Ferraz Eduardo Gomes, Silva Luciana Rodrigues, Sarmento Viviane Almeida, de Jesus Campos Elisângela, de Oliveira Thaís Feitosa Leitão, Magalhães Juliana Cunha, Paraguassú Gardênia Matos, Boa-Sorte Ney
a School of Dentistry , Federal University of Bahia , Salvador , Bahia , Brazil ;
b Department of Pediatric Gastroenterology and Hepatology of the Professor Edgard Santos Teaching Hospital , Federal University of Bahia , Salvador , Bahia , Brazil ;
Acta Odontol Scand. 2016 Jul;74(5):405-10. doi: 10.3109/00016357.2016.1169555. Epub 2016 Apr 21.
The study aimed to compare two visual methods for detecting caries among obese and non-obese children in Salvador, Brazil.
A cross-sectional study was conducted from 2011-2012, which evaluated 180 paediatric patients, 6-14 years old, girls and boys, categorized into two groups: obese and non-obese (healthy weight), according to the body mass index. For the evaluation of dental caries, the decayed, missing or filled teeth index (DMFT/dmft) and International Caries Detection and Assessment System II (ICDAS II) visual criteria were used.
The mean DMFT value was 0.98 in obese children and 0.57 in the non-obese children, without significant differences between groups (p = 0.206). The mean dmft value in the non-obese children (1.66) was higher than in obese children (0.95), with significant differences between groups (p = 0.021). According to ICDAS II criteria, there was a higher prevalence of non-cavitated enamel lesions (D1-3) in obese children (n = 156, 10.5%) compared to the non-obese children (n = 55, 1.9%), with significant differences between the groups (p < 0.001).
The inclusion of non-cavitated lesions during the caries evaluation represents a challenge in diagnosis, which allows for control of this process before the evolution of these lesions to cavitation.
本研究旨在比较巴西萨尔瓦多肥胖和非肥胖儿童中两种检测龋齿的视觉方法。
于2011年至2012年进行了一项横断面研究，评估了180名6至14岁的儿科患者，包括男孩和女孩，根据体重指数分为两组：肥胖组和非肥胖组（健康体重）。为评估龋齿，采用了龋失补牙指数（DMFT/dmft）和国际龋病检测与评估系统II（ICDAS II）视觉标准。
肥胖儿童的平均DMFT值为0.98，非肥胖儿童为0.57，两组间无显著差异（p = 0.206）。非肥胖儿童的平均dmft值（1.66）高于肥胖儿童（0.95），两组间有显著差异（p = 0.021）。根据ICDAS II标准，与非肥胖儿童（n = 55，1.9%）相比，肥胖儿童中未龋化釉质病变（D1 - 3）的患病率更高（n = 156，10.5%），两组间有显著差异（p < 0.001）。
在龋齿评估中纳入未龋化病变是诊断中的一项挑战，这有助于在这些病变发展为龋洞之前控制这一过程。
