Carious lesions recurrence in children with developmental disabilities: a longitudinal study

Abstract This study investigated the factors associated with new carious lesions in one-to five-year-old children with developmental disabilities. This was a retrospective cohort that evaluated 64 dental charts of individuals with caries or fillings in their first dental appointment. The dependent v...

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Main Authors: Lia Silva de CASTILHO, Ivana Márcia Alves DINIZ, Bruno Pereira dos Reis SANTOS, Frederico Santos LAGES, Alex Júnio Silva da CRUZ, Mauro Henrique Nogueira Guimarães ABREU
Format: Article
Language:English
Published: Sociedade Brasileira de Pesquisa Odontológica 2021-09-01
Series:Brazilian Oral Research
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242021000100275&tlng=en
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author Lia Silva de CASTILHO
Ivana Márcia Alves DINIZ
Bruno Pereira dos Reis SANTOS
Frederico Santos LAGES
Alex Júnio Silva da CRUZ
Mauro Henrique Nogueira Guimarães ABREU
author_facet Lia Silva de CASTILHO
Ivana Márcia Alves DINIZ
Bruno Pereira dos Reis SANTOS
Frederico Santos LAGES
Alex Júnio Silva da CRUZ
Mauro Henrique Nogueira Guimarães ABREU
author_sort Lia Silva de CASTILHO
collection DOAJ
description Abstract This study investigated the factors associated with new carious lesions in one-to five-year-old children with developmental disabilities. This was a retrospective cohort that evaluated 64 dental charts of individuals with caries or fillings in their first dental appointment. The dependent variable was the occurrence of a new carious lesion or restoration. Gender, age, mother’s education, sugar consumption, oral hygiene, mouth breathing, reports of xerostomia, gingival status, use of psychotropic drugs, use of asthma drugs, history of asthma, bronchitis, reflux or seizures and having at least one sibling were covariates. Cox proportional hazards regression model was used to estimate the raw and adjusted hazard ratios with their respective 95% confidence interval. The average time that individuals remained free of dental caries/restoration was 79.49 months (95%CI: 64.37 to 92.61). Increase in sucrose consumption increased the rate of caries recurrence (HR = 1.16; 95%CI: 1.04 to 1.30). Individuals who had poor oral hygiene had higher rate of new dental caries (HR = 3.88; 95%CI: 1.22 to 12.37) compared to those with good oral hygiene. The presence of mouth breathing decreased the rate of recurrence of the disease when compared to the nasal breathing (HR = 0.32; 95%CI: 0.15 to 0.70). Oral health-related behaviors and nasal respiration influenced the rate of dental caries recurrence in individuals with developmental disabilities.
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spelling doaj.art-ffa250f496d84e3b9cfcea59473ca39a2022-12-21T19:47:21ZengSociedade Brasileira de Pesquisa OdontológicaBrazilian Oral Research1807-31072021-09-013510.1590/1807-3107bor-2021.vol35.0071Carious lesions recurrence in children with developmental disabilities: a longitudinal studyLia Silva de CASTILHOhttps://orcid.org/0000-0001-9648-6815Ivana Márcia Alves DINIZhttps://orcid.org/0000-0003-4261-0037Bruno Pereira dos Reis SANTOShttps://orcid.org/0000-0002-9222-5674Frederico Santos LAGEShttps://orcid.org/0000-0002-8885-1138Alex Júnio Silva da CRUZhttps://orcid.org/0000-0003-1905-4124Mauro Henrique Nogueira Guimarães ABREUhttps://orcid.org/0000-0001-8794-5725Abstract This study investigated the factors associated with new carious lesions in one-to five-year-old children with developmental disabilities. This was a retrospective cohort that evaluated 64 dental charts of individuals with caries or fillings in their first dental appointment. The dependent variable was the occurrence of a new carious lesion or restoration. Gender, age, mother’s education, sugar consumption, oral hygiene, mouth breathing, reports of xerostomia, gingival status, use of psychotropic drugs, use of asthma drugs, history of asthma, bronchitis, reflux or seizures and having at least one sibling were covariates. Cox proportional hazards regression model was used to estimate the raw and adjusted hazard ratios with their respective 95% confidence interval. The average time that individuals remained free of dental caries/restoration was 79.49 months (95%CI: 64.37 to 92.61). Increase in sucrose consumption increased the rate of caries recurrence (HR = 1.16; 95%CI: 1.04 to 1.30). Individuals who had poor oral hygiene had higher rate of new dental caries (HR = 3.88; 95%CI: 1.22 to 12.37) compared to those with good oral hygiene. The presence of mouth breathing decreased the rate of recurrence of the disease when compared to the nasal breathing (HR = 0.32; 95%CI: 0.15 to 0.70). Oral health-related behaviors and nasal respiration influenced the rate of dental caries recurrence in individuals with developmental disabilities.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242021000100275&tlng=enDevelopmental DisabilitiesDental CariesEpidemiology
spellingShingle Lia Silva de CASTILHO
Ivana Márcia Alves DINIZ
Bruno Pereira dos Reis SANTOS
Frederico Santos LAGES
Alex Júnio Silva da CRUZ
Mauro Henrique Nogueira Guimarães ABREU
Carious lesions recurrence in children with developmental disabilities: a longitudinal study
Brazilian Oral Research
Developmental Disabilities
Dental Caries
Epidemiology
title Carious lesions recurrence in children with developmental disabilities: a longitudinal study
title_full Carious lesions recurrence in children with developmental disabilities: a longitudinal study
title_fullStr Carious lesions recurrence in children with developmental disabilities: a longitudinal study
title_full_unstemmed Carious lesions recurrence in children with developmental disabilities: a longitudinal study
title_short Carious lesions recurrence in children with developmental disabilities: a longitudinal study
title_sort carious lesions recurrence in children with developmental disabilities a longitudinal study
topic Developmental Disabilities
Dental Caries
Epidemiology
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242021000100275&tlng=en
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