阿根廷门多萨营养不良儿童早期龋齿患病率和严重程度

Claudia N Fernández, María I Borjas, Salvador D Cambría-Ronda, Walther Zavala
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摘要

这项相关的、描述性的、横断面研究的目的是描述在阿根廷门多萨两个预防和治疗儿童营养不良中心接受治疗的营养不良儿童的早期儿童龋齿(ECC)的病理特征。本研究纳入145名12 - 71月龄儿童,经父母事先同意,根据ICDAS II 2 - 6和4 - 6活动性龋齿类别、年龄和龋齿经历的严重程度记录dmft和dmfs。采用参数和非参数统计,p=0.05。牙釉质和牙本质病变的龋患病率为48.2%,仅考虑牙本质病变时龋患病率降至35.2% (dmft 4-6)。dmft和dmfs的均值为:dmft 2-6 2.10±3.31,“d”2.03±3.24;DMFS为3.07±6.1,“d”为2.91±6.1;DMFT 4-6 1.21±2.46,“d”1.14±2.37;DMFS 4-6为1.98±5.14,d为1.86±5.06。dmft 2-6和dmft 4-6之间的差异有统计学意义。活性牙釉质病变(ICDAS II活性分类2和3)占总病变的37%。5型活动性病变最为常见。牙齿状况和龋病严重程度指标随年龄增长而增加,均呈中等正相关。结论:在门多萨研究的6岁以下营养不良儿童存在ECC的合并症。牙齿状况随着年龄的增长而恶化。龋齿指标的数值显示了早期阶段龋齿诊断的重要性,以及在这些儿童生命早期提供预防措施和系统监测的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence and severity of early childhood caries in malnourished children in Mendoza, Argentina.

The aim of this correlational, descriptive, cross-sectional study was to describe the pathological profile of Early Childhood Caries (ECC) in malnourished children who attended two centers for prevention and treatment of child malnutrition in Mendoza, Argentina. The study included 145 children aged 12 to 71 months, with prior parental consent, and recorded dmft and dmfs according to ICDAS II 2 to 6 and 4 to 6 active caries categories, age and severity of caries experience. Parametric and non-parametric statistics were applied with p=0.05. Caries prevalence for enamel and dentin lesions was 48.2%, declining to 35.2% when only dentin lesions were considered (dmft 4-6). The following means were found for dmft and dmfs: dmft 2-6 2.10 ± 3.31, with "d" 2.03 ± 3.24; dmfs 3.07 ± 6.1 with "d" 2.91 ± 6.1; dmft 4-6 1.21 ± 2.46 with "d" 1.14 ± 2.37; dmfs 4-6 1.98 ± 5.14 and "d" 1.86 ± 5.06. There were statistically significant differences between dmft 2-6 and dmft 4-6. Active enamel lesions (ICDAS II active categories 2 and 3) accounted for 37% of total lesions. Active lesions type 5 were the most frequent. The indicators for dental status and severity of caries experience increased with age, both with moderate positive correlations. Conclusions: Malnourished children under six years old studied in Mendoza presented comorbidity with ECC. Dental status worsened with age. The values for caries indicators demonstrated the weight of caries diagnoses in early stages and the importance of providing preventive measures and systematic monitoring during these children's early years of life.

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