Abstract
Aim: The aim of this study was to assess the epidemiological profile for dental caries in primary school students in the public education system in Barcelos, as well as to verify its association with the visual acuity assessed. Methods: This is an observational and cross-sectional study of 1,102 students aged 6 to 17 registered in primary school in the public education system. The evaluation of dental caries complies with the method informed by the World Health Organization, on the school patio in natural light and were carried out by a previously calibrated team (Kappa inter-rater from 0.70 to 0.89). Visual acuity was assessed using the Snellen optometric scale. For the analysis, when the normality hypothesis was accepted by means of the Shapiro-Wilk test, average and standard deviation (SD) were calculated and the parametric tests t-student and Analysis of Variance – ANOVA – were applied. When the normality hypothesis was rejected Mann-Whitney and Kruskal-Waliis non-parametric tests were applied. For the analysis of categorical variables, the Pearson chi-square test was applied. Results: 1,102 students took part in the tests, of whom 556 (50.5%) were male. The prevalence of dental caries found was 72.1% in students aged 6 to 11 and 65.7% in students aged 12 to 17. The study found an association between Visual Acuity (<0.8) and dental caries in students aged 6 to 11 (p=0.023), and between females and dental caries in students aged 12 to 17 (p=0.025). Conclusion: This study suggests the need for wider oral health coverage in the town of Barcelos in order to provide better access to children and adolescents to restoration treatments so as to prevent the worsening of oral health conditions. Health promotion actions for awareness and the prevention of dental caries must be created taking into account the risk factors found in Barcelos.
References
Melo FGC, Cavalcanti AL, Fontes LBC, Granville-Garcia AF, Cavalcanti SDLB. [Early loss of permanent molars and associated factors in schoolchildren aged 9, 12 and 15 years attending public schools in Campina Grande, Paraiba State, Brazil]. Acta Scien. Health Sci. 2011;33(1):99-105. Portuguese.
Brazil. Ministry of Health of Brazil. [SB BRASIL 2010: national research on oral health: main results]. Brasília: Ministry of Health; 2012. [cited 2017 Sep 10]. 116p. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/pesquisa_nacional_saude_bucal.pdf. Portuguese.
Orsi VME, Pereira AA, Flório FM, Sousa LZ, Boaretto P, Pinheiro PPS, et al. [Schoolchildren’s habits and knowledge about oral health]. RGO. 2009 Jul-Sep;57(3):291-6. Portuguese.
Moreira Neto CA, Moreira ATR, Moreira LB. Visual acuity evaluation in children of the elementary school of Curitiba. Rev Bras Oftalmol. 2014 Jul-Aug;73(4):216-9. doi: 10.5935/0034-7280.20140047.
Ribeiro GB, Coelho ALD, Chaves PHP, Macedo RL, Silva TAB. Ophthalmologic screening of children of public schools in Belo Horizonte/MG: an overview about the visual impairment in children. Rev Bras Oftalmol. 2015 Sep-Oct;74(5):288-91. doi: 10.5935/0034-7280.20150059.
Valverde CNL, Nacif TCB, Freitas HO, Queiroga TM, Bomfim-Pereira MG. Prevalence of detection of visual impairment and treatment in the age group 4 to 7 years. Rev Bras Oftalmol. 2016 Jul-Aug; 75 (4): 286-9. doi: 10.5935/0034-7280.20160057.
Silva CMF, Almeida DR, Bernardes RR, Bazzano FCO, Mesquita Filho M, Magalhães CHT, et al. School performance: visual acuity interference. Rev Bras Oftalmol. 2013 May-Jun; 72(3):168-71. doi: 10.1590/S0034-72802013000300005.
Araújo AR, Santos MTBR, Duarte DA. [The burden of caries experience in life quality of children aging 8-10 years old]. Arq Med Hosp Fac Cienc Med Santa Casa Sao Paulo. 2009;54(1):1-5. Portuguese.
Rosa DP, Silva AP, Castilhos ED, Bighetti TI. [Prevalence of dental caries in two municipalities of Rio Grande do Sul, Brazil, in year of 2010]. RFO. 2014 May-Aug;19(2):193-9. Portuguese.
World Health Organization (WHO). [Oral Health Surveys – Basic Methods]. 4th ed. São Paulo: Santos; 1999. p.1-65. Portuguese.
Sousa MLR, Rando-Meirelles MPM, Tôrres LHN, Frias AC. Dental caries and treatment needs in adolescents from the state of São Paulo, Brazil. Rev Saude Publica. 2013 Dec;47(supl.3):50-8. doi:10.1590/S0034-8910.2013047004340.
Régis-Aranha LA, Moraes FH, Santos STC, Heufemann NEC, Magalhães WOG, Zacarias Filho RP, et al. Visual acuity and academic performance of students in a Brazilian Amazon municipality. Esc Anna Nery. 2017 Apr;21(2): e20170032. doi: 10.5935/1414-8145.20170032.
United Nations Development Program. Atlas of Human Development in the Country. [cited 2016 Dec 6]. Available from: http://www.atlasbrasil.org.br/2013/pt/perfil_m/barcelos_am. Portuguese.
Pan American Health Organization. [Basic indicators for health in Brazil: concepts and applications]. Brasilia: Pan American Health Organization; 2008. [cited 2017 Set 10]. 349p. Available from: http://tabnet.datasus.gov.br/tabdata/livroidb/2ed/indicadores.pdf. Portuguese.
Bastos RS, Silva RPR, Maia-Junior AF, Carvalho FS, Merlini S, Caldana ML, et al. Dental caries profile in Monte Negro, Amazonian state of Rondônia, Brazil, in 2008. J Appl Oral Sci. 2010 Sep-Oct;18(5):437-41. doi: 10.1590/S1678-77572010000500002.
Barros WRC, Nascimento LS, Fontes RBC, Aguiar NL, Silva Junior IF, Souza CNP. Prevalence of dental caries in adolescence in Belém do Pará: an amazon perspective. Adolesc Saude. 2015 Apr-Jun;12(2):59-68.
Régis-Aranha LA, Meneghim MC, Pereira AC, Oliveira NMA, Ambrosano GMB, Mialhe FL. Relation between oral health and socioeconomic variables among schoolchildren aged 12 in the City of Manaus – AM. Acta Amazonica. 2014 Sep;44(3):321-8. doi: 10.1590/1809-4392201305302.
Frazão P, Santos CRI, Benício DED, Marques RAA, Benício MHD, Cardoso MA, et al. [Dental caries in 12-year-old schoolchildren from a non-fluoridated municipality in the Western Brazilian Amazon, Brazil, 2010]. Epidemiol Serv Saude. 2016 Jan-Mar;25(1):149-58. Portuguese.
Moura MS, Moura LFAD, Mendes RF. [Dental caries in children under five years old in Teresina-PI]. Rev Odontol UNESP. 2010 May-Jun;39(3):143-9. Portuguese.
Ricomini Filho AP, Tenuta LMA, Fernandes FSF, Calvo AFB, Kusano SC, Cury JA. Fluoride Concentration in the Top-Selling Brazilian Toothpastes Purchased at Different Regions. Braz Dent J. 2012;23(1):45-8. doi: 10.1590/S0103-64402012000100008.
Costa AM, Tôrres LHN, Meirelles MPR, Cypriano S, Batista MJ, Sousa MLR. [Low prevalence of caries: polarization group and the importance of family aspects]. ROBRAC. 2016 Jan-Mar;25(72):6-11. Portuguese.
Hildebrand e Silva LF, Amaral RC, Meirelles MPR, Sousa MLR. [Socio-behavioral factors in dental caries polarization groups in preschool and schoolchildren in a mid-sized city]. Arq Odontol. 2014 Jul-Sep;50(3):103-12. Portuguese.
Ardenghi TM, Piosevan C, Antunes JLF. Inequalities in untreated dental caries prevalence in preschool children in Brazil. Rev Saude Publica. 2013 Dec;47(supl.3):129-37. doi: 10.1590/S0034-8910.2013047004352.
Oliveira RS, Parizotto AV, Caleffi MF, Beal C, Yeh WSS, Vicensi MC. [Visual acuity assessment in schoolchildren in the municipality of Herval d’Oeste, Santa Catarina state, Brazil]. Rev Bras Med Fam Comun. 2013 Jul-Sep;8(28):180-6. Portuguese.
Bimstein E, Jerrell RG, Weaver JP, Dailey L. [Oral Characteristics of Children With Visual or Auditory Impairments]. Pediat Dent. 2014 Jul-Aug;36(4):336-41.
John JR, Daniel B, Paneerselvam D, Rajendran G. Prevalence of Dental Caries, Oral Hygiene Knowledge, Status, and Practices among Visually Impaired Individuals in Chennai, Tamil Nadu. Int J Dent. 2017 Mar. doi: 10.1155/2017/9419648.
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