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Vol. 21. Núm. 3.
Páginas 227-234 (mayo - junio 2007)
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Vol. 21. Núm. 3.
Páginas 227-234 (mayo - junio 2007)
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Defectos del esmalte, caries en dentición primaria, fuentes de fluoruro y su relación con caries en dientes permanentes
Enamel defects, caries in primary dentition and fluoride sources: relationship with caries in permanent teeth
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Ana Alicia Vallejos-Sáncheza, Carlo Eduardo Medina-Solísb,
Autor para correspondencia
cemedinas@yahoo.com

Correspondencia: Carlo Eduardo Medina Solís. Privada de Altillo, s/n, entre Avda. Central y Pedro Moreno. Colonia San José. 24040 Campeche. México.
, Juan Fernando Casanova-Rosadoa, Gerardo Maupoméc, Alejandro José Casanova-Rosadoa, Mirna Minaya-Sáncheza
a Facultad de Odontología de la Universidad Autónoma de Campeche, Campeche, México
b Área Académica de Odontología, Instituto de Ciencias de la Salud de la Universidad Autónoma del Estado de Hidalgo, Pachuca, México
c Oral Health Research Institute, Indiana University/Purdue University at Indianapolis School of Dentistry, Indianápolis, Indiana, Estados Unidos
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Resumen
Objetivo

Explorar la relación entre la presencia de defectos del esmalte (DE), la experiencia de caries en la dentición temporal, y la exposición a diversas fuentes de fluoruros, con la presencia de caries en la dentición permanente de niños con dentición mixta.

Material y métodos

Se realizó un estudio transversal en 713 sujetos de 6-9 años de edad de 4 escuelas de Campeche, México, mediante un cuestionario dirigido a las madres, y un examen clínico bucal a los niños. La variable dependiente fue la prevalencia de caries en la dentición permanente.

Resultados

El promedio de dientes temporales cariados, extraídos y obturados (ceod) y dientes permanentes cariados, perdidos y obturados (CPOD) fue de 2,48 (2,82) (ceod > 0=58,9%) y 0,40 (0,98) (CPOD > 0=18,2%), respectivamente. El índice SiC (índice de caries significativa, calculado en la dentición temporal) fue de 5,85 para los niños de 6 años de edad. En el análisis de regresión logística multivariado permanecieron significativas, después de ajustar por variables de exposición a fluoruros, la mayor edad (odds ratio [OR] = 2,99), el ceod > 0 (OR=5,46), la menor escolaridad de la madre (OR=1,57) y una interacción entre sexo y defectos del esmalte.

Conclusiones

Las caries en la dentición temporal y permanente fueron relativamente menores que las observaciones publicadas por otros estudios en México. Los resultados confirmaron que la caries en la dentición temporal se asoció fuertemente con la caries en la dentición permanente. No hubo una relación significativa entre las fuentes de fluoruro y la caries dental en la dentición permanente.

Palabras clave:
Caries dental
Epidemiología
Dentición permanente
Dentición temporal
Fluoruros
Índice SiC
México
Abstract
Objective

To examine the relationship between the presence of enamel defects, dental caries in primary teeth, and exposure to various fluoride technologies and the presence of dental caries in permanent teeth in children with mixed dentition.

Materials and methods

A cross-sectional study was conducted in 713 children aged 6-9 years old in 4 elementary schools in Campeche, Mexico through the use of a questionnaire for the mothers and an oral examination in the children. The dependent variable was the prevalence of caries in permanent dentition.

Results

The mean number of decay, missing or filling teeth in primary dentition (dmft) and in permanent dentition (DMFT) was 2.48 (2.82) (deft > 0 = 58.9%) and 0.40 (0.98) (DMFT > 0=18.2%), respectively. The significant caries index (SiC), which is calculated in deciduous dentition, was 5.85 for 6 yearolds. Multivariate logistic regression adjusted for variables related to fluoride exposure revealed that older age (OR=2.99), a deft of > 0 (OR=5.46), and lower maternal educational level (OR=1.57) were significantly associated with a higher number of dental caries in permanent teeth. An interaction between sex and enamel defects was also found.

Conclusions

The number of dental caries in both primary and permanent dentitions was relatively smaller than that found in prior studies performed in Mexican populations. The results confirm that the presence of caries in primary dentition is strongly associated with caries in permanent dentition. No significant relationship was found between fluoride exposure and dental caries in permanent dentition.

Key words:
Dental caries
Epidemiology
Permanent dentition
Primary dentition
Fluorides
SiC index
Mexico
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