Factores de riesgo de caries en niños pre escolares de la Amazonía peruana.

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Bibliographic Details
Title:	Factores de riesgo de caries en niños pre escolares de la Amazonía peruana.
Alternate Title:	Risk factors of caries in pre school children of the Peruvian Amazon.
Authors:	Uchima Koecklin, Karin Harumi¹, Barahona Hernandez, Mayra Belén¹, Pereda Santos, Gary¹, Bruno Luyo, Julio César¹, Sánchez Sotomayor, Julio César¹, Rojas Apaza, Zenaida¹, Castañeda Sarmiento, Sara², Arieta Miranda, Jessica², Chein Villacampa, Sylvia Antonieta², Díaz Soriano, Ana María², Torres Ramos, Gilmer², Ruiz Yasuda, Catherine³
Source:	Odontología Pediátrica. Jul-Dec2021, Vol. 20 Issue 2, p5-23. 19p.
Abstract (English):	Objective: To investigate the influence of sociodemographic factors and characteristics attributed to the host, substrate and potential microorganisms in risk of early childhood caries on 2-to-5 years-old infants from a rural community of the Peruvian Amazon. Methods: Cross-sectional study in 155 pre-school children between 2-5 years old, from the district of Pichanaki. A clinical examination and questionnaire were carried out. For risk analysis, univariate and multivariate logistic regression models, corrected using the Holm-Bonferroni method and a bootstrapping with 10000 sampling cycles were used. Results: The prevalence of dental caries was 83.3%. Factors associated with dental caries were a history of urinary tract infections during pregnancy (p = 0.005), poor oral hygiene (p = 0.001), sharing utensils with their main caregiver (p = 0.018), and having older siblings with cavities (p = 0.025). The univariate analysis showed that urinary tract infections during pregnancy, poor oral hygiene, sharing utensils and having older siblings with caries increased the risk of ECC. The multivariate model showed that only the poor oral hygiene (OR: 1.99, 95% CI: 1.34 - 2.96, p = 0.001) and urinary tract infections (OR: 2.98, 95% CI: 1.13 -- 7.81, p = 0.027) were associated with higher risk for dental caries. Conclusions: The urinary tract infections during pregnancy and an inadequate oral hygiene are strongly predisposing factors for early childhood caries in children between 2 to 5 years old from a rural community in the Peruvian Amazon. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Objetivo: Investigar la influencia de los factores sociodemográficos y las características atribuidas al huésped, sustrato y microorganismos en el riesgo de caries de infancia temprana en niños de 2 a 5 años de una comunidad rural de la Amazonía peruana. Material y métodos: Estudio transversal en 155 niños de 2 a 5 años del distrito de Pichanaki. Se realizó un examen clínico, y cuestionario. Para el análisis de riesgo, se realizaron modelos de regresión logística univariados y multivariados, corregidos mediante el método de Holm- Bonferroni y un bootstrapping con 10000 ciclos de muestreo. Resultados: La prevalencia de caries fue del 83.3%. Los factores asociados a caries dental fueron los antecedentes de infecciones del tracto urinario durante el embarazo (p = 0.005), una higiene bucal pobre (p = 0.001), el compartir cubiertos con su cuidador principal (p = 0.018), y tener hermanos mayores con caries (p = 0.025). El análisis univariado mostró que las infecciones urinarias durante el embarazo, la mala higiene bucal, compartir cubiertos y tener hermanos mayores con caries aumentaron el riesgo de caries. El modelo multivariado mostró que solo la mala higiene bucal (OR: 1.99, 95% CI: 1.34 -- 2.96, p = 0.001) y la infección urinaria (OR: 2.98, 95% CI: 1.13 -- 7.81, p = 0.027) se asociaron a un mayor riesgo de caries dental. Conclusión: Las infecciones urinarias durante el embarazo y una higiene bucal inadecuada son factores fuertemente predisponentes para la caries de infancia temprana en niños de 2 a 5 años de una comunidad rural de la Amazonía peruana. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Objective: To investigate the influence of sociodemographic factors and characteristics attributed to the host, substrate and potential microorganisms in risk of early childhood caries on 2-to-5 years-old infants from a rural community of the Peruvian Amazon. Methods: Cross-sectional study in 155 pre-school children between 2-5 years old, from the district of Pichanaki. A clinical examination and questionnaire were carried out. For risk analysis, univariate and multivariate logistic regression models, corrected using the Holm-Bonferroni method and a bootstrapping with 10000 sampling cycles were used. Results: The prevalence of dental caries was 83.3%. Factors associated with dental caries were a history of urinary tract infections during pregnancy (p = 0.005), poor oral hygiene (p = 0.001), sharing utensils with their main caregiver (p = 0.018), and having older siblings with cavities (p = 0.025). The univariate analysis showed that urinary tract infections during pregnancy, poor oral hygiene, sharing utensils and having older siblings with caries increased the risk of ECC. The multivariate model showed that only the poor oral hygiene (OR: 1.99, 95% CI: 1.34 - 2.96, p = 0.001) and urinary tract infections (OR: 2.98, 95% CI: 1.13 -- 7.81, p = 0.027) were associated with higher risk for dental caries. Conclusions: The urinary tract infections during pregnancy and an inadequate oral hygiene are strongly predisposing factors for early childhood caries in children between 2 to 5 years old from a rural community in the Peruvian Amazon. [ABSTRACT FROM AUTHOR]
ISSN:	1814487X
DOI:	10.33738/spo.v20i2.178