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Doctoral Thesis
DOI
https://doi.org/10.11606/T.61.2016.tde-18102016-104516
Document
Author
Full name
Thaieny Ribeiro da Silva
Institute/School/College
Knowledge Area
Date of Defense
Published
Bauru, 2015
Supervisor
Committee
Dalben, Gisele da Silva (President)
Carrara, Cleide Felicio de Carvalho
Costa, Beatriz
Passos, Vivian de Agostino Biella
Peres, Sílvia Helena de Carvalho Sales
Title in Portuguese
Prevalência de cárie em bebês com fissuras labiopalatinas e sua correlação com fatores socioeconômicos e hábitos de higiene bucal
Keywords in Portuguese
Aleitamento Materno
Alimentação com Mamadeira
Cárie Dentária
Fatores Sociodemográficos
Fissura Labial
Fissura Palatina
Abstract in Portuguese
Este trabalho analisou a prevalência de cárie e sua correlação com fatores sociodemográficos e cuidados de higiene bucal em 145 crianças com fissura labiopalatina (GF) na faixa etária de 7 a 66 meses, comparando os resultados com 130 crianças sem fissura (GC), na mesma faixa etária. A prevalência de cárie foi avaliada pelo índice ceo-d, e as famílias responderam um questionário contendo perguntas sobre hábitos dietéticos e de higiene bucal e fatores sociodemográficos. Os resultados foram avaliados por estatística descritiva e comparados pelos testes qui-quadrado, Mann-Whitney, Kruskal-Wallis e coeficiente de correlação de Spearman. O índice ceo-d médio foi 1,5 para o GF e 0,8 para o GC, sem diferença estatística (p=0,072). A maioria (99% no GF e 98,5% no GC) relatou realizar higiene bucal na criança, havendo receio em realizar este procedimento por 26,6% no GF e 6,3% no GC (p<0,001). A introdução de açúcar foi mais precoce no GF (p<0,001), enquanto a mamadeira de madrugada após os seis meses de idade foi mais frequente no GC (p=0,023). A higiene bucal foi iniciada mais precocemente no GF (p<0,001). A análise da ocorrência de cárie por dente revelou maior prevalência no GF para os dentes 55 (p=0,025), 52 (p<0,001), 51 (p=0,022), 62 (p<0,001) e 65 (p=0,006). Foi observada correlação significativa entre cárie e o aumento da idade e número de dentes presentes para o GF (p<0,001 para ambos) e GC (p=0,002 e p=0,004, respectivamente). Foi observada associação significativa entre cárie e renda familiar apenas para o GC (p=0,028).
Title in English
Keywords in English
Bottle Feeding
Breast Feeding
Cleft Lip
Cleft Palate
Dental Caries
Socioeconomic factors
Abstract in English
This study analyzed the prevalence of dental caries and its correlation with sociodemographic factors and oral hygiene care in 145 children with cleft lip and palate (GF) aged 7 to 66 months, compared to 130 children without clefts (GC), at the same age range. The caries prevalence was analyzed by the dmft index, and the families responded to a questionnaire containing questions on dietary and oral hygiene habits and sociodemographic factors. The results were assessed by descriptive statistics and compared by the chi-square, Mann- Whitney and Kruskal-Wallis tests and Spearmans correlation coefficient. The mean dmft was 1.5 for GF and 0.8 for GC, without statistical difference (p=0.072). Most individuals (99% in GF and 98.5% in GC) reported performing oral hygiene in the child, with fear to perform this procedure by 26.6% in GF and 6.3% in GC (p<0.001). The introduction of sugar occurred earlier in GF (p<0.001), while bottle feeding at night after six months of age was more frequent in GC (p=0.023). The oral hygiene was initiated earlier in GF (p<0.001). Analysis of the occurrence of caries per tooth revealed higher prevalence in GF for the teeth 55 (p=0.025), 52 (p<0.001), 51 (p=0.022), 62 (p<0.001) and 65 (p=0.006). Significant correlation was observed between dental caries and increase in age and in number of present teeth for GF (p<0.001 for both) and GC (p=0.002 and p=0.004, respectively). Significant association between dental caries and family income was only observed for GC (p=0.028).
 
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Publishing Date
2016-10-20
 
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