Child, neglect and oral health

BMC Pediatrics

Anya Pimentel Gomes Fernandes Vieira²  Maria Vieira de Lima Saintrain¹  Caroline Barbosa Lourenço³ 

[1]Public Health Master Program, University of Fortaleza (UNIFOR), Fortaleza, Brazil

[2]Family Health Master Program, Fundação Oswaldo Cruz (FIOCRUZ), Fortaleza, Brazil

[3]Private Practice, Fortaleza, Brazil

关键词: Maternal behavior;    Oral health;    Neglect;   

Others  :  1144243
DOI  :  10.1186/1471-2431-13-188

 received in 2013-04-18, accepted in 2013-11-05,  发布年份 2013

【 摘 要 】

Background

Despite advancements in oral health policies, dental caries still a problem. The lack of parents/caregiver’s care regarding child’s oral health, which characterizes neglect, may lead to a high prevalence of caries. Therefore, the objective of this study was to analyze the relation between dental caries and neglect in five year-old children.

Methods

Quantitative study performed in two different moments. First, the children underwent oral examinations and physical inspection. Then, a semi-structured interview was performed with parents of children with high and low caries rate.

Results

In all, 149 physical inspections and oral exams were performed. The number of decayed, missing and filled teeth – dmf-t was 2.75 (SD 2.83); 16 children had extremely high values (dmf-t ≥7), 85 intermediate values (1 ≤ dmf-t ≥ 6) and 48 extremely low (dmf-t = 0). Nearly all caregivers were female (96.7%; n = 29), mostly mothers (93.3%; n = 28). Associations were found between caries experience and reason of the last consultation (p = 0.011), decayed teeth and child’s oral health perception (p = 0.001). There was a trend towards a significant association between general health and decayed teeth (p = 0.079), general hygiene and caries experience (p = 0.083), and caries experience and number of times the child brushes the teeth (p = 0.086).

Conclusion

There’s a relation between caries experience and children’s oral health perception by caregivers, as well as between caries experience and children’s access to dental care. There is a trend towards association between caries experience and risk factors suggestive of neglect.

【 授权许可】

   
2013 Lourenço et al.; licensee BioMed Central Ltd.

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