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Factors associated with active white enamel lesions
1Department of Dentistry, Federal University of Rio Grande do Norte, Natal/Rio Grande do Norte, Brazil. angelaferreira@matrix.com.br
International Journal of Paediatric Dentistry
|September 1, 2005
Summary
Active white enamel lesions in children are strongly linked to dental biofilm and high caries rates. Improved oral hygiene practices are crucial for effective biofilm control and preventing these lesions.
Area of Science:
- Dentistry
- Public Health
- Pediatric Oral Health
Background:
- Active white enamel lesions are an early sign of dental caries.
- Poor oral hygiene is a significant risk factor for various oral health issues in children.
Purpose of the Study:
- To investigate factors associated with active white enamel lesions in schoolchildren.
- To assess the relationship between oral hygiene, caries indices, and white lesions.
Main Methods:
- Cross-sectional study of 300 children aged 7-12 in Natal, Brazil.
- Clinical examination for white enamel lesions, caries (DMF-s, dmf), and oral hygiene (Visible Plaque Index).
- Statistical analysis including chi-square tests to compare groups based on lesion count.
Main Results:
- Children averaged 2.3 teeth with white lesions, indicating high caries prevalence.
- 85% of lesions showed plaque accumulation, with visible plaque significantly associated with lesion number (P=0.006).
- Poor oral hygiene and high caries indices were observed.
Conclusions:
- A strong association exists between dental biofilm, high caries indices, and active white enamel lesions.
- Professional intervention is necessary to motivate children towards adequate oral hygiene for biofilm control.
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