Prevalence of caries in Brazilian children with cleft lip andor palate, aged 6 to 36 months

Moura, Agda Maria de; André, Marli Eliza Dalmazo Afonso de; Lopez, Margareth Torrecillas; Dias, Reinaldo Brito e

doi:10.1590/s1806-83242013005000009

Cited by 9 publications

(11 citation statements)

References 21 publications

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“…Yet, about one‐third of 5‐yr‐old children and one‐half of 12‐yr‐old children have dental caries‐related tooth damage with approximately 0.5 caries lesions/individual (or 500 caries lesions/1,000 individuals) . The proportion of children with cleft lip and/or palate, 6–36 months of age with dental caries lesions, was recently reported to be 18.9% in an article assessing Brazilian children . A study in West Scotland found that the prevalence of dental caries was more common in children with clefts than in healthy children .…”

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confidence: 99%

Dental treatment need and dental general anesthetics among preschool‐age children with cleft lip and palate in northern Finland

Lehtonen

Sándor

Ylikontiola

et al. 2015

European J Oral Sciences

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Cleft lip and palate incidence is high in northern Finland. This study aimed to investigate the proportion of children in need of restorative dental treatment among cleft lip and palate patients in northern Finland, as well as their need for dental treatment under general anesthesia. The records of 183 cleft lip and palate patients, treated in Oulu University Hospital from 1997 to 2013, were reviewed. Data on dental caries were analyzed in association with cleft type, considering also the presence of syndromes. The frequency of dental general anesthetic (DGA) use, and of treatments, were also analyzed. Dental treatment need was most frequently observed, in this rather limited study population, in patients with the most severe deformities, namely bilateral cleft lip and palate, of whom 60% had caries. Among the study population, 11.5% (n = 21) had a syndrome. Of those, 57.1% had dental caries at the age of 3 or 6 yr, and only four could be treated without a DGA. Dental treatment under general anesthesia was performed in 14.8% of cleft patients without a syndrome, but in 38.1% of those with a syndrome. General anaesthesia is required for the provision of dental care more often in cleft (17.5%) than in non-cleft (0.2%) patients, and especially for those with a syndrome.

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confidence: 99%

Dental treatment need and dental general anesthetics among preschool‐age children with cleft lip and palate in northern Finland

Lehtonen

Sándor

Ylikontiola

et al. 2015

European J Oral Sciences

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“…Para qualquer um dos estudos publicados sobre cárie dentária, a exemplo do estudo de Milgron et al (2000) na população geral, o aumento da idade está intimamente relacionado à manifestação da cárie, inclusive isto pode ser constatado no nosso trabalho ao se observar a tabela 5.5 (p =0,0001). Estudos nacionais como o de Pimentel (1986), Neves (2002) e Moura et al(2013) também nos permitem observar que a cárie dentária aumenta sua prevalência à medida que a idade aumenta. Zschieschack e Grabowski (1999) observaram que aos 3 anos apenas uma superfície em cada dente era afetada por cárie e aos 4 anos múltiplas superfícies do mesmo dente apresentavam-se comprometidas, fato similar nesta amostra, pois o aumento também foi muito acentuado uma vez que na faixa etária menor (6 a 30 meses) o ceos-m foi 0,26 e e na maior (31 a 72 meses) foi de 1,78 (Tabela 5.14).…”

Section: Discussionunclassified

“…Quanto às variáveis prevalência de cárie e gênero, não se verificou relação estatisticamente significante, nem na amostra do estudo transversal (Tabela 5.4) e nem na amostra pareada (Tabela 5.12). Estes achados são mais concordantes na literatura tanto para fissurados (Byan et al, 2001;Neves, 2002;Moura et al,. 2013) quanto para a população geral (Tomita et al, 1996;Leite, Ribeiro, 2000).…”

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Prevalência de cárie dentária em crianças portadoras de fissura de lábio e/ou palato na faixa etária entre 6 e 72 meses

Moura¹

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Oral health is essential to ensure the successful esthetic and functional rehabilitation of children with cleft lips and palates. The objective of this research work was to explore in greater depth how caries are expressed in patients that have been treated ever since the early days of FOUSP's Prosthetic Maxillofacial OutPatient Clinic. A single researcher examined 285 children between the ages of 6 and 72 months, 116 of which were female and 139 were male. Thirty children with no cleft composed the control group. The remaining 255 comprised the study group, in which the children were classified as: 145 with cleft lip and palate, 36 with cleft lip and 74 with cleft palate. A group of 57 affected patients were submitted to a longitudinal study that included three tests performed at intervals of 12 months. Another group of 30 children with clefts was selected, in which the children's data was matched with those of siblings living in the same home. This group comprised the control group. Visual and tactile clinical examinations were held after dental prophylaxis under artificial light, with a clinical mirror and CPI probes, when necessary. Dental caries were diagnosed by WHO criteria; severity was classified according to the FDI / WHO, and seriousness, according to the American Dental Association. The tabulated data was analyzed statistically using the chi-square test adjusted for the Fisher statistic or the Yates' correction. In the group of 255 children, 35 were affected by dental caries, which accounted for 13.8% of the sample. There was no association between caries prevalence and cleft types (p = 0.587) and between caries prevalence and gender (p = 0.736), but increasing age showed a statistically significant correlation (p = 0.001). In the longitudinal evaluation, 57 children were free of caries at baseline (A1); in the second exam (A2), 44 children remained without decay; in the last evaluation (A3), 35 remained free of caries. The mean dmft in the cross-sectional sample was 0.34; in the longitudinal sample in A2, it was 0.38, and in A3, it was 0.92. In the group of siblings that matched the mean dmft, the occurrence of cleft was 0.4, and, in the control group (their siblings), it was 1.53, with a very low and a moderate severity score, respectively. The seriousness of the caries was assessed in 35 children with dental caries. In 21 children, the upper central incisors were affected, in 5, both maxillary central incisors were affected, and in 9, some other posterior tooth was affected. In the paired group, both subjects with cleft and their siblings had the most affected upper central incisors (p <0.001). It was concluded that patients with cleft lip and palate, followed up from birth, showed a low prevalence of dental caries with very low severity but high seriousness.

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“…Quanto a ocorrência de cárie dentária verificou-se que apenas no GF , 1996;CERQUEIRA, 1998;NEVES, 2002;MOURA et al, 2013) e de acordo com o relatório do Projeto de Saúde Bucal (BRASIL, 2004) que encontrou ceo-d médio do Brasil de 1,1 aos 18 meses.…”

Section: Discussionunclassified

“…Os principais dentes acometidos pela cárie eram os incisivos centrais superiores próximos à área fissurada, corroborando com o encontrado na literatura sobre a dificuldade da higienização bucal na área acometida pela fissura (CHENG;MOOR;HO, 2007). Neves (2002); Santos e Sovieiro (2002); Moura et al (2013) também observaram em seus estudos que os dentes mais afetados foram os incisivos superiores.…”

Section: Discussionunclassified

Início da introdução de acúcar na dieta e presença de cárie dentária em bebês com e sem fissura labiopalatina

Mendonça¹

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Prevalence of caries in Brazilian children with cleft lip andor palate, aged 6 to 36 months

Cited by 9 publications

References 21 publications

Dental treatment need and dental general anesthetics among preschool‐age children with cleft lip and palate in northern Finland

Dental treatment need and dental general anesthetics among preschool‐age children with cleft lip and palate in northern Finland

Prevalência de cárie dentária em crianças portadoras de fissura de lábio e/ou palato na faixa etária entre 6 e 72 meses

Início da introdução de acúcar na dieta e presença de cárie dentária em bebês com e sem fissura labiopalatina

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