Factors Associated with Longitudinal Changes in the Caries Activity Profile of Children.

IF 0.4 Q4 DENTISTRY, ORAL SURGERY & MEDICINE
JOURNAL OF DENTISTRY FOR CHILDREN Pub Date : 2022-09-15
Eduarda Cristina Hinnah, Gabriel Ferreira Nicoloso, Andressa da Silva Arduim, Paola Arosi Bottezini, Tathiane Larissa Lenzi, Luciano Casagrande
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Abstract

Purpose: To evaluate the factors associated with longitudinal changes in the caries activity profile of high caries risk children.
Methods: The sample consisted of clinical records of children who had undergone dental care in a public setting during a one-year period. Patients with active carious lesions (non-cavitated and/or cavitated) at the initial examination and who completed treatment were considered for the analysis. A caries-controlled profile was set as the main outcome based on arresting active carious lesions. Poisson regression was used to evaluate the association of patient- and treatment-related factors with the outcome ( P <0.05).
Results: The analysis included 130 caries-active children (7.8±2.4 [standard deviation - SD] years), with a mean missing and filled teeth index score of 8.3±4.4 SD. Patients with lower caries experience (prevalence ratio [PR]=0.93; 95 percent confidence interval [95% CI]=0.87 to 0.99) who received more appointments focused on oral health promotion based on dietary and oral hygiene instructions (PR=1.28; 95% CI= 1.03 to 1.58) had a greater rate of moving to caries-controlled status. The number of invasive treatments was not associated with a shift from caries-active to caries-controlled status (PR=0.98; 95% CI=0.87 to 1.11).
Conclusion: A preventive regimen focused on dental and diet guidance may play an important role in arresting active carious lesions in high caries risk children.

儿童龋齿活动特征纵向变化的相关因素。
目的:评价与高龋风险儿童龋活动特征纵向变化相关的因素。方法:样本包括在公共场所接受牙科护理的儿童的临床记录,为期一年。在初步检查中出现活动性龋齿病变(非空化和/或空化)并完成治疗的患者被纳入分析范围。基于抑制活动性龋齿病变,龋齿控制概况被设定为主要结果。泊松回归评估患者和治疗相关因素与结果的相关性(P)结果:分析包括130名龋活发儿童(7.8±2.4[标准差- SD]年),平均缺牙和补牙指数评分为8.3±4.4 SD。低龋率患者(患病率[PR]=0.93;95%可信区间[95% CI]=0.87至0.99),他们接受了更多基于饮食和口腔卫生指导的口腔健康促进预约(PR=1.28;95% CI= 1.03 ~ 1.58)有更高的转移到龋齿控制状态的比率。侵入性治疗的次数与从龋齿活跃状态到龋齿控制状态的转变无关(PR=0.98;95% CI=0.87 ~ 1.11)。结论:以牙齿和饮食指导为重点的预防方案可能在预防高龋风险儿童的活动性龋损方面发挥重要作用。
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来源期刊
JOURNAL OF DENTISTRY FOR CHILDREN
JOURNAL OF DENTISTRY FOR CHILDREN DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
1.00
自引率
0.00%
发文量
19
期刊介绍: Acquired after the merger between the American Society of Dentistry for Children and the American Academy of Pediatric Dentistry in 2002, the Journal of Dentistry for Children (JDC) is an internationally renowned journal whose publishing dates back to 1934. Published three times a year, JDC promotes the practice, education and research specifically related to the specialty of pediatric dentistry. It covers a wide range of topics related to the clinical care of children, from clinical techniques of daily importance to the practitioner, to studies on child behavior and growth and development. JDC also provides information on the physical, psychological and emotional conditions of children as they relate to and affect their dental health.
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