Dental caries in 0‐ to 5‐year‐old Brazilian children: prevalence, severity, and associated factors

International Journal of Paediatric Dentistry - Tập 17 Số 4 - Trang 289-296 - 2007
Simone Helena Ferreira1, Jorge Umberto Béria2, Paulo Floriani Kramer1, Eliane Gerson Feldens1, Carlos Alberto Feldens1
1Department of Paediatric Dentistry and
2Department of Public Health Lutheran University of Brazil Canoas Brazil

Tóm tắt

Objective.  This cross‐sectional study investigated the prevalence and severity of dental caries and their association with demographic and socio‐economic variables in Brazilian preschoolers.Methods.  The study population comprised 1487 0‐ to 5‐year‐old children attending government nurseries in Canoas, southern Brazil. Questionnaires regarding information related to the independent variables (age, gender, maternal level of education, and family income) were completed by the parents. Clinical examinations were carried out by five trained examiners and results were expressed using the deft index (World Health Organization criteria), including white spots. The outcomes considered in this study were caries occurrence (deft > 0) and caries severity (deft).Results.  Forty per cent of the children (589/1487) presented dental caries [mean deft (SD): 1.53 (2.75)]. Deft increased with age (P < 0.001) and was significantly higher in children from mothers with low educational level (P = 0.001) and low family income (P = 0.001). The greatest increase in caries prevalence and severity occurred between age groups of 1 and 2 years. Logistic regression demonstrated higher odds of dental caries with mother's completing < 4 years education, after adjusting for confounding.Conclusion.  These findings indicate the need for preventive programmes, which should begin in the first year of life, with special attention given to families with mothers presenting low education levels.

Từ khóa


Tài liệu tham khảo

10.1111/j.1600-0528.1998.tb02094.x

10.1111/j.1600-0528.1998.tb02102.x

Rosenblatt A, 2002, The prevalence of early childhood caries in 12‐ to 36‐month‐old children in Recife, Brazil, ASDC J Dent Child, 69, 319

Filstrup SL, 2003, Early childhood caries and quality of life: child and parent perspectives, Pediatr Dent, 25, 431

Sheiham A., 2005, Oral health, general health and quality of life, Bull World Health Organ, 83, 544

10.1111/j.1600-0528.1998.tb02098.x

10.1111/j.1600-0528.1998.tb02096.x

10.1111/j.1600-0528.1998.tb02095.x

10.1111/j.0301-5661.2004.00145.x

10.1034/j.1600-0528.2001.290603.x

10.1111/j.1365-263X.2006.00753.x

Ismail AI., 2003, Determinants of health in children and the problem of early childhood caries, Pediatr Dent, 25, 328

10.1111/j.1365-263X.2006.00767.x

10.1136/jech.2005.036301

World Health Organization, 1997, Oral Health Surveys: Basic Methods

10.1159/000261574

Hosmer DW, 1989, Applied Logistic Regression

Mattos‐Graner RO, 1996, Caries prevalence in 6–36‐month‐old Brazilian children, Community Dent Health, 13, 96

10.1111/j.1600-0528.1998.tb01974.x

Sayegh A, 2002, Caries prevalence and patterns and their relationship to social class, infant feeding and oral hygiene in 4–5‐year‐old children in Amman, Jordan, Community Dent Health, 19, 144

10.1111/j.1365-263X.2004.00570.x

10.1034/j.1600-0528.2000.280401.x

World Health Organization, Strategies for Oral Disease Prevention and Health Promotion

Rajab LD, 2002, Early childhood caries and risk factors in Jordan, Community Dent Health, 19, 224

Weinstein P, 2004, Motivating parents to prevent caries in their young children: one‐year findings, J Am Dentistry Assoc, 135, 1224

10.1590/S0102-311X2005000500018

American Academy of Pediatric Dentistry, 1996, Infant oral health care, Pediatr Dent, 18, 25

10.1002/j.0022-0337.2001.65.10.tb03443.x

10.1002/j.1875-595X.2001.tb00843.x

10.1093/ije/26.1.224

10.1002/j.1875-595X.1997.tb00783.x

10.1111/j.1752-7325.1999.tb03267.x