儿童龋齿的诊断:临床发现与家长认知的关系

Lindsey Rayanne Vieira Grangeiro, Beatriz Alves Gurguel França, Clarissa Lopes Drumond, Neusa Barros Dantas Neta, Thiago Fonseca-Silva, Raquel Gonçalves Vieira-Andrade
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引用次数: 0

摘要

背景:龋齿是一种多因素疾病,是世界上最常见的慢性疾病之一。目的:本研究的目的是评估父母/监护人对其子女龋齿存在的知识水平,并评估感知与临床检查得出的龋齿诊断之间的关系。方法:对巴西南部塞阿拉州儿科牙科学院的38名年龄在3至12岁之间的儿童进行了一项横断面试验研究。通过问卷收集父母/监护人对儿童龋齿的看法以及家庭的社会人口学特征。龋齿的诊断通过临床检查进行评估,由两名检查人员进行ICDAS-II和PUFA含量的培训和校准。对频率分布进行了分析。统计分析采用卡方检验、Fisher精确检验、Kolmogorov-Smirnov检验和Pearson相关检验。结果:龋患病率为78.9%。ICDAS-II指数评估的龋齿存在与父母/监护人报告的低龋知知率之间存在统计学意义(p=0.025)。而“儿童蛀牙数”与“家长报告蛀牙数”有较强的相关性(r=0.605)。结论:该地区龋病发病率高,而家长/责任人对龋病的早期阶段往往认识不足。然而,当孩子有更多的蛀牙时,早期识别就会增加。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
DIAGNÓSTICO DA CÁRIE DENTÁRIA NA INFÂNCIA: RELAÇÃO ENTRE OS ACHADOS CLÍNICOS E A PERCEPÇÃO DOS PAIS
BACKGROUND : dental caries is a multifactorial disease that is one of the most common chronic diseases in the world. OBJECTIVE : the aim of this study was to assess the level of knowledge of parents/guardians about the presence of dental caries in their children and additionally evaluate the association between the perception with caries diagnosis obtained by clinical examination. METHODS : a cross-sectional study, pilot type, was conducted with a sample of 38 children aged between 3 and 12 years attended in the School of Dentistry, Department of Pediatric Dentistry, in the southern state of Ceara, Brazil. Through the questionnaire were collected informations about the perceptions of parents/guardians for presence of caries in children as well as sociodemographic characteristics of the family. The diagnosis of caries was evaluated through clinical examination performed by two examiners previously trained and calibrated in ICDAS-II and PUFA contents. The analyses of frequency distribution were performed.In addition, Chi-square test, Fisher’s exact test, Kolmogorov-Smirnov test and Pearson correlation were used for statistical analysis. RESULTS : the prevalence of dental caries was 78.9%. There was a statistically significant association between the presence of caries assessed by ICDAS-II index and low perception of dental caries reported by parents / guardians (p=0.025). However, there was strong correlation between “number of teeth in children cavitation” and “number of teeth with caries reported by parents” (r=0.605). CONCLUSION : The prevalence of dental caries was high and parents/persons responsible tended to not recognize initial stages of the disease. However, early recognition increased when the the child had a greater number of dental caries.
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