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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Determinar la prevalencia de caries dental&#44; el &#237;ndice de caries significativo &#40;SiC&#41; y los &#237;ndices ceod y CPOD &#40;suma de dientes cariados&#44; perdidos&#47;extra&#237;dos y obturados en la dentici&#243;n temporal y permanente&#41; en escolares de 6 a 12 a&#241;os de edad de Le&#243;n&#44; Nicaragua&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todo</span><p class="elsevierStyleSimplePara elsevierViewall">Los datos dentales de una muestra representativa de 1&#46;400 ni&#241;os escolares fueron recogidos y analizados en un estudio transversal &#40;a&#241;o 2002&#41;&#46; Todos los sujetos fueron examinados visual y cl&#237;nicamente por uno de los 2 examinadores capacitados y estandarizados&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">El 28&#44;6&#37; de los ni&#241;os estaba libre de caries en ambas denticiones&#46; La prevalencia de caries en la dentici&#243;n temporal a los 6 a&#241;os de edad fue del 72&#44;6&#37; y la de la dentici&#243;n permanente a los 12 a&#241;os fue del 45&#44;0&#37;&#46; El SiC fue 4&#44;12 en los ni&#241;os de 12 a&#241;os de edad&#46; La media de los &#237;ndices de caries &#40;ceod y CPOD&#41; para la muestra fue 2&#44;98<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>2&#44;93 &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#46;125&#41; y 0&#44;65<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>1&#44;43 &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#46;379&#41;&#46; Los ni&#241;os con antecedentes de caries en la dentici&#243;n temporal tuvieron mayor probabilidad de presentar caries en la dentici&#243;n permanente &#40;<span class="elsevierStyleItalic">odds ratio</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#44;48&#59; intervalo de confianza del 95&#37;&#44; 1&#44;66-3&#44;79&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusi&#243;n</span><p class="elsevierStyleSimplePara elsevierViewall">Se observ&#243; una baja prevalencia de caries en la dentici&#243;n permanente con un alto porcentaje de dientes obturados&#44; a diferencia de lo observado en la dentici&#243;n temporal&#46; A unos a&#241;os de las metas propuestas para el a&#241;o 2000 &#40;FDI&#47;OMS&#41;&#44; no se cumplieron los objetivos en los ni&#241;os de 6 a&#241;os de edad&#46; Sin embargo&#44; la meta para el a&#241;o 2000 en ni&#241;os de 12 a&#241;os fue satisfactoria&#46; Como en otros estudios&#44; observamos que la experiencia de caries en la dentici&#243;n temporal se encuentra asociada con la presencia de caries en la dentici&#243;n permanente&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To determine the prevalence of caries&#44; deft and DMFT indices &#40;sum of decay&#44; messing&#44; and filling tooth in primary and permanent dentition&#41;&#44; and the Significant Caries Index &#40;SiC&#41; in scholars from Leon&#44; Nicaragua&#46;</p> <span class="elsevierStyleSectionTitle">Patients and method</span><p class="elsevierStyleSimplePara elsevierViewall">Dental data from a representative sample of 1&#44;400 children were collected and analyzed in a cross-sectional study &#40;year 2002&#41;&#46; All subjects were clinically evaluated by one of two calibrated and standardized examiners&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">28&#46;6&#37; children were caries free in both dentitions&#46; Caries prevalence in primary teeth in 6-years-old children was 72&#46;6&#37; and 45&#46;0&#37; in permanent teeth in 12-years-old children&#46; Mean deft and DMFT were 2&#46;98<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>2&#46;93 &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;125&#41; and 0&#46;65<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>1&#46;43 &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;379&#41;&#44; respectively&#46; The SiC at 12 years of age was 4&#46;12&#46; Children with caries experience in primary teeth were more likely to have caries in permanent teeth &#40;odds ratio &#61; 2&#46;48&#59; 95&#37; confidence interval&#44; 1&#46;66-3&#46;79&#41; than children without caries in primary teeth&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p class="elsevierStyleSimplePara elsevierViewall">Low caries prevalence and experience were observed in the permanent dentition&#44; with a substantial proportion of filled teeth&#46; Such favorable finding was not observed in the primary dentition&#46; Levels of caries failed to meet the oral health goal of FDI&#47;WHO for the year 2000 in 6-yearsold&#46; However&#44; the levels found in 12-year-olds had already met the goal for 2000&#46; The present findings confirmed prior reports that the caries experience in primary teeth is associated with the experience of caries in permanent teeth&#46;</p>"
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                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Acta Odontol Scand"
                        "fecha" => "2002"
                        "volumen" => "60"
                        "paginaInicial" => "281"
                        "paginaFinal" => "289"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12418718"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A sa&#250;de bucal de escolares residentas em locais com ou sem fluoretacao nas &#225;guas de abastecimento p&#250;blico na regiao de Sorocaba&#44; Sao Paulo&#44; Brasil"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "S&#46; Cypriano"
                            1 => "G&#46;D&#46; Pecharki"
                            2 => "M&#46;L&#46; De Souza"
                            3 => "R&#46; Seichi-Wada"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Cad Sa&#250;de P&#250;blica"
                        "fecha" => "2003"
                        "volumen" => "19"
                        "paginaInicial" => "1063"
                        "paginaFinal" => "1071"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12973571"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The reduction of dental caries prevalence in English schoolchildren"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "R&#46;J&#46; Anderson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Dent Res"
                        "fecha" => "1982"
                        "volumen" => "61"
                        "paginaInicial" => "1311"
                        "paginaFinal" => "1316"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Contribution changing diagnostic criteria toward reduction of caries between 1971 and 1997 in children attending the same school in Florianapolis&#44; Brazil"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "W&#46; Marcenes"
                            1 => "G&#46;R&#46; Freysleben"
                            2 => "M&#46;A&#46; Peres"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Community Dent Oral Epidemiol"
                        "fecha" => "2001"
                        "volumen" => "29"
                        "paginaInicial" => "449"
                        "paginaFinal" => "455"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11784288"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "FDI&#47;WHO&#46; Changing patterns of oral health and implications for oral health manpower&#58; Part I&#46; Report of a Working Group convened jointly by the Federation Dentaire Internationale and the World Health Organisation&#46; Int Dent J&#46; 1985&#59;35&#58;235-51&#46;"
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Narv&#225;ez A&#46; Estudio epidemiol&#243;gico de salud bucal en ni&#241;os de 6&#44; 7&#44; 8&#44; 12 y 15 a&#241;os de escuelas y colegios p&#250;blicos de Nicaragua 1997&#46; &#91;Tesis DDS&#46;&#93; Le&#243;n&#44; Nicaragua&#58; UNAN&#59; 1997&#46;"
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "P&#233;rez Z&#46; Prevalencia de placa bacteriana y caries dental&#44; en ni&#241;os escolares de escuelas p&#250;blicas y privadas de la ciudad de Diriamba&#44; Nicaragua&#44; 1997&#46; &#91;Tesis DDS&#46;&#93; Le&#243;n&#44; Nicaragua&#58; UNAN&#59; 1997&#46;"
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Aburto R&#46; Prevalencia de caries en Escolares de 12-14 a&#241;os de edad del Colegio Rep&#250;blica de Austria&#44; Managua&#44; Nicaragua&#44; 1999&#46; &#91;Tesis DDS&#46;&#93; Le&#243;n&#44; Nicaragua&#58; UNAN&#59; 1999&#46;"
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Corrales J&#46; Prevalencia de caries dental en estudiantes de 12-14 a&#241;os de edad&#44; del Instituto Nacional de Occidente &#171;Benito Mauricio Lacayo&#187;&#44; Le&#243;n&#44; Nicaragua&#44; 1999&#46; &#91;Tesis DDS&#46;&#93; Le&#243;n&#44; Nicaragua&#58; UNAN&#59; 1999&#46;"
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Espinosa G&#46; Prevalencia de caries dental en escolares de 12-18 a&#241;os de edad&#44; del Municipio de Quezalguaque&#44; Le&#243;n&#44; Nicaragua&#44; 1999&#46; &#91;Tesis DDS&#46;&#93; Le&#243;n&#44; Nicaragua&#58; UNAN&#59; 1999&#46;"
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Introducing the Significant Caries Index together with a proposal for a new global oral health goal for 12-year-olds"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "D&#46; Bratthall"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Int Dent J"
                        "fecha" => "2000"
                        "volumen" => "50"
                        "paginaInicial" => "378"
                        "paginaFinal" => "384"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11197197"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Prevalencia de caries en ni&#241;os escolares&#58; estudio transversal en la Ciudad de Barcelona"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "P&#46; Casanas"
                            1 => "M&#46; Ballestin"
                            2 => "J&#46;R&#46; Villalbi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Gac Sanit"
                        "fecha" => "1992"
                        "volumen" => "6"
                        "paginaInicial" => "13"
                        "paginaFinal" => "18"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1512127"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Prevalencia de caries y factores asociados en escolares de 12 a&#241;os de Barcelona"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "I&#46; Dolado"
                            1 => "P&#46; Casanas"
                            2 => "M&#46; Nebot"
                            3 => "C&#46; Manau"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Aten Primaria"
                        "fecha" => "1996"
                        "volumen" => "18"
                        "paginaInicial" => "111"
                        "paginaFinal" => "115"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8768653"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Prevalencia de caries en zonas rurales y periurbanas marginadas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "G&#46; Maupom&#233;"
                            1 => "Y&#46;A&#46; Borges"
                            2 => "M&#46;C&#46; Ledesma"
                            3 => "E&#46;R&#46; Herrera"
                            4 => "H&#46;E&#46; Leyva"
                            5 => "A&#46;A&#46; Navarro"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Salud P&#250;blica Mex"
                        "fecha" => "1993"
                        "volumen" => "35"
                        "paginaInicial" => "357"
                        "paginaFinal" => "367"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8342082"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Dental caries in the primary dentition in public nursery school children in Juiz de Fora&#44; Minas Gerais&#44; Brazil"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "I&#46;C&#46; Leite"
                            1 => "R&#46;A&#46; Ribeiro"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Cad Sa&#250;de P&#250;blica"
                        "fecha" => "2000"
                        "volumen" => "16"
                        "paginaInicial" => "717"
                        "paginaFinal" => "722"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11035511"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Prevalencia&#44; severidad de caries y necesidades de tratamiento en preescolares de una comunidad suburbana de Campeche-2001"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "M&#46;S&#46; Herrera"
                            1 => "C&#46;E&#46; Medina-Sol&#237;s"
                            2 => "G&#46; Rosado-Vila"
                            3 => "M&#46; Minaya-S&#225;nchez"
                            4 => "A&#46;A&#46; Vallejos-S&#225;nchez"
                            5 => "J&#46;F&#46; Casanova-Rosado"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Bol Med Hosp Infant Mex"
                        "fecha" => "2003"
                        "volumen" => "60"
                        "paginaInicial" => "189"
                        "paginaFinal" => "196"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Caries dental en escolares del Distrito Federal"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "M&#46;E&#46; Irigoyen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Salud Publica Mex"
                        "fecha" => "1997"
                        "volumen" => "39"
                        "paginaInicial" => "133"
                        "paginaFinal" => "136"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9254437"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Changes in dental caries prevalence in 12-year-old students in the state of Mexico after 9 years of salt fluoridation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46;E&#46; Irigoyen"
                            1 => "G&#46; S&#225;nchez-Hinojosa"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "16606"
                      "Revista" => array:6 [
                        "tituloSerie" => "Caries Res"
                        "fecha" => "2000"
                        "volumen" => "34"
                        "paginaInicial" => "303"
                        "paginaFinal" => "307"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10867432"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Dental caries prevalence prevalence and mean DMFT among schoolchildren between 1971 to 1997&#44; Brazil"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "G&#46;R&#46; Freysleben"
                            1 => "M&#46;A&#46;A&#46; Peres"
                            2 => "W&#46; Marcenes"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Sa&#250;de P&#250;blica"
                        "fecha" => "2000"
                        "volumen" => "34"
                        "paginaInicial" => "304"
                        "paginaFinal" => "308"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10920455"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Relationship between caries&#44; gingivitis and fluorosis and the socioeconomic status among school children"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; Maltz"
                            1 => "B&#46; Barbachan-e-Silva"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Sa&#250;de P&#250;blica"
                        "fecha" => "2001"
                        "volumen" => "35"
                        "paginaInicial" => "170"
                        "paginaFinal" => "176"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11359204"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib26"
              "etiqueta" => "26&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Riesgo de caries en escolares de escuelas oficiales de la Ciudad de M&#233;xico"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "A&#46; Moreno-Altamirano"
                            1 => "J&#46; Carreon-Garc&#237;a"
                            2 => "G&#46; Alvear-Galindo"
                            3 => "S&#46; L&#243;pez-Moreno"
                            4 => "L&#46; Vega-Franco"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Rev Mex Pediatr"
                        "fecha" => "2001"
                        "volumen" => "68"
                        "paginaInicial" => "228"
                        "paginaFinal" => "233"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib27"
              "etiqueta" => "27&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Dental caries experience in a young adult military population"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; Hopcraft"
                            1 => "M&#46; Morgan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Aust Dent J"
                        "fecha" => "2003"
                        "volumen" => "48"
                        "paginaInicial" => "125"
                        "paginaFinal" => "129"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14649403"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib28"
              "etiqueta" => "28&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Caries prevalence in primary teeth as a predictor of early fissure caries in permanent first molars"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; Raadal"
                            1 => "I&#46; Espelid"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Community Dent Oral Epidemiol"
                        "fecha" => "1992"
                        "volumen" => "20"
                        "paginaInicial" => "30"
                        "paginaFinal" => "34"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1547609"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib29"
              "etiqueta" => "29&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Prognosis of caries increment with past caries experience variables"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "W&#46;H&#46; Van Palenstein Helderman"
                            1 => "M&#46;A&#46; Van&#8217;t Hof"
                            2 => "C&#46; Van Loveren"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "47454"
                      "Revista" => array:6 [
                        "tituloSerie" => "Caries Res"
                        "fecha" => "2001"
                        "volumen" => "35"
                        "paginaInicial" => "186"
                        "paginaFinal" => "192"
                        "link" => array:1 [
                          0 => array:2 [
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                          "etal" => false
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                          0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Assessing risk indicators for dental caries in the primary dentition"
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Community Dent Oral Epidemiol"
                        "fecha" => "2001"
                        "volumen" => "29"
                        "paginaInicial" => "424"
                        "paginaFinal" => "434"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11784285"
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                      "titulo" => "Predicting caries in permanent teeth from caries in primary teeth&#58; an eight-year cohort study"
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                          "etal" => false
                          "autores" => array:2 [
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                            1 => "W&#46; Wang"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
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                      "Revista" => array:6 [
                        "tituloSerie" => "J Dent Res"
                        "fecha" => "2002"
                        "volumen" => "81"
                        "paginaInicial" => "561"
                        "paginaFinal" => "566"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12147748"
                            "web" => "Medline"
                          ]
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                  ]
                ]
              ]
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                          "etal" => false
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                            3 => "Y&#46; Efrat"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatr Dent"
                        "fecha" => "2003"
                        "volumen" => "25"
                        "paginaInicial" => "114"
                        "paginaFinal" => "118"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12723835"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Global goals for oral health in the year 2000"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "FDI&#47;WHO"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Int Dent J"
                        "fecha" => "1982"
                        "volumen" => "32"
                        "paginaInicial" => "74"
                        "paginaFinal" => "77"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6951815"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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                  "referenciaCompleta" => "Asamblea Nacional de la Rep&#250;blica de Nicaragua&#46; Ley para la fortificaci&#243;n de la sal con yodo y fl&#250;or &#91;Consultado 10 Dic 2004&#93;&#46; Disponible en&#58; <a class="elsevierStyleInterRef" href="http://legislacion.asamblea.gob.ni/">http&#58;&#47;&#47;legislacion&#46;asamblea&#46;gob&#46;ni&#47;</a>"
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Vol. 19. Núm. 4.
Páginas 302-306 (julio - agosto 2005)
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Vol. 19. Núm. 4.
Páginas 302-306 (julio - agosto 2005)
Originales
Open Access
Prevalencia de caries dental en escolares de 6-12 años de edad de León, Nicaragua
Prevalence of dental caries in 6-12-year-old schoolchildren in Leon, Nicaragua
Visitas
1353
Míriam del Socorro Herreraa, Carlo Eduardo Medina-Solisb,
Autor para correspondencia
cemedinas75@hotmail.com

Correspondencia: Dr. Carlo Eduardo Medina Solís. Privada de Altillo, s/n, entre Avda. Central y Pedro Moreno. Colonia San José. 24040 Campeche, Campeche. México.
, Gerardo Maupoméc
a Facultad de Odontología Universidad Nacional Autónoma de Nicaragua, León, Nicaragua, México
b Centro de Investigación en Sistemas de Salud Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México
c Kaiser Permanente Center for Health Research, Portland, Oregon, Estados Unidos
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Información del artículo
Resumen
Objetivo

Determinar la prevalencia de caries dental, el índice de caries significativo (SiC) y los índices ceod y CPOD (suma de dientes cariados, perdidos/extraídos y obturados en la dentición temporal y permanente) en escolares de 6 a 12 años de edad de León, Nicaragua.

Pacientes y método

Los datos dentales de una muestra representativa de 1.400 niños escolares fueron recogidos y analizados en un estudio transversal (año 2002). Todos los sujetos fueron examinados visual y clínicamente por uno de los 2 examinadores capacitados y estandarizados.

Resultados

El 28,6% de los niños estaba libre de caries en ambas denticiones. La prevalencia de caries en la dentición temporal a los 6 años de edad fue del 72,6% y la de la dentición permanente a los 12 años fue del 45,0%. El SiC fue 4,12 en los niños de 12 años de edad. La media de los índices de caries (ceod y CPOD) para la muestra fue 2,98±2,93 (n=1.125) y 0,65±1,43 (n=1.379). Los niños con antecedentes de caries en la dentición temporal tuvieron mayor probabilidad de presentar caries en la dentición permanente (odds ratio=2,48; intervalo de confianza del 95%, 1,66-3,79).

Conclusión

Se observó una baja prevalencia de caries en la dentición permanente con un alto porcentaje de dientes obturados, a diferencia de lo observado en la dentición temporal. A unos años de las metas propuestas para el año 2000 (FDI/OMS), no se cumplieron los objetivos en los niños de 6 años de edad. Sin embargo, la meta para el año 2000 en niños de 12 años fue satisfactoria. Como en otros estudios, observamos que la experiencia de caries en la dentición temporal se encuentra asociada con la presencia de caries en la dentición permanente.

Palabras clave:
Caries dental
Prevalencia
Epidemiología
Escolares
Nicaragua
Abstract
Objective

To determine the prevalence of caries, deft and DMFT indices (sum of decay, messing, and filling tooth in primary and permanent dentition), and the Significant Caries Index (SiC) in scholars from Leon, Nicaragua.

Patients and method

Dental data from a representative sample of 1,400 children were collected and analyzed in a cross-sectional study (year 2002). All subjects were clinically evaluated by one of two calibrated and standardized examiners.

Results

28.6% children were caries free in both dentitions. Caries prevalence in primary teeth in 6-years-old children was 72.6% and 45.0% in permanent teeth in 12-years-old children. Mean deft and DMFT were 2.98±2.93 (n=1,125) and 0.65±1.43 (n=1,379), respectively. The SiC at 12 years of age was 4.12. Children with caries experience in primary teeth were more likely to have caries in permanent teeth (odds ratio = 2.48; 95% confidence interval, 1.66-3.79) than children without caries in primary teeth.

Conclusion

Low caries prevalence and experience were observed in the permanent dentition, with a substantial proportion of filled teeth. Such favorable finding was not observed in the primary dentition. Levels of caries failed to meet the oral health goal of FDI/WHO for the year 2000 in 6-yearsold. However, the levels found in 12-year-olds had already met the goal for 2000. The present findings confirmed prior reports that the caries experience in primary teeth is associated with the experience of caries in permanent teeth.

Key words:
Dental caries
Prevalence
Epidemiology
School children
Nicaragua
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Bibliografía
[1.]
G.H. Petersson, D. Bratthall.
The caries decline: a review of reviews.
Eur J Oral Sci, 104 (1996), pp. 436-443
[2.]
T.M. Marthaler, D.M. O’Mullane, V. Vrbic.
The prevalence of dental caries in Europe 1990-1995.
Caries Res, 30 (1996), pp. 237-255
[3.]
E.D. Beltran-Aguilar, S. Estupinan-Day, R. Baez.
Analysis of prevalence and trends of dental caries in the Americas between the 1970s and 1990s.
Int Dent J, 49 (1999), pp. 322-329
[4.]
M. Bonecker, P. Cleaton-Jones.
Trends in dental caries in Latin American and Caribbean 5-6- and 11-13-year-old children: a systematic review.
Community Dent Oral Epidemiol, 31 (2003), pp. 152-157
[5.]
G. Maupomé, D.C. Clark, S.M. Levy, J. Berkowitz.
Patterns of dental caries following the cessation of water fluoridation.
Community Dent Oral Epidemiol, 29 (2001), pp. 37-47
[6.]
J.M. Birkeland, O. Haugejorden, F.R. Von der Fehr.
Analyses of the caries decline and incidence among Norwegian adolescents 1985-2000.
Acta Odontol Scand, 60 (2002), pp. 281-289
[7.]
S. Cypriano, G.D. Pecharki, M.L. De Souza, R. Seichi-Wada.
A saúde bucal de escolares residentas em locais com ou sem fluoretacao nas águas de abastecimento público na regiao de Sorocaba, Sao Paulo, Brasil.
Cad Saúde Pública, 19 (2003), pp. 1063-1071
[8.]
R.J. Anderson.
The reduction of dental caries prevalence in English schoolchildren.
J Dent Res, 61 (1982), pp. 1311-1316
[9.]
W. Marcenes, G.R. Freysleben, M.A. Peres.
Contribution changing diagnostic criteria toward reduction of caries between 1971 and 1997 in children attending the same school in Florianapolis, Brazil.
Community Dent Oral Epidemiol, 29 (2001), pp. 449-455
[10.]
FDI/WHO. Changing patterns of oral health and implications for oral health manpower: Part I. Report of a Working Group convened jointly by the Federation Dentaire Internationale and the World Health Organisation. Int Dent J. 1985;35:235-51.
[11.]
Narváez A. Estudio epidemiológico de salud bucal en niños de 6, 7, 8, 12 y 15 años de escuelas y colegios públicos de Nicaragua 1997. [Tesis DDS.] León, Nicaragua: UNAN; 1997.
[12.]
Pérez Z. Prevalencia de placa bacteriana y caries dental, en niños escolares de escuelas públicas y privadas de la ciudad de Diriamba, Nicaragua, 1997. [Tesis DDS.] León, Nicaragua: UNAN; 1997.
[13.]
Aburto R. Prevalencia de caries en Escolares de 12-14 años de edad del Colegio República de Austria, Managua, Nicaragua, 1999. [Tesis DDS.] León, Nicaragua: UNAN; 1999.
[14.]
Corrales J. Prevalencia de caries dental en estudiantes de 12-14 años de edad, del Instituto Nacional de Occidente «Benito Mauricio Lacayo», León, Nicaragua, 1999. [Tesis DDS.] León, Nicaragua: UNAN; 1999.
[15.]
Espinosa G. Prevalencia de caries dental en escolares de 12-18 años de edad, del Municipio de Quezalguaque, León, Nicaragua, 1999. [Tesis DDS.] León, Nicaragua: UNAN; 1999.
[16.]
D. Bratthall.
Introducing the Significant Caries Index together with a proposal for a new global oral health goal for 12-year-olds.
Int Dent J, 50 (2000), pp. 378-384
[17.]
P. Casanas, M. Ballestin, J.R. Villalbi.
Prevalencia de caries en niños escolares: estudio transversal en la Ciudad de Barcelona.
Gac Sanit, 6 (1992), pp. 13-18
[18.]
I. Dolado, P. Casanas, M. Nebot, C. Manau.
Prevalencia de caries y factores asociados en escolares de 12 años de Barcelona.
Aten Primaria, 18 (1996), pp. 111-115
[19.]
G. Maupomé, Y.A. Borges, M.C. Ledesma, E.R. Herrera, H.E. Leyva, A.A. Navarro.
Prevalencia de caries en zonas rurales y periurbanas marginadas.
Salud Pública Mex, 35 (1993), pp. 357-367
[20.]
I.C. Leite, R.A. Ribeiro.
Dental caries in the primary dentition in public nursery school children in Juiz de Fora, Minas Gerais, Brazil.
Cad Saúde Pública, 16 (2000), pp. 717-722
[21.]
M.S. Herrera, C.E. Medina-Solís, G. Rosado-Vila, M. Minaya-Sánchez, A.A. Vallejos-Sánchez, J.F. Casanova-Rosado.
Prevalencia, severidad de caries y necesidades de tratamiento en preescolares de una comunidad suburbana de Campeche-2001.
Bol Med Hosp Infant Mex, 60 (2003), pp. 189-196
[22.]
M.E. Irigoyen.
Caries dental en escolares del Distrito Federal.
Salud Publica Mex, 39 (1997), pp. 133-136
[23.]
M.E. Irigoyen, G. Sánchez-Hinojosa.
Changes in dental caries prevalence in 12-year-old students in the state of Mexico after 9 years of salt fluoridation.
Caries Res, 34 (2000), pp. 303-307
[24.]
G.R. Freysleben, M.A.A. Peres, W. Marcenes.
Dental caries prevalence prevalence and mean DMFT among schoolchildren between 1971 to 1997, Brazil.
Rev Saúde Pública, 34 (2000), pp. 304-308
[25.]
M. Maltz, B. Barbachan-e-Silva.
Relationship between caries, gingivitis and fluorosis and the socioeconomic status among school children.
Rev Saúde Pública, 35 (2001), pp. 170-176
[26.]
A. Moreno-Altamirano, J. Carreon-García, G. Alvear-Galindo, S. López-Moreno, L. Vega-Franco.
Riesgo de caries en escolares de escuelas oficiales de la Ciudad de México.
Rev Mex Pediatr, 68 (2001), pp. 228-233
[27.]
M. Hopcraft, M. Morgan.
Dental caries experience in a young adult military population.
Aust Dent J, 48 (2003), pp. 125-129
[28.]
M. Raadal, I. Espelid.
Caries prevalence in primary teeth as a predictor of early fissure caries in permanent first molars.
Community Dent Oral Epidemiol, 20 (1992), pp. 30-34
[29.]
W.H. Van Palenstein Helderman, M.A. Van’t Hof, C. Van Loveren.
Prognosis of caries increment with past caries experience variables.
Caries Res, 35 (2001), pp. 186-192
[30.]
J. Vanobbergen, L. Martens, E. Lesaffre, K. Bogaerts, D. Declerck.
The value of a baseline caries risk assessment model in the primary dentition for the prediction of caries incidence in the permanent dentition.
Caries Res, 35 (2001), pp. 442-450
[31.]
J. Vanobbergen, L. Martens, E. Lesaffre, K. Bogaerts, D. Declerck.
Assessing risk indicators for dental caries in the primary dentition.
Community Dent Oral Epidemiol, 29 (2001), pp. 424-434
[32.]
Y. Li, W. Wang.
Predicting caries in permanent teeth from caries in primary teeth: an eight-year cohort study.
J Dent Res, 81 (2002), pp. 561-566
[33.]
B. Peretz, D. Ram, E. Azo, Y. Efrat.
Preschool caries as an indicator of future caries: a longitudinal study.
Pediatr Dent, 25 (2003), pp. 114-118
[34.]
FDI/WHO.
Global goals for oral health in the year 2000.
Int Dent J, 32 (1982), pp. 74-77
[35.]
Asamblea Nacional de la República de Nicaragua. Ley para la fortificación de la sal con yodo y flúor [Consultado 10 Dic 2004]. Disponible en: http://legislacion.asamblea.gob.ni/
Copyright © 2005. Sociedad Española de Salud Pública y Administración Sanitaria
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