2022, Number 1
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Rev Mex Med Forense 2022; 7 (1)
Factors associated with permanent first molar caries: a cross-sectional study among schoolchildren from Acapulco, Guerrero
Morales J, Montaño E, Juárez CA, Hernández J; García, R, Gutiérrez E
Language: Spanish
References: 39
Page: 56-69
PDF size: 281.41 Kb.
ABSTRACT
Introduction: The first permanent molar is susceptible to caries infection, due to its
chronology, morphodifferentiation, functional characteristics and by the law of gravity.
Objective: To identify factors associated with caries of the first permanent molar among
schoolchildren of a elementary school from Acapulco, Guerrero.
Material and methods:
During the months of February-August 2019, 568 permanent first molars were examined in
142 schoolchildren from second to sixth grade of primary school. The measurement
instrument obtained sociodemographic data, oral hygiene and diet habits. International
Caries Classification and Management System codes were categorized in an odontogram.
The odds ratio with its 95% confidence interval was used as a measure of association with
MedCalc's statistical software.
Results: 79% (112/142) of the children had caries in at least
one molar. Females were more affected with 51% (57/112). The six to nine years age group
was the most recurrent with 54% (60/112). The lower right first molar was the most affected.
Four associated factors were identified, age, (OR=3.46; p= 0.01); sharing a toothbrush
(OR=10.09; p=0.002); consumption of carbohydrate rich foods (OR=12.09; p‹0.0001) and
frequency of brushing (OR=0.35; p=0.02).
Conclusion: The prevalence of caries in
permanent first molars was high compared to other studies. Health education is essential for
school children and parents.
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