To investigate the association between child's daytime caring person and risk for higher early childhood caries (ECC) experience. Material and Methods: The sample consisted of all clinical records (census) of children (0-3 years old) attended in a public dental clinic, which contained information about caries experience and child's daytime caring person (mother, grandmother or others). Caries experience was dichotomized as dmft ≤ 2 or dmft >2. Data were analyzed by the chi-square (α = 0.05). Binary logistic regression models were built. Results: From a total of 310 children, 19% of children had the grandmother as daytime caring person. There was no association between child's daytime caring person and caries experience (p=0.32). Logistic regression analysis showed that low daytime caregiver schooling (OR: 5.76 95%CI 1.18-28.18; p=0.02) and child's age (OR: 1.14 95% CI 1.09-1.19; p=0.00) were risk factors, and breastfeeding duration (> 9 months-OR: 0.38 95% CI 0.21-0.68; p=0.00), no nocturnal feeding (OR: 0.50 95% CI 0.27-0.91; p=0.02), and absence of sugar consumption between main meals (OR: 0.50 95% CI 0.28-0.89; p=0.02) were protection factors for ECC. Conclusion: A higher caries experience in early childhood is not associated to child's daytime caring person. On the other hand, the higher caries experience is associated with low caregiver schooling and older children.
Resumo: Às áreas rurais brasileiras, apresentam os piores indicadores de renda, saneamento básico e de níveis de escolaridade quando comparadas às localizações urbanas e, este fato pode configurar um importante agravo à saúde geral e bucal de seus moradores. Deste modo, diante deste contexto o objetivo do presente trabalho foi descrever os resultados de uma atividade de extensão interdisciplinar em saúde que avaliou as condições de saúde bucal de estudantes de idade entre 5 a 15 anos, residentes em uma zona rural do estado do Rio Grande do Sul e avaliar a concentração de íons de fluoreto nas águas de abastecimento naturais da região. Durante um mutirão de saúde de uma extensão universitária, foram realizadas avaliações odontológicas, preenchimento do questionário de nível sócio econômico dos cuidadores dos escolares e coleta da água em 3 poços artesianos da região.. Constatou-se que aproximadamente 50% dos escolares apresentaram lesões cariosas, placa dentária, sangramento gengival e um grau severo de fluorose. Eles estavam desprovidos de assistência odontológica, preventiva, curativa e viviam sem saneamento básico adequado. Os teores de íons de fluoreto nas águas de abastecimento natural não se encontravam dentro dos padrões de normalidade.Palavras chave: Assistência à saúde; escolares; cárie dentária; fluorose dentária.Abstract: This study demonstrates that Brazilian rural areas present the worst indicators in income, basic sanitation and schooling, if it is compared to urban areas, which may represent a major problem to their oral and general health. Thus, this study aimed to describe the results of a health interdisciplinary outreach activity that evaluated the oral health conditions of students, aged 5 to 15, from a rural area of Rio Grande do Sul, Brazil, and to measure the fluoride of the water consumed by them. The data were collected through participants' dental evaluation, social economic questionnaire and analisis of waters collected from three artesian wells. It was found that approximately 50% of the students had carious lesions, dental plaque, gingival bleeding and some degree of mild to severe fluorosis. It was noticed that the comunity were devoided of dental care, preventive and curative assistance, and were without adequate basic sanitation facilities. Besides, the levels of fluoride ions in the natural sources of waters fell below the standards
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