Factores de riesgo asociados a la presencia de caries dental en niños con labio y paladar fisurado de cinco regiones del Perú
Risk factors associated with the presence of dental caries in children with cleft lip and palate from five regions of Peru

Mariela Ruthsana Romero-Velarde, Gloria Esperanza Cruz-Gonzales, Rafael Morales-Vadillo

Resumen


Objetivo: Establecer los factores de riesgo asociados a la presencia de caries dental en niños de cero a 12 años con labio y paladar fisurado de las regiones de Arequipa, Cusco, Puno, Junín y Lima. Metodología: Estudio analítico, transversal, retrospectivo. La muestra estuvo constituida por 216 niños con fisura de labio y paladar de cero a 12 años de cinco regiones del Perú que acudieron a evaluación odontopediátrica durante los años 2018 al 2023. El muestreo fue no probabilístico y para medir caries dental se usó el índice ceod/CPOD y para los factores de riesgo se midió la higiene oral (Green y Vermillon), la dieta inadecuada (lactancia nocturna y golpes de azúcar). Resultados: la prevalencia de caries dental observada fue con una media máxima de ceod de 2,96 (Junín) para menores de tres años, de 10,10 (Cusco) de cuatro a seis años y de 8,64 (Junín) para siete a 12 años. En cuanto a la dieta inadecuada se encontró que la lactancia nocturna con fórmula tuvo una asociación significativa en todas las regiones estudiadas y se encontró que solo Lima se mantuvo con valores de asociación significativos para golpes de azúcar (p<0,001).  Para la higiene oral se vio una asociación significativa en Cusco (p=0,004), Arequipa (p=0,001) y Puno (p<0.001). Conclusión: Se encontró una asociación de la higiene oral y dieta inadecuada para la presencia de caries dental en niños con fisura de labio y paladar de cero a 12 años.

ABSTRACT:

Objective: To establish the risk factors associated with the presence of dental caries in children from 0 to 12 years of age with cleft lip and palate in the regions of Arequipa, Cusco, Puno, Junín and Lima. Methodology: The type of study was analytical, cross-sectional, retrospective. The sample consisted of 216 children with cleft lip and palate from 0 to 12 years of age from 5 regions of Peru who attended pediatric dentistry evaluation during the years 2018 to 2023. The sampling was non-probabilistic and the dmft/DMFT index was used to measure dental caries and for risk factors, oral hygiene (Green and Vermillon), inadequate diet (nocturnal breastfeeding and sugar shocks) were measured. Results: The prevalence of dental caries observed was with a maximum mean ceod of 2.96 (Junín) for children under 3 years of age, 10.10 (Cusco) from 4 to 6 years and 8.64 (Junín) for 7 years to 12 years. Regarding the inadequate diet, it was found that nocturnal feeding with formula had a significant association in all the regions studied and it was found that only Lima maintained significant association values for sugar shocks (p=0.001). For oral hygiene, a significant association was seen in Cusco (p=0.004), Arequipa (p=0.001) and Puno (p=0.001). Conclusion: A statistically significant association of oral hygiene and inadequate diet was found for the presence of dental caries in children with cleft lip and palate from 0 to 12 years of age.

DOI:

https://doi.org/10.53766/GICOS/2023.08.03.05

Recibido: 14-07-2023. Aceptado: 07-09-2023. Publicado: 26-10-2023


Palabras clave


fisura palatina; caries dental; dieta cariogena; índice de higiene oral; cleft palate; dental caries; cariogenic diet; oral hygiene index;

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Referencias


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DOI: https://doi.org/10.53766/GICOS

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