0072/2016 - Oral health outcomes: the association of clinical and socio-dental indicators to evaluate dental caries in preschool children Desfechos em saúde bucal: associação de indicadores clínicos e sócio-dentais para avaliar cárie dentária em pré-escolares
A cárie dentária é um desfecho em saúde bucal considerada um problema de saúde pública com impacto na qualidade de vida relacionada à saúde bucal (QVRSB). Este estudo teve como objetivo avaliar o desfecho cárie dentária em crianças associando indicadores clínicos e sócio-dentais. Um estudo transversal foi realizado com crianças de 2 a 6 anos de idade de creches públicas de um município do sudeste do Brasil. Após o cálculo da amostra, 446 crianças foram selecionadas aleatoriamente por critérios de elegibilidade. O indicador clínico, cárie precoce na infância (CPI), foi avaliado por dois profissionais (Kappa = 0,80) usando critérios da OMS (2013) e classificado de acordo com a gravidade. Foi utilizado um questionário auto-aplicado para avaliação do indicador sócio-dental (B-ECOHIS). A prevalência de cárie dentária foi de 33,7%. As crianças com alta gravidade de CPI tinham cinco vezes mais chance de sofrer impacto sobre QVRSB (p = 0,001; OR = 5,78, 95% CI 1,65-24,22). O teste one way ANOVA apresentou associação entre impacto na QVRSB e CPI. Conclui-se que a cárie como indicador clínico apresentou alta prevalência e, como o indicador sócio-dental, alto impacto sobre a QVRSB. Estes resultados demonstraram que os indicadores clínicos e sócio-dentais devem ser avaliados em conjunto.
Palavras-chave:
criançascárie dentáriaqualidade de vidasaúde bucal
Abstract:
Dental caries is an oral health outcome considered a public health problem that impacts oral health related to quality of life (OHRQoL). This study aimed to evaluate the outcome of dental caries in children by associating clinical and socio-dental indicators. A cross-sectional study was carried out with 2 to 6-year-old children who attended at a public day care centers in a city in the Southeast Region of Brazil. After sample calculation, 446 children were randomly selected by eligibility criteria. The clinical indicator, early childhood caries (ECC), were evaluated by two professionals (Kappa= 0.80) using WHO (2013) criteria and classified according to severity. Parents/caregivers answered a self-reported socio-dental indicator (B-ECOHIS). The prevalence of dental caries was 33.7%. The children with high severity of ECC had 5 times higher chance of suffering an impact on OHRQoL (p=0.001; OR=5.78, 95% CI 1.65-24.22). The one way ANOVA test showed that the impact on OHRQoL was associated with ECC. We concluded that the outcome dental caries in oral health presented high prevalence as clinical indicator and high impact on OHRQoL as socio dental indicator. These results demonstrated that clinical and socio-dental indicators should be evaluated together.
Desfechos em saúde bucal: associação de indicadores clínicos e sócio-dentais para avaliar cárie dentária em pré-escolares
Resumo (abstract):
Dental caries is an oral health outcome considered a public health problem that impacts oral health related to quality of life (OHRQoL). This study aimed to evaluate the outcome of dental caries in children by associating clinical and socio-dental indicators. A cross-sectional study was carried out with 2 to 6-year-old children who attended at a public day care centers in a city in the Southeast Region of Brazil. After sample calculation, 446 children were randomly selected by eligibility criteria. The clinical indicator, early childhood caries (ECC), were evaluated by two professionals (Kappa= 0.80) using WHO (2013) criteria and classified according to severity. Parents/caregivers answered a self-reported socio-dental indicator (B-ECOHIS). The prevalence of dental caries was 33.7%. The children with high severity of ECC had 5 times higher chance of suffering an impact on OHRQoL (p=0.001; OR=5.78, 95% CI 1.65-24.22). The one way ANOVA test showed that the impact on OHRQoL was associated with ECC. We concluded that the outcome dental caries in oral health presented high prevalence as clinical indicator and high impact on OHRQoL as socio dental indicator. These results demonstrated that clinical and socio-dental indicators should be evaluated together.
Antunes, L.A.A., Ornellas, Giulia, Fraga, Renato Silva, Antunes, Leonardo Santos. Oral health outcomes: the association of clinical and socio-dental indicators to evaluate dental caries in preschool children. Cien Saude Colet [periódico na internet] (2016/fev). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/oral-health-outcomes-the-association-of-clinical-and-sociodental-indicators-to-evaluate-dental-caries-in-preschool-children/15494?id=15494
