BACKGROUND: Molar incisor hypomineralization (MIH) is a developmental enamel defect with multifactorial etiology. Although the relationship between celiac disease (CD) and developmental enamel defect was demonstrated, the association between CD and MIH is uncertain. OBJECTIVE: The objective of this study was to analyze the occurrence of MIH in CD patients. METHODS: Forty CD patients and a control group with 40 healthy individuals were selected. A calibrated examiner (k≥0.889) according to the European Academy of Pediatric Dentistry criteria performed the diagnosis of MIH. Data were analyzed by descriptive statistics and Fischer’s exact test (α=0.05). RESULTS: Of the 80 participants, ten presented MIH with eight individuals with CD. Celiac patients presented 4.75 times the chance of occurrence of MIH than the control group (95% CI: 2.22-10.18; P=0.044). In all the evaluated teeth (n=978), 22 had MIH: 20 teeth in individuals with CD and two in those without the disease. All CD participants with MIH presented the classic form of the disease. CD participants showed 17 teeth (85.0%) with demarcated opacities, two (10.0%) post-eruptive collapses and one (5.0%) atypical restoration. The control group presented only demarcated opacities. CONCLUSION: CD increased the chance of MIH and associated with its clinical manifestations can assist in the diagnosis of CD.
Background/Aim: Permanent tooth avulsion requires proper management at the time of the accident and parental oral health literacy (OHL) may influence decision-making with regards to dental trauma. The aim of this study was to investigate the influence of OHL on: (1) self-rated comprehension of an information leaflet (IL), (2) self-rated capacity to execute the tasks proposed on the IL, and (3) attitudes regarding the avulsion of a permanent tooth in children.
Social determinants of health (SDH) are strongly associated with oral health outcomes, and oral health literacy (OHL) is a potential factor that can modify this association. This study evaluated the association between SDH and OHL, including functional and interactive dimensions of OHL. The cross sectional study was conducted with 354 adults recruited from public dental clinics in southern Brazil. Functional OHL was measured using the Brazilian version of the Rapid Estimate of Adult Literacy in Dentistry (BREALD-30) and the Health Literacy Dental Scale (HeLD-14), for the evaluation of interactional OHL. SDH was evaluated through a structured questionnaire, and economic class was determined based on the Brazilian Economic Classification Criteria. The statistical analysis involved bivariate and multivariate Poisson regression with robust variance (α=0.05) to estimate rate ratios (RR) and 95% confidence intervals (CI). Among the 354 participants, 284 (80.2%) were women and the mean age was 22.9 ± 4.9 years. The median BREALD-30 score was 24 (1 st /3 rd quintile: 20/27) and the median HeLD-14 score was 45 (1 st /3 rd quintile: 37/50). Most participants had up to eight years of schooling (71.5%) and belonged to the "C" Economic Class or lower (94.1%). The multiple regression analysis showed that schooling and economic class were associated with the BREALD-30 and HeLD-14 scores, income and age were associated with the HeLD-14 score, and marital status and occupation were associated with the BREALD-30 score. Different dimensions of OHL were associated with SDH in Brazilian adults. This aspect should be incorporated into strategies for improving OHL levels in individuals or populations.
Objetivo: Avaliar a associação entre o alfabetismo em saúde bucal (ASB) e a autopercepção de pais/cuidadores quanto à presença de dentes permanentes na cavidade bucal de crianças com dentição mista. Método: Estudo observacional analítico incluindo 51 pares de pais/cuidadores e crianças entre seis e 11 anos de idade. Um questionário foi utilizado para avaliar a autopercepção dos pais/cuidadores quanto à presença e o número de dentes permanentes presentes na cavidade bucal da criança. Dados socioeconômicos e demográficos também foram avaliados. ASB foi mensurado através do instrumento BREALD-30 por duas entrevistadoras calibradas (K≥0,923). Um exame clínico foi realizado por duas examinadoras treinadas a fim de se avaliar o número e a localização dos dentes permanentes presentes na cavidade bucal de crianças. Os dados foram avaliados por análise descritiva, teste de coeficiente de correlação intraclasse e testes não paramétricos. Resultados: Maiores escores do ASB foram associados a autopercepção parental adequada quanto à presença de dentes permanentes (P=0,043). Houve concordância quanto ao número de dentes permanentes entre as examinadoras e os participantes com alto nível de ASB (P<0,05). Conclusão: ASB está associado à autopercepção de pais e cuidadores quanto à presença de dentes permanentes em crianças em fase de dentição mista.
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