Risk indicators of untreated dental caries incidence among preschoolers: a prospective longitudinal study

Abstract: The aim of the present study was to evaluate the influence of socioeconomic factors, oral conditions and the impact of OHRQoL as possible risk indicators related to the incidence of untreated dental caries in preschool children two years after an initial examination. A prospective longitud...

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Main Authors: Raquel Gonçalves Vieira-Andrade, Isabela Almeida Pordeus, Maria Letícia Ramos-Jorge, Clarissa Lopes Drumond, Luíza Costa Silva-Freire, Joana Ramos-Jorge, Saul Martins Paiva
Format: Article
Language:English
Published: Sociedade Brasileira de Pesquisa Odontológica 2022-05-01
Series:Brazilian Oral Research
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242022000100257&lng=en&tlng=en
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author Raquel Gonçalves Vieira-Andrade
Isabela Almeida Pordeus
Maria Letícia Ramos-Jorge
Clarissa Lopes Drumond
Luíza Costa Silva-Freire
Joana Ramos-Jorge
Saul Martins Paiva
author_facet Raquel Gonçalves Vieira-Andrade
Isabela Almeida Pordeus
Maria Letícia Ramos-Jorge
Clarissa Lopes Drumond
Luíza Costa Silva-Freire
Joana Ramos-Jorge
Saul Martins Paiva
author_sort Raquel Gonçalves Vieira-Andrade
collection DOAJ
description Abstract: The aim of the present study was to evaluate the influence of socioeconomic factors, oral conditions and the impact of OHRQoL as possible risk indicators related to the incidence of untreated dental caries in preschool children two years after an initial examination. A prospective longitudinal study was performed with a sample of 288 preschool children allocated to two groups at baseline (T0): caries free (n = 144) and with untreated dental caries (n = 144). Untreated dental caries was determined through clinical examinations performed by a calibrated dentist at T0 (Kappa > 0,89) and T1 (two years after the baseline) (Kappa > 0,91) using the dmft criteria. Parents/caregivers answered a socioeconomic questionnaire and the Brazilian version of the Early Childhood Oral Health Impact Scale (B-ECOHIS) at T0 and T1. Mann-Whitney test and hierarchically adjusted Poisson regression models were used (95%CI, p < 0,05). The incidence of untreated dental caries was 41.3%. Low (RR = 1.63; 95%CI:1.18–2.26; p < 0.001) and high severity of untreated dental caries (RR = 1.92; 95%CI:1.36–2.72; p < 0.001), monthly household income less than two times the Brazilian minimum salary (RR = 1.79; 95%CI:1.04–3.25; p = 0.042) and overall B-ECOHIS score (RR = 1.03; 95%CI:1.02–1.05; p < 0.001) at T0 were risk indicators for the incidence of untreated dental caries among the preschool children. In conclusion, the incidence of untreated dental caries was high and the higher severity of untreated dental caries, the lower monthly income and the higher the B-ECOHIS score (indicating a negative impact on quality of life) were risk indicators to the developing of new lesions of untreated dental caries after 2 years.
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spelling doaj.art-3956b2b570a6442ca661a726059fbb622022-12-22T03:02:03ZengSociedade Brasileira de Pesquisa OdontológicaBrazilian Oral Research1807-31072022-05-013610.1590/1807-3107bor-2022.vol36.0064Risk indicators of untreated dental caries incidence among preschoolers: a prospective longitudinal studyRaquel Gonçalves Vieira-Andradehttps://orcid.org/0000-0003-0284-7216Isabela Almeida Pordeushttps://orcid.org/0000-0002-5902-7481Maria Letícia Ramos-Jorgehttps://orcid.org/0000-0001-8495-9259Clarissa Lopes Drumondhttps://orcid.org/0000-0001-8944-852XLuíza Costa Silva-Freirehttps://orcid.org/0000-0002-6039-4633Joana Ramos-Jorgehttps://orcid.org/0000-0003-1906-3784Saul Martins Paivahttps://orcid.org/0000-0002-3968-1638Abstract: The aim of the present study was to evaluate the influence of socioeconomic factors, oral conditions and the impact of OHRQoL as possible risk indicators related to the incidence of untreated dental caries in preschool children two years after an initial examination. A prospective longitudinal study was performed with a sample of 288 preschool children allocated to two groups at baseline (T0): caries free (n = 144) and with untreated dental caries (n = 144). Untreated dental caries was determined through clinical examinations performed by a calibrated dentist at T0 (Kappa > 0,89) and T1 (two years after the baseline) (Kappa > 0,91) using the dmft criteria. Parents/caregivers answered a socioeconomic questionnaire and the Brazilian version of the Early Childhood Oral Health Impact Scale (B-ECOHIS) at T0 and T1. Mann-Whitney test and hierarchically adjusted Poisson regression models were used (95%CI, p < 0,05). The incidence of untreated dental caries was 41.3%. Low (RR = 1.63; 95%CI:1.18–2.26; p < 0.001) and high severity of untreated dental caries (RR = 1.92; 95%CI:1.36–2.72; p < 0.001), monthly household income less than two times the Brazilian minimum salary (RR = 1.79; 95%CI:1.04–3.25; p = 0.042) and overall B-ECOHIS score (RR = 1.03; 95%CI:1.02–1.05; p < 0.001) at T0 were risk indicators for the incidence of untreated dental caries among the preschool children. In conclusion, the incidence of untreated dental caries was high and the higher severity of untreated dental caries, the lower monthly income and the higher the B-ECOHIS score (indicating a negative impact on quality of life) were risk indicators to the developing of new lesions of untreated dental caries after 2 years.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242022000100257&lng=en&tlng=enEpidemiologyOral HealthQuality of LifeChild, PreschoolDental Caries
spellingShingle Raquel Gonçalves Vieira-Andrade
Isabela Almeida Pordeus
Maria Letícia Ramos-Jorge
Clarissa Lopes Drumond
Luíza Costa Silva-Freire
Joana Ramos-Jorge
Saul Martins Paiva
Risk indicators of untreated dental caries incidence among preschoolers: a prospective longitudinal study
Brazilian Oral Research
Epidemiology
Oral Health
Quality of Life
Child, Preschool
Dental Caries
title Risk indicators of untreated dental caries incidence among preschoolers: a prospective longitudinal study
title_full Risk indicators of untreated dental caries incidence among preschoolers: a prospective longitudinal study
title_fullStr Risk indicators of untreated dental caries incidence among preschoolers: a prospective longitudinal study
title_full_unstemmed Risk indicators of untreated dental caries incidence among preschoolers: a prospective longitudinal study
title_short Risk indicators of untreated dental caries incidence among preschoolers: a prospective longitudinal study
title_sort risk indicators of untreated dental caries incidence among preschoolers a prospective longitudinal study
topic Epidemiology
Oral Health
Quality of Life
Child, Preschool
Dental Caries
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242022000100257&lng=en&tlng=en
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