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Battaglia G, Fonseca EPD, Oliveira Júnior AJD, Cunha IPD, Meneghim MDC. [Malocclusion in adolescents in the State of São Paulo: spatial and hierarchical analysis]. CIENCIA & SAUDE COLETIVA 2023; 28:1457-1467. [PMID: 37194878 DOI: 10.1590/1413-81232023285.13332022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2022] [Accepted: 10/17/2022] [Indexed: 05/18/2023] Open
Abstract
The scope of this study was to analyze the spatial distribution of malocclusion (MO), estimate the prevalence and evaluate the associated factors in adolescents. It was a study with results of 5,558 adolescents aged 15 to 19 from the São Paulo Oral Health (SB) 2015 survey. The outcome was MO. Sociodemographic aspects, access to dental services, dental caries and tooth loss were the independent variables. A total of 162 municipalities in the state of São Paulo were included and spatial statistics techniques were applied. Hierarchical logistic regression models were performed. The prevalence of MO was 29.3%. There was a spread pattern between the types of MO and positive detachment (p<0,05). Non-white adolescents (OR=1.32, 95%CI: 1.24-1.42), with less years of schooling (OR=1.30, 95%CI: 1.22-1.42), with teeth extracted due to caries (OR=1.40, 95%CI: 1.03-1.88) were more likely to have MO. Adolescent access to dental consultation did not contribute to reducing the chance of developing MO, regardless of whether the dental consultation occurred less (OR=2.02, 95%CI: 1.65-2.47) or more than one year before (OR=1.63, 95%CI: 1.31-2.03). Thus, the occurrence of MO is unequally distributed in the state of São Paulo and associated with sociodemographic conditions, access to consultations and tooth loss due to caries.
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Affiliation(s)
- Gabriela Battaglia
- Departamento de Ciências da Saúde e Odontologia Infantil, Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas. Av. Limeira 901, Areião. 13414-903 Piracicaba SP Brasil.
| | - Emílio Prado da Fonseca
- Departamento de Ciências da Saúde e Odontologia Infantil, Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas. Av. Limeira 901, Areião. 13414-903 Piracicaba SP Brasil.
| | - Alcir José de Oliveira Júnior
- Departamento de Ciências da Saúde e Odontologia Infantil, Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas. Av. Limeira 901, Areião. 13414-903 Piracicaba SP Brasil.
| | | | - Marcelo de Castro Meneghim
- Departamento de Ciências da Saúde e Odontologia Infantil, Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas. Av. Limeira 901, Areião. 13414-903 Piracicaba SP Brasil.
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Gomes MC, Perazzo MF, Neves ÉTB, Siqueira MBLD, Paiva SM, Granville-Garcia AF. Premature Primary Tooth Loss and Oral Health-Related Quality of Life in Preschool Children. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:12163. [PMID: 36231465 PMCID: PMC9564822 DOI: 10.3390/ijerph191912163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/02/2022] [Revised: 09/17/2022] [Accepted: 09/23/2022] [Indexed: 06/16/2023]
Abstract
The present study aimed to evaluate the association between premature primary tooth loss and oral health-related quality of life (OHRQoL) in preschool children. A cross-sectional study was conducted in 769 5-year-old preschool children. The children and their parents or guardians answered the Brazilian version of the Scale of Oral Health Outcomes for 5-Year-Old Children for the assessment of OHRQoL. Meanwhile, clinical examinations were performed for the assessment of premature primary tooth loss. Unadjusted and adjusted multilevel Poisson regression models were utilized to investigate the associations between the variables. In the parental version of the scale, premature posterior primary tooth loss (rate ratio [RR] = 2.65; 95% confidence interval [CI] = 1.51-4.68), weak sense of coherence (RR = 2.25; 95% CI = 1.62-3.11), and visit to a dentist (RR = 1.61; 95% CI = 1.04-2.52) were associated with OHRQoL. Based on the children's perceptions, only the preschool type was associated with OHRQoL (RR = 1.92; 95% CI = 1.21-3.05). Premature posterior primary tooth loss had a greater impact on OHRQoL based on the parents' perception, whereas only the preschool type was associated with OHRQoL based on the children's perception.
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Affiliation(s)
- Monalisa Cesarino Gomes
- Department of Dentistry, Unifacisa Centro Universitário, Campina Grande 58408-326, PB, Brazil
| | - Matheus França Perazzo
- Department of Pediatric Dentistry and Orthodontics, Federal University of Minas Gerais, Belo Horizonte 31270-901, MG, Brazil
| | - Érick Tássio Barbosa Neves
- Department of Dentistry, Unifacisa Centro Universitário, Campina Grande 58408-326, PB, Brazil
- Department of Dentistry, State University of Paraíba, Campina Grande 58429-500, PB, Brazil
| | | | - Saul Martins Paiva
- Department of Pediatric Dentistry and Orthodontics, Federal University of Minas Gerais, Belo Horizonte 31270-901, MG, Brazil
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Research progress of health care in Yemeni children during the war: review. Prim Health Care Res Dev 2022; 23:e55. [PMID: 36093681 PMCID: PMC9472320 DOI: 10.1017/s1463423622000421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
BACKGROUND Yemen crisis, which has been going on for more than six years, represents one of the most gruesome human plights in the modern history, especially children. OBJECTIVES This research aimed to present a comprehensive view of Yemeni children's studies during the ongoing war period, to come up with a comprehensive base that concerns humanitarians, researchers, decision-makers, and general public at large about the reality of the predicament of Yemeni child. METHOD We searched databases and identified 373 articles, of which 68 were included in this review. Review of literature between 2014 and 2020 is taken from academic sources, multilateral organizations, donors, and governmental and non-governmental organizations. The data are analyzed by date and governorates. RESULTS We chose 68 articles and divided them according to the diseases and health conditions as follows: infectious diseases (15 studies), non-infectious diseases (10 studies), blood-related diseases (7 studies), oral and dental problems (12 studies), accidents and injuries (2 studies), health system (16 studies), family and community (6 studies). Moreover, the studies were divided geographically as follows: 7 studies that were almost comprehensive for all governorates; additional studies were conducted for Amanat Al Asimah (21 studies), Taiz (12 studies), Aden and Al Hudaydah (7 studies for each), Dhamar and Ibb (6 studies for each), Abyan and Lahij (2 study for each). As for Al Bayda, Marib, Sana'a, and Socotra, each of them had one study. CONCLUSION Our assessment revealed that the ongoing Yemen crisis is underrated and largely neglected. The studies conducted so far do match the ground reality both in terms of inclusiveness and numbers.
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Premature loss of primary molars: impact on the oral health-related quality of life of schoolchildren. Eur Arch Paediatr Dent 2022; 23:911-918. [PMID: 35904752 DOI: 10.1007/s40368-022-00736-4] [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: 12/08/2021] [Accepted: 07/13/2022] [Indexed: 10/16/2022]
Abstract
PURPOSE Evaluate the impact of the premature loss of primary molars due to caries on oral health-related quality of life (OHRQoL) in schoolchildren. METHODS A cross-sectional study was conducted with children eight to ten years of age at public schools in the city of Florianópolis selected through cluster sampling. The collection of the clinical data occurred in the school setting by four trained and calibrated examiners (Kappa > 0.7) DMFT/dmft index, PUFA/pufa index, accentuated overjet, and anterior open bite. Sex and age of the child and guardian's schooling (classified as ≤ 8 or > 8 years) were collected through a questionnaire answered by the guardians. OHRQoL was assessed using the Child Perceptions Questionnaire 8-10. The data were submitted to bivariate, multivariate, and hierarchical Poisson analyses. RESULTS A total of 1456 children participated in the study. The prevalence of premature tooth loss due to caries was 5.8% (n = 85). The prevalence of negative impact on OHRQoL was 47.4% (n = 691). Negative impact on OHRQoL was significantly associated with the premature loss of primary molars (p < 0.001) as well as the sex (girls), guardian's schooling (> 8 years) and the presence of untreated caries (p < 0.001). CONCLUSION The premature loss of primary molars due to caries was associated a negative impact on the OHRQoL of children eight to ten years of age. Negative impact is also associated with untreated caries, sex, and the level of schooling of guardians.
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Influence of Dental Pulp Harvesting Method on the Viability and Differentiation Capacity of Adult Dental Pulp-Derived Mesenchymal Stem Cells. Stem Cells Int 2021; 2021:9952401. [PMID: 34239574 PMCID: PMC8238610 DOI: 10.1155/2021/9952401] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2021] [Accepted: 06/04/2021] [Indexed: 01/09/2023] Open
Abstract
Objective To compare two pulp harvesting methods for stem cell expansion, namely, conservative pulpotomy and pulpectomy from exodontia. Method Ten freshly extracted sound third molars from five patients were selected. Five were used in the control group, where pulp harvesting was performed by exodontia and the remaining teeth were used in the test group, where the pulp was harvested by conservative pulpotomy (preserving the tooth). This was a split-mouth design study, where a third molar from one side was randomly allocated into the test group and the contralateral tooth in the control group. After pulp harvesting, the following evaluations were performed: cell morphology, sterility test, immunophenotyping, differentiation assays, first pass live cell counts, time to cryopreservation, and total number of expanded cells at the end of the fourth pass. Results Regarding morphology, the cells from both groups presented a fibroblastic phenotype. All samples were sterile. Immunophenotyping demonstrated a positive expression for CD105, CD90, and CD73 and negative expression for CD45 in both groups. Differentiation assays were positive for osteogenic and chondrogenic differentiation in both groups. Regarding live cell counts in the first passage, the control group had 95.8% live cells in the total count and the test group 91.2% (p < 0.05). The time required for cryopreservation was equivalent in both groups 51.6 days and 52.6 days, respectively (p > 0.05). The total number of cells at the end of the fourth passage was 5,286,782 and 5,736,862, respectively (p > 0.05). Conclusion These results suggest that adult stem cell harvesting from conservative pulpotomy is as effective as the traditional exodontia-based method.
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Bitencourt FV, Rodrigues JA, Toassi RFC. Narratives about a stigma: attributing meaning to the early loss of deciduous teeth on children's caregivers. Braz Oral Res 2021; 35:e044. [PMID: 33909866 DOI: 10.1590/1807-3107bor-2021.vol35.0044] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2020] [Accepted: 12/16/2020] [Indexed: 11/22/2022] Open
Abstract
Qualitative approach about the implications that occur succeeding the premature loss teeth is still insufficient. This study aimed to understand the experience of early loss of deciduous teeth in children's lives, from the perspective of their caregivers. Qualitative case study included 52 caregivers of children from an outpatient service of a public university in the south of Brazil. Early loss of deciduous teeth to trauma or caries was identified through analysis of health records, and afterwards, semi-structured interviews were performed. Textual material was interpreted through the content analysis proposed by Bardin, supported by the ATLAS.ti software. The theoretical perspective of stigma was guided according to the principles of the phenomenology of Maurice Merleau-Ponty, centred on the experience of early loss of deciduous teeth as a historic-cultural expression of a social group. According to caregivers, premature loss of deciduous teeth due to trauma or decay brings functional limitations with chewing and speaking, and impairments related to social interaction with other children. The repercussions of missing teeth were not limited to the child's image, but also brought changes in families' daily lives. However, when early tooth loss was due to extraction because of pain and suffering, caregivers perceived the loss as 'commonplace' in children's lives. The understanding of how children see themselves without teeth in their social world for their caregivers, which also includes their family and friends, determines how much experiencing tooth loss affects their lives. Besides, caregivers' perceptions related to early loss of deciduous teeth should be included in strategies of oral health promotion programs.
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Affiliation(s)
- Fernando Valentim Bitencourt
- Universidade Federal do Rio Grande do Sul - UFRGS, School of Dentistry, Post-Graduate Program in Dentistry, Porto Alegre, RS, Brazil
| | - Jonas Almeida Rodrigues
- Universidade Federal do Rio Grande do Sul - UFRGS, School of Dentistry, Department of Surgery and Orthopedics, Porto Alegre, RS, Brazil
| | - Ramona Fernanda Ceriotti Toassi
- Universidade Federal do Rio Grande do Sul - UFRGS, School of Dentistry, Department of Preventive and Social Dentistry, Porto Alegre, RS, Brazil
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Wagner Y, Knaup I, Knaup TJ, Jacobs C, Wolf M. Influence of a programme for prevention of early childhood caries on early orthodontic treatment needs. Clin Oral Investig 2020; 24:4313-4324. [PMID: 32382925 PMCID: PMC7666665 DOI: 10.1007/s00784-020-03295-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2019] [Accepted: 04/17/2020] [Indexed: 12/19/2022]
Abstract
OBJECTIVES The aim of this prospective birth cohort study was to evaluate the effect of the programme for prevention (PP) of early childhood caries and the resulting need for orthodontic treatment in 8-year-old German children. MATERIAL AND METHODS Children who had been enrolled in a caries-risk-related recall system with continuous dental care starting at the time of birth (prevention group, PG) were compared with children of the same birth cohort whose parents decided not to participate in the programme (control group, CG). All children (n = 289) participating in the last PP evaluation at the age of 5 years were invited again and examined by blinded clinicians. Dental caries was scored using the WHO diagnostic criteria expanded to d1-level without radiography. Impressions were taken of children with premature tooth loss to analyse space conditions. RESULTS Two hundred twenty-seven children (mean age 8.4 ± 0.6 years; 46.7% female) were examined. Children in the PG (n = 127) showed significantly lower caries prevalence and experience (3.1%, 0.4 ± 1.0 d3-4mft) than children in the CG (37.3%, 3.9 ± 3.5 d3-4mft). Orthodontic analysis found a higher prevalence of premature tooth extraction, followed by a greater extent of space loss in the CG (41.0%; 3.3 ± 4.4 mm) vs. PG (7.9%; 0.4 ± 1.9 mm) and an increase in early orthodontic treatment need (KIG P3, IOTN 5). CONCLUSIONS The PP was an effective approach for preventing caries-related premature tooth loss in children and conserving relevant arch length. CLINICAL RELEVANCE Children who received continuous dental care starting at the time of birth showed better oral health with less premature loss of deciduous teeth and lower need for orthodontic treatment at the age of 8 years. TRIAL REGISTRATION German Clinical Trials Register DRKS00003438, https://drks-neu.uniklinik-freiburg.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00003438.
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Affiliation(s)
- Yvonne Wagner
- Department of Orthodontics, Section Preventive Dentistry and Paediatric Dentistry, Jena University Hospital, An der alten Post 4, Jena, Germany.
| | - I Knaup
- Department of Orthodontics, RWTH Aachen University Hospital, Aachen, Germany
| | - T J Knaup
- Department of Orthodontics, RWTH Aachen University Hospital, Aachen, Germany
| | - C Jacobs
- Department of Orthodontics, Section Preventive Dentistry and Paediatric Dentistry, Jena University Hospital, An der alten Post 4, Jena, Germany
| | - M Wolf
- Department of Orthodontics, RWTH Aachen University Hospital, Aachen, Germany
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Bindayel NA. Clinical evaluation of short term space variation following premature loss of primary second molar, at early permanent dentition stage. Saudi Dent J 2019; 31:311-315. [PMID: 31337933 PMCID: PMC6626255 DOI: 10.1016/j.sdentj.2019.03.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2019] [Revised: 03/03/2019] [Accepted: 03/04/2019] [Indexed: 11/20/2022] Open
Abstract
Purpose The present study aimed at determining whether the premature loss of a deciduous second molar results in a clinically relevant loss of space and arch length reduction. Methods Split mouth evaluation of approximately 32 patients at early permanent dentition stage with unilateral premature loss of the deciduous second molar either in the upper arch or the lower arch. The contra lateral side with no tooth loss served as controls. Dental models and radiographs were obtained. The space in the extraction site and control sides were measured and analyzed for space loss and eruption stage of premolars in three weeks time frame. Results and conclusion The mean combined space before second primary molar extraction was 25.04 mm (±4.25), while the average space post extraction was 24.61 (±4.27) and the difference was found to be statistically significant (P < 0.01). Furthermore, neither subject’s age, nor successor premolar eruption stage were found to be correlated significantly with the amount of space loss (P-values 0.989 and 0.811, respectively). Space loss after premature extraction of second primary molar in three weeks time frame was statistically significant thereby emphasizing the use of space maintainers at the earliest.
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Affiliation(s)
- Naif A Bindayel
- Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Saudi Arabia
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Lucas-Rincón SE, Robles-Bermeo NL, Lara-Carrillo E, Scougall-Vilchis RJ, Pontigo-Loyola AP, Rueda-Ibarra V, Loyola-Rodríguez JP, Escoffié-Ramirez M, Medina-Solís CE. Interproximal caries and premature tooth loss in primary dentition as risk factors for loss of space in the posterior sector: A cross-sectional study. Medicine (Baltimore) 2019; 98:e14875. [PMID: 30882692 PMCID: PMC6426507 DOI: 10.1097/md.0000000000014875] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023] Open
Abstract
Dental caries-a highly prevalent public health problem in preschoolers and school children-is the main cause of premature dental loss during childhood, and this may be related to loss of space in the posterior sector. The objective of this study was to evaluate whether interproximal caries and premature tooth loss (D and/or E) are risk factors for loss of space in the posterior sector.A comparative cross-sectional study (split-mouth type) was performed in schoolchildren (6-8 years old). Seventeen gypsum models were evaluated. These children presented with unilateral loss of a dental organ or interproximal caries (teeth D and/or E) and without such affectations on the other side. Measurements were made with a digital Vernier caliper. The dependent variable was the difference (loss of space, mm) between the control and case sides. The independent variables were type of affectation (interproximal caries or tooth loss), sex, age, arcade, and number of interproximal surfaces affected.The mean age was 6.82 ± 0.44 years and 64.7% were boys. The average space loss was 1.09 ± 0.18 mm (control vs case; P < .0001). A greater loss of space was observed among those who lost a dental organ than those with interproximal caries (P = .0119). A correlation was observed between the variable loss of space and the number of interproximal surfaces affected (r = 0.5712, P = .0166).Interproximal caries and tooth loss were risk factors for loss of space in the posterior segment in this sample of Mexican schoolchildren.
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Affiliation(s)
- Salvador Eduardo Lucas-Rincón
- Advanced Studies and Research Center in Dentistry, “Dr Keisaburo Miyata” Faculty of Dentistry at Autonomous University of State of Mexico, Toluca
- School of Dentistry at Ixtlahuaca University Centre, Ixtlahuaca
| | - Norma Leticia Robles-Bermeo
- Advanced Studies and Research Center in Dentistry, “Dr Keisaburo Miyata” Faculty of Dentistry at Autonomous University of State of Mexico, Toluca
| | - Edith Lara-Carrillo
- Advanced Studies and Research Center in Dentistry, “Dr Keisaburo Miyata” Faculty of Dentistry at Autonomous University of State of Mexico, Toluca
| | - Rogelio José Scougall-Vilchis
- Advanced Studies and Research Center in Dentistry, “Dr Keisaburo Miyata” Faculty of Dentistry at Autonomous University of State of Mexico, Toluca
| | | | - Vicente Rueda-Ibarra
- Advanced Studies and Research Center in Dentistry, “Dr Keisaburo Miyata” Faculty of Dentistry at Autonomous University of State of Mexico, Toluca
- Academic Area of Dentistry of Health Sciences Institute at Autonomous University of Hidalgo State, Pachuca
| | | | | | - Carlo Eduardo Medina-Solís
- Advanced Studies and Research Center in Dentistry, “Dr Keisaburo Miyata” Faculty of Dentistry at Autonomous University of State of Mexico, Toluca
- Academic Area of Dentistry of Health Sciences Institute at Autonomous University of Hidalgo State, Pachuca
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