幼儿期未经治疗龋齿临床后果决定因素的纵向评估。

Longitudinal evaluation of determinants of the clinical consequences of untreated dental caries in early childhood.

作者信息

Lopes Ana Beatriz Silva, Ramos-Jorge Maria Letícia, Machado Gabrielly Fernandes, Vieira-Andrade Raquel Gonçalves, Ramos-Jorge Joana, Fernandes Izabella Barbosa

机构信息

Department of Pediatric Dentistry, School of Dentistry, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil.

Department of Pediatric Dentistry, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.

出版信息

Community Dent Oral Epidemiol. 2022 Apr;50(2):91-98. doi: 10.1111/cdoe.12635. Epub 2021 Mar 11.

DOI:10.1111/cdoe.12635

PMID:33704820

Abstract

OBJECTIVES

This study aimed to evaluate whether the trajectory of family income, parental education and clinical variables are associated with the clinical consequences of untreated dental caries among children.

METHODS

A prospective cohort study was conducted with 439 children between one and three years of age, evaluated at baseline and re-evaluated after three years. Sociodemographic and economic variables, untreated dental caries and biofilm were investigated both at baseline and at the 3-year follow-up. The pufa index (pulpal involvement, ulceration, fistula and abscess) was used to diagnose the clinical consequences of untreated dental caries.

RESULTS

The prevalence of pufa ≥1 was 18.2% in the follow-up. The following variables were associated with a higher risk of clinical consequences of untreated dental caries: mother's low schooling level at baseline and follow-up (RR = 1.51; 95% CI: 1.04-2.18), incidence or baseline presence of biofilm (RR = 4.66; 95% CI: 2.02-10.74), cavitated dental caries at baseline (RR = 3.57; 95% CI:1.86 to 6.83) and incidence of cavitated dental caries (RR = 2.04; 95% CI: 1.24-3.35).

CONCLUSION

Low maternal schooling level, biofilm, cavitated dental caries at baseline, and incidence of dental caries were the factors determining the consequences of untreated dental caries.

摘要

目的

本研究旨在评估家庭收入轨迹、父母教育程度和临床变量是否与儿童未经治疗的龋齿的临床后果相关。

方法

对439名1至3岁的儿童进行了一项前瞻性队列研究，在基线时进行评估，并在三年后进行重新评估。在基线和3年随访时均调查了社会人口统计学和经济变量、未经治疗的龋齿和生物膜。使用pufa指数（牙髓受累、溃疡、瘘管和脓肿）来诊断未经治疗的龋齿的临床后果。

结果

随访中pufa≥1的患病率为18.2%。以下变量与未经治疗的龋齿的临床后果风险较高相关：基线和随访时母亲的低教育水平（RR = 1.51；95% CI：1.04 - 2.18）、生物膜的发生率或基线存在情况（RR = 4.66；95% CI：2.02 - 10.74）、基线时的龋洞性龋齿（RR = 3.57；95% CI：1.86至6.83）和龋洞性龋齿的发生率（RR = 2.04；95% CI：1.24 - 3.35）。