Risk of Dental Caries in Primary Teeth with Developmental Defects of Enamel: A Longitudinal Study with a Multilevel Approach

Autor:	Maria Letícia Ramos-Jorge, Fernanda Morais Ferreira, Patrícia Corrêa-Faria, Suzane Paixão-Gonçalves, Isabela Almeida Pordeus, Saul Martins Paiva
Rok vydání:	2019
Předmět:	Male Dentistry Dental Caries Oral hygiene stomatognathic system Prevalence medicine Humans Maxillary central incisor Longitudinal Studies Prospective Studies Tooth Deciduous Child Dental Enamel General Dentistry Dental Enamel Hypoplasia Enamel paint Dentition business.industry Enamel hypoplasia medicine.disease stomatognathic diseases Child Preschool visual_art visual_art.visual_art_medium Posterior teeth Female business Brazil Cohort study
Zdroj:	Caries Research. 53:667-674
ISSN:	1421-976X 0008-6568
DOI:	10.1159/000501029
Popis:	The risk of dental caries seems to be greater in the presence of developmental defects of enamel (DDE). The aim was to determine whether the presence of DDE in the primary teeth of preschool children increases the risk of dental caries in the primary dentition after a period of approximately 2 years. This study was conducted in two stages: baseline (T0) and follow-up (T1). At T0, examinations were conducted for the diagnosis of enamel defects using the DDE index (FDI, 1992), dental caries, and oral hygiene. The participants were allocated to two groups according to the presence (affected) or absence (unaffected) of DDE. At the second evaluation (T1), examinations were performed for the diagnosis of dental caries. Poisson regression analysis with a multilevel approach was used to determine the association between DDE and dental caries. The two levels of the analysis were tooth and child. Among the 339 children (113 affected and 226 unaffected) examined at baseline (T0), 325 were re-examined at follow-up (T1). According to the multilevel analysis, teeth with enamel hypoplasia had a greater risk of having dental caries (RR: 1.99; 95% CI: 1.19–3.33). The risk of caries was greater on posterior teeth (RR: 2.59; 95% CI: 2.18–3.07) and maxillary teeth (RR: 1.48; 95% CI: 1.26–1.75) that had DDE at T0. On the child level, dental caries at T1 was associated with having dental caries at T0 (RR: 1.38; 95% CI: 1.32–1.46). In conclusion, enamel hypoplasia and previous dental caries are risk factors for carious lesions in the primary dentition.
Databáze:	OpenAIRE
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