Prevalencia de Caries y Hábitos Alimentarios en Lactantes del Sudeste de Brasil
DOI:
https://doi.org/10.21270/archi.v11i2.5572Palabras clave:
Odontología Pediátrica, Caries Dental, Conducta Alimentaria, Lactancia MaternaResumen
Introducción: En las últimas décadas, se ha dado un gran énfasis al cuidado dental temprano. La odontología para bebés ha ido ganando cada vez más espacio dentro de la odontología actual, para promover la reducción de la incidencia de la caries y la mejora de la conciencia colectiva, especialmente de los padres o tutores, en relación con el cuidado bucal, los hábitos de higiene y la dieta. Objetivo: Evaluar la prevalencia de caries en lactantes de 13 a 36 meses que acuden a una clínica odontológica pediátrica universitaria del sudeste de Brasil y correlacionar estos datos con sus hábitos alimentarios. Métodos: Los padres o tutores respondieron a un cuestionario semiestructurado que abordaba los hábitos alimentarios de estos lactantes y su exposición a alimentos con potencial cariogénico. Además, se evaluó el índice dmf-t y el riesgo de caries considerando el alfa de 0,05. Resultados: La media del índice dmf-t fue de 1,25. La mayoría de los bebés presentaron un riesgo elevado del 50% para el desarrollo de la enfermedad de la caries. La ingesta de alimentos con potencial protector de la caries dental estaba presente en la dieta del 93,3% de los lactantes. A pesar de ello, el 73,3% de los lactantes consumía alimentos con azúcar oculto y el 53,3% tomaba medicamentos en forma de jarabe o suspensión.Los resultados fueron estadísticamente diferentes (p = 0,017) entre los lactantes que recibieron lactancia materna y sus índices dmf-t. Conclusiones: La mayoría de los lactantes presentaban patrones dietéticos inadecuados, exposición exagerada a líquidos o alimentos con potencial cariogénico, evidenciado por el elevado índice dmf-t. Además, la lactancia materna se correlacionó con un mayor riesgo de desarrollar caries dental.
Descargas
Citas
Djokic J, Bowen A, Dooa JS, Kahatab R, Kumagai T, McKee K et al. Knowledge, attitudes and behaviour regarding the infant oral health visit: are dentists in Ireland aware of the recommendation for a first visit to the dentist by age 1 year?. Eur Arch Paediatr Dent. 2019;20(2):65-72.
Mangla Rg, Kapur R, Dhindsa A, Madan M. Prevalence and associated Risk Factors of Severe Early Childhood Caries in 12- to 36-month-old Children of Sirmaur District, Himachal Pradesh, India. Int J Clin Pediatr Dent. 2017;10(2):183-87
Xiao J, Alkhers N, Kopycka-Kedzierawski DT, Billings RJ, Wu TT, Castillo DA et al. Prenatal Oral Health Care and Early Childhood Caries Prevention: A Systematic Review and Meta-Analysis. Caries Res. 2019;53(4):411-21.
Herval AM, Oliveira FPSL, Machado KM, Vasconcelos M, Ferreira RC, Ferreira EFE et al. 2019 Mothers’ perception about health education in brazilian primary health care: A qualitative study. Int J Paediatr Dent. 2019;29(5):669-76..
Pal A, Gupta S, Rao A, Kathal S, Roy S, Pandey S. Family-Related Factors Associated with Caries Prevalence in the Primary Dentition of 5-6-year-old Children in Urban and Rural Areas of Jabalpur City. Contemp Clin Dent. 2017;8(2):305-9.
Breda J, Jewell J, Keller A. The Importance of the World Health Organization Sugar Guidelines for Dental Health and Obesity Prevention. Caries Res. 2019;53(2):149-52.
Palacios C, Rivas-Tumanyan S, Morou-Bermúdez E, Colon AM, Torres RY, Elías-Boneta AR. Association between Type, Amount, and Pattern of Carbohydrate Consumption with Dental Caries in 12-Year-Olds in Puerto Rico. Caries Res. 2016; 50(6):560-70.
von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP; STROBE Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: guidelines for reporting observational studies. Int J Surg. 2014;12(12):1495-99.
IBGE [Internet]. Instituto Brasileiro de Geografia e Estatística - Censo de 2010. https://www.ibge.gov.br/home/estatistica/popul acao/censo2010/. Accessed March 27, 2019
Tagliaferro EP, Ambrosano GM, Meneghim Mde C, Pereira AC. Risk indicators and risk predictors of dental caries in schoolchildren. J Appl Oral Sci. 2008;16(6):408-13.
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Secretaria de Vigilância em Saúde. SB Brasil 2010: Pesquisa Nacional de Saúde Bucal: resultados principais / Ministério da Saúde. Secretaria de Atenção à Saúde. Secretaria de Vigilância em Saúde. – Brasília: Ministério da Saúde, 2012. 116 p.
WHO. Infant and Young Child Feeding: Model Chapter for Textbooks for Medical Students and Allied Health Professionals. Geneva: World Health Organization; 2009. SESSION 3, Complementary feeding. Available from: https://www.ncbi.nlm.nih.gov/books/NBK148957/
Peres KG, Nascimento GG, Peres MA, Mittinty MN, Demarco FF, Santos IS et al. Impact of Prolonged Breastfeeding on Dental Caries: A Population-Based Birth Cohort Study. Pediatrics. 2017;140(1):e20162943.
Santos BZ; Dotto PP, Guedes RS. Breastfeeding and risk of dental caries. Epidemiol Serv Saúde. 2016; 25(3):633-35.
Li F, Fu D, Tao D, Feng X, Wong MCM, Xu W et al. Dynamic Observation of the Effect of Maternal Caries on the Oral Microbiota of Infants Aged 12-24 Months. Front Cell Infect Microbiol. 2021;11:637394.
Edem AP. Early Childhood Caries Update, Dental Caries - Diagnosis, Prevention and Management, Zühre Akarslan, IntechOpen.
Feldens CA, Rodrigues PH, de Anastácio G, Vítolo MR, Chaffee BW. Feeding frequency in infancy and dental caries in childhood: a prospective cohort study. Int Dent J. 2018;68(2):113-21.
Zhang M, Zhang X, Zhang Y, Li Y, Shao C, Xiong S et al. Assessment of risk factors for early childhood caries at different ages in Shandong, China and reflections on oral health education: a cross-sectional study. BMC Oral Health. 2020;20(1):139.
Huang Y, Thompson T, Wang Y, Yu Q, Zhu L, Xu X et al. Analysis of cariogenic potential of alternative milk beverages by in vitro Streptococcus mutans biofilm model and ex vivo caries model. Arch Oral Biol. 2019;105:52-58.
Roscoe MG, da Silva Bonifacio SV, da Silva TB, Pingueiro JM, Lemos MM, Feres MF. Association of Breastfeeding Duration, Nonnutritive Sucking Habits, and Malocclusion. Int J Clin Pediatr Dent. 2018;11(1):18-22.
American Dental Association. Statement on early childhood caries. Chicago: American Dental Association; 2016. Available from: http://www.ada.org/en/about-the-ada/ada-positions-policies-and-statements/statement-on-early-childhood-caries.
Williams L. British Society of Paediatric Dentistry Position Statement on Infant Feeding. 2016. Available from: https://www.bspd.co.uk/Portals/0/BSPD%20statement%20on%20Infant%20feeding%20Jan%202018i.pdf
Humaid AJ. Sweetener content and cariogenic potential of pediatric oral medications: A literature. Int J Health Sci (Qassim). 2018;12(3):75-82.
Newton JT, Awojobi O, Nasseripour M, et al. A systematic review and meta-analysis of the role of sugar-free chewing gum in dental caries. JDR Clin Trans Res. 2020;5(3):214-23.
Balhaddad AA, Anmar A. Kansara, Denise Hidan, Michael D. Weir, Hockin H.K. Xu, Mary Anne S. Melo. Toward dental caries: Exploring nanoparticle-based platforms and calcium phosphate compounds for dental restorative materials. Bioactive Materials. 2019;4:43-55.
Longo-Silva G, Toloni MH, de Menezes RC, Asakura L, Oliveira MA, Taddei JA. Introdução de refrigerantes e sucos industrializados na dieta de lactentes que frequentam creches públicas [Introduction of soft drinks and processed juice in the diet of infants attending public day care centers]. Rev Paul Pediatr. 2015;33(1):34-41.
Nirmala SV, Popuri VD, Chilamakuri S, Nuvvula S, Veluru S, Minor Babu MS. Oral health concerns with sweetened medicaments: Pediatricians' acuity. J Int Soc Prev Community Dent. 2015; 5(1):35–39.
Almeida TF, Couto MC, Oliveira MS, Ribeiro MB, Vianna MIP. Ocorrência de cárie dentária e fatores associados em crianças de 24 a 60 meses residentes em áreas cobertas pelo Programa Saúde da Família, em Salvador – BA, 2008. Rev. Odontol. UNESP. 2010; 39(6):655-62.
Tiano AV, Moimaz SA, Saliba O, Garbin CA. Prevalence of enamel white spots and risk factors in children up to 36 months old. Braz Oral Res. 2009; 23(2):215-22.