Objetivos .  To determine the trend and factors associated with brushing two or more times per day in children under twelve years of age between 2013 and 2018 in Peru.  Materials and Methods.  A cross-sectional study was conducted by secondary analysis of data reported by the Demographic and Family Health Survey (ENDES). Information on children with at least one brushing per day was taken into account, considering as an "Adequate Toothbrushing Frequency" (ATF) for those who reported brushing two to more times per day. Percentage measures were generated by geographical area, health, housing, and household characteristics. Factors associated with an ATF were determined by using binary logistic regression for complex surveys, trend variability was identified by joinpoint regression with a 95% confidence.  Results.  In 2013, the ATF was 79.0%, increasing to 83.9% by 2018. Four out of 25 geographic areas were identified as having no variation on the ATF, and four others decreased. All sanitary characteristics showed favoring brushing, emphasizing that not sharing the toothbrush generated a 2.30 OR, 95% CI: 1.46 to 3.60. The natural region, type of place of residence, and wealth index quintile affected the ATF. The ATF was higher as the age group increased.  Conclusions.  The percentage of ATF has increased in recent years, being favorably influenced by health aspects; in rural areas, this percentage is significantly lower, something that is also evident in the Highland region.

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Tendencia y factores asociados a la frecuencia de cepillado dental en menores de doce años, Perú 2013-2018

La Organizacion Mundial de la Salud reporta que la caries en Mexico afecta a 48% de los menores de 5 anos y que 93% de los ninos de 15 anos la padecen. En conjunto se estima que 99% de la poblacion ha tenido caries y que esta enfermedad es la causa mas importante de la perdida de dientes antes de los 35 anos de edad. La perdida principal la constituyen los primeros molares permanentes, estos organos dentales acompanan a la denticion primaria en la boca de un nino transformando la oclusion de la primera denticion a la denticion mixta. El proposito de este trabajo fue identificar la prevalencia y algunos factores de riesgo de caries en el primer molar permanente en una comunidad escolar del municipio de Tultitlan, Estado de Mexico. Metodos: Estudio observacional, prolectivo, transversal y descriptivo en una poblacion de 560 escolares con una media de edad de 9.0 (± 2.0), mediana de 9.0 (6-12 anos). Se valoro la presencia de placa dentobacteriana con el indice O’Leary y la experiencia de caries con los indices CPOD y CPOS. Resultados: La prevalencia de caries en el primer molar permanente en la poblacion de estudio fue de 25.6%, el valor del indice CPOS fue de 1.6 ± 2.7; CPOD de 1.0 ± 1.4; los mas afectados son los molares inferiores en 30.6% (n = 343) con un CPOS 1.0 (± 1.7) vs. los superiores 20.5% (n = 226) con un CPOS de 0.6 (± 1.4). De los riesgos analizados, el factor «tiempo de exposicion a la PDB» medido a traves de la edad mostro que los escolares ≥ 8 anos tienen 7.1 veces mas riesgo de presentar caries en el PMP que los menores de esa edad, siendo esta diferencia clinica estadisticamente significativa (RM = 8.1; IC95% 4.4-14.7, p < 0.0001). Conclusiones: Nuestra poblacion de estudio muestra una similitud en los indices de caries en la denticion permanente con la literatura cientifica. De los riesgos analizados, el tiempo de exposicion a la placa bacteriana...

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Prevalencia y algunos factores de riesgo de caries dental en el primer molar permanente en una población escolar de 6 a 12 años de edad

Objective To determine the degree of oral hygiene in 6-year-old schoolchildren in the rural parish of Banos. Materials and Methods The study had a descriptive quantitative approach. Use the data from the digital collection in the Epi INFO program. The sample consisted of 198 6-year-old schoolchildren, of which 94 are female students representing 47% of the sample and 104 male schoolchildren representing 53% of the sample. Results The results obtained showed that the children of the parish Baths indicated 64% in a Simplified Oral Hygiene Index equal to 0.9, a bacterial plaque index equal to 0.8 and the calculation index of 0.1. The educational centers of the parish six of them visualize a "good" oral hygiene and 3 manifestations a "regular" oral hygiene. Conclusions The  6-year-old schoolchildren of the Banos parish have good oral hygiene, with no difference between the two genders.

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Higiene oral en escolares de 6 años de la Parroquia Rural Baños-Ecuador

Dental caries is a consequence of multiple causal factors and constitutes a local and global public health problem. Objective: to explore the association between social determinants and prevalence of dental caries in school-age population of rural and urban areas in Ecuador. Materials and Methods: Cross sectional study developed by a dental team trained under the World Health Organization criteria applied an oral clinical examination of 518 children aged 3 to 15 years and also complemented data collection with a socio-demographic survey for information regarding hygienic and dietary habits, access to health services and social conditions of children. Results: Caries in definitive teeth is statistically associated to: caries in primary teeth p<.000, absence of toothbrush in school p<.003, lack of access to an oral health unit p<.006, and poor self-perception of oral health p<.012, and. Caries in primary teeth is significantly associated to: male sex p<.001, poor self-perception of oral health p <.013, last visit to the dentist in more than six months p<.040, and absence of toothbrush in school<.050. Conclusion: Among the participating school age children of this study, dental caries is a consequence of multiple causal factors.

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Determinantes sociales y prevalencia de la caries dental en población escolar de zonas rurales y urbanas de Ecuador

Introduccion: Evidencia significativa afirma que una salud oral deficiente repercute en el sistema de salud general. Esta puede ser mejorada con el cepillado dental; y si es supervisado puede crear habitos que perduren de por vida. Objetivo: Evaluar la efectividad del cepillado dental supervisado en la salud oral en una muestra de escolares del noreste de Mexico. Metodo: Estudio cuasi experimental, con dos grupos de comparacion y uno control. Se creo un programa que incluyo una platica de salud oral y supervision diaria del cepillado. La intervencion se llevo a cabo por 3 meses empleando la “tecnica de Bass modificada” por el investigador principal. Se realizo una evaluacion clinica antes y despues de la intervencion utilizando el Indice de Higiene Oral Simplificado (IHOS) e Indice Periodontal (IP). La efectividad del cepillado se midio a traves de la disminucion de categoria de los indices empleados; tambien se utilizo una ficha de asistencia diaria. Se empleo un modelo de regresion lineal para el analisis. Resultados: Un 56.7% de la poblacion mejoro su salud oral disminuyendo su IHOS en una categoria. Un 40.3% mejoro descendiendo su IP, pero sin disminuir su categoria. Discusion: El cepillado dental supervisado es efectivo en la disminucion del IHOS al disminuir de categoria, pero no efectivo en disminucion del IP al no descender de categoria. Deben seguirse creando programas que fomenten la salud oral en escolares. Palabras Clave : Cepillado dental supervisado, salud oral, escolares, odontologia preventiva.

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Efectividad del cepillado dental de los escolares de Monterrey, Nuevo León

Objective: Correlate the number of brushes per day and the decay-missing-filled teeth (DMFT) index in 12-year-old school children from the parish “El Vecino Cuenca Ecuador 2016”. Materials and Methods: The study was communicational, quantitative, descriptive and relational. The population consisted of 279 records from the study of the epidemiological map of schoolchildren in the “El Vecino” parish. The database included the registration number, age, sex, parish and DMFT Index. Results: There was an statistically significant inverse correlation between the number of brushes per day and the DMFT index with a p value = 0.029. Conclusion: The present study shows that there is a correlation between the number of brushes per day and the DMFT index.

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Hannia Estefanía Fernández-Pesantez

Papers

Correlación entre número de cepillados por día y cpod en escolares de 12 años de la parroquia El Vecino (Cuenca, Ecuador) 2016