Is there an association between dental caries, fluorosis, and molarincisor hypomineralization?Objective: This cross-sectional study aimed to determine the prevalence of dental caries, dental fluorosis, and molar-incisor hypomineralization, and their associations in a group of Brazilian schoolchildren. Methodology: Adolescents (n=411) were evaluated by two calibrated examiners for dental caries (DC), dental fluorosis (DF), and molar-incisor hypomineralization (MIH) using the CAST (Caries Assessment Spectrum and Treatment) instrument, Thylstrup and Fejerskov (TF) index, and MIH Severity Scoring System (MIH-SSS), respectively. Descriptive statistics, chi-square tests, and logistic regression were used for statistical analysis. Results: The sample comprised 42.75% boys and 57.25% girls. The prevalence of DC in permanent dentition was 94.75%, of which 29% were represented by dentin lesions. For DF, a prevalence of 40.75% was observed, with 69.32% mild, 12.88% moderate, and 17.79% severe. A positive association between the source of water and fluorosis was detected (p=0.01). The prevalence of MIH was 18%. Thirty adolescents (41.7%) presented with severe MIH. No association was found between DF or MIH and dentin DC or between MIH and DF at the individual level. However, a significant negative relationship was detected between DF and dentin carious lesions (p<0.005) and DF and MIH (p<0.00001) at the tooth level, whereas a positive association was observed between MIH and dentin carious lesions (p<0.00001). A positive association was also observed between the severity of both conditions (p<0.00001). Mild DF was the most prevalent problem observed. Cases of teeth with mild MIH were the most predominant in MIH-affected teeth. Conclusions: No association was observed among the dentin carious lesions, MIH, and DF at the participant level. However, a positive association between MIH and dentin carious lesions was found at the tooth level, whereas MIH, DF, and DF and dentin carious lesions showed a negative relationship.
Os pacientes portadores do Diabetes Mellitus (DM), tipo 1 e tipo 2, possuem maiores chances de desenvolver doenças periodontais com maior velocidade de progressão e gravidade. O objetivo do estudo é apresentar a relação bidirecional entre por meio da revisão da literatura, a relação bidirecional entre Doença Periodontal (DP) e Diabetes Mellitus em crianças e adolescentes. Foram pesquisados artigos de estudos observacionais nas bases de dados BVS (Lilacs e Bbo), Pubmed e Scielo, publicados entre 2008 e 2018. Os artigos evidenciaram que a Doença Periodontal tem característica inflamatória multifatorial, que em estágios mais graves pode evoluir para mobilidade e perda precoce dos dentes. Desta forma, a literatura evidencia uma forte ligação bidirecional entre a saúde bucal e a saúde sistêmica, sendo a Diabetes Mellitus um fator de risco para a periodontite em crianças e adolescentes. Esse estudo reitera a relação bilateral entre doença periodontal e Diabetes Mellitus e demonstra que crianças e adolescentes com essa condição sistêmica podem sofrer alterações na resistência bacteriana e exacerbar infecções existentes.
Os pacientes portadores do Diabetes Mellitus (DM), possuem maiores chances de desenvolver doenças periodontais com maior velocidade de progressão e gravidade. O objetivo do estudo é apresentar a relação bidirecional entre por meio da revisão da literatura, a relação bidirecional entre Doença Periodontal (DP) e Diabetes Mellitus em crianças e adolescentes. Foram pesquisados artigos de estudos observacionais nas bases de dados BVS (Lilacs e Bbo), Pubmed e Scielo, publicados entre 2008 e 2018. Os artigos evidenciaram que a Doença Periodontal tem característica inflamatória multifatorial, que em estágios mais graves pode evoluir para mobilidade e perda precoce dos dentes. Desta forma, a literatura evidencia uma forte ligação bidirecional entre a saúde bucal e a saúde sistêmica, sendo a Diabetes Mellitus um fator de risco para a periodontite em crianças e adolescentes. Esse estudo reitera a relação bilateral entre doença periodontal e Diabetes Mellitus e demonstra que crianças e adolescentes com essa condição sistêmica podem sofrer alterações na resistência bacteriana e exacerbar infecções existentes.
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