Caries de la infancia temprana, demanda de atención odontológica y percepción parental de salud bucal en pre-escolares de riesgo social del Gran Mendoza

Early childhood caries is a public health problem affecting pre-school social risk children more aggressively. The aim of this study is to establish the connection between dental condition, dental care demand, oral health perception and socio-economic status between pre-school children in Mendoza...

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Publicado en:Revista de la Facultad de Odontología
Autores principales: Afronti, Sonia, Borjas, María Inés, Cabrera, Diego, Cambría Ronda, Salvador, Fernández, Claudia Nélida, Giamportone, Verónica, Squassi, Aldo Fabián, Vuoto, Elena Rosa, Vuoto, Juan Ignacio
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Acceso en línea:https://bdigital.uncu.edu.ar/fichas.php?idobjeto=5120
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Sumario:Early childhood caries is a public health problem affecting pre-school social risk children more aggressively. The aim of this study is to establish the connection between dental condition, dental care demand, oral health perception and socio-economic status between pre-school children in Mendoza. MATERIAL AND METHOD: The intended sample is the school population, consisting of 155 children-level residents, belonging to a marginalized urban school environment in the province of Mendoza. The following indexes were recorded: dmft, DMFT, dmfs, DMFS and its differentiated components ICDAS II, INTC (Bordoni, 1998) and plaque index (Silness and Löe, 1967). A questionnaire about parental perception of oral health (ECOHIS) and structured surveys about the typology of the demand for dental care and socioeconomic conditions (NBI) were conducted.The distribution of frequency, the confidence interval for each variable and the central tendency and dispersion measures were determined. In addition, comparisons among groups by means of the chi-square test, p = 0.05, were also conducted. RESULTS: 85.8% of the sample had caries experience. For each indicator the values were reported as follows: dmft + DMFT = 5716 +- 4.08; dt + DT = 5.39 +-3.79; mt +MT = 0.25 + -0.72, and ft + FT = 0.08 + -0.34; dmfs + DMFS = 8.89 + -8.39; ds + DS = 7.63 + -6.25; ms + MS = 1.23 + -3.62, and fs + FS = 0.12 +0.46; IP = 1.04 + -0.48, and INTC = 5.65 + -3.19. No significant differences were observed when grouping children according to sex. When analyzing dental care demand, it was found that 54.9% made a dental visit, 25% made it last year, and 74%made it through the public health subsystem. ECOHIS questionnaire analysis revealed that the highest percentage of responses were obtained when the “never” category was included. Pain was the only significant item related to dental condition statistically. CONCLUSIONS: There is a high prevalence of dental caries. In addition, dental care demand has not produced a positive impact neither on dental status nor in the oral health parent perception.