Feu Daniela, Rosetti Lessa Fernanda Campos, Awad Barcellos Ludmilla, Grillo Claudia Bermudes, Freitas Licia Aguilar
Professor, in the Department of Pediatric Dentistry, School of Dentistry, Vila Velha University, Vila Velha, Espirito Santo, Brazil;, Email:
Professor, in the Department of Pediatric Dentistry, School of Dentistry, Vila Velha University, Vila Velha, Espirito Santo, Brazil.
J Dent Child (Chic). 2018 Sep 15;85(3):108-113.
Premature loss of primary teeth can lead to negative consequences in both dentitions. The purpose of this study was to determine the factors associated with the premature loss of primary teeth and the child's socioeconomic status, main caretaker during the day, age range, sex, and previous caries experience. A total of 192 two- to 10-year-old Brazilian schoolchildren, seen at the Vila Velha University pediatric dental clinic, were assigned to two groups: the primary tooth loss group (PTLG) and a control group without tooth loss (CG)-from May 2016 to March 2017. Two calibrated examiners conducted the children's clinical oral assessments to determine caries experience and tooth loss with the decayed, missing, and filled tooth (dmft) index. Socioeconomic status was assessed using the Brazilian government's socioeconomic classification criteria. A sociodemographic questionnaire regarding the child's age, sex and whom she spent the day with was conducted. There were 94 children in the PTLG and 98 in the CG. Variables associated with the prevalence of tooth loss were spending the day without the mother (<0.001; odds ratio [OR] = 6.2), higher dmft scores (<0.01; OR=3.1), and worse socioeconomic and educational status (=0.01; OR=1.9). Age and sex were not associated with primary tooth loss. Premature loss of primary teeth is associated with poor oral health status, spending the day without mother's care, and low socioeconomic status.
乳牙过早脱落会对两副牙列都造成负面影响。本研究的目的是确定与乳牙过早脱落相关的因素以及儿童的社会经济地位、白天的主要照料者、年龄范围、性别和既往龋齿经历。2016年5月至2017年3月期间，在维拉韦利亚大学儿科牙科诊所就诊的192名2至10岁的巴西学童被分为两组：乳牙脱落组（PTLG）和无牙齿脱落的对照组（CG）。两名经过校准的检查者对儿童进行临床口腔评估，以使用龋失补牙（dmft）指数确定龋齿经历和牙齿脱落情况。社会经济地位使用巴西政府的社会经济分类标准进行评估。针对儿童的年龄、性别以及白天与谁一起度过的情况进行了社会人口学问卷调查。PTLG组有94名儿童，CG组有98名儿童。与牙齿脱落患病率相关的变量包括白天没有母亲陪伴（<0.001；比值比[OR]=6.2）、较高的dmft评分（<0.01；OR=3.1）以及较差的社会经济和教育地位（=0.01；OR=1.9）。年龄和性别与乳牙脱落无关。乳牙过早脱落与口腔健康状况差、白天没有母亲照料以及社会经济地位低有关。
