Dental caries severity and oral health‐related quality‐of‐life in Brazilian preschool children

Fernandez, Matheus dos Santos; Pauli, Laís Anschau; Costa, Vanessa Polina Pereira da; Azevedo, Marina Sousa; Goettems, Marília Leão

doi:10.1111/eos.12836

Cited by 7 publications

(5 citation statements)

References 40 publications

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“…Minimally invasive treatments that add multidisciplinary approaches have the potential to achieve results that meet the expectations of both professionals and patients with high predictability and low morbidity, factors associated with improved oral health-related quality of life, since it is known in the literature that dental esthetics affects how people are perceived by society and how they perceive themselves [21,22].…”

Section: Discussionmentioning

confidence: 99%

Conservative smile enhancement: a case report and brief review on multidisciplinary approach in aesthetic dentistry

BRASIL,

LINS-FILHO,

DIAS

et al. 2023

RGO, Rev. Gaúch. Odontol.

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The gingival contour, the color of the teeth and the presence of interincisal diastema are seen as unsightly factors, being highly harmful from a social point of view. The present study aimed to report a comprehensive and conservative esthetic treatment executed with a multidisciplinary approach in a 20-year-old female patient that presented darkened teeth with poor spacing and excessive gingival display while smiling, as well as present a brief literature review on multidisciplinary approach in esthetic dentistry. After clinical examination and diagnosis, a treatment plan was elaborated to meet the patient’s expectations with a conservative approach. After patient consent, therapy began with supervised home-based tooth whitening with 22% carbamide peroxide applied one hour/daily for 14 days, followed with gingival recontouring surgery and, after a healing period of 30 days, diastemas closure with direct composite resin technique, occlusal adjustment, finishing, and polishing. The multidisciplinary approach was fundamental for the accomplishment of the proposed treatment, achieving satisfactory esthetic and functional results.

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Section: Discussionmentioning

confidence: 99%

Conservative smile enhancement: a case report and brief review on multidisciplinary approach in aesthetic dentistry

BRASIL,

LINS-FILHO,

DIAS

et al. 2023

RGO, Rev. Gaúch. Odontol.

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“…Dental morbidity is a major health burden in XLH patients who may sustain recurrent spontaneous abscesses in deciduous and permanent teeth ( 4 , 29 ), increased vulnerability to endodontic infections and recurrent periodontitis ( 30 ). Dental morbidity during childhood can adversely affect the child’s behavior, nutrition and quality of life ( 31 ). The need for frequent dental care services can become major mental and economic burdens, and may be out of reach for pediatric patients whose families have lower socioeconomic positions ( 32 ).…”

Section: Discussionmentioning

confidence: 99%

Dental health of pediatric patients with X-linked hypophosphatemia (XLH) after three years of burosumab therapy

et al. 2022

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An inactivating PHEX gene mutation with the resultant accumulation of several mineralization-inhibiting proteins (e.g., FGF23) causes skeletal and dental morbidity in X-linked hypophosphatemia (XLH). This prospective case-control study explored the effect of burosumab, an anti-FGF23 antibody, on dental health of children with XLH. Ten children (age 4.3-15 years) with XLH underwent burosumab treatment per protocol. Assessment of their dental status at treatment initiation and after 1 and 3 years of treatment included clinical, laboratory and radiographic evaluation of rickets and dentition. Orthopantomographic examinations of ten healthy sex- and age-matched controls were selected for comparison. Coronal and pulp dimensions of a selected permanent mandibular molar were measured with Planmeca Romexis® software. One year of treatment led to improvement of height z-score (p=0.019) and healing of the rickets (p<0.001) in the XLH patients, and those achievements were maintained after three years of treatment. Dental morphology of XLH patients, distinguished by increased pulp-coronal ratios compared to controls (p=0.002), remained larger after the first year of treatment (p<0.001) and did not attain the decrease expected with age after three years of treatment. Five patients had a history of recurrent dental abscesses, with three having undergone at least one episode during the year before burosumab initiation. One patient sustained recurrent abscesses throughout three years of treatment. The persistence of the unique dental morphology of XLH patients undergoing burosumab therapy, as evidenced by excessively larger pulp dimensions, supports the role of other PHEX gene-related local mineralization inhibitors, such as osteopontin, in the pathogenesis of dental morbidity.

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“…affected individuals, 2 but also has a high economic impact, 3 reflecting widespread social and economic inequalities, particularly in low-and middle-income countries. 4 It is estimated that in 2015, the indirect cost due to caries in deciduous teeth was $0.90 billion.…”

Section: Introductionmentioning

confidence: 99%

Trends and age-period-cohort effect on dental caries prevalence from 2008 to 2019 among Brazilian preschoolers

RAMADAN,

KNORST,

BRONDANI

et al. 2024

Braz. oral res.

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This study aimed to evaluate trends in the prevalence of dental caries in preschool children and associated factors considering different time variations. This is a time series study performed using data from three cross-sectional studies with pre-school children from southern Brazil in 2008, 2013 and 2019. This children group was born between the years of 2003 to 2018. Dental caries was evaluated by decayed, missing and filled deciduous teeth (dmft index). Demographic, socioeconomic, behavioural and psychosocial variables were also collected. Chi-square test for trends and a hierarchical age-periodcohort (HAPC) analysis using multilevel Poisson regression model for testing the associations between predictor variables and dental caries experience were used. A total of 1,644 pre-school children participated in all surveys. There was a significant difference in caries experience considering all APC effects. The prevalence of dental caries was 25.0% in 2008, 16.3% in 2013, and 19.4% in 2019 (p < 0.01) and no statistical difference was observed. An age effect showed that older children were more likely to experience dental caries. Considering the cohort effect, there is a significant difference between the generations, mainly between 2003 and 2018. Household income, use of dental services, and parent's perception of child oral health were associated with dental caries experience no matter the time variation. Despite recent declines in dental caries prevalence among preschool children, caries levels increased with age and social inequalities persisted through the years, indicating a need of reviewing the policies to reduce the burden of this oral disease.

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Dental caries severity and oral health‐related quality‐of‐life in Brazilian preschool children

Cited by 7 publications

References 40 publications

Conservative smile enhancement: a case report and brief review on multidisciplinary approach in aesthetic dentistry

Conservative smile enhancement: a case report and brief review on multidisciplinary approach in aesthetic dentistry

Dental health of pediatric patients with X-linked hypophosphatemia (XLH) after three years of burosumab therapy

Trends and age-period-cohort effect on dental caries prevalence from 2008 to 2019 among Brazilian preschoolers

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