GRUPO N

3 CARIES

PREGRADO

ODONTOLOGA

INTEGRANTES

DANIELA ALVIS
LUCERO OTLORA
MAYRA RAMIREZ
CARLOS MARTINEZ
ANDREA ROMERO
VANESSA MARQUEZ

Abstract No 2.
Caries risk factors in the permanent dentition of Tanzanian children: a cohort
study (19972003).
Objective: The aims of the cohort study were to study the association between
permanent dentition caries and malnutrition and other risk factors or indicators
in a group of children with little or no access to restorative and preventive
dental care.
Methods: The study was conducted at two primary schools in Dar es Salaam,
Tanzania in the period 19972003. One school recruits its children from affluent
families and the other school is attended by the children of poor families. The
children attended grade 1 at the first examination and had a mean age of 7.6
years (SD = 0.4); when the study was completed, the mean age was 13.3
years. Two-hundred and eighteen children examined in 1997 were re-examined
in 1999; 147 of the children were examined in 1997 as well as in 2003, and 122
children were examined in all three years. An age- and sex-based body mass
index (BMI) was computed to determine the nutritional status of each child.
Each year, the same standard methods were used to determine the count of
lactobacilli and mutans streptococci, stimulated flow rate and buffering
capacity of saliva, and caries. Risk ratios were computed with generalized
linear models using the tooth as the unit of analysis.
Results: Mean annual caries increment was 0.27 in the period 19971999 and
0.80 in the period 19992003 with most children developing no caries at all.
Malnutrition at baseline in 1997 was insignificantly predictive for the
development of caries, whereas a low stimulated flow rate of saliva (0.7
ml/min) and a high count of lactobacilli (100 000/ml) at baseline in 1997 were
significantly associated. However, the generalized linear models for the two
time periods 19971999 and 19992003 presented a confusing picture with
different risk ratios and without consistency of the associations between the
exposure variables and the development of caries. In accordance with this
finding, the consistency of the exposure variables over time for the individuals
was very low.
Conclusions: The results were inconclusive and left us with more questions than
answers. The findings do, however, support the view that our methods for
predicting caries are inappropriate or nonexistent.
PROPSITO U OBJETIVO DEL ESTUDIO

Estudiar la asociacin entre la caries de la denticin permanente, la

malnutricin y otros factores de riesgo o indicadores, en un grupo de nios con
poco o ningn acceso
a la atencin dental restauradora y preventiva.

NMERO DE GRUPOS PARTICIPANTES

Dos escuelas primarias en Dar es Salaam, Tanzania.
Una escuela de nios de las familias acomodadas y la otra escuela es atendido
por los nios de familias pobres.
EVALUACIN EN EL TIEMPO:
CORTE
LONGITUDIN
AL

1.997-1.999; 1.999-2003

SEGUIMIENTO EN EL TIEMPO
CORTE
RETROSPEC
TIVO
PROSPECTIV
O

218 nios examinados en 1.997 se volvieron a

examinar en 1.999; 147 nios fueron examinados en
1.997 y luego en el 2.003 y 122 nios fueron
examinados los tres aos. 1997
FACTORES DE RIESGO EVALUADOS
1. Poco o ningn acceso a la atencin dental (prevencin y restauracin)
2. Malnutricin
3. Caries en denticin permanente
4. Calidad de vida

Desenlace evaluado:
TIPO DE ANALISIS ESTADISTICO REALIZADO: MARQUE CON UNA X

Distribucin de frecuencia
Razn de prevalencia
OR. intervalos de confianza

RR. intervalos de confianza

Test de fisher
Chi cuadrado
Anlisis de regresin logstica
Anlisis de regresin lineal
Anlisis de sobrevida
Otras:

Cual:

TIPO DE ESTUDIO (SUSTENTE PORQUE)

Estudio de cohorte RR= incidencia de expuestos Incidencia de no
expuestos
Se basa en evaluar un grupo expuesto al factor de riesgo y un grupo control a
travs del tiempo para establecer la incidencia de la enfermedad entre los dos
grupos. De esta manera, los estudios de cohorte siguen por un tiempo
determinado a la poblacin y evalan el nmero de o personas que se
enferman de la entidad en estudio, son de naturaleza prospectiva
Los estudios de cohorte evalan la incidencia, es decir, el nmero de casos
nuevos para cada cohorte en un tiempo determinado, por mes, por ao, etc.
Para este tipo de estudio que se denomina riesgo relativo (RR) se obtiene
mediante tablas de contingencia.
RR= incidencia de expuestos
---------------------------------Incidencia de no expuestos