medigraphic.com
ISSN 1870-199X (Print)
Órgano oficial de la Facultad de Odontología, UNAM

2020, Number 4

<< Back Next >>

Rev Odont Mex 2020; 24 (4)

Caries risk assessment in schoolchildren with intellectual disabilities aged 6-12 years

Vélez ARA, Alvear CMC, Villavicencio CE

Language: Spanish
References: 35
Page: 233-242
PDF size: 208.99 Kb.


ABSTRACT

Objective: Assess the risk of developing dental caries in schoolchildren with special needs, 6 to 12 years of age, in schools for children with special needs in Cuenca, Ecuador, in 2016. Material and methods: A descriptive, cross-sectional study in children attending educational centers for children with special needs, in the city of Cuenca, Ecuador, was done. 85 schoolchildren, 54% males, and 46% females were included. To assess the risk to develop dental caries a tool called Caries Risk Assessment Tool of the American Academy of Pediatric Dentistry was used. This tool includes biological, protective, and clinical factors. The collected data were analyzed using frequencies and percentages, and for statistical purposes, Kendall's tau b test was performed. Results: 48% of children with intellectual disabilities had a high risk for developing cavities, while 4% showed moderate risk and 48% had low risk. Caries risk is directly related to socioeconomic level. Regarding the distribution of high risk according to gender, females (51%) show a greater probability of developing the disease than males (46%) (p > 0.657). Conclusions: Dental cavity risk assessment is an essential safeguard the oral health of patients with special needs, visits to the dentist will be in less time at high risk of cavities. Socioeconomic status is directly related to the risk, presenting most vulnerable individuals of lower socioeconomic status.


REFERENCES

  1. Gutiérrez SJ, García DA, Santacoloma S, Mejía JP. Caries dental: Influyen la genética y la epigenética en su etiología. Revisión de la literatura. Univ Odontol. 2013; 32: 83-92.

  2. Werneck RI, Mira MT, Treviltto PC. A critical review: on overview of genetic influence on dental caries. Oral Dis. 2010; 16: 613-23.

  3. Boj J. Odontopediatría: La evolución del niño al adulto joven. Madrid: Ripano; 2011.

  4. Moynihan P, Petersen P. Diet, nutrition and the prevention of dental diseases. Public Health Nutrition. 2004; 7: 201-226.

  5. Xuedong Z. Dental Caries, Principles and Management. Springer. 2016; 27-53.

  6. Shiina T, Hosomichi K, Inoko H, Kulski JK. The HLA genomic loci map: expression, interaction, diversity and disease. J Hum Genet. 2009; 54: 15-39.

  7. Hall-Stoodley L, Costerton JW, Stoodley P. Bacterial Biofilms: From the natural environment to infectious diseases. Nat Rev. 2004; 2: 95-108.

  8. Gao XL, Hsu CY, Loh T, Koh D, Hwamg HB, Xu Y. Dental caries prevalence and distribution among preschoolers in Singapore. Community Dental Health. 2009; 26: 12-7.

  9. Hurlbutt M; CAMBRA: Best Practices in Dental Caries Management. Peer-Reviewed. 2011; 96-108.

  10. Alvear MC. Recomendaciones en nutrición, dieta y salud bucal para los niños. Odontología activa. UCACUE. 2016; 1: 80-82.

  11. Carrillo A, Méndez P. Odontopediatría Fundamentos de la Odontología. Javegraf. 2009; 412-431.

  12. Mattos MA, Melgar RA. Riesgo de caries dental. Rev Estomatol Herediana. 2004; 14: 101-106.

  13. American Academy of Pediatric Dentistry .Guideline on Caries-risk Assessment and Management for Infants, Children, and Adolescents. Police and Guidelines. 2014; 37: 15-16.

  14. American Academy of Pediatric Dentistry. Policy on dietary recommendations for infants, children, and adolescents. Pediatr Dent. 2012; 34: 56-58.

  15. American Academy of Pediatric Dentistry. Guideline on fluoride therapy. Pediatr Dent. 2012; 34: 162-165.

  16. Patil YB, Hegde Shetiya S, Kakodkar PV. Evaluation of a preventive program based on caries risk among mentally challenged children using the Cariogram model. Community Dent Health. 2011; 28: 286-291.

  17. Gao X, Di Wu I, Man Lo E, Hung Chu C, Hsu C. Validity of caries risk assessment programmes in preschool children. J Dent. 2013; 41: 787-795.

  18. Kemparaj U, Chavan S, Shetty NL. Caries risk assessment among school children in Davangere city using cariogram. Int J Prev Med. 2014; 5: 664-671.

  19. Rosenblatt A, Stamford TCM, Niederman R. Silver diamine fluoride: A caries "silver-fluoride bullet". J Dent Res. 2009; 88: 116-25.

  20. Gauba K, Goyal A, Mittal N. A CAMBRA Model For High Caries Risk Indian Children: A Pragmatic Comprehensive Tailored Intervention. J Clin Pediatr Dent. 2016; 40 (1): 36-43.

  21. Tellez M, Gomez J, Pretty I, Ellwood R. Evidence on existing caries risk assessment systems: are they predictive of future caries? Community Dent Oral Epidemiol. 2013; 41: 67-78.

  22. Lewis CW. Dental care and children with special health care needs: A population-based perspective. Acad Pediatr. 2009; 9:420-426.

  23. American Academy of Pediatric Dentistry. Definition of special health care needs. Pediatr Dent. 2012; 34: 16.

  24. Al-Qahtani Z. Caries experience and oral hygiene status of blind, deaf and mentally retarded female children in Riyadh, Saudi Arabia. Tropical Dental Journal. 2004; 27: 37-40.

  25. Charles JM. Dental care in children with developmental disabilities: attention deficit disorder, intellectual disabilities, and autism. J Dent Child. 2010; 77: 84-91.

  26. American Academy of Pediatric Dentistry. Guideline on management of Dental Patients with Special Health Care Needs. Police and Guidelines. 2012; 37: 15-16.

  27. Instituto Nacional de Estadística y Censos, Ecuador. Disponible en: https://www.ecuadorencifras.gob.ec/institucional/home/

  28. Chang J, Lee JH, Son HH, Kim HY. Caries risk profile of Korean dental patients with severe intellectual disabilities. Spec Care Dentist. 2014; 34: 201-217.

  29. Liu Z, Yu D, Luo W. Impact of oral health behaviors on dental caries in children with intellectual disabilities in Guangzhou, China. Int J Environ Res Public Health. 2014; 11: 11015-11027.

  30. Anders PL, Davis EL. Oral health of patients with intellectual disabilities: a systematic review. Spec Care Dentist. 2010; 30: 110-117.

  31. Bakry NS, Alaki SM. Risk factors associated with caries experience in children and adolescents with intellectual disabilities. J Clin Pediatr Dent. 2012; 36: 319-323.

  32. Najat F, Leena M, Soleman M. Caries Risk Assessment in Preschool children in Saudi Arabia. Oral Health Prev Dent. 2013; 11: 271-280.

  33. González MF, Sánchez PR, Carmona AL. Indicadores de Riesgo para la Caries Dental en Niños Preescolares de La Boquilla, Cartagena. Rev Salud Pub. 2009; 11: 620-630.

  34. Ramón JR, Castañeda M, Corona M. Factores de riesgo de caries dental en escolares de 5 a 11 años. MEDISAN. 2016; 20: 648-655.

  35. Cárdenas-Flores C, Perona MPG. Factores de riesgo asociados a la prevalencia de caries de aparición temprana en niños de 1 a 3 años en una población peruana. Odontol Pediatr. 2013; 12: 110-118.




2020     |     www.medigraphic.com