Cárie dentária e práticas alimentares entre crianças de creches do município de São Paulo

Abstract

OBJETIVO: Este estudo tem como objetivo avaliar associações entre a cárie dentária e a introdução de alimentos complementares em crianças de 11 a 34 meses matriculadas em creches. MÉTODOS: Trata-se de estudo transversal com 288 crianças de oito creches do município de São Paulo, realizado em 2007. Para o diagnóstico da cárie dentária foi utilizado o Índice de Cárie Modificado, que foi investigado por uma equipe de três cirurgiãs-dentistas treinadas quanto à precisão e acurácia. A introdução de alimentos foi avaliada por meio de questionário pré-codificado e pré-testado. Para quantificar as associações foi utilizado o teste Quiquadrado. Para análise multivariada foram ajustados modelos de regressão logística (p<0,05). RESULTADOS: Foram examinadas 228 crianças com idade entre 11 e 34 meses (M=24 meses; Dp=6,02), das quais 53,9% eram do sexo masculino e 57,45% frequentavam creches filantrópicas. A maioria da amostra (77,0%) apresentou Índice de Cárie Modificado igual ou superior a 1, enquanto o índice médio encontrado foi de 3,8 cáries por criança. Como fatores de risco significantes, foram identificados o sexo masculino (OR=1,815; p=0,03) e a escolaridade paterna inferior a oito anos (OR=1,94; p=0,02). O modelo de regressão logística identificou a exposição a carboidratos simples como fator de risco independente após o controle dos efeitos de sexo e escolaridade paterna, responsável por aumento de 2,5 vezes nas chances de apresentar o Índice de Cárie Modificado igual ou superior a 1. CONCLUSÃO: Atenção especial deve ser dada a esse grupo de indivíduos, adotando-se políticas preventivas em saúde bucal e formação de hábitos alimentares saudáveis nas creches.

Ultra-processed foods: Consumption among children at day-care centers and their classification according to Traffic Light Labelling system

“…It contributes to the occurrence of dental decay 23 , a fact proven by Biral et a.l 24 , who assessed the children that participated in the 2007 data collection of the present study and found that 77.00% of them showed some change according to modified, decayed, missing, and filled teeth index (ceo-mod ≥1) and 72.37% had dental plaque.…”

Cytotoxic and genotoxic potential of powdered juices

“…Due to the fast pace of city life, the consumption of powdered or industrialized juices increased significantly worldwide in recent decades (Biral et al, 2013;Longo-Silva et al, 2015). These foods, besides presenting good sensory quality including attractive color, odor and taste, are easily diluted in water and yield several portions (Mörschbächer & Souza, 2012).…”

Behavior During Tooth Brushing in the Home Environment in Preterm and Full-Term Infants

“…Many mothers reported that toothbrushing was performed before the infant slept, but they maintained the habit of bottle feeding or breastfeeding at night. The relationship of these factors with the development of dental caries has been demonstrated in literature, with emphasis on the importance of toothbrushing in dental biofilm control for caries prevention [2,[5][6][7]. Many mothers are unaware of the role of bottle-feeding for the infant to fall asleep in the occurrence of early childhood caries when toothbrushing is not performed [10,12].…”

“…Dental caries is a highly prevalent disease in children [1], presenting several variables that may influence its establishment, such as child's behavior, oral hygiene, nutritional habits and socioeconomic status [2]. Regardless of severity, dental caries associated with socioeconomic factors, such as low maternal schooling and family income, has the potential to impact quality of life related to the oral health of preschool children, which makes it necessary to carry out guidelines as a preventive measure [3].…”

“…One of the strategies to control caries is the inhibition of dental plaque development, which is a structured and functionally organized biofilm [4]. In this regard, the beginning of toothbrushing practice has been considered the most determinant factor for early childhood caries, which highlights the role of oral hygiene instruction [5,6], especially when there is nocturnal feeding [7] and high sugar consumption, since sucrose is the substrate for the oral microbiota [2]. Likewise, it was demonstrated that children aged 6-60 months have higher chance of developing caries when presenting poor oral hygiene, frequency of bottle consumption equal to or greater than three times a day and time of use over five months [8].…”