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Association between occlusal alterations and dental caries in preschool children

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Abstract

Purpose

To assess whether there is an association between occlusal alterations and dental caries in the primary dentition among preschool children.

Methods

A cross-sectional study was developed with a representative sample of 698 children aged 3 to 5 years randomly selected from a population in this age group at private and public preschools. Dental caries (dependent variable) and occlusal alterations (independent variables) were evaluated through a clinical examination. Parents/caregivers responded to a questionnaire concerning socio-demographic indicators and the child’s characteristics. Descriptive analysis, the Kruskal-Wallis test, Mann-Whitney U test and hierarchically adjusted Poisson regression were used to analyze the data (p < 0.05; 95% CI).

Results

The prevalence of dental caries [decayed and filled teeth index (dft) >1] was 47.3%. The hierarchically adjusted Poisson regression demonstrated that children without maxillary spacing had an increased probability of dental caries (PR = 1.397; 95% CI: 1.070 to 1.823; p = 0.014) and that children without deep bite were more likely to have dental caries (PR = 0.441; 95% CI: 0.291 to 0.669; p < 0.001). Belonging to a household with an income up to the monthly minimum salary (PR = 1.712; 95% CI: 1.323 to 2.216; p < 0.001) and having an age of 5 years (PR = 1.575; 95% CI: 1.095 to 2.264; p = 0.014) were also associated with dental caries.

Conclusion

Significant associations were found between some types of occlusal alterations and dental caries in the preschool children analyzed.

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Acknowledgements

This study was supported by the State University of Paraíba, the Brazilian Coordination for The Improvement of Higher Education Personnel, Ministry of Education (CAPES), the Research Foundation of the State of Minas Gerais (FAPEMIG) and the National Council for Scientific and Technological Development (CNPq), Brazil.

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Correspondence to Ana Flávia Granville-Garcia.

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Gomes, G.B., Vieira-Andrade, R.G., de Sousa, R.V. et al. Association between occlusal alterations and dental caries in preschool children. J Public Health 25, 481–489 (2017). https://doi.org/10.1007/s10389-017-0797-0

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