Ramírez K, Gómez-Fernández A, Rojas M, Rojas-Guzmán R, Solano-Sanabria M, Villalobos-Méndez C, Gómez G

Language: English
References: 50
Page: 165-177
PDF size: 216.23 Kb.

ABSTRACT

Research on gingival health of 12-year-old schoolchildren in Costa Rica is scarce. Since nutrition is an integral component of oral health, this study aimed to determine gingival status of 12-year-olds at Carmen Lyra Public School, San José, Costa Rica, and correlate these variables with the frequency of intake of different types of food and body mass index (BMI (kg/m²)). Sixty-two 12-year-old schoolchildren were recruited. A periodontist assessed Plaque Index (Silness and Löe,1964), presence of calculus, and Gingival Index (Löe and Silness, 1967). Gingivitis was defined as the presence of bleeding on probing (BOP) on at least one site, and the extent was classified according to the percentage of teeth whose gingiva presented BOP limited: 25-49% of teeth tested; extensive ›50% of teeth tested. A semi-quantified food consumption frequency questionnaire was administered. BMI was calculated for each participant. Overall Plaque Index was 1.18. Calculus was present on 40.40% of the sample, 19.4% had supragingival calculus and 21% had either supragingival/subgingival calculus or both. Presence of calculus was related with number of bleeding surfaces (p=0.030). Number of teeth with calculus was related to bleeding(p=0.029), and number of bleeding surfaces (p=0.009). Gingival Index was 0.97, mild gingivitis. Gingivitis was present on 96.8% of children examined. Limited gingivitis was present in 11.5% of children and extensive gingivitis in 88.5%. None of the variables measured differed by gender. No relationships were found between the consumption of starchy foods, animal and vegetable protein sources, fruit, vegetables, fast foods, sugar sweetened beverages and desserts with Plaque Index, calculus, Gingival Index, and BOP. Teeth calculus was related with being overweight (chi-square=0.038). BMI for males was 20.21 and females 20.11. BMI was not related to BOP or calculus. Within the limitations of this pilot study, we concluded the prevalence of gingivitis and calculus is high in the sample examined. A greater sample is needed to determine correlations between the frequency of foods evaluated and gingival health.

REFERENCES

1. Albandar J.M. (2002) Global risk factors and risk indicators for periodontal diseases. Periodontol 29: 177-206.

2. Parameter on plaque-induced gingivitis (2000). American Academy of Periodontology. J Periodontol 71 Suppl 5: 851-2.

3. Jepsen S., Deschner J., Braun A., Schwarz F., Eberhard J. (2011). Calculus removal and the prevention of its formation. Periodontol 55: 167-88.

4. White D. J. (1997) Dental calculus: recent insights into occurrence, formation, prevention, removal and oral health effects of supragingival and subgingival deposits. Eur J Oral Sci 105: 508-22.

5. Albandar J. M., Kingman A., Brown L. J., Löe H. (1998) Gingival inflammation and subgingival calculus as determinants of disease progression in early-onset periodontitis. J Clin Periodontol 25: 231-7.

6. Elias-Boneta A. R., Ramirez K., Rivas-Tumanyan S., Murillo M., Toro M. J. (2018) Prevalence of gingivitis and calculus in 12-year-old Puerto Ricans: a cross-sectional study. BMC Oral Health; 18 (1): 13.

7. Van der Velden U., Abbas F., Armand S., Loos B., Timmerman M., et al. (2006) Java project on periodontal diseases. The natural development of periodontitis: risk factors, risk predictors and risk determinants. J Clin Periodontol 33 (8): 540-54.

8. Susin C., Haas A. N., Valle P. M., Oppermann R. V., Albandar J. M. (2011) Prevalence and risk indicators for chronic periodontitis in adolescents and young adults in south Brazil. J Clin Periodontol 38: 326-33.

9. Jaghasi I., Hatahet W., Dashash M. (2012) Dietary patterns and oral health in schoolchildren from Damascus, Syrian Arab Republic. East Mediterr Health J 18: 358-64.

10. Sheiham A., Nicolau B. (2005) Evaluation of social and psychological factors in periodontal disease. Periodontol 39: 118-31.

11. Petersen P. E., Baez R. Oral Health Surveys: Basic methods - 5th ed. (2013) World Health Organization, France.

12. Murillo G., Vargas M. A., Castillo J., Serrano J. J., Ramírez G. M., Viales J. H., et al. (2018) Prevalence and Severity of Plaque-Induced Gingivitis in Three Latin American Cities: Mexico City-Mexico, Great Metropolitan Area-Costa Rica and Bogota-Colombia. ODOVTOS Int J Dental Sc 20 (2): 91-102.

13. Botero J. E., Rösing C. K., Duque A., Jaramillo A., Contreras A. (2015) Periodontal disease in children and adolescents of Latin America. Periodontol 67: 34-57.

14. Zhang S., Liu J., Lo E. C. M., Chu C-H (2014) Dental and periodontal status of 12-year old Bulang children in China. BMC Oral Health 14: 32.

15. Maltz M. Barbachan e Silva B (2001) Relationship among caries, gingivitis and fluorosis and socioeconomic status of school children]. Rev Saude Publica 35: 170-6.

16. Szpringer-Nodzak M., Moszczeńska-Cieślikowska B., Remiszewski A., Gieorgijewska J. (1989). Assessment of the condition of the parodontium in children aged 12 years using the parodontal treatment needs index. Czas Stomatol 42 (4): 273-8.

17. Zhang S, Xu B, Liu J, Lo EC, Chu C-H. Dental and periodontal status of 12-year-old Dai school children in Yunnan Province, China: a cross-sectional study (2015) BMC Oral Health 15: 117.

18. Bhat M. (1991) Periodontal health of 14-17-year-old U.S. schoolchildren. J Public Health Dent 51: 5-11.

19. da Silva P. de L., Barbosa T. de S., Amato J. N., Montes A. B. M., Gaviăo M. B. D. (2015) Gingivitis, psychological factors and quality of life in children. Oral Health Prev Dent 13 (3): 227-35.

20. Amran A. G., Alhajj M. N., Al-Rafik N. A.-H. M. (2016) Evaluation of Gingival Health Status among 6- and 12-years-old Children in Dhamar City, Yemen: A Cross-sectional Study. J Contemp Dent Pract 17 (6): 440-4.

21. da Silva F. C., Piazzetta C. M., Torres-Pereira CC, Schussel J. L., Amenábar J. M. (2016) Gingival proliferative lesions in children and adolescents in Brazil: A 15-year-period cross-sectional study. J Indian Soc Periodontol 1: 63-6.

22. Hujoel P. P. and Lingstrom P. (2017) Nutrition. Dental caries and periodontal disease: a narrative review. J Clin Periodontol 44 (Suppl. 18): S79-S84.

23. Newman M. G., Takei H. H., Klokkevold, P. R., Carranza F. A. (2015) Clinical Periodontology. St. Louis, MO: Saunders Elsevier, p. 875.

24. Chapple I. L., Milward M. R., Ling-Mountford N., Weston P., Carter K., Askey K., Dallal G. E., De Spirt S., Sies H., Patel D., Matthews J. B. (2012) Adjunctive daily supplementation with encapsulated fruit, vegetable and berry juice powder concentrates and clinical periodontal outcomes: a double-blind RCT. Journal of Clinical Periodontology 39, 62-72.

25. Dietrich T., Nunn M., Dawson-Hughes, B. Bischoff-Ferrari, H. A. (2005) Association between serum concentrations of 25-hydroxyvitamin D and gingival inflammation. American Journal of Clinical Nutrition 82, 575-580.

26. Hujoel, P. (2009) Dietary carbohydrates and dental-systemic diseases. Journal of Dental Research 88, 490-502.

27. Woelber, J. P., Bremer K., Vach K., Konig D., Hellwig E., Ratka-Kruger P., Al-Ahmad A. & Tennert C (2016) An oral health optimized diet can reduce gingival and periodontal inflammation in humans – a randomized controlled pilot study. BMC Oral Health 17- 28.

28. Marshall T. A. (2019) Dietary implications for dental caries: A practical approach on dietary counseling. Dent Clin North Am 63 (4): 595-605.

29. Selassie M., Sinha A. C. (2011) The epidemiology and aetiology of obesity: a global challenge. Best Pract Res Clin Anaesthesiol 25: 1-9.

30. Karnik S., Kanekar A. (2012) Childhood obesity: a global public health crisis. Int J Prev Med 3: 1-7.

31. Bibiloni M. D. M., Pons A., Tur J. A. (2013) Prevalence of overweight and obesity in adolescents: a systematic review. ISRN Obes 392747.

32. Elías-Boneta A. R., Toro M. J., Garcia O., Torres R., Palacios C. (2015) High prevalence of overweight and obesity among a representative sample of Puerto Rican children. BMC Public Health 5; 15: 219.

33. De Onis M., Blössner M., Borghi E. (2010) Global prevalence and trends of overweight and obesity among preschool children. Am J Clin Nutr 92: 1257-64.

34. Papakonstantinou E., Lambadiari V., Dimitriadis G., Zampelas A. (2013) Metabolic syndrome and cardiometabolic risk factors. Curr Vasc Pharmacol 11: 858-79

35. Pronunciamiento en relación con la salud y nutrición en Costa Rica, según los resultados del reciente Censo Escolar de Peso y Talla/2017, sesión No. 142-2017, artículo 4, de la Asamblea de Escuela de Nutrición celebrada el 19 de abril de 2017.

36. Ramirez K. Editorial (2019) Odovtos International Journal of Dental Sciences 21: 9-10.

37. Perez Rodrigo C., Aranceta J., Salvador G., Varela-Moreiras G (2015) Métodos de frecuencia de consumo alimentario. Rev Esp Nutr Comunitaria 21 (1): 45-52.

38. Silness J., Loe H. (1964) Periodontal disease in pregnancy. II. Correlation between oral hygiene and periodontal condtion. Acta Odontol Scand 22:121-35.

39. Albandar J. M., Kingman A. (1999) Gingival recession, gingival bleeding, and dental calculus in adults 30 years of age and older in the United States, 1988-1994. J Periodontol 70: 30-43.

40. da Silva H. C., Guedes-Pinto A. C. (1978) Time spent in instruction and learning the Fones and Stillman techniques modified for children. Rev Assoc Paul Cir Dent 32 (3): 218-24.

41. Löe H. (1967) The Gingival Index, the Plaque Index and the Retention Index Systems. J Periodontol 38 (6): Suppl:610-6.

42. Woelber J. P., Tennert C. (2020) Chapter 13: Diet and Periodontal Diseases. Monogr Oral Sci 28: 125-133.

43. El-Qaderi S. S., Quteish Ta’ani D. (2006) Dental plaque, caries prevalence and gingival conditions of 14-15-year-old schoolchildren in Jerash District, Jordan. Int J Dent Hyg 4: 150-3.

44. Weissenbach M., Chau N., Benamghar L., Lion C., Schwartz F., Vadot J. Oral health in adolescents from a small French town. Community Dent Oral Epidemiol 1995; 23: 147-54

45. 45. Mascarenhas A. K. (1999) Determinants of caries prevalence and severity in higher SES Indian children. Community Dent Health 16: 107-13.

46. Gopinath V. K. (2013) Assessment of nutrient intake in cleft lip and palate children after surgical correction. Malays J Med Sci 20:61-6.

47. Zhang S., Xu B., Liu J., Lo E. C., Chu C.H. (2015). Dental and periodontal status of 12-year-old Dai school children in Yunnan Province, China: a cross-sectional study. BMC Oral Health 15 (1): 117.

48. Michel-Crosato E., Raggio D. P., Coloma-Valverde A. N. de J., Lopez E. F., Alvarez-Velasco P. L., Medina M. V., et al. (2019) Oral health of 12-year-old children in Quito, Ecuador: a population-based epidemiological survey. BMC Oral Health 14;19 (1): 184.

49. Lao Gallardo W. (2018) Estudio epidemiológico de la Salud Oral del adolescente en Costa Rica, 2017. Caja Costarricense de Seguro Social.

50. Pérez Luyo A. G. (2014) La Biopelícula i una nueva visión de la placa dental. Rev Estomatol Herediana 26; 15 (1).