Lila Susana Cornejo

Distribución de la caries dental en niños preescolares en una región urbana, Argentina, 1992

An investigation undertaken into a sample of 1,115 five-year old children attending kindergartens in the city of Córdoba (Argentina) is described. The investigation aimed at establishing the prevalence and distribution of dental caries by socioeconomic level. Research showed that the prevalence of caries had decreased 55.0% in relation to the 1973 figure, while the proportion of children with healthy teeth was 26.7% greater. The frequency and seriousness of the caries increased as the childs social position declined. At the highest socioeconomic level NES I = entrepreneurial and managerial bourgeoisie), the rates of caries were significantly lower than those at the lowest socioeconomic level (NES III = typical proletariat, nontypical proletariat and sub-proletariat) presenting dmf-t of 0.8 and 2.7, and dmf-s of 0.9 and 4.9, respectively. In NES III, the dmf-t main components were decayed and missing teeth, while in NES I filled teeth were the main components. The proportion of children with no experience of caries was 63.1% in NES I and 11.5% in NES III. Inversly, the rate dental health was higher in NES I (8.8) than in NES III (5.1). The cost per child required for the restorative treatment in approximately two and a half times greater in NES III than in NES I. Considering the sample as a whole the expenditure required for NES III would be more than ten times higher than that required for NES I.(ABSTRACT TRUNCATED AT 250 WORDS)An investigation undertaken into a sample of 1,115 five-year old children attending kindergartens in the city of Cordoba (Argentina) es described. The investigation aimed at establishing the prevalence and distribution of dental caries by socioeconomic level. Research showed that the prevalence of caries had decreased 55.0% in relation to the 1973 figure, while the proportion of children with healthy teeth was 26.7% greater. The frequency and seriousness of the caries increased as the childs social position declined. At the highest socioeconomic level NES I = entrepreneurial and managerial bourgeoisie), the rates of caries were significantly lower than those at the lowest socioeconomic level (NES III = typical proletariat, non-typical proletariat and sub-proletariat) presenting dmf-t of 0.8 and 2.7, and dmf-s of 0.9 and 4.9, respectively. In NES III, the dmf-t main components were decayed and missing teeth, while in NES I filled teeth were the main components. The proportion of children with no experience of caries was 63.1% in NES I and 11.5% in NES III. Inversaly, the rate dental health was higher in NES I (8.8) than in NES III (5.1). The cost per child required for the restorative treatment in approximately two and a half times greater in NES III than in NES I. Considering the sample as a whole the expenditure required for NES III would be more than ten times higher than that required for NES I. It is concluded that, if priority be given to children of NES III, those at greater risk of dental ill-health the planning of dental assistance may help to counteract differences existing in the state of oral health.An investigation undertaken into a sample of 1,115 five-year old children attending kindergartens in the city of Cordoba (Argentina) es described. The investigation aimed at establishing the prevalence and distribution of dental caries by socioeconomic level. Research showed that the prevalence of caries had decreased 55.0% in relation to the 1973 figure, while the proportion of children with healthy teeth was 26.7% greater. The frequency and seriousness of the caries increased as the childs social position declined. At the highest socioeconomic level NES I = entrepreneurial and managerial bourgeoisie), the rates of caries were significantly lower than those at the lowest socioeconomic level (NES III = typical proletariat, non-typical proletariat and sub-proletariat) presenting dmf-t of 0.8 and 2.7, and dmf-s of 0.9 and 4.9, respectively. In NES III, the dmf-t main components were decayed and missing teeth, while in NES I filled teeth were the main components. The proportion of children with no experience of caries was 63.1% in NES I and 11.5% in NES III. Inversaly, the rate dental health was higher in NES I (8.8) than in NES III (5.1). The cost per child required for the restorative treatment in approximately two and a half times greater in NES III than in NES I. Considering the sample as a whole the expenditure required for NES III would be more than ten times higher than that required for NES I. It is concluded that, if priority be given to children of NES III, those at greater risk of dental ill-health the planning of dental assistance may help to counteract differences existing in the state of oral health.

Evaluación del estado de salud bucodental en preescolares: estudio epidemiológico longitudinal (1993-1994), Córdoba, Argentina

A one-year longitudinal survey was carried out on a sample of the Cordoba City 4-year old kindergarten population (n = 820); so as to determine the role of several variables upon the incidence of caries. The dmf-t, dmf-s, oral hygiene and oral health indexes as well as incidence rates and caries relative risks of caries were inversely related to the socioeconomic level (SEL) of the children involved. Thus in the SEL III (typical proletariat, non-typical proletariat and sub-proletariat) children, the relative risk of caries was almost five times higher (RR = 4.9) than in the SEL I (entrepreneureal and managerial bourgeoisie) children. In SEL I, almost all new lesions occurred on smooth surfaces (61.2%), while in SEL III the molar occlusal faces were mainly affected (66.3%). Daily sugar intake was higher in SEL III children but experience of caries showed poor correlation to the amount (r = 0.40) and frequency (r = 0.52) of carbohydrate intake. No significant interlevel differences were observed in the biochemical salivary parameters analyzed. Assisted toothbrushing and fluoride topications strongly lowered the incidence of caries among SEL III children, also making the corresponding rates fall almost to SEL I values (0.31, 0.23 and 0.22 vs. 0.21). In conclusion, SEL III children should be treated prophylactically with effective preventive measures, because of their susceptibility to caries. Such preventive measures include assisted toothbrushing and fluoride topications.Se realizo un estudio longitudinal de un ano de duracion en una muestra (n = 820) de la poblacion preescolar de 4 anos de la Ciudad de Cordoba, Argentina, para establecer la participacion de diversas variables en la incidencia de caries. Los indices ceo-d, ceo-s, de higiene oral y de salud bucodental, como tambien las tasas de incidencia y los riesgos relativos de caries estuvieron inversamente relacionados con el Nivel Economicosocial (NES) de los ninos. En los preescolares del NES III (proletariado tipico, proletariado no tipico y subproletariado), el riesgo relativo de experimentar caries fue casi cinco veces mayor (RR = 4,9) que en el NES I (burguesias empresarial y gerencial). En el NES I, la mayoria de las nuevas lesiones se localizaron en las superficies lisas (61,2%), mientras que en el NES III afectaron predominantemente las superficies oclusales de los molares (66,3%). El consumo diario de azucares fue mayor en los ninos del NES III, pero la experiencia de caries se correlaciono debilmente con la cantidad o frecuencia de ingesta de estos carbohidratos (r = 0,40 y 0,52, respectivamente). No se registraron diferencias significativas interniveles en los parametros bioquimicos salivales analizados. El cepillado dental asistido y las aplicaciones topicas fluoruradas disminuyeron fuertemente la incidencia de caries en los ninos del NES III, reduciendo las correspondientes tasas a valores muy proximos a los del NES I (0,31, 0,23 y 0,22 vs. 0,21). Se concluye que los ninos del NES III, por su susceptibilidad a la caries, deberian ser asistidos precozmente con medidas preventivas eficaces, como lo son el cepillado dental asistido y las aplicaciones topicas fluoruradas.

Experiencia de caries y calidad de vida de jóvenes en situación de encierro

Objective To evaluate the impact of caries on the quality of life of teenagers confined in the Correctional Center of Córdoba, Argentina. Method A clinical examination was conducted to 70 teenagers in order to determine DMFT and the necessary treatment. The Oral Health Impact Profile (OHIP-49) was used. Results The study conducted on a sample of 70 teenagers reported that the average of elements found in the mouth was 28.1±1.53, the DMFT index was 8.9±4.75, decayed teeth were 7.4±4.26, missed teeth were 0.6±0.91, filled teeth were 0,9 ± 1.97, and that 67.14 % of patients needed rehabilitation treatment. OHIP-49 showed greater impact on psychological discomfort (52.86 %), functional limitation (47.14 %), physical pain (40 %), physical disability (41.43 %), and less impact on psychological disability (28.57 %), social disability (21.43 %), and disadvantage (22.86 %). Conclusion Dental caries experience produces an average impact on the quality of life of these teenagers, being physical pain the most critical factor.

Oral health in drug addict adolescents and non psychoactive substance users

The purpose of this study was to compare oral health between adolescents who are recovering drug addicts and adolescents who report not having used psychoactive substances. A retrospective observational Case-Control study was conducted on 60 subjects per group, aged 15 to 25 years, paired according to sex, age and educational vulnerability. Dental and sialochemical examinations were used to determine oral health/disease/care indicators. Psychoactive substance use habits were obtained from clinical records. DMFT index for Case adolescents was 8.58}4.34, doubling the mean value for the Control group, which was 4.33}4.30. CPI was compatible with gingival-periodontal health in 45% of the Control subjects, but only 20% in the Case group. CPI categories 2 and 3 had different distributions according to the study group, with CPI2=33%, CPI3=0% for the case group and CPI2=57%; CPI3=5% for the control group. Mean values for stimulated saliva for Case and Control groups, respectively, were: salivary flow (ml/min) 1.42}1.08; 0.98}0.41, salivary pH 6.96}0.33 6.86}0.27, and buffer capacity expressed as final pH, 6.73}0.29, 6.61}0.28. Wilcoxons test for independent samples showed significant differences (p<0.05) between Case and Control for the variables White Spot, Non-Cavitated Carious Lesions, Cavitated Carious Lesions, DMFT, Components D and M, Salivary Flow and Buffer Capacity. There was significant association between the D component in DMFT and use of psychoactive substances, both in single drug and polydrug users. Oral component status was worse in recovering drug addicts than in non-users of psychoactive substances.

Distribution of dental caries in preschool children in urban area of Argentina, 1992

An investigation undertaken into a sample of 1,115 five-year old children attending kindergartens in the city of Córdoba (Argentina) is described. The investigation aimed at establishing the prevalence and distribution of dental caries by socioeconomic level. Research showed that the prevalence of caries had decreased 55.0% in relation to the 1973 figure, while the proportion of children with healthy teeth was 26.7% greater. The frequency and seriousness of the caries increased as the childs social position declined. At the highest socioeconomic level NES I = entrepreneurial and managerial bourgeoisie), the rates of caries were significantly lower than those at the lowest socioeconomic level (NES III = typical proletariat, nontypical proletariat and sub-proletariat) presenting dmf-t of 0.8 and 2.7, and dmf-s of 0.9 and 4.9, respectively. In NES III, the dmf-t main components were decayed and missing teeth, while in NES I filled teeth were the main components. The proportion of children with no experience of caries was 63.1% in NES I and 11.5% in NES III. Inversly, the rate dental health was higher in NES I (8.8) than in NES III (5.1). The cost per child required for the restorative treatment in approximately two and a half times greater in NES III than in NES I. Considering the sample as a whole the expenditure required for NES III would be more than ten times higher than that required for NES I.(ABSTRACT TRUNCATED AT 250 WORDS)An investigation undertaken into a sample of 1,115 five-year old children attending kindergartens in the city of Cordoba (Argentina) es described. The investigation aimed at establishing the prevalence and distribution of dental caries by socioeconomic level. Research showed that the prevalence of caries had decreased 55.0% in relation to the 1973 figure, while the proportion of children with healthy teeth was 26.7% greater. The frequency and seriousness of the caries increased as the childs social position declined. At the highest socioeconomic level NES I = entrepreneurial and managerial bourgeoisie), the rates of caries were significantly lower than those at the lowest socioeconomic level (NES III = typical proletariat, non-typical proletariat and sub-proletariat) presenting dmf-t of 0.8 and 2.7, and dmf-s of 0.9 and 4.9, respectively. In NES III, the dmf-t main components were decayed and missing teeth, while in NES I filled teeth were the main components. The proportion of children with no experience of caries was 63.1% in NES I and 11.5% in NES III. Inversaly, the rate dental health was higher in NES I (8.8) than in NES III (5.1). The cost per child required for the restorative treatment in approximately two and a half times greater in NES III than in NES I. Considering the sample as a whole the expenditure required for NES III would be more than ten times higher than that required for NES I. It is concluded that, if priority be given to children of NES III, those at greater risk of dental ill-health the planning of dental assistance may help to counteract differences existing in the state of oral health.An investigation undertaken into a sample of 1,115 five-year old children attending kindergartens in the city of Cordoba (Argentina) es described. The investigation aimed at establishing the prevalence and distribution of dental caries by socioeconomic level. Research showed that the prevalence of caries had decreased 55.0% in relation to the 1973 figure, while the proportion of children with healthy teeth was 26.7% greater. The frequency and seriousness of the caries increased as the childs social position declined. At the highest socioeconomic level NES I = entrepreneurial and managerial bourgeoisie), the rates of caries were significantly lower than those at the lowest socioeconomic level (NES III = typical proletariat, non-typical proletariat and sub-proletariat) presenting dmf-t of 0.8 and 2.7, and dmf-s of 0.9 and 4.9, respectively. In NES III, the dmf-t main components were decayed and missing teeth, while in NES I filled teeth were the main components. The proportion of children with no experience of caries was 63.1% in NES I and 11.5% in NES III. Inversaly, the rate dental health was higher in NES I (8.8) than in NES III (5.1). The cost per child required for the restorative treatment in approximately two and a half times greater in NES III than in NES I. Considering the sample as a whole the expenditure required for NES III would be more than ten times higher than that required for NES I. It is concluded that, if priority be given to children of NES III, those at greater risk of dental ill-health the planning of dental assistance may help to counteract differences existing in the state of oral health.

Distribuição de cáries dental em pré-escolares em área urbana, Argentina, 1992

An investigation undertaken into a sample of 1,115 five-year old children attending kindergartens in the city of Córdoba (Argentina) is described. The investigation aimed at establishing the prevalence and distribution of dental caries by socioeconomic level. Research showed that the prevalence of caries had decreased 55.0% in relation to the 1973 figure, while the proportion of children with healthy teeth was 26.7% greater. The frequency and seriousness of the caries increased as the childs social position declined. At the highest socioeconomic level NES I = entrepreneurial and managerial bourgeoisie), the rates of caries were significantly lower than those at the lowest socioeconomic level (NES III = typical proletariat, nontypical proletariat and sub-proletariat) presenting dmf-t of 0.8 and 2.7, and dmf-s of 0.9 and 4.9, respectively. In NES III, the dmf-t main components were decayed and missing teeth, while in NES I filled teeth were the main components. The proportion of children with no experience of caries was 63.1% in NES I and 11.5% in NES III. Inversly, the rate dental health was higher in NES I (8.8) than in NES III (5.1). The cost per child required for the restorative treatment in approximately two and a half times greater in NES III than in NES I. Considering the sample as a whole the expenditure required for NES III would be more than ten times higher than that required for NES I.(ABSTRACT TRUNCATED AT 250 WORDS)An investigation undertaken into a sample of 1,115 five-year old children attending kindergartens in the city of Cordoba (Argentina) es described. The investigation aimed at establishing the prevalence and distribution of dental caries by socioeconomic level. Research showed that the prevalence of caries had decreased 55.0% in relation to the 1973 figure, while the proportion of children with healthy teeth was 26.7% greater. The frequency and seriousness of the caries increased as the childs social position declined. At the highest socioeconomic level NES I = entrepreneurial and managerial bourgeoisie), the rates of caries were significantly lower than those at the lowest socioeconomic level (NES III = typical proletariat, non-typical proletariat and sub-proletariat) presenting dmf-t of 0.8 and 2.7, and dmf-s of 0.9 and 4.9, respectively. In NES III, the dmf-t main components were decayed and missing teeth, while in NES I filled teeth were the main components. The proportion of children with no experience of caries was 63.1% in NES I and 11.5% in NES III. Inversaly, the rate dental health was higher in NES I (8.8) than in NES III (5.1). The cost per child required for the restorative treatment in approximately two and a half times greater in NES III than in NES I. Considering the sample as a whole the expenditure required for NES III would be more than ten times higher than that required for NES I. It is concluded that, if priority be given to children of NES III, those at greater risk of dental ill-health the planning of dental assistance may help to counteract differences existing in the state of oral health.An investigation undertaken into a sample of 1,115 five-year old children attending kindergartens in the city of Cordoba (Argentina) es described. The investigation aimed at establishing the prevalence and distribution of dental caries by socioeconomic level. Research showed that the prevalence of caries had decreased 55.0% in relation to the 1973 figure, while the proportion of children with healthy teeth was 26.7% greater. The frequency and seriousness of the caries increased as the childs social position declined. At the highest socioeconomic level NES I = entrepreneurial and managerial bourgeoisie), the rates of caries were significantly lower than those at the lowest socioeconomic level (NES III = typical proletariat, non-typical proletariat and sub-proletariat) presenting dmf-t of 0.8 and 2.7, and dmf-s of 0.9 and 4.9, respectively. In NES III, the dmf-t main components were decayed and missing teeth, while in NES I filled teeth were the main components. The proportion of children with no experience of caries was 63.1% in NES I and 11.5% in NES III. Inversaly, the rate dental health was higher in NES I (8.8) than in NES III (5.1). The cost per child required for the restorative treatment in approximately two and a half times greater in NES III than in NES I. Considering the sample as a whole the expenditure required for NES III would be more than ten times higher than that required for NES I. It is concluded that, if priority be given to children of NES III, those at greater risk of dental ill-health the planning of dental assistance may help to counteract differences existing in the state of oral health.