Programas preventivos basados en fluoruros en preescolares de riesgo social con altos índices de caries

A 2-year prospective clinical study was conducted in Mendoza City in order to evaluate the efficiency and effectiveness of a prevention program based on fluoride. This study was aimed at schoolchildren with social risks and high levels of caries. The preventive program was based on health care e...

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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, Vuoto, Juan Ignacio, Vuotto, Elena Rosa
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Acceso en línea:https://bdigital.uncu.edu.ar/fichas.php?idobjeto=5354
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Sumario:A 2-year prospective clinical study was conducted in Mendoza City in order to evaluate the efficiency and effectiveness of a prevention program based on fluoride. This study was aimed at schoolchildren with social risks and high levels of caries. The preventive program was based on health care education, oral hygiene techniques and the external application of acescent phosphate fluoride, performed twice during the school year. The sample was conducted on 96 children – study group- attending room of 4 years old (2009). Subsequently, they were evaluated at the room of 5 years old (2010) and at 1rst grade of EGB during 2011.The control group was formed by children attending room of 5 years old and 1st grade of EGB at the basal test in 2009. The same program was applied to them also for ethical reasons. After the program was applied from 12 to 24 months, the following aspects were evaluated: Percentage of cariesfree, ceod+CPOD, cpos+CPOS and its discriminated values, ICDAS II categories means, Löe and Silness plaque index, Bordoni need for caries treatment (CNTI). The frequency distribution and confidence intervals for each variable were determined; central tendency measures and dispersion. In addition, comparisons between groups by means of Students t test and chi square with p=0.05 level were made. Results: Comparing 5 years old group 2010/ 5 years old group 2009, the mean of dmft +DMFT, ICDAS 6 decreased significantly, Löe plaque and CNTI indexes. Comparing 1st year 2011 / 1st year 2009: the means of cs + CS, dmfs+DMFS and ICDAS 4 decreased significantly. The rest of the values did not show significant differences. Conclusion: From one to two years after the implementation of the program, although there is a tendency towards increasing the illness situation, that increase tends to be lower than in the control groups.