Tavares Bianca Spuri, Bendo Cristiane Baccin, Fernandes Izabella Barbosa, Coelho Valéria Silveira, Ramos-Jorge Maria Letícia, Ramos-Jorge Joana
Department of Pediatric Dentistry, School of Dentistry, Universidade Federal de Minas Gerais, R. Prof. Moacir Gomes de Freitas, 688-Pampulha, Belo Horizonte, 31270-901, Brazil.
Departament of Dentistry, School of Dentistry, Universidade Federal Dos Vales Do Jequitinhonha E Mucuri, Diamantina, Brazil.
Eur Arch Paediatr Dent. 2025 Apr;26(2):291-298. doi: 10.1007/s40368-024-00968-6. Epub 2024 Nov 25.
To evaluate whether the presence of dental caries in the primary anterior teeth of 1- and 2-year-old babies can predict the occurrence of severe dental caries in the primary posterior teeth of these children after a 3-year follow-up.
This cohort study was carried out with 99 children and their guardians who were assessed at the beginning of the study and reassessed after 3 years. Severe caries in posterior tooth at the 3-year follow-up is the dependent variable. Caries in anterior tooth at baseline is the main independent variable. Other independent variables are family income, mother's education, oral hygiene, night oral hygiene, sucrose consumption, and history of toothache. Descriptive analysis, chi-square test, and Poisson regression were performed.
The incidence of severe caries in posterior tooth was 3.33 times higher in children with caries in anterior tooth at baseline (95% CI 2.06-5.37). Children who belonged to lower-income families both at baseline and at follow-up (RR: 2.75; 95% CI 1.40-5.39), who did not perform night-time oral hygiene at baseline (RR: 1.76; 95% CI 1.10-2.80) and who had a frequency of sucrose consumption equal to or greater than twice a day, both at baseline and at follow-up (RR: 4.07; 95% CI 2.03-8.19) had a higher risk of developing severe dental caries in posterior deciduous teeth.
Children with dental caries in primary anterior teeth when they were babies have a higher incidence of severe caries in posterior teeth.
评估1岁和2岁婴儿乳前牙龋齿的存在是否能预测这些儿童在3年随访后乳后牙严重龋齿的发生。
本队列研究对99名儿童及其监护人进行，在研究开始时进行评估，并在3年后重新评估。3年随访时后牙的严重龋齿为因变量。基线时前牙龋齿为主要自变量。其他自变量包括家庭收入、母亲教育程度、口腔卫生、夜间口腔卫生、蔗糖摄入量和牙痛史。进行了描述性分析、卡方检验和泊松回归分析。
基线时前牙有龋齿的儿童后牙严重龋齿的发生率高3.33倍（95%可信区间2.06 - 5.37）。在基线和随访时均属于低收入家庭的儿童（相对危险度：2.75；95%可信区间1.40 - 5.39）、基线时未进行夜间口腔卫生的儿童（相对危险度：1.76；95%可信区间1.10 - 2.80）以及在基线和随访时蔗糖摄入频率等于或大于每天两次的儿童（相对危险度：4.07；95%可信区间2.03 - 8.19）患乳后牙严重龋齿的风险更高。
婴儿期乳前牙有龋齿的儿童后牙严重龋齿的发生率更高。
