Experiência de cárie dentária de mãe-filho: associação com fatores de risco para a doença

• Autor(a) principal: Andrade, Marcia Rejane Thomas Canabarro
• Data de Publicação: 2007
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/14155
• topic: Dental caries; Risk factors; Epidemiology; Mother-Child Relations; Cross-Seccional Study; Cárie Dentária; Fatores de Risco; Epidemiologia; Relação mãe-filho; Estudo transversal; CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA::ODONTOPEDIATRIA

This study aimed to: evaluate the prevalence of dental caries in mother-child pairs, correlate the dental caries experiences of mothers and their respective children; and study the relationship between children s dental caries experiences with sociodemographic and behavior factors for dental caries. A census of the children from 5 to 12 years of age, registered in the Dental Clinic of the School of Dentistry of Rio de Janeiro State University, in the period of Jan/2000 to Dec/2005 was used. Of the 425 children registered, 73 pairs of mother-child were included in the study. Each pair was examined utilizing the caries attack indices for the permanent (DMF index) and deciduous (dmf index), according to the criteria proposed by the World Health Organization (1997). All exams were carried out by the same examiner, who was previously calibrated (Kappa= 0.87). They were performed under artificial light and with the aid of dental mirror and probe. A standard questionnaire (Kappa= 0.91) was used to access socioeconomic and behavioral characteristics of the child-mother pairs. All mothers signed the consent form on behalf of their children. This study was approved by the Pedro Ernesto University Hospital Ethics Committee (HUPE-1516). Collected data were stored in a SPSS database (version 8.0 for Windows). The mean age of the children was 8.26 years (SD= 2.0) and the mean age of the mothers was 34.47 years (SD= 6.45). Of the mothers, 60.3% attended school for more than 8 years and 47.9% of them worked. Of the families, 85% earned three national minimum salaries or less. The dental caries experience in the study group was high, with 100.0% of the mothers and 75.3% of the children presenting history of at least one tooth with dental caries. There was a significant difference between the mean dmf-d index regarding age (p< 0.01). Positive correlation was found between the number of teeth lost by the mother and the number of child s deciduous teeth decayed, missed or filled out (p< 0.05) in children less than eight years of age. Among the variables related with the presence or absence of dental caries in the children, age, reason for the first visit and household agglomeration showed a statistically significant result. Also, daily use of dental floss by the mother-child pair, tooth brushing use before sleep and sugar consumption between meals were correlated with presence of dental caries. We conclude that the mothers dental caries pattern was reproduced in their children. Life conditions and family habits were associated with the children s caries experience.