Fatores de risco para c?rie dent?ria em primeiros molares permanentes: uma coorte prospectiva

Autor: Machado, Gabrielly Fernandes
Přispěvatelé: Fernandes, Izabella Barbosa, Jorge, Joana Ramos, Ferreira, Fernanda de Morais, Jorge, Maria Let?cia Ramos, Marques, Leandro Silva, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM)
Jazyk: portugalština
Rok vydání: 2019
Předmět:
Zdroj: Repositório Institucional da UFVJM
Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM)
instacron:UFVJM
Popis: Linha de pesquisa: Epidemiologia e controle das doen?as bucais. ?rea de concentra??o: Odontopediatria. Submitted by Jos? Henrique Henrique (jose.neves@ufvjm.edu.br) on 2020-09-30T18:25:28Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) gabrielly_fernandes_machado.pdf: 1283548 bytes, checksum: 100a5f4a7fe814767bd1caa53da32b8b (MD5) Approved for entry into archive by Jos? Henrique Henrique (jose.neves@ufvjm.edu.br) on 2020-09-30T18:39:59Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) gabrielly_fernandes_machado.pdf: 1283548 bytes, checksum: 100a5f4a7fe814767bd1caa53da32b8b (MD5) Made available in DSpace on 2020-09-30T18:39:59Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) gabrielly_fernandes_machado.pdf: 1283548 bytes, checksum: 100a5f4a7fe814767bd1caa53da32b8b (MD5) Previous issue date: 2019 Funda??o de Amparo ? Pesquisa do Estado de Minas Gerais (FAPEMIG) Objetivo: Identificar fatores determinantes da c?rie dent?ria em primeiros molares permanentes em crian?as escolares. Metodologia: Esse estudo longitudinal foi realizado com 122 pares de m?es e crian?as da cidade de Diamantina, Minas Gerais, Brasil. Essas crian?as participaram de um estudo transversal realizado no ano de 2013 quando tinham idade entre um e tr?s anos (T1). Ap?s tr?s (T2) e seis anos (T3), essas crian?as foram divididas em dois grupos de acordo com a presen?a (n=69) ou aus?ncia (n=69) de c?rie dent?ria no T1 e foram reavaliadas. A coleta de dados nos tr?s momentos envolveu a aplica??o de um question?rio que abordava aspectos relativos a fatores socioecon?micos, demogr?ficos, caracter?sticas da crian?a e h?bitos e sintomatologia. Al?m disso, foi realizado exame cl?nico bucal para verificar a presen?a de placa vis?vel ou de c?rie dent?ria de acordo com os crit?rios do Sistema Internacional de Avalia??o e Detec??o de C?rie Dent?ria (ICDAS-II). O desfecho avaliado em T3 foi a presen?a de c?rie dent?ria nos primeiros molares permanentes. A an?lise dos dados foi realizada atrav?s do programa Statistical Package for the Social Sciences (SPSS) para Windows, vers?o 22.0 e incluiu a descri??o de frequ?ncia das vari?veis e regress?o de Poisson hier?rquica. Resultados: A incid?ncia de c?rie dent?ria no primeiro molar permanente foi de 70,5%, 68% das les?es estavam ativas. Na an?lise ajustada, mantiveram-se associados significativamente ? incid?ncia de c?rie dent?ria em primeiros molares permanentes, a presen?a de c?rie em T1 (RR=1,41; IC 95%=1,08-1,84) e as mudan?as de T1 para T2: na presen?a de dor de dente (N?o relata mais dor: RR=0,52; IC 95%=0,28-0,96 / Sempre relatou dor: RR=1,44; IC 95%=1,09-1,91), no n?mero de dependentes da renda (RR=1,66; IC 95%=1,17-2,35) e na frequ?ncia de escova??o (RR=1,77; IC 95%=1,27-2,46). Dentre os fatores avaliados de T2 para T3, a mudan?a na frequ?ncia de escova??o (RR= 1,32; IC 95%= 1,05-1,65) e a presen?a de c?rie no T2 (RR= 1,58; IC 95%=1,12-2,22) foram determinantes da incid?ncia de c?rie em primeiros molares permanentes. Conclus?o: Apresentaram maior risco de incid?ncia de c?rie em primeiros molares permanentes, crian?as que possu?am c?rie em T1 ou em T2, que relataram dor em T1 e continuavam com dor em T2, que permaneciam com o n?mero de dependentes da renda alto de T1 para T2 e com baixa frequ?ncia de escova??o de T1 para T2 e de T2 para T3. Crian?as que relatavam dor em T1, mas deixaram de relatar em T2, apresentaram menor risco de incid?ncia de c?rie em primeiros molares permanentes. Disserta??o (Mestrado) ? Programa de P?s-Gradua??o em Odontologia, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2019. Objective: To identify determining factors for dental caries in first permanent molars in school children. Methodology: This longitudinal study was conducted with 122 pairs of mothers and children from the city of Diamantina, Minas Gerais, Brazil. These children participated in a cross-sectional study conducted in 2013 when they were between one and three years old (T1). After three (T2) and six years (T3), these children were divided into two groups according to the presence (n = 69) or absence (n = 69) of dental caries on T1 and were reevaluated. Data collection in the three moments involved the application of a questionnaire that addressed aspects related to socioeconomic, demographic, child characteristics and habits and symptoms. In addition, clinical oral examinations were performed to verify the presence of visible plaque or dental caries according to the criteria of the International System for the Evaluation and Detection of Dental Caries (ICDAS-II). The outcome evaluated at T3 was the presence of dental caries in the first permanent molars. Data analysis was performed using the Statistical Package for Social Sciences (SPSS) for Windows, version 22.0 and included variable frequency description and hierarchical Poisson regression. Results: The incidence of dental caries in the first permanent molar was 70.5%, 68% of the lesions were active. Results: In the adjusted analysis, the presence of caries at T1 (RR = 1.41; 95% CI = 1.08-1.84) and changes from T1 to T2: in the presence of toothache (No more pain reported: RR = 0.52; 95% CI = 0.28- 0.96 / Always reported pain: RR = 1.44; 95% CI = 1.09- 1.91), the number of income dependents (RR = 1.66; 95% CI = 1.17-2.35) and the frequency of brushing (RR = 1.77; 95% CI = 1.27- 2.46), were significantly associated with the incidence of dental caries in first permanent molars. Among the factors evaluated from T2 to T3, the change in the tooth brushing frequency (RR = 1.32; 95% CI = 1.05-1.65) and the presence of caries on T2 (RR = 1.58; CI 95 % = 1,12-2,22) were determinants of caries incidence in first permanent molars. Conclusion: Children with caries in T1 or T2 presented a higher risk of caries incidence in first permanent molars, who reported pain in T1 and who still had pain in T2, who remained with the same number of high-income dependent individuals from T1 to T2 and with low frequency of tooth brushing from T1 to T2 and from T2 to T3. Children who reported pain in T1 but no longer reported in T2 had a lower risk of caries incidence in first permanent molars.
Databáze: OpenAIRE
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