Evaluation of the risk factors of dental caries in children with very low birth weight and normal birth weight

Koberová, Romana; Radochová, Vladimíra; Zemánková, J; Ryšková, Lenka; Broukal, Z; Merglová, Vlasta

doi:10.1186/s12903-020-01372-4

Cited by 12 publications

(12 citation statements)

References 26 publications

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“…O baixo peso ao nascer possui uma íntima ligação com um atraso na cronologia da erupção dentária. Sugere-se que ocorra pela presença de alguns distúrbios metabólicos e infecciosos durante a gestação e o período pós-parto, que podem ser causados por infecções respiratórias e deficiência de vitaminas e cálcio, por exemplo 14 .…”

Section: Discussionunclassified

“…Em relação aos fatores relacionados à prematuridade mais associados à ocorrência das alterações bucais, a literatura mostra que o baixo peso ao nascer, a não amamentação no seio materno, a intubação orotraqueal, as infecções perinatais e distúrbios metabólicos seriam os frequentemente associados às principais alterações bucais presentes nos prematuros 6,11,14 .…”

Section: Discussionunclassified

“…Segundo as respostas fornecidas pelos participantes, a não amamentação ao seio É importante salientar que crianças com baixo peso ao nascer, como explicado anteriormente, por vezes são expostas a dietas hipercalóricas, medicações extremamente açucaradas, que acabam por repercutir na formação do esmalte dos dentes, bem como predispõem ao aparecimento de cáries após a erupção dentária 14,19 . Há relato ainda, sobre uma íntima relação entre a hipomineralização dos incisivos molares em prematuros com baixo peso ao nascer 20 .…”

Section: Discussionunclassified

“…Streptococcus mutans, que colonizam a boca de bebês mesmo antes da erupção dos dentes, podem estar relacionadas com a predisposição futura às cáries e aos defeitos do esmalte dentário 14 .…”

Section: Discussionunclassified

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O conhecimento dos médicos pediatras e residentes sobre a relação entre prematuridade e alterações na cavidade bucal / The knowledge of pediatric and resident doctors about the relationship between prematurity and changes in the oral cavity

Macêdo¹,

Meneses²,

Pol-Fachin³

et al. 2021

Braz. J. Hea. Rev.

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Estima-se que por ano ocorram mais de 15 milhões de partos prematuros, tratando-se a prematuridade de uma epidemia mundial. Os recém-nascidos prematuros (RNP) podem passar por complicações relacionadas à sua idade gestacional, dentre elas alterações na cavidade bucal como: defeito do esmalte dos dentes temporários, máoclusão, alterações na anatomia do palato, dificuldade de amamentação e maior incidência de cáries. Objetivo: Avaliar se o tempo de atuação na pediatria influencia no conhecimento de médicos pediatras e residentes em pediatria acerca das alterações bucais associadas à prematuridade. Metodologia: Trata-se de um estudo observacional analítico transversal, de caráter exploratório e quantitativo. Onde participaram 87 pediatras e 13 residentes de pediatria atuantes na cidade de Maceió/Alagoas, Brasil. Os dados foram coletados entre novembro de 2020 e abril de 2021, por meio de um questionário enviado eletronicamente, composto por 13 questões, abordando o perfil profissional; conhecimento sobre prematuridade e alterações bucais (ABs). Foi realizada uma análise estatística dos dados com a técnica de associação entre variáveis de chi-quadrado ( 2 ), sendo consideradas significativas as interferências com um p-valor menor que 0.05. Resultados e discussão: Observou-se associação estatisticamente significativa entre o tempo de atuação na pediatria e ter conhecimento de que alterações bucais podem estar relacionadas com a prematuridade, aos acertos quanto a quais fatores relacionados à prematuridade podem estar mais associados à prematuridade, e quais as lesões orais ou alterações tem maior impacto para o recém-nascido prematuro. Observou-se, também, associação estatisticamente significativa entre o tempo de atuação na pediatria e o encaminhamento dos pacientes prematuros ao profissional odontopediatra, e ao fato de a temática desta pesquisa fazer parte do seu cotidiano. Adicionalmente, 90% dos participantes demonstraram interesse em saber mais sobre o tema. Conclusão: O conhecimento dos profissionais que atuam há mais tempo na pediatria foi considerado maior quando comparado aos demais profissionais em 3 de 5 perguntas específicas acerca do tema. Dessa forma, ressalta-se a importância de uma maior abordagem sobre saúde bucal entre os médicos, bem como de uma maior interação interdisciplinar com a odontopediatria para um melhor seguimento destes pacientes.

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Section: Discussionunclassified

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O conhecimento dos médicos pediatras e residentes sobre a relação entre prematuridade e alterações na cavidade bucal / The knowledge of pediatric and resident doctors about the relationship between prematurity and changes in the oral cavity

Macêdo¹,

Meneses²,

Pol-Fachin³

et al. 2021

Braz. J. Hea. Rev.

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“…Caries in permanent and deciduous teeth is well recognized as a multifactorial disease. At present, many independent risk factors are being cited across LMICs in the literature, including individual (diet [ 10 ], oral hygiene [ 11 ], feeding practices, low birth weight [ 12 ], hereditary enamel defects [ 13 ]), family (maternal education [ 14 ], oral health knowledge [ 15 ], attitude and practice [ 16 ], household income level [ 17 ]), sociocultural (area of residence and cultural values [ 18 ]), environmental (access to fluoridated water [ 19 ]), and economic (public health policy and investment [ 20 ]) factors. It is necessary to establish important prophylactic measures, such as developing regular oral hygiene, e.g., proper brushing and flossing methods, fluoride application, minimizing sugar intake, and improvement of health education among primary caregivers [ 21 , 22 ].…”

Section: Introductionmentioning

confidence: 99%

Individual, Family, and Socioeconomic Contributors to Dental Caries in Children from Low- and Middle-Income Countries

Yousaf

Aslam²,

Saeed

et al. 2022

IJERPH

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Introduction: Collective evidence on risk factors for dental caries remains elusive in low- and middle-income countries (LMICs). The objective was to conduct a systematic review and meta-analysis on risk factors for dental caries in deciduous or permanent teeth in LMICs. Methods: Studies were identified electronically through databases, including Cochrane Oral Health Group Trials Register, Cochrane Central Register of Controlled Trials, PubMed/MEDLINE, and CINAHL, using “prevalence, dental caries, child, family, socioeconomic, and LMIC” as the keywords. A total of 11 studies fit the inclusion criteria. Quality assessment of the included studies was performed using the Newcastle-Ottawa Scale (NOS). The MedCalc software and Review Manager 5.4.1 were used. Results: From 11,115 participants, 38.7% (95% CI: 28.4–49.5%) had caries and 49.68% were female. Among those with caries, 69.74% consumed sugary drinks/sweets (95% CI: 47.84–87.73%) and 56.87% (95% CI: 35.39–77.08%) had good brushing habits. Sugary drinks had a two times higher likelihood of leading to caries (OR: 2.04, p < 0.001). Good oral hygiene reduced the risk of caries by 35% (OR: 0.65, p < 0.001). Concerning maternal education, only secondary education reduced the likelihood of caries (OR: 0.96), but primary education incurred 25% higher risks (OR: 1.25, p = 0.03). A 65% reduction was computed when caregivers helped children with tooth brushing (OR: 0.35, p = 0.04). Most families had a low socioeconomic status (SES) (35.9%, 95% CI: 16.73–57.79), which increased the odds of caries by 52% (OR: 1.52, p < 0.001); a high SES had a 3% higher chance of caries. In the entire sample, 44.44% (95% CI: 27.73–61.82%) of individuals had access to dental services or had visited a dental service provider. Conclusion: Our findings demonstrate that high sugar consumption, low maternal education, and low and high socioeconomic status (SES) increased the risk of dental caries in LMICs. Good brushing habits, higher maternal education, help with tooth brushing, and middle SES provided protection against caries across LMIC children. Limiting sugars, improving oral health education, incorporating national fluoride exposure programs, and accounting for sociodemographic limitations are essential for reducing the prevalence of dental caries in these settings.

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The combined effect of pit and fissure sealant application and oral health education on oral health status of children aged 6–9 years: a 12-month follow-up study in Northeast China

Chen,

Wu,

Gao

et al. 2023

BMC Oral Health

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Background Children aged 6–9 years are vulnerable to dental caries due to age-related limitations and a lack of adequate knowledge regarding oral health and hygiene practices. This study aimed to establish a cohort of children aged between 6 and 9 years and conducted a 12-month follow-up to examine the combined effect of pit and fissure sealant (PFS) application and oral health education on their oral health status. Methods A cohort study with 12-month follow-up was conducted in Liaoning province, China. A multi-stage stratified cluster sampling approach was employed in the study. The enrolled 6- to 9-year-old children were all from the selected primary schools, who had resided in the designated area for at least 6 months. Children who were unable to cooperate with the examiner or without informed consent from their guardians were excluded. Experienced dental professionals examined the oral health status of primary school children aged 6–9 years. All children and their guardians were mandated to complete a questionnaire (qualitative data) at the beginning of the study. In the experiment group, children underwent PFS application and chairside oral health education. Clinical examinations and questionnaire surveys were repeated at the 12-month follow-up. The chi-square test and binary logistic regression were conducted to investigate the potential risk factors associated with dental caries prevalence (dependent variable). Independent variables were items from the questionnaire (such as living place, parents’ education level and children’ birth weight). The significant variables identified in the chi-square tests were subsequently included in the binary logistic regression analysis. Results A total of 4,085 children aged 6–9 years were included in the study, with 1805 participants assigned to the experiment group and 2280 to the control group. At baseline, the caries rates of the experimental and control group were 77.95% and 80.35%, respectively without any statistically significant differences. However, at the 12-month follow-up, the caries rate in the experimental group (83.65%) was significantly lower than that in the control group (86.62%) (P < 0.05). The results from the binary logistic regression analysis indicated that parents with a college degree and children in the experimental group exhibited lower caries rates. Conversely, higher caries rates were associated with the consumption of sweet beverages and foods more than once a day and a lack of knowledge regarding the causes of caries (P < 0.05). Conclusions In Liaoning, China, children aged 6 to 9 years exhibited a high prevalence of dental caries. Several factors, including the parent’s education level, the frequency of consuming sweet beverages and foods, and the children’s understanding of the cause of caries, significantly affected the caries prevalence rates. The implementation of PFS application and oral health education effectively reduce the caries rate among the surveyed children.

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Evaluation of the risk factors of dental caries in children with very low birth weight and normal birth weight

Cited by 12 publications

References 26 publications

O conhecimento dos médicos pediatras e residentes sobre a relação entre prematuridade e alterações na cavidade bucal / The knowledge of pediatric and resident doctors about the relationship between prematurity and changes in the oral cavity

O conhecimento dos médicos pediatras e residentes sobre a relação entre prematuridade e alterações na cavidade bucal / The knowledge of pediatric and resident doctors about the relationship between prematurity and changes in the oral cavity

Individual, Family, and Socioeconomic Contributors to Dental Caries in Children from Low- and Middle-Income Countries

The combined effect of pit and fissure sealant application and oral health education on oral health status of children aged 6–9 years: a 12-month follow-up study in Northeast China

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