Moimaz S A S, Garbin A J Í, Lima A M C, Lolli L F, Saliba O, Garbin C A S
Department of Infant and Social Dentistry, Araçatuba School of Dentistry, UNESP, José Bonifácio Street, 1193. Neighborhood: Vila Mendonça, Araçatuba, SP, 16015-050, Brazil,
Eur Arch Paediatr Dent. 2014 Aug;15(4):245-50. doi: 10.1007/s40368-014-0108-1. Epub 2014 Feb 22.
This study focused on the risk factors in mother-child relationship that predispose babies to the development of dental caries.
A prospective cohort study with 80 mother-child pairs was conducted. The mothers responded at 12, 18 and 30 months after their children's birth, to questions about variables related to diet, sucking habits, and oral care. Children were clinically examined to verify caries lesions (white spot lesions or cavitation). Data were analysed using Chi squared or Fisher's exact tests. The significance level was set at 5%.
Of the total, 3.75% showed cavitated lesions after 18 months; 6.25 and 45% had spot white lesions, respectively, at 18 and 30 months. The cariogenic diet was high at 12 (63.75%) and 30 (88.75%) months. Good oral hygiene was present in a minority of children at 12 months (46.25%), but increased at 30 months (65%), helping to prevent cavities and white spot lesions over this period (p = 0.0005). The variables of the blocks sucking habits and diet were not associated with caries.
The lack of oral care in children was a risk factor for dental caries development.
本研究聚焦于母婴关系中使婴儿易患龋齿的风险因素。
对80对母婴进行了一项前瞻性队列研究。母亲们在孩子出生后的12、18和30个月时,回答了有关饮食、吸吮习惯和口腔护理等相关变量的问题。对儿童进行临床检查以核实龋齿病变(白斑病变或龋洞)。使用卡方检验或费舍尔精确检验对数据进行分析。显著性水平设定为5%。
总体而言,18个月后有3.75%出现龋洞病变;在18个月和30个月时,分别有6.25%和45%有白斑病变。致龋性饮食在12个月(63.75%)和30个月(88.75%)时比例较高。12个月时少数儿童口腔卫生良好(46.25%),但在30个月时有所增加(65%),在此期间有助于预防龋齿和白斑病变(p = 0.0005)。吸吮习惯和饮食等变量与龋齿无关。
儿童缺乏口腔护理是龋齿发展的一个风险因素。