Universidad Nacional de Cuyo, Facultad de Odontología, Cátedra de Odontopediatría, Mendoza, Argentina.
Universidad Nacional de Cuyo, Facultad de Odontología, Cátedra de Cátedra Diagnóstico Social y Clínico Preventivo Mendoza, Argentina.
Acta Odontol Latinoam. 2020 Dec 1;33(3):209-215.
The aim of this correlational, descriptive, cross-sectional study was to describe the pathological profile of Early Childhood Caries (ECC) in malnourished children who attended two centers for prevention and treatment of child malnutrition in Mendoza, Argentina. The study included 145 children aged 12 to 71 months, with prior parental consent, and recorded dmft and dmfs according to ICDAS II 2 to 6 and 4 to 6 active caries categories, age and severity of caries experience. Parametric and non-parametric statistics were applied with p=0.05. Caries prevalence for enamel and dentin lesions was 48.2%, declining to 35.2% when only dentin lesions were considered (dmft 4-6). The following means were found for dmft and dmfs: dmft 2-6 2.10 ± 3.31, with "d" 2.03 ± 3.24; dmfs 3.07 ± 6.1 with "d" 2.91 ± 6.1; dmft 4-6 1.21 ± 2.46 with "d" 1.14 ± 2.37; dmfs 4-6 1.98 ± 5.14 and "d" 1.86 ± 5.06. There were statistically significant differences between dmft 2-6 and dmft 4-6. Active enamel lesions (ICDAS II active categories 2 and 3) accounted for 37% of total lesions. Active lesions type 5 were the most frequent. The indicators for dental status and severity of caries experience increased with age, both with moderate positive correlations. Conclusions: Malnourished children under six years old studied in Mendoza presented comorbidity with ECC. Dental status worsened with age. The values for caries indicators demonstrated the weight of caries diagnoses in early stages and the importance of providing preventive measures and systematic monitoring during these children's early years of life.
本相关性、描述性、横断面研究旨在描述在阿根廷门多萨的两家儿童营养不良预防和治疗中心就诊的营养不良儿童的早期儿童龋（ECC）的病理特征。该研究纳入了 145 名 12 至 71 个月大的儿童，征得其父母的同意，并根据 ICDAS II 2 至 6 和 4 至 6 活跃龋类别、年龄和龋病严重程度记录 dmft 和 dmfs。应用了参数和非参数统计，p=0.05。牙釉质和牙本质病变的龋病患病率为 48.2%，当仅考虑牙本质病变时降至 35.2%（dmft 4-6）。发现以下 dmft 和 dmfs 的平均值：dmft 2-6 2.10 ± 3.31，“d”为 2.03 ± 3.24；dmfs 3.07 ± 6.1，“d”为 2.91 ± 6.1；dmft 4-6 1.21 ± 2.46，“d”为 1.14 ± 2.37；dmfs 4-6 1.98 ± 5.14，“d”为 1.86 ± 5.06。dmft 2-6 和 dmft 4-6 之间存在统计学显著差异。活跃的牙釉质病变（ICDAS II 活跃类别 2 和 3）占总病变的 37%。最常见的是活跃病变类型 5。随着年龄的增长，牙齿状况和龋病严重程度的指标都增加了，且呈中度正相关。结论：在门多萨研究的 6 岁以下营养不良儿童患有 ECC 共病。随着年龄的增长，牙齿状况恶化。龋病指标的值表明早期龋病诊断的重要性以及在这些儿童生命的早期阶段提供预防措施和系统监测的重要性。
