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S Fernandez M, Pauli LA, Araújo ABG, Demarco GT, Azevedo MS, da Costa VPP, Goettems ML. Dental pain in Brazilian preschool children: association with the severity of dental caries and impact on oral health-related quality of life. Eur Arch Paediatr Dent 2024:10.1007/s40368-024-00906-6. [PMID: 38761358 DOI: 10.1007/s40368-024-00906-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2022] [Accepted: 04/24/2024] [Indexed: 05/20/2024]
Abstract
PURPOSE This study aimed to verify the association between dental pain and severity of dental caries (caries morbidity stages) and the impact on oral health-related quality of life (OHRQoL) in preschool children. METHODS A cross-sectional study with 199 children (2-5 years old) enrolled at preschools in Capão do Leão-RS, Brazil. The self-report of mothers of children with a history of dental pain in the last 6 months and perception of their child's OHRQoL (ECOHIS) were obtained through a structured questionnaire. This questionnaire also collected independent variables. Children's oral examination was performed using the CAST instrument to determine caries morbidity stage. Crude and adjusted Poisson regression analysis was performed. RESULTS The prevalence of dental pain was 14.57%. The chance of the occurrence of dental pain was higher among children diagnosed in morbidity [Prevalence ratio-PR: 5.29 (95% confidence interval-95% CI 1.91-14.61); p = 0.001] and severe morbidity [RP = 6.12 (95 CI% 2.25-16.64); p < 0.001] stages. Children with dental pain presented higher scores in the total ECOHIS [rate ratio = 7.11 (95% CI 4.55-11.09); p < 0.001] and in all of the domains of this instrument. Furthermore, children with a history of dental trauma [PR = 2.41 (95% CI 1.15-5.04); p < 0.001] and those whose reason for last visit to the dental office was for restorative/endodontic/extraction treatment [PR = 1.29 (95% CI 1.01-6.19); p = 0.049] had a higher prevalence of dental pain. CONCLUSION A substantial prevalence of dental pain in the last 6 months and negative impact on children's OHRQoL was identified in this sample. Children diagnosed with carious dentin lesions and abscess and fistula were more likely to have dental pain.
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Affiliation(s)
- M S Fernandez
- Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
| | - L A Pauli
- Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
| | - A B G Araújo
- School of Dentistry, Federal University of Pelotas, Pelotas, Brazil
| | - G T Demarco
- Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
| | - M S Azevedo
- Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
| | - V P P da Costa
- Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
| | - M L Goettems
- Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil.
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Mendonça TS, Carvalho STD, Aljafari A, Hosey MT, Costa LR. Oral Health Education for Children: Development of a Serious Game with a User-Centered Design Approach. Games Health J 2024. [PMID: 38563685 DOI: 10.1089/g4h.2023.0055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/04/2024] Open
Abstract
Background: Children can learn efficiently with well-designed serious games. The use of applications to promote health has proliferated, but there is a lack of scientific studies on educational games in oral health. Materials and Methods: We developed the Brazilian version of a British and Jordanian oral health education game for children from the perspectives of Brazilian specialists and users. This descriptive study, with a qualitative and quantitative approach, comprised three phases: I-Experts' discussion of the appropriateness of the previous version of the game to Brazil; II-Development of the first Brazilian version of the game; and III-Evaluation of the first version with 15 children from 4 to 8 years of age. Results: In Phase I, the specialists agreed with the development of the Brazilian version of the game, with minor adjustments on: advice on eating; advice on oral hygiene habits, users' age group, game characters, and game purpose. Phase II: a version with a few changes in images and recommendations, written and spoken in Brazilian Portuguese. Phase III: The global average of correct answers in the game's tasks was 75.3%, ranging from 50.0% to 100%. Children reported having fun with the game, and most understood the content and its interface; their parents found the information relevant and enjoyed the gameplay with their children. Conclusions: The Oral Health Education Game offered basic information for preventing dental caries to Brazilian children aged 4-8 years old in an interactive and fun way; it could support professionals in improving oral health education.
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Affiliation(s)
- Thaís Silva Mendonça
- Dentistry Graduate Program, Dental School, Faculty of Dentistry (UFG/GO), Goiânia-GO, Brazil
| | | | - Ahmad Aljafari
- Department of Paediatric Dentistry, Orthodontics, and Preventive Dentistry, School of Dentistry, The University of Jordan, Amman, Jordan
| | - Marie Therese Hosey
- Department of Oral, Clinical & Translational Sciences, Faculty of Dentistry, Oral and Craniofacial Sciences, Centre of Oral, Clinical and Translational Science, King's College London, London, United Kingdom
| | - Luciane Rezende Costa
- Dentistry Graduate Program, Dental School, Faculty of Dentistry (UFG/GO), Goiânia-GO, Brazil
- Faculty of Dentistry, UFG/GO, Goiânia-GO, Brazil
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3
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Menoncin BLV, Fatturi AL, Scariot R, Menezes JVNB, Brancher JA, Feltrin-Souza J. Dental pain report in children and genetic polymorphism (rs4818) in Catechol-O-Methyltransferase (COMT) gene: a cross- sectional study. J Appl Oral Sci 2024; 32:e20230229. [PMID: 38198369 PMCID: PMC10786450 DOI: 10.1590/1678-7757-2023-0229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2023] [Revised: 10/09/2023] [Accepted: 11/25/2023] [Indexed: 01/12/2024] Open
Abstract
AIM Polymorphisms in the COMT gene can alter enzymatic functions, raising levels of endogenous catecholamines, which stimulates beta-adrenergic receptors related to pain. This study aimed to evaluate whether a polymorphism in the COMT gene (rs4818) is associated with dental pain in children. METHODOLOGY A cross-sectional study was conducted with a representative sample of 731 pairs of children and parents randomly selected from a population-based sample of eight-year-old children. Reports of dental pain was evaluated using a question directed at the parents and self-reported pain using the Faces Pain Scale - Revised. Dental caries experience was determined using the Decayed, Missing, and Filled Teeth (DMFT) index. For genetic analysis, DNA was obtained from oral mucosa epithelial cells of 352 children randomly selected from the initial sample. RESULTS Children with the CC genotype had higher odds of reporting moderate to intense pain than those with the GG genotype (OR=3.60; 95% CI=0.80-16.20; p=0.03). These same children had greater odds of parental reports of pain (OR=1.93; 95% CI=0.91-4.08; p=0.02). Moreover, lower schooling of parents/guardians and caries experience in the primary dentition were significantly associated with greater odds of a parental report of dental pain (OR=2.06; 95% CI=1.47-2.91; p<0.001; OR=6.26; 95% CI=4.46-8.78; p<0.001). CONCLUSIONS The rs4818 polymorphism of the COMT gene is associated with dental pain. Children with the C allele are more likely to report higher levels of pain. Clinical Relevance: Even though the experience of pain is subjective and multifactorial, this study raises the hypothesis that there is a genetic predisposition to dental pain that should be considered in clinical practice.
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Affiliation(s)
- Bruna Leticia Vessoni Menoncin
- Universidade Federal do ParanáDepartmento de EstomatologiaCuritibaPRBrasilUniversidade Federal do Paraná, Departmento de Estomatologia, Curitiba, PR, Brasil.
| | - Aluhê Lopes Fatturi
- Universidade Federal do ParanáDepartmento de EstomatologiaCuritibaPRBrasilUniversidade Federal do Paraná, Departmento de Estomatologia, Curitiba, PR, Brasil.
| | - Rafaela Scariot
- Universidade Federal do ParanáDepartmento de EstomatologiaCuritibaPRBrasilUniversidade Federal do Paraná, Departmento de Estomatologia, Curitiba, PR, Brasil.
| | - José Vitor Nogara Borges Menezes
- Universidade Federal do ParanáDepartmento de EstomatologiaCuritibaPRBrasilUniversidade Federal do Paraná, Departmento de Estomatologia, Curitiba, PR, Brasil.
| | - João Armando Brancher
- Universidade PositivoCuritibaBrasilUniversidade Positivo, Programa de Pós-Graduação em Odontologia, Curitiba, Brasil.
| | - Juliana Feltrin-Souza
- Universidade Federal do ParanáDepartmento de EstomatologiaCuritibaPRBrasilUniversidade Federal do Paraná, Departmento de Estomatologia, Curitiba, PR, Brasil.
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4
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Rauber ED, Knorst JK, Noronha TG, Zemolin NAM, Ardenghi TM. Impact of the use of dental services on dental pain according to adolescents' skin colour: a 10-year cohort. Clin Oral Investig 2023:10.1007/s00784-023-04921-7. [PMID: 36829064 PMCID: PMC9957686 DOI: 10.1007/s00784-023-04921-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2022] [Accepted: 02/13/2023] [Indexed: 02/26/2023]
Abstract
OBJECTIVE Evaluate the association of the interaction between the use of dental services and the skin colour on the occurrence of dental pain over time. MATERIAL AND METHODS This study is a cohort with 10 years of follow-up, started in 2010 with a sample of 639 preschool children (1-5 years old). The use of dental services, race and the presence of dental pain were self-reported by the individuals according to predefined criteria. Multilevel logistic regression analysis was performed to assess the interaction between skin colour and use of dental services in the occurrence of dental pain over time. RESULTS About 449 and 429 were reassessed in 2017 and 2020, respectively. The occurrence of dental pain across the cohort was 60.7%. Caucasian individuals who used dental services throughout the cohort had a 51% lower chance of having a dental pain than those who used dental services but were non-white (OR 0.49; 95% IC 0.27-0.90). CONCLUSION There was a racial inequity in the occurrence of dental pain among individuals who managed to make use of dental services throughout the follow-ups. CLINICAL RELEVANCE The differences found should serve as a warning to the way how individuals with different characteristics are treated and must be used to combat this inequity. Individuals should receive resolute and personalized treatments according to their clinical condition and not according to their socioeconomic characteristics.
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Affiliation(s)
- Everton Daniel Rauber
- Postgraduate Program in Dental Sciences, Federal University of Santa Maria, Rua Conde de Porto Alegre, Santa Maria, RS 961 Brazil
| | - Jessica Klöckner Knorst
- Postgraduate Program in Dental Sciences, Federal University of Santa Maria, Rua Venâncio Aires, Santa Maria, RS 1434 Brazil
| | - Thaís Gioda Noronha
- Postgraduate Program in Dental Sciences, Federal University of Santa Maria, Rua Conde de Porto Alegre, Santa Maria, RS 961 Brazil
| | - Nicole Adrielli Monteiro Zemolin
- Postgraduate Program in Dental Sciences, Federal University of Santa Maria, Rua Conde de Porto Alegre, Santa Maria, RS 961 Brazil
| | - Thiago Machado Ardenghi
- Departament of Stomatology, School of Dentistry, Federal University of Santa Maria, Santa Maria, Brazil. .,Universidade Federal de Santa Maria, Roraima nº 1000 Bairro Camobi, CEP: 97105900, Santa Maria, RS, Brazil.
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Park AH, Kulchar RJ, Susarla SM, Turton B, Sokal-Gutierrez K. Fewer Children in Families Associated with Lower Odds of Early Childhood Caries: A Sample from Three Countries. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2195. [PMID: 36767562 PMCID: PMC9916343 DOI: 10.3390/ijerph20032195] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/31/2022] [Revised: 01/24/2023] [Accepted: 01/24/2023] [Indexed: 06/18/2023]
Abstract
Childhood caries experience is influenced by family characteristics and oral health practices in the context of many social-commercial determinants. The aim of this study was to explore the relationship between families' number of children, oral health practices and child caries experience in a convenience sample of 1374 children aged 6 months through 6 years and their families from Ecuador, Nepal, and Vietnam. Data were collected by mother interviews and child dental exams. Multivariate logistic and Zero-Inflated-Poisson regression analyses assessed associations between number of children, oral health practices and decayed, missing or filled teeth (dmft). Families had a mean of 2.2 children (range 1-12); 72% of children had tooth decay, with mean dmft of 5.4. Adjusting for child age, sex, and urban/rural location, a greater number of children in the family was associated with significantly less likelihood of unhealthy bottle feeding practices, having a toothbrush/toothpaste and parent helping child brush, and being cavity-free; higher number of dmft, and greater likelihood of having a dental visit. Early childhood oral health promotion should include focus on oral hygiene and healthy feeding-particularly breastfeeding and healthy bottle feeding practices-as well as access to family planning services and support for childcare.
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Affiliation(s)
- Amy H. Park
- Rausser College of Natural Resources, University of California, Berkeley, CA 94704, USA
| | - Rachel J. Kulchar
- Department of Chemistry, Princeton University, Princeton, NJ 08544, USA
| | | | - Bathsheba Turton
- Henry M. Goldman School of Dental Medicine, Boston University, Boston, MA 02118, USA
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Elagami RA, Tedesco TK, Pannuti CM, da Silva GS, Braga MM, Mendes FM, Raggio DP. Selective outcome reporting in paediatric dentistry restorative treatment randomised clinical trials-A meta-research. Int J Paediatr Dent 2023; 33:89-98. [PMID: 35838202 PMCID: PMC10087835 DOI: 10.1111/ipd.13024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/12/2021] [Revised: 06/26/2022] [Accepted: 06/30/2022] [Indexed: 01/01/2023]
Abstract
BACKGROUND Selective outcome reporting (SOR) is a bias that occurs when the primary outcome of a randomised clinical trial (RCT) is omitted or changed. AIM To evaluate the prevalence of SOR in RCTs on restorative treatment in primary teeth. DESIGN We conducted an electronic search on ClinicalTrials.gov and the World Health Organization platform (International Clinical Trials Registry Platform) on 1st of April 2021, with no registry time or language restrictions. We included RCT protocols that evaluated restorative treatments in primary teeth and excluded trials that did not have a complete publication in a scientific journal. The chi-squared test was used to identify the association between SOR and variables as a discrepancy in the follow-up period, the timing of registration, the type of sponsorship and the type of study design (α = 5%). RESULTS Of the 294 identified protocols, 30 were included in the study. 83.3% of trials were registered retrospectively. SOR was observed in 53.3% (n = 16) of the published trials and was significantly associated with a discrepancy in the follow-up period (p = .017). CONCLUSIONS The high prevalence of SOR in RCTs on restorative treatment proves that this is a prominent threat. A proper preregistered protocol, declaration of any protocol deviation and allowance of stakeholders to compare the protocol with that of the submitted papers will achieve transparency.
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Affiliation(s)
- Rokaia Ahmed Elagami
- Department of Paediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | | | - Claudio Mendes Pannuti
- Department of Periodontics, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Gabriela Seabra da Silva
- Department of Paediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Mariana Minatel Braga
- Department of Paediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Fausto Medeiros Mendes
- Department of Paediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Daniela Prócida Raggio
- Department of Paediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil.,School of Dentistry, Cardiff University, Cardiff, UK
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Lima CV, Dos Santos Noronha M, de Menezes EJM, de Oliveira Araújo VS, Mendes PHC, Ferreira RC, Martins AMEDBL, Souza JGS. Unraveling the signs and symptoms of oral conditions that affect daily life activities and oral health-related quality of life. Clin Oral Investig 2022:10.1007/s00784-022-04847-6. [PMID: 36585526 DOI: 10.1007/s00784-022-04847-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2022] [Accepted: 12/26/2022] [Indexed: 12/31/2022]
Abstract
OBJECTIVES Since oral conditions negatively affect oral health-related quality of life (OHRQoL), this study evaluated which oral clinical condition, signs, and symptoms are associated with the impact on OHRQoL, its domains, and specific daily life activities among adults. MATERIALS AND METHODS Data from a probabilistic sample of adults (35-44 years old) was used. The Oral Impacts on Daily Performance (OIDP) was used to evaluate OHRQoL, its domains (physical, psychological, and social), and nine daily life activities. Signs and symptoms of oral diseases (dental caries, periodontal disease, need for dental prothesis, and tooth loss) and oral self-perception were considered. Descriptive, bivariate, and multi-level analyses were conducted. RESULTS A total of 5,834 adults were included, of which 52.9% had some negative impact of oral conditions on OHRQoL. Difficulty in eating was the most affected daily life activity. For multiple models, dental caries lesions (cavities), filled teeth with caries, gingival bleeding, periodontal pocket, dental pain, need for upper or lower dental prosthesis, and oral health self-perception were associated (p < 0.05) with overall OHRQoL or at least one of its domains. The impact on daily life activities of each individual was associated with at least one oral condition. Dental caries lesions (cavity) and dental pain were associated (p < 0.05) with the impact on most daily life activities evaluated. CONCLUSIONS Different signs and symptoms of prevalent oral diseases are associated with the impact on specific daily life activities among adults, which may compromise the OHRQoL. CLINICAL RELEVANCE Knowledge of how signs, symptoms, and oral conditions affect OHRQoL and daily life activities can provide essential information for clinicians to establish proper disease management and preventive strategies focusing on improving patients' lives.
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Affiliation(s)
- Carolina Veloso Lima
- Restorative Dentistry Department, Federal University of Paraná, Curitiba, Paraná, Brazil
| | | | | | | | - Patrícia Helena Costa Mendes
- Dental Science School (Faculdade de Ciências Odontológicas), Montes Claros, Minas Gerais, Brazil
- State University of Montes Claros, Montes Claros, Minas Gerais, Brazil
| | | | | | - João Gabriel Silva Souza
- Dental Science School (Faculdade de Ciências Odontológicas), Montes Claros, Minas Gerais, Brazil.
- Dental Research Division, Guarulhos University, Guarulhos, São Paulo, Brazil.
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Shinde N, Kanabar DJ, Miles LJ. Narrative review of the prevalence and distribution of acute pain in children in the self-care setting. PAEDIATRIC & NEONATAL PAIN 2022; 4:169-191. [PMID: 36618510 PMCID: PMC9798044 DOI: 10.1002/pne2.12085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/05/2022] [Revised: 05/16/2022] [Accepted: 07/20/2022] [Indexed: 01/11/2023]
Abstract
Acute pain among children is common, yet it may be underestimated and undertreated if the pain is not recognized. Assessing and managing pediatric pain can be complicated, and as such, measuring the prevalence of acute pain in children can be challenging. We sought to provide a consolidated review of the available data on the prevalence of commonly occurring acute pain in children in the self-care setting. An extensive literature search was performed to determine the prevalence of acute pain at multiple bodily locations in children aged between 3 months and 18 years. We considered the influence of age, sex, and sociodemographic factors on prevalence estimates. We also sought to identify some of the challenges involved in assessing and managing pediatric pain, thus shedding light on areas where there may be clinical and medical unmet needs. In general, a high prevalence of acute pain in children was detected, particularly headache, menstruation-related pain, and dental and back pain. Older age, female sex, and lower socioeconomic status were associated with increased pain prevalence. Risk factors were identified for all pain types and included psychological issues, stress, and unhealthy lifestyle habits. Owing to the heterogeneity in study populations, the prevalence estimates varied widely; there was also heterogeneity in the pain assessment tools utilized. The paucity of information regarding pain prevalence appears to be out of proportion with the burden of acute pain in children. This could indicate that clinicians may not be equipped with an optimal pain management strategy to guide their practice, especially regarding the use of developmentally appropriate pain assessment tools, without which prevalence data may not be captured. If acute pain is not accurately identified, it cannot be optimally treated. Further investigation is required to determine how the information from prevalence studies translates to the real-world setting.
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Affiliation(s)
- Nutan Shinde
- Reckitt Benckiser plc (Global Headquarters)BerkshireUK
| | | | - Lisa J. Miles
- Reckitt Benckiser plc (Global Headquarters)BerkshireUK
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Hartwig AD, Cademartori MG, Demarco FF, Bertoldi AD, Corrêa MB, Azevedo MS. Are maternal factors predictors of a child's first dental visit? A birth cohort study in Brazil. Braz Oral Res 2022; 36:e092. [PMID: 35830139 DOI: 10.1590/1807-3107bor-2022.vol36.0092] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2021] [Accepted: 04/11/2022] [Indexed: 11/22/2022] Open
Abstract
The purpose of this study was to investigate the association between maternal factors and dental visits of children within their first year of life. This study used data from the 2015 Pelotas Birth Cohort and included pregnant women and their children at 12 months of age, followed-up between May 2014 and December 2015. Socioeconomic and demographic data, information on the use of dental services during the last year, and information on dental fear were collected by interviewing the mothers. Information regarding dental caries and periodontal disease were collected during the mother's clinical examination. The date of each child's first visit to the dentist was recorded. Crude and adjusted Poisson regression models with robust variance were used. The sample comprised 2,287 mother-child dyads, of which 10.1% of children visited the dentist during the first year of life. Children whose mothers visited the dentist within the last year for preventive reasons (RR: 1.51; 95%CI: 1.12-2.03) or curative reasons (RR: 1.47; 95%CI: 1.08-2.01) were more likely to have visited the dentist during the first year of life compared to those whose mothers had not used dental services during this period. Maternal tooth loss was inversely associated with a child's visit to the dentist during the first year of life (RR: 0.69; 95%CI: 0.54-0.89). Considering the mother's history of using dental services, as well as their dental caries history, is necessary to understand and improve patterns of dental health care utilization and implement public oral health policies for young children.
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Affiliation(s)
- Andréia Drawanz Hartwig
- Universidade Federal de Pelotas - UFPel, Post-Graduate Program in Dentistry, Pelotas, RS, Brazil
| | | | - Flávio Fernando Demarco
- Universidade Federal de Pelotas - UFPel, Post-Graduate Program in Dentistry, Pelotas, RS, Brazil
| | - Andréa Dâmaso Bertoldi
- Universidade Federal de Pelotas - UFPel, Post-Graduate Program in Epidemiology, Pelotas, RS, Brazil
| | - Marcos Britto Corrêa
- Universidade Federal de Pelotas - UFPel, Post-Graduate Program in Dentistry, Pelotas, RS, Brazil
| | - Marina Sousa Azevedo
- Universidade Federal de Pelotas - UFPel, Post-Graduate Program in Dentistry, Pelotas, RS, Brazil
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Guracho TT, Atomssa EM, Megersa OA, Tolossa T. Determinants of dental caries among adolescent patients attending Hospitals in West Wollega Zone, Western Ethiopia: A case-control study. PLoS One 2021; 16:e0260427. [PMID: 34855813 PMCID: PMC8639066 DOI: 10.1371/journal.pone.0260427] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2021] [Accepted: 11/09/2021] [Indexed: 11/18/2022] Open
Abstract
Background Dental caries is a prevalent disease in both developed and developing countries and is a public health problem among adolescents. This study aimed to assess the determinants of dental caries among adolescent patients in the west Wollega Zone, Western Ethiopia. Methods A hospital-based unmatched case-control study design was conducted in West Wollega Zone, West Ethiopia. A total of 133 cases and 266 controls participated in this study. Data were collected using pre-tested questionnaires from three hospitals. Epi-info version 7 was used for data entry and was analyzed using SPSS version 20. Frequency, proportion, mean and standard deviation were computed to summarize the data. Statistics are presented using tables and bar graphs. Multivariable binary logistic regression analysis was used to identify the determinants of dental caries at P < 0.05. The adjusted odds ratio with 95% confidence interval (CI) was used to show the strength of association between the predictors and dental caries. Results A total of 399 adolescents were enrolled in this study, yielding a response rate of 100%. The study found that, daily consumption of sugared coffee (AOR = 2.91, 95% CI:1.62, 5.23), khat chewing (AOR = 2.90, 95%CI: 1.46, 3.15), daily consumption of bread (AOR = 2.65, 95%CI: 1.44, 4.89), daily consumption of sweet foods (AOR = 2.04, 95%CI:1.19, 3.48), living in urban areas (AOR = 1.86, 95%CI:1.09, 3.15), and daily tooth brushing using toothpaste or stick (AOR = 0.48;95%CI, 0.28, 0.81) were significantly associated with dental caries among adolescents. Conclusions and recommendations In this study, drinking sugared coffee, daily consumption of bread, khat chewing, sugary food consumption, living in urban areas, and daily tooth brushing using toothpaste were significantly associated with dental caries. Therefore, improving dietary and drinking habits and strengthening regular tooth brushing are important for reducing dental caries among adolescents.
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Affiliation(s)
| | - Emiru Merdassa Atomssa
- Department of Public Health, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia
| | - Obsa Amante Megersa
- Department of Public Health, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia
| | - Tadesse Tolossa
- Department of Public Health, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia
- * E-mail:
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Santos PS, Barasuol JC, Moccelini BS, Magno MB, Bolan M, Martins-Junior PA, Maia LC, Cardoso M. Prevalence of toothache and associated factors in children and adolescents: a systematic review and meta-analysis. Clin Oral Investig 2021; 26:1105-1119. [PMID: 34791550 DOI: 10.1007/s00784-021-04255-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Accepted: 10/23/2021] [Indexed: 12/29/2022]
Abstract
OBJECTIVES This systematic review aimed to determine the pooled prevalence of toothache in children and adolescents and to verify its association with sociodemographic characteristics and dental caries experience. MATERIAL AND METHODS Six main and three grey literature databases were searched in February 2021. Observational studies that assessed the prevalence of toothache and associated factors were included. The methodological quality of the studies was evaluated following the guidelines by Fowkes and Fulton. Proportion and association meta-analyses were performed in MedCalc and Revman software, respectively. The certainty of the evidence was determined with the GRADE approach. RESULTS Seventy-one studies met the inclusion criteria. Thirty-two presented high methodological quality and a low risk of bias. The overall pooled prevalence of toothache in children and adolescents was 36.2% (95%CI: 33.0-39.42; I2: 99.72%; P < 0.001). Females (OR: 1.17; 95%CI: 1.08-1.26; I2: 91%; P < 0.001) and children and adolescents whose caregivers had ≤ 8 years of schooling (OR: 1.42; 95%CI: 1.30-1.56; I2: 77%; P < 0.001) presented the higher chance of reporting toothache. Dental caries experience increased the chance of reporting toothache in 3.49 times (95%CI: 2.70-4.51; I2: 92%; P < 0.001). The certainty of the evidence was very low. CONCLUSIONS The overall pooled prevalence of toothache was considered high. Sociodemographic characteristics (sex and caregivers' educational level) and previous dental caries experience were significantly associated with toothache reports. CLINICAL RELEVANCE Toothache is still a recurrent issue in many countries. Thus, it is essential to understand its possible associated factors to reduce the occurrence of new episodes.
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Affiliation(s)
- Pablo Silveira Santos
- Department of Dentistry, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil.
| | - Jéssica Copetti Barasuol
- Department of Dentistry, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil
| | - Bárbara Suelen Moccelini
- Department of Dentistry, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil
| | - Marcela Baraúna Magno
- Department of Pediatric Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Michele Bolan
- Department of Dentistry, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil
| | - Paulo Antônio Martins-Junior
- Department of Child and Adolescent Oral Health, Federal University of Minas Gerais, Belo Horizonte, Minhas Gerais, Brazil
| | - Lucianne Cople Maia
- Department of Pediatric Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Mariane Cardoso
- Department of Dentistry, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil
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12
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Choe R, Sim YF, Hong CHL, Mohideen S, Nadarajan R, Yap F, Shek LPC, Hsu CYS, Broekman BFP, Ferreira JN. Internalizing problems are associated with oral health-related quality of life in early childhood: Outcomes from an Asian multi-ethnic prospective birth cohort. PLoS One 2021; 16:e0256163. [PMID: 34383864 PMCID: PMC8360536 DOI: 10.1371/journal.pone.0256163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Accepted: 07/30/2021] [Indexed: 11/18/2022] Open
Abstract
Oral health status ideally warrants for a holistic biopsychosocial approach to health and wellness. Little is known about the impact of behavioral problems on oral health-related quality of life (OHRQoL) in children due to the paucity of studies in early childhood, particularly in Asian multi-ethnic populations. This study evaluated the relationship between early child's socioemotional factors and OHRQoL, as well as its association with orofacial pain (OFP) and early childhood caries (ECC) in the Asian GUSTO birth cohort. Mother-child dyads were postnatally assessed at 3 time points. The Child Behavior Checklist (CBCL) was used to assess the child's socioemotional and behavioral problems at age 4-4.5 years together with other validated questionnaires to evaluate maternal anxiety and depression. ECC detection was performed at age 5, and OHRQoL (primary) and OFP (secondary) outcomes were assessed at age 6 from a total of 555 mother-child dyads. After a univariate regression analysis was performed to identify potential predictors and confounders, a multivariate regression model was run with predisposing factors (CBCL internalization and externalization problems, OFP, ECC) and adjusted for confounders (maternal psychosocial states, maternal education) to determine associations with OHRQoL. Results showed an association between CBCL internalization scores and poorer OHRQoL (RR = 1.03, p = 0.033, 95% CI 1.01 to 1.05), although the limited risk ratio may not have a practical applicability in psychosocially healthy children, alike the majority of those evaluated in this cohort. The average OHRQoL overall score among children with OFP was 2.39 times more than those without OFP (OR = 2.39, p < 0.001, 95% CI 2.00 to 2.86). Thus, in early childhood, OFP, and to lesser extent internalizing behaviors, may negatively impact OHRQoL. This study therefore highlights the complex relationship between OHRQoL and its predisposing socioemotional and somatic pain factors, and demands further investigations in clinically relevant populations.
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Affiliation(s)
- Ruth Choe
- Faculty of Dentistry, National University of Singapore, Singapore, Singapore
| | - Yu Fan Sim
- Faculty of Dentistry, National University of Singapore, Singapore, Singapore
| | | | - Sameema Mohideen
- Singapore Institute for Clinical Sciences, A*STAR, Singapore, Singapore
| | - Ranjani Nadarajan
- Singapore Institute for Clinical Sciences, A*STAR, Singapore, Singapore
| | - Fabian Yap
- Department of Paediatrics, KK Women’s and Children’s Hospital, Singapore, Singapore
| | - Lynette P.-C. Shek
- Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | | | - Birit F. P. Broekman
- Singapore Institute for Clinical Sciences, A*STAR, Singapore, Singapore
- OLVG and Amsterdam UMC, VU University, Amsterdam, The Netherlands
| | - Joao N. Ferreira
- Faculty of Dentistry, National University of Singapore, Singapore, Singapore
- Faculty of Dentistry, Exocrine Gland Biology and Regeneration Research Group, Department of Research Affairs, Chulalongkorn University, Bangkok, Thailand
- * E-mail:
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13
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Costa FDS, Costa CDS, Chisini LA, Wendt A, Santos IDSD, Matijasevich A, Correa MB, Demarco FF. Socio-economic inequalities in dental pain in children: A birth cohort study. Community Dent Oral Epidemiol 2021; 50:360-366. [PMID: 34137065 DOI: 10.1111/cdoe.12660] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2020] [Revised: 04/26/2021] [Accepted: 04/27/2021] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To describe socio-economic inequalities in dental pain and dental caries in 5 and 12-year-old children enrolled in a birth cohort. METHODS This prospective study was carried out with children enrolled in a birth cohort in Pelotas, Brazil. The main outcome was history of dental pain in the last six months, collected at 5 and 12 years of age. Dental caries was evaluated as a secondary outcome. Inequalities dimensions were investigated using maternal education and family income. The inequalities indicators used were the slope index of inequality (SII) and the concentration index (CIX). RESULTS Some 1,114 and 990 children were included in the analyses at the 5- and 12-year follow-ups, respectively. The prevalence of dental pain was 16.5% (95% CI 14.4-18.8) at 5 years and 31.6% (95% CI 28.7-34.6) at 12 years. Regarding SII, the difference in the prevalence of dental pain was 14 and 11 percentage points at 5 and 12 years, respectively, when comparing the less to the more maternal schooled strata. Relative inequalities (CIX) were found for dental pain only at age 12, considering family income (-5.8 CI95% -11.0; -0.6). Absolute socio-economic inequalities were also observed for dental caries in both ages. CONCLUSION Dental pain in the last six months and dental caries was unequally distributed. Economically disadvantaged groups had the highest prevalence of dental pain and dental caries in both dentitions. Actions to tackle socio-economic inequalities must be designed throughout life.
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Affiliation(s)
| | | | - Luiz Alexandre Chisini
- Center of Biological Sciences and Health, Taquari Valley University, Lajeado, RS, Brazil
| | - Andrea Wendt
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
| | - Iná da Silva Dos Santos
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil.,Postgraduate Program in Health and Behavior, Catholic University of Pelotas, Pelotas, RS, Brazil
| | - Alicia Matijasevich
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil.,Department of Preventive Medicine, Faculty of Medicine FMUSP, University of São Paulo, São Paulo, SP, Brazil
| | - Marcos Britto Correa
- Postgraduate Program in Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil
| | - Flávio Fernando Demarco
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil.,Postgraduate Program in Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil
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Lawal FB, Oke GA. Satisfaction with dental condition and oral health-related quality of life of school-age children with dental pain in Ibadan, Nigeria. SAGE Open Med 2021; 9:20503121211025944. [PMID: 34178344 PMCID: PMC8207297 DOI: 10.1177/20503121211025944] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2020] [Accepted: 05/30/2021] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVES The aim of the study was to determine the association between oral health-related quality-of-life domains and satisfaction with dental condition of school-age children with dental pain in Ibadan, Nigeria. METHODS This cross-sectional study was conducted among 1006 pupils aged 9-12 years who attended 18 randomly selected primary schools in Ibadan, Nigeria. An interviewer-administered questionnaire, Child Oral Impact on Daily Performances inventory in addition to oral examination was used to obtain data. Analysis was done with SPSS 23 and STATA 14 and p-value set at <0.05. RESULTS The prevalence of self-reported dental pain was 10.2%. The mean Child Oral Impact on Daily Performances inventory score was 2.6(±7.2) overall and 9.8(±12.4) for pupils with pain. There was a greater impact on oral health-related quality of life of respondents who reported dental pain than in others (mean rank = 749.54 vs 475.4, U = 21,162, p < 0.001) compared to those with clinically assessed pain (mean rank = 541.21 vs 502.97, U = 6416, p = 0.489). Those who reported dental pain were more dissatisfied with their dental condition (odds ratio = 7.7, 95% confidence interval = 5.0-12.0, p < 0.001) compared to those with clinically assessed dental pain (odds ratio = 1.3, 95% confidence interval = 0.4-4.9, p = 0.687). The direct effect of pain on satisfaction with dental condition and Child Oral Impact on Daily Performances inventory was β = 0.74 (standard error = 0.12, 95% confidence interval = 0.50-0.97, p < 0.001) and β = 0.53 (standard error = 0.05, 95% confidence interval = 0.44-0.63, p < 0.001), respectively. The indirect effect was β = 0.12 (standard error = 0.039, 95% confidence interval = 0.05-0.20, p = 0.001) and the total effect was β = 0.86 (standard error = 0.11, 95% confidence interval = 0.64-1.08, p < 0.001); R 2 = 0.21. CONCLUSION Self-reported dental pain significantly impacted the quality of life of the pupils to cause dissatisfaction with dental condition when compared to clinically assessed pain.
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Affiliation(s)
- Folake Barakat Lawal
- Department of Periodontology and Community Dentistry, College of Medicine, University of Ibadan, Ibadan, Nigeria
- Department of Periodontology and Community Dentistry, University College Hospital, Ibadan, Ibadan, Nigeria
| | - Gbemisola Aderemi Oke
- Department of Periodontology and Community Dentistry, College of Medicine, University of Ibadan, Ibadan, Nigeria
- Department of Periodontology and Community Dentistry, University College Hospital, Ibadan, Ibadan, Nigeria
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15
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Paredes SDO, da Nóbrega RF, Soares TDS, Bezerra MED, de Abreu MHNG, Forte FDS. Dental pain associated with untreated dental caries and sociodemographic factors in 5-year-old children. J Clin Exp Dent 2021; 13:e552-e557. [PMID: 34188760 PMCID: PMC8223151 DOI: 10.4317/jced.57827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2020] [Accepted: 01/23/2020] [Indexed: 11/24/2022] Open
Abstract
Background The aim of this study was to assess the prevalence of dental pain and to examine its association with untreated dental caries in 5-year-old children.
Material and Methods This was a cross-sectional study of 261 5-year-old children in Northeast Brazil. Parents answered questions about their socioeconomic conditions and their children’s toothache. Trained dentists assessed dental caries using the decayed, missing and filled teeth (dmf-t) index. Binary logistic regression models were used to estimate the unadjusted and adjusted odds ratios (ORs) and the confidence intervals (95% CIs) for the association of dental pain with covariates. The significance level was set at five percent.
Results The prevalence of dental pain was 28.7%, and 48.2% of children had untreated dental caries. Dental pain was associated with untreated dental caries (OR=5.7; 95% CI: 3.1-10.53; p<0.001) and living with one parent or other family members (OR=2.3; 95% CI: 1.2-4.4; p=0.008). Sociodemographic factors were not associated with dental pain.
Conclusions The prevalence of dental pain in preschool children is high, and this condition is associated with both untreated dental caries and living with one parent or other family members. Key words:Toothache, socioeconomic factors, dental caries.
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Affiliation(s)
- Suyene-de Oliveira Paredes
- Post-graduation Program in Dentistry. Federal University of Paraíba, João Pessoa, Paraíba, Brazil. University City, 58.051-900, João Pessoa, Paraíba, Brazil
| | | | | | - Maria-Eliza-Dantas Bezerra
- Post-graduation Program in Dentistry. Federal University of Paraíba, João Pessoa, Paraíba, Brazil. University City, 58.051-900, João Pessoa, Paraíba, Brazil
| | | | - Franklin-Delano-Soares Forte
- Post-graduation Program in Dentistry. Federal University of Paraíba, João Pessoa, Paraíba, Brazil. University City, 58.051-900, João Pessoa, Paraíba, Brazil
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16
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Zaror C, Matamala-Santander A, Ferrer M, Rivera-Mendoza F, Espinoza-Espinoza G, Martínez-Zapata MJ. Impact of early childhood caries on oral health-related quality of life: A systematic review and meta-analysis. Int J Dent Hyg 2021; 20:120-135. [PMID: 33825317 DOI: 10.1111/idh.12494] [Citation(s) in RCA: 43] [Impact Index Per Article: 14.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Revised: 02/22/2021] [Accepted: 03/16/2021] [Indexed: 12/11/2022]
Abstract
OBJECTIVES The aim of this study was to conduct a systematic review in order to assess the impact of early childhood caries (ECC) and its severity on Oral health-related quality of life (OHRQoL). MATERIALS AND METHODS An electronic search was conducted in MEDLINE, EMBASE, Cochrane, SciELO and Lilacs databases. The study eligibility criteria were primary studies published in English, Spanish or Portuguese that assessed OHRQoL in preschool children with dental caries using validated instruments. Two researchers independently performed the selection process and data extraction. The Effective Public Health Practice Project's Quality Assessment Tool was used for the quality assessment. Random effects models were used to estimate the pooled effect for continuous and categorical data. RESULTS Of 2,037 identified articles, thirty-five studies (37 articles) met the inclusion criteria. The methodological quality was judged mainly as moderate. Children with ECC were more likely to report any impact on OHRQoL than children without caries (OR: 1.99; 95% CI: 1.51-2.62; 6 studies). Severe ECC (dmft > 5) presented a higher effect (OR: 5.00; 95% CI: 3.70-6.74; 8 studies). Sensitivity analysis including only population studies showed uncertain results on the impact of ECC on OHRQoL (OR: 1.67; 95% CI: 0.99-2.82; I2 = 95%). The symptom and psychological domains were the most affected (SMD: 0.60, 95% CI: 0.38-0.81 and SMD: 0.61, 95% CI: 0.37-0.85 respectively). CONCLUSIONS ECC has a negative impact on the OHRQoL of both preschoolers and their families. However, its impact on OHRQoL is diluted when it is evaluated at population level.
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Affiliation(s)
- Carlos Zaror
- Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidad de La Frontera, Temuco, Chile.,Center for Research in Epidemiology, Economics and Oral Public Health (CIEESPO), Faculty of Dentistry, Universidad de La Frontera, Temuco, Chile
| | - Andrea Matamala-Santander
- Faculty of Dentistry, Universidad de La Frontera, Temuco, Chile.,Grupo de Investigación en Gestión y Docencia Odontológica (GIDGO), Universidad Autónoma de Chile, Temuco, Chile
| | - Montse Ferrer
- Health Services Research Group, IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain.,CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain
| | - Fernando Rivera-Mendoza
- Forensic Dentistry Lab, Centro de Investigación en Odontología Legal y Forense -CIO-, Faculty of Dentistry, Universidad de La Frontera, Temuco, Chile
| | - Gerardo Espinoza-Espinoza
- Center for Research in Epidemiology, Economics and Oral Public Health (CIEESPO), Faculty of Dentistry, Universidad de La Frontera, Temuco, Chile.,Department of Public Health, Faculty of Medicine, Universidad de La Frontera, Temuco, Chile
| | - María José Martínez-Zapata
- CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.,Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain
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Association of Dental Caries and Anthropometric Measures among Primary School Children. CHILDREN-BASEL 2021; 8:children8030223. [PMID: 33805733 PMCID: PMC8001750 DOI: 10.3390/children8030223] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/02/2021] [Revised: 02/26/2021] [Accepted: 03/09/2021] [Indexed: 11/24/2022]
Abstract
Aim: This study aimed to investigate an association between dental caries status and anthropometric measures in primary school children. Methods and Materials: An analytical cross-sectional study (n = 376) was conducted among primary school children (age range = 6–9 years) registered in private schools. Non-clinical data was gathered from parents of participating children through a self-administered structured questionnaire as well as from the children through an interviewer-administered questionnaire. Clinical data included the examination of dental caries using dmft/DMFT index and anthropometric measures including calculated z-scores of height-for-age (HAZ), weight-for-age (WAZ), BMI-for-age (BAZ), and physical examination. Inferential statistics included Kruskal Wallis and linear regression for univariate and multivariate analysis respectively. Results: The proportion of dental caries in primary and secondary dentition was 67.6% and 8.2% respectively. A significant association was observed between dental caries status and HAZ, WAZ, and BAZ (p < 0.001). An inverse relation was found between low, medium, and high dental caries categories and anthropometric measures. Conclusions: In the primary dentition, dental caries were significantly and inversely related to weight-for-age, height-for-age, and BMI-for-age. Hence, it can be concluded that among the low-income population dental caries is associated with lower anthropometric outcomes in children and therefore caries management should be considered an approach impacting overall health and quality of life.
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Tay K, Beh CLJ, Babar MG, Kweh TJ, Priya E, Pau A. Racial variations in tooth pain and care-seeking in adolescents in Malaysia. BDJ Open 2021; 7:2. [PMID: 33469006 PMCID: PMC7815706 DOI: 10.1038/s41405-021-00058-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2020] [Revised: 11/06/2020] [Accepted: 11/15/2020] [Indexed: 01/17/2023] Open
Abstract
Objective Tooth pain among adolescents is a common event that impacts substantially on quality of life. The purpose of this paper is to explore the role of race in the tooth pain experience and associated care-seeking. Design A cross-sectional questionnaire survey was conducted on 14–18 years from four different public schools in Kuala Lumpur. Socio-demographic, pain symptoms, and social impacts data were collected as well as medication use and visiting a dentist for tooth pain. Results Of 1473 questionnaires distributed, 1452 (98.6%) completed questionnaires were returned, with 269 (18.5%) reported having experienced tooth pain in the past 1 month. Those who identified as Indian (26.1%) were more likely to report tooth pain compared to Chinese (16.5%) and Malay (20.9%). In regression analysis, no factors were identified as independently associated with medication use, but Chinese and Indians compared to Malays, and those expressing difficulty sleeping were more likely to report visiting a dentist for treatment. Conclusion Racial variations in the tooth pain experience and care-seeking have been identified. This may be related to socio-economic status, but further research is needed on the role of culture-related care-seeking and accessibility of dental services.
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Affiliation(s)
- Kangjie Tay
- School of Dentistry, International Medical University, Kuala Lumpur, Malaysia
| | | | - Muneer Gohar Babar
- School of Dentistry, International Medical University, Kuala Lumpur, Malaysia
| | - Ting Jing Kweh
- School of Dentistry, International Medical University, Kuala Lumpur, Malaysia.
| | - Ekta Priya
- School of Dentistry, International Medical University, Kuala Lumpur, Malaysia
| | - Allan Pau
- School of Dentistry, International Medical University, Kuala Lumpur, Malaysia
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Characterization and effect of nanocomplexed fluoride solutions on the inhibition of enamel demineralization created by a multispecies cariogenic biofilm model. Clin Oral Investig 2020; 24:3947-3959. [PMID: 32236723 DOI: 10.1007/s00784-020-03261-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2018] [Accepted: 03/13/2020] [Indexed: 12/20/2022]
Abstract
OBJECTIVES The aim of this study was to assess the in vitro caries preventive effect of nanocomplexed solutions of hydroxypropyl-β-cyclodextrin and γ-cyclodextrin associated with titanium tetrafluoride (TiF4) after different complexation times (12 or 72 h). MATERIALS AND METHODS Enamel blocks were randomly distributed in 9 groups (n = 11): negative control, hydroxypropyl-β-cyclodextrin, γ-cyclodextrin, TiF4, hydroxypropyl-β-cyclodextrin:TiF4 12 h, hydroxypropyl-β-cyclodextrin:TiF4 72 h, γ-cyclodextrin:TiF4 12 h, γ-cyclodextrin:TiF4 72 h, and NaF (positive control). The solutions were applied for 1 min and the blocks were exposed to a biofilm model. Nanocompounds were characterized by differential scanning calorimetry and X-ray powder diffraction. The percentage of surface microhardness loss (%SML), mineral density changes (ΔZ), lesion depth, surface morphology (scanning electron microscopy-SEM), and chemical characterization (energy-dispersive spectroscopy-EDS) were assessed. RESULTS No oxidation was observed, and the formation of the nanocomplexes was evidenced by changes in the melting point compared to pure cyclodextrins and the loss of crystallinity of the materials. Hydroxypropyl-β-cyclodextrin:TiF4 72 h resulted in lower %SML than negative control, hydroxypropyl-β-cyclodextrin, γ-cyclodextrin, and TiF4 (p < 0.05). NaF differed from all groups (p < 0.05), except for hydroxypropyl-β-cyclodextrin:TiF4 72 h (p = 0.83). ΔZ of hydroxypropyl-β-cyclodextrin:TiF4 72 h was higher than negative control, hydroxypropyl-β-cyclodextrin, γ-cyclodextrin, γ-cyclodextrin:TiF4 1 2 h, γ-cyclodextrin:TiF4 72 h, and NaF (p < 0.05) and similar to TiF4 and hydroxypropyl-β-cyclodextrin:TiF4 12 h (p > 0.05). SEM/EDS detected Ti in the blocks subjected to TiF4-products. CONCLUSION The hydroxypropyl-β-cyclodextrin:TiF4 72 h solution showed caries preventive effect on the surface and subsurface of the enamel. CLINICAL RELEVANCE A hydroxypropyl-β-cyclodextrin nanosystem, in association with TiF4 after 72 h of complexation, may be a promising agent for the prevention of enamel demineralization.
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Pereira FADO, Assunção LRDS, Ferreira FM, Fraiz FC. Urgency and discontinuity of oral health care in children and adolescents. CIENCIA & SAUDE COLETIVA 2020; 25:3677-3684. [PMID: 32876268 DOI: 10.1590/1413-81232020259.33232018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2018] [Accepted: 01/19/2019] [Indexed: 11/22/2022] Open
Abstract
The aim of the present study was to investigate the discontinuity of oral health care among children and adolescents who accessed emergency services at primary care units and urgent care units. Records were reviewed of patients aged 0 to 17 years treated in the public healthcare system in city of Curitiba, Brazil. Discontinuity was considered when elective treatment was not registered at the primary care unit within six months after urgent care. The sample was stratified based on the Municipal Human Development Index (MHDI) (≤0.799 or ≥0.800). The association between discontinuity and covariables was assessed using univariate and multivariate Poisson regression models with robust variance (α=0.05). The incidence of discontinuity was 42.2%. In the MHDI≤0.799 stratum, the risk of discontinuity was greater among children younger than five years of age and individuals who had not had a dental appointment in the previous year. In both MHDI strata, the risk of discontinuity was higher in patients who received urgent care at an urgent care unit than those treated at a primary care unit. The incidence of the discontinuity of oral health care was high and was strongly influenced by the characteristics of dental service utilization among individuals living in regions with a lower MHDI.
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Affiliation(s)
| | | | - Fernanda Morais Ferreira
- Departamento de Pediatria e Ortodontia, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Fabian Calixto Fraiz
- Departamento de Estomatologia, Universidade Federal do Paraná, Curitiba, PR, Brazil,
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Brilhante VOM, Corrêa-Faria P, Machado GCM, Costa LR. Carers’ and paediatric dentists’ perceptions of children’s pain during restorative treatment. Eur Arch Paediatr Dent 2020; 21:271-276. [DOI: 10.1007/s40368-019-00486-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2019] [Accepted: 10/09/2019] [Indexed: 10/25/2022]
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Moro JS, Massignan C, Moccelini BS, Klein D, Cardoso M, Bolan M. Socioeconomic Disparities in Oral Health Related Quality of Life of Schoolchildren: A Cross-Sectional Study. PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLÍNICA INTEGRADA 2020. [DOI: 10.1590/pboci.2020.101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Castillo JL, Palma C, Cabrera-Matta A. Early Childhood Caries in Peru. Front Public Health 2019; 7:337. [PMID: 31803704 PMCID: PMC6873793 DOI: 10.3389/fpubh.2019.00337] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2019] [Accepted: 10/28/2019] [Indexed: 02/01/2023] Open
Abstract
Early Childhood Caries (ECC) is a global oral health problem, and Peru may be one of the countries with high prevalence of untreated ECC in South America. In this study, we constructed an epidemiologic profile of ECC in Peru through a comprehensive review of published data. The prevalence of ECC, risk factors for it, its impact on child development, and public oral health interventions on ECC have been included. The study revealed extremely high rates of ECC in Peru and significant oral-health disparities. Risk factors for ECC were poverty, high sugar consumption, and low oral health literacy. However, the number of studies is limited and their quality questionable. Oral health has not received high public-health priority in Peru. However, in recent years, new regulations and evidence-based documents (the first Clinical Practice Guideline for the Prevention, Diagnosis, and Management of Caries in Children; the Guideline for Children's healthy Growth and Development; the Law on Healthy Diet; and the Manual on Food Advertising) give hope for the future of infants' oral health in the nation.
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Affiliation(s)
- Jorge L Castillo
- Department of Dentistry for Children and Adolescents, Universidad Peruana Cayetano Heredia, Lima, Peru
| | - Camila Palma
- Department of Dentistry for Children and Adolescents, Universidad Peruana Cayetano Heredia, Lima, Peru
| | - Ailín Cabrera-Matta
- Department of Dentistry for Children and Adolescents, Universidad Peruana Cayetano Heredia, Lima, Peru
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Impact of Molar Incisor Hypomineralization on Oral Health-Related Quality of Life in Mexican Schoolchildren. J Clin Pediatr Dent 2019; 43:324-330. [PMID: 31560591 DOI: 10.17796/1053-4625-43.5.4] [Citation(s) in RCA: 26] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Objective: To evaluate the impact of Molar Incisor Hypomineralization (MIH) in the OHRQoL in a group of 8 to 10 year-old Mexican schoolchildren. Study design: A cross-sectional study of 411 8 to 10 year-old schoolchildren selected from public schools in Naucalpan, in the State of Mexico. The presence and severity of MIH was evaluated using the European Academy of Pediatric Dentistry (EAPD) criteria. The OHRQoL was evaluated using the Child Perceptions Questionnaire (CPQ). Poisson regression models were performed for the analysis. Results: The prevalence of MIH in the permanent dentition was 40.4%. High scores were found in the four domains of the CPQ for children with MIH compared to children without MIH (p<0.001). In the Poisson model, a greater negative impact in the four CPQ domains was found for schoolchildren with MIH: oral symptoms [RR=1.75 (CI95% 1.63-1.78)]; functional limitations [RR=2.17 (CI95% 2.01-2.35)]; emotional wellbeing [RR=1.94 (CI95% 1.80-2.08)]; and, social well-being [RR=2.62 (CI95% 2.49-2.77)]. A greater impact on the four CPQ domains were found for children with moderate/severe MIH compared to children without MIH (p<0.001). Conclusion: Children with moderate/severe MIH experienced a greater negative impact on their OHRQoL compared to children without MIH.
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Mansoori S, Mehta A, Ansari MI. Factors associated with Oral Health Related Quality of Life of children with severe -Early Childhood Caries. J Oral Biol Craniofac Res 2019; 9:222-225. [PMID: 31193595 DOI: 10.1016/j.jobcr.2019.05.005] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2019] [Revised: 03/27/2019] [Accepted: 05/17/2019] [Indexed: 11/30/2022] Open
Abstract
Background Early Childhood Caries (ECC) is a chronic childhood disease affecting children worldwide. Severe cases of ECC can significantly affect child's Oral Health Related Quality of Life (OHRQoL) owing to its consequences. The purpose of present study was to find out association between severe early childhood caries (s-ECC) and OHRQoL of children and their parents/care-givers visiting a Government dental hospital in Delhi, India. Methods Data was collected from a hospital - based sample of 454 child-parent pair. OHRQoL of the child and parent was assessed using the Hindi version of Early Childhood Oral Health Impact Scale (Hi-ECOHIS). Children with s-ECC were identified as per definition given by American Academy of Paediatric Dentistry. Chi square test and Binary regression analysis were used to evaluate the effect of s-ECC on OHRQoL and to study role of various socio demographic factors. Results The prevalence of s-ECC was 77.1% (n = 350).The mean dmft index score was 5.67 ( ±3.72) and dmfs was 11.21 ( ±11.03). The mean overall ECOHIS score was 7.02 ( ±5.47). Child impact items such as Pain, fever, caries associated swelling along with difficulty in eating food, halitosis, disturbed sleep, frequent absenteeism from school were found to be more significantly more frequent in children with s-ECC than ECC. Children with bottle-feeding habit of more than one year, having fewer siblings, and whose parents belong to upper socio economic class were at higher odds of suffering from s-ECC.Conclusion: s-ECC has significantly more detrimental impact on the OHRQoL of children and their parents in comparison to ECC.
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Affiliation(s)
- Shahnaz Mansoori
- Department of Pediatric and Preventive Dentistry, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, India
| | - Abhishek Mehta
- Department of Public Health Dentistry, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, India
| | - Mohd Irfan Ansari
- Department of Conservative and Endodontics, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, India
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Zhou N, Zhu H, Chen Y, Jiang W, Lin X, Tu Y, Chen D, Chen H. Dental caries and associated factors in 3 to 5-year-old children in Zhejiang Province, China: an epidemiological survey. BMC Oral Health 2019; 19:9. [PMID: 30630468 PMCID: PMC6329098 DOI: 10.1186/s12903-018-0698-9] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2018] [Accepted: 12/18/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Dental caries in preschool children is prevalent worldwide, but data regarding its magnitude and associated factors were not available for preschool children in Zhejiang Province, China. This study examines the dental caries situation and its associated factors in Zhejiang Province. METHODS A total of 1591 children aged 3-5 years and their parents or caregivers were enrolled in this study. The condition of their teeth was assessed by three dental technicians qualified to WHO 2013 criteria. A structured questionnaire was completed by the children's parents or caregivers. A logistic regression analysis was used to analyze the risk factors that may be associated with dental caries occurring among preschool children. RESULTS Caries prevalence (dmft> 0) of 3-5 year old children in Zhejiang Province was 70.4%. The mean decayed, missing and filled teeth (dmft) scores of the 3, 4 or 5 year old children surveyed were 2.96 ± 4.07, 4.42 ± 4.66, and 5.75 ± 5.19 respectively. The negative binomial regression model found that higher dental caries prevalence was found in children as age increased, with lower body mass index (BMI), with longer breastfeeding duration and with fewer hours of sleep. CONCLUSIONS The dental caries prevalence and dmft score of 3-5-year-old children in Zhejiang Province was high, and it was associated with age, BMI, breastfeeding duration and hours slept.
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Affiliation(s)
- Na Zhou
- Department of Conservative Dentistry and Endodontics, Stomatological Hospital Affiliated to Medical College, Zhejiang University, 395 Yan'an Road, Hangzhou, China.
| | - Haihua Zhu
- Department of Conservative Dentistry and Endodontics, Stomatological Hospital Affiliated to Medical College, Zhejiang University, 395 Yan'an Road, Hangzhou, China
| | - Yadong Chen
- Department of Conservative Dentistry and Endodontics, Stomatological Hospital Affiliated to Medical College, Zhejiang University, 395 Yan'an Road, Hangzhou, China
| | - Wen Jiang
- Department of Conservative Dentistry and Endodontics, Stomatological Hospital Affiliated to Medical College, Zhejiang University, 395 Yan'an Road, Hangzhou, China
| | - Xiaolong Lin
- Department of Conservative Dentistry and Endodontics, Stomatological Hospital Affiliated to Medical College, Zhejiang University, 395 Yan'an Road, Hangzhou, China
| | - Yan Tu
- Department of Conservative Dentistry and Endodontics, Stomatological Hospital Affiliated to Medical College, Zhejiang University, 395 Yan'an Road, Hangzhou, China
| | - Dingwan Chen
- Hangzhou Medical College, 481 Binwen Road, Hangzhou, China
| | - Hui Chen
- Department of Conservative Dentistry and Endodontics, Stomatological Hospital Affiliated to Medical College, Zhejiang University, 395 Yan'an Road, Hangzhou, China
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Corrêa-Faria P, Daher A, Freire MDCM, de Abreu MHNG, Bönecker M, Costa LR. Impact of untreated dental caries severity on the quality of life of preschool children and their families: a cross-sectional study. Qual Life Res 2018; 27:3191-3198. [PMID: 30097914 DOI: 10.1007/s11136-018-1966-5] [Citation(s) in RCA: 39] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/05/2018] [Indexed: 12/11/2022]
Abstract
PURPOSE Untreated dental caries is a persistent oral problem among preschool children. Although there is vast evidence regarding the impact of dental caries on oral health-related quality of life (OHRQoL) in this age group, evidence on the impact of untreated caries severity is scarce. The purpose of this study was to investigate the impact of untreated caries severity on the OHRQoL of preschool children and their families. METHODS A cross-sectional study was conducted with 563 individuals in the city of Goiania, Brazil. Data were collected through interviews with parents/caregivers and clinical examinations of their children. The OHRQoL was measured by the Brazilian version of the Early Childhood Oral Health Impact Scale. Untreated dental caries severity was assessed using validated indices. Other independent variables were socioeconomic, toothache prevalence, and the questionnaire respondent. Statistical analysis involved bivariate comparisons and Poisson regression analyses. RESULTS A higher prevalence of impact on OHRQoL was found among preschool children with untreated dental caries with clinical consequences (PR 1.31; 95% CI 1.01-1.70) compared to those without caries; those aged 5 years (PR 1.47; 95% CI 1.18-1.82), compared to those aged two; and those with a toothache (PR 1.54; 95% CI 1.34-1.76), compared to those without toothache. Moreover, fathers (PR 0.71; 95% CI 0.55-0.92) and other respondents (PR 0.70; 95% CI 0.52-0.96) perceived less impact on the OHRQoL in comparison to mothers. CONCLUSIONS Severe untreated dental caries with clinical consequences had a negative impact on the children's OHRQoL, regardless of toothache and socioeconomic factors.
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Affiliation(s)
- Patrícia Corrêa-Faria
- Dentistry Graduate Program, Faculdade de Odontologia, Universidade Federal de Goiás, Av. Universitária Esquina com 1ª Avenida s/n, Setor Universitário, Goiânia, GO, 74605-220, Brazil.
| | - Anelise Daher
- Dentistry Graduate Program, Faculdade de Odontologia, Universidade Federal de Goiás, Av. Universitária Esquina com 1ª Avenida s/n, Setor Universitário, Goiânia, GO, 74605-220, Brazil
| | - Maria do Carmo Matias Freire
- Dentistry Graduate Program, Faculdade de Odontologia, Universidade Federal de Goiás, Av. Universitária Esquina com 1ª Avenida s/n, Setor Universitário, Goiânia, GO, 74605-220, Brazil
- Department of Oral Health, Faculdade de Odontologia, Universidade Federal de Goiás, Goiânia, GO, 74605-220, Brazil
| | | | - Marcelo Bönecker
- Department of Pediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Luciane Rezende Costa
- Dentistry Graduate Program, Faculdade de Odontologia, Universidade Federal de Goiás, Av. Universitária Esquina com 1ª Avenida s/n, Setor Universitário, Goiânia, GO, 74605-220, Brazil
- Department of Community and Preventive Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
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