2015, Number 1
<< Back Next >>
Rev Odont Mex 2015; 19 (1)
Prognosis method for risk assessment of dental caries induced by chocolate comsumption
Cevallos ZJF, Aguirre AAA
Language: Spanish
References: 17
Page: 27-32
PDF size: 225.69 Kb.
ABSTRACT
Aim: The aim of the present study was to propose a valuation method of stomatological caries risk due to chocolate consumption, based on DMFT and or S-OHI in 12 to 13 year old adolescents.
Material and methods: A longitudinal study was conducted on 150 adolescents, which were divided into 15 groups of ten members each, according to DMFT and S-OHI; members consumed one chocolate tablet. Baseline salivary pH was measured at ingestion time as well as 10 minutes after intake.
Results: It was determined that for the group of adolescents with very low DMFT, as well as for all S-OHI levels, baseline pH was 7.30 ± 0.12, and post-intake ph was 7.06 ± 16, p ‹ 0.001. In the group of adolescents with low DMFT as well as for all S-OHI levels, baseline pH was 7.24 ± 0.18, and post-intake pH was 6.98 ± 0.18, p ‹ 0.001. In the group of adolescents with moderate DMFT and for all levels of OHI-S, basal pH was 7.21 ± 0.18 and pH after consumption was 6.96 ± 0.21 p ‹ 0.001. In the group of adolescents with high DMFT and for all levels of OHI-S, basal pH was 7.17 ± 0.15 and pH after consumption was 6.87 ± 0.18 p ‹ 0.001. In the group of adolescents with very high DMFT and for all levels of OHI-S basal pH was 7.01 ± 0.34 and post consumption pH was 6.71 ± 0.34 p ‹ 0.001.
Conclusions: 10 minutes after chocolate intake, salivary pH level significantly decreased. This decrease was directly proportional to caries circumstances and oral hygiene levels. Nevertheless, in none of the groups did it reach critical levels for enamel demineralization. It did reach critical levels for dentin demineralization in the group with high DMFT and deficient OHI.
Proposal: A prognosis method for assessment of stomatological risk of enamel caries caused by chocolate consumption was proposed. This method was based on DMFT assessment; for caries in dentin, the method used was based on DMFT and S-OHI assessment.
REFERENCES
Caridad C. El pH, flujo salival y capacidad buffer en relación a la formación de placa dental. ODOUS Científica (Internet). 2008 (consulta el 18 de febrero 2011); 10 (1): 25-32. Disponible en: http://servicio.cid.uc.edu.ve/odontologia/revista/v9n1/art3.pdf
Seif T. Cariología. Venezuela. Edit. Actualidades Odontológicas Latinoamericana, C.A.; 1997.
Henostroza G, Henostroza N, Úrzua I. En: Henostroza G y cols. Caries dental: principios y procedimientos para el diagnóstico. Lima: Ripano; 2007, pp. 16-36.
Liébana J. Microbiología oral. Editorial Latinoamericana. Madrid. España. 1995.
Negroni M. Microbiología estomatológica. Fundamentos y Guía Práctica. Editorial Médica Panamericana. Buenos Aires 1999.
McIntyre J. Características y progresión de la caries dental. En: Mount GJ, Hume WR y cols. Conservación y restauración de la estructura dental. 1a ed. Madrid: Harcourt Brace; 1999. pp. 9-17.
Liébana UJ, Castillo AS, Placa B. En: Cuenca E, Cuenca SB. Odontología Preventiva y comunitaria. España: Editorial Masson; 2007.
Llena C. La saliva en el mantenimiento de la salud oral y cómo ayuda en el diagnóstico de algunas patologías. Med Oral Patol Oral Cir Bucal (Internet). 2006 (consulta el 12 de Abril 2011); 11:449-455. Disponible en: http://www.medicinaoral.com/medoralfree01/v11i5/medoralv11i5p449e.pdf
Loyo K, Balda R, Gonzáles O, Lorena A, Gonzáles M. Actividad cariogénica y su relación con el flujo salival y la capacidad amortiguadora de la saliva. Acta Odontol Venez (Internet). 1999 (consulta 18 de Febrero 2011); 37 (3): 10-17. Disponible en:
http://www.actaodontologica.com/ediciones/1999/3/actividad_cariogenica_relación_flujo_salival.asp.
10.Merino S. Relación entre los niveles de flujo salival y estrés en estudiantes de la escuela de estomatología de la Universidad Nacional de Trujillo. (Tesis para obtener el grado de bachiller en Estomatología.) Trujillo: Universidad Nacional de Trujillo; 2005.
Infantes E. Nivel de Flujo y pH salival en gestantes y no gestantes de 18-35 años de edad, que acuden al hospital IV Vítor Lazarte Echegaray. Estudio comparativo (tesis de bachiller en estomatología). Trujillo, Universidad Nacional de Trujillo; 2008.
Baños F, Aranda R. Placa dentobacteriana. AMD. 2003; 60 (1): 34-36.
Stephan R. Intraoral hydrogen ion concentration associated with dental caries activity. J Dent Res. 1944; 23: 257-266.
Jenkins GN. Fisiología y bioquímica bucal. Editorial Limusa. México 1993.
Yabar E, Aguirre A. Variación de pH salival en jóvenes por consumo de chocolate de leche. Vis Dent. 2011; 14 (1): 729-33. Lima Perú. ISSN 1812-1845.
Aguirre A, Vargas S. Variación del pH salival por consumo de chocolate y su relación con el IHO en adolescentes. Oral. 2012; 13 (41): 857-861. México.