Socioeconomic, Familiar and Clinical Variables associated to Caries increment in Schoolchildren Participating in a Dental Health Program

K. L. M. Sarracini, J. S. Paula, K. L. Cortellazzi, E. M. M. Ortega, J. N. Cruz, M. C. Meneghim, A. Pereira, F. Mialhe
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Abstract

Objective: To evaluate socioeconomic, familiar and clinical risk variables associated to caries increment in the children's permanent dentition from seven to 10 years participating in a dental health program. Material and Methods: A sample of 301 children from nine public schools participated in the ‘Always Smiling Program’ took part in this study. They were evaluated for dental caries through dmft and DMF-T indexes along 2 years, and their parents completed a socio-environmental questionnaire containing questions on their income, education and family environment. Survival analysis using Kaplan-Meier method was used to evaluate the effect of the independent variables on caries increment. Results: We verified that socio-environmental variables were not associated with caries increment, while children with experience in primary dentition were 1.5 times more likely to develop caries in permanent dentition compared to those who did not have this experience. Conclusion: Schoolchildren presenting dental caries in primary dentition on baseline had higher risk of developing caries in permanent dentition and this variable should be taken in consideration by managers of dental health programs when prioritizing groups with higher care needs
社会经济、熟悉和临床变量与参加牙齿健康计划的学童龋齿增加有关
目的:评价参加牙齿健康计划的儿童7 ~ 10年恒牙龋增加的社会经济、熟悉和临床风险变量。材料与方法:选取参加“永远微笑计划”的9所公立学校的301名儿童参与了本研究。通过dmft和DMF-T指数对他们进行了2年的龋病评估,他们的父母完成了一份社会环境问卷,其中包含了他们的收入、教育和家庭环境的问题。采用Kaplan-Meier法进行生存分析,评价自变量对龋齿增加的影响。结果:我们验证了社会环境变量与龋齿增加无关,而有初级牙齿经验的儿童患永久性牙齿龋齿的可能性是没有这种经验的儿童的1.5倍。结论:在基线上出现初级牙列龋齿的学童患恒牙列龋齿的风险较高,这一变量应被牙齿健康计划的管理者在优先考虑有较高护理需求的群体时加以考虑
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