preventive Dentistry, School of Dentistry, Univ Federal de Minas Gerais, Belo Horizonte, Brazil.
Braz Oral Res. 2012 Sep-Oct;26(5):471-7. doi: 10.1590/s1806-83242012005000018. Epub 2012 Aug 14.
The aim of this study was to investigate factors associated with caries experience in the primary dentition of one- to five-year-old children with cerebral palsy. A total of 266 dental records were examined, and caries experience was measured by dmft. The following variables were also analyzed: gender, oral hygiene, history of gastroesophageal reflux, use of medications for gastroesophageal reflux, gingival status, sugar intake and reports of polyuria, excessive thirst and xerostomia. For analysis purposes, the individuals were categorized as those with and without caries experience and subcategorized into the following age groups: one year; two to three years; and four to five years. After bivariate analysis, variables with a p-value < 0.25 were selected for incorporation into the Poisson regression models. Considering the limitations of the protocol, the level of oral hygiene perceived on the first appointment was the only factor associated with caries experience among two-to-five-year-old children with cerebral palsy.
本研究旨在探讨与脑瘫 1-5 岁儿童乳牙患龋相关的因素。共检查了 266 份牙科记录,使用 dmft 测量龋病患病情况。还分析了以下变量:性别、口腔卫生、胃食管反流病史、胃食管反流药物使用、牙龈状况、糖摄入量以及多尿、口渴和口干报告。为了分析目的,将个体分为有龋和无龋经验,并进一步分为以下年龄组:1 岁;2-3 岁;和 4-5 岁。进行双变量分析后,选择 p 值<0.25 的变量纳入泊松回归模型。考虑到方案的局限性,在首次就诊时感知的口腔卫生水平是脑瘫 2-5 岁儿童中唯一与龋病患病情况相关的因素。