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Caries Situation (ICDAS) in Pregnant Women in Public Hospitals, Bogotá-Colombia


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Científica

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Investigación y estudios

Medio de publicación

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Resumen

Objective: To evaluate, in pregnant women, the frequency and severity of caries (ICDAS) and the most frequently affected tooth surfaces, and to explore the association between caries and pregnancy trimesters. Method: Seventy-two 18-40 year-old pregnant women attending public hospitals in Bogotá for pregnancy controls were evaluated (1st trimester: n=20; 2nd trimester: n=40; 3rd trimester: n=12). One previously trained examiner assessed 1809 teeth and 9049 surfaces with ICDAS collapsed criteria: ICDAS 0, ICDAS 1/2, ICDAS 3/4, ICDAS 5/6. A descriptive analysis by tooth and surface was performed, and the association level of ICDAS codes with tooth/surface was assessed using a Χ2 test. To establish the association between caries severity (surface-level) and gestational trimester an age-adjusted (18-22, 23-28, 29-40 years old) multinomial logistic regression was carried out. Results: The prevalence of caries with ICDAS-modified criteria was 100%, showing at least one lesion in all women. A percentage of 27.0% teeth presented some severity of caries lesions: 21.0% ICDAS-1/2, 4.7% ICDAS-5/6, and 1.4% ICDAS-3/4. Most frequently affected surfaces were: Buccal of 1st upper-molar teeth (ICDAS 1/2): 68.8%, Occlusal of 2nd upper-molar teeth (ICDAS 3/4): 13.4%. Cavities were more frequent in Occlusal of 2ndlow-molar teeth (28.1%). Pregnant women seem to have higher probability to show caries at 2nd pregnancy trimester: ICDAS-3/4 (RRR: 4.34, 95%-IC: 2.52-7.49), ICDAS 5-6 (RRR: 3.10, 95%-IC: 2.37-4.05), and ICDAS-1/2 (RRR: 1.89, IC-95%: 1.67-2.15), and at 3rd pregnancy trimester: ICDAS-3/4 (RRR: 4.77, 95%-IC: 2.50-9.08), ICDAS 5-6 (RRR: 2.48, 95%-IC: 1.74-3.55), and ICDAS-1/2 (RRR: 1.74, IC-95%: 1.46-2.05). Conclusion: All pregnant women were affected with at least one caries lesion, being the opacities the most frequently shown. A significant caries increase was found during the 2nd trimester.

Autores

P. Moreno Arias, S. Martignon, K.R. Ekstrand, G Lafaurie.

Registro ISBN

1544-0591

SNIES Área

Dentistry

SNIES Categoría

Dentistry (miscellaneous)

Fecha de publicación 21 de octubre de 2016
Fecha de aceptación 21 de octubre de 2016
Medio indexado (nombre)

Jornal of dental reseach

Bases de datos donde está referenciada

Publindex

English information
Title

Caries Situation (ICDAS) in Pregnant Women in Public Hospitals

Abstract

Objective: To evaluate, in pregnant women, the frequency and severity of caries (ICDAS) and the most frequently affected tooth surfaces, and to explore the association between caries and pregnancy trimesters.
Method: Seventy-two 18-40 year-old pregnant women attending public hospitals in Bogotá for pregnancy controls were evaluated (1st trimester: n=20; 2nd trimester: n=40; 3rd trimester: n=12). One previously trained examiner assessed 1809 teeth and 9049 surfaces with ICDAS collapsed criteria: ICDAS 0, ICDAS 1/2, ICDAS 3/4, ICDAS 5/6. A descriptive analysis by tooth and surface was performed, and the association level of ICDAS codes with tooth/surface was assessed using a Χ2 test. To establish the association between caries severity (surface-level) and gestational trimester an age-adjusted (18-22, 23-28, 29-40 years old) multinomial logistic regression was carried out.

Results: The prevalence of caries with ICDAS-modified criteria was 100%, showing at least one lesion in all women. A percentage of 27.0% teeth presented some severity of caries lesions: 21.0% ICDAS-1/2, 4.7% ICDAS-5/6, and 1.4% ICDAS-3/4. Most frequently affected surfaces were: Buccal of 1st upper-molar teeth (ICDAS 1/2): 68.8%, Occlusal of 2nd upper-molar teeth (ICDAS 3/4): 13.4%. Cavities were more frequent in Occlusal of 2ndlow-molar teeth (28.1%). Pregnant women seem to have higher probability to show caries at 2nd pregnancy trimester: ICDAS-3/4 (RRR: 4.34, 95%-IC: 2.52-7.49), ICDAS 5-6 (RRR: 3.10, 95%-IC: 2.37-4.05), and ICDAS-1/2 (RRR: 1.89, IC-95%: 1.67-2.15), and at 3rd pregnancy trimester: ICDAS-3/4 (RRR: 4.77, 95%-IC: 2.50-9.08), ICDAS 5-6 (RRR: 2.48, 95%-IC: 1.74-3.55), and ICDAS-1/2 (RRR: 1.74, IC-95%: 1.46-2.05).

Conclusion: All pregnant women were affected with at least one caries lesion, being the opacities the most frequently shown. A significant caries increase was found during the 2nd trimester.

Keywords

Caries, Diagnosis and Pregnancy

Información de apoyo a la difusión
Enlaces http://International association for Dental Reseach
https://iadr.confex.com/iadr/13iags/webprogram/Paper177310.html

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