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Published on: December 31, 2017
Risk indicators of gingivitis in 5-year-old Brazilian children
Karine Laura Cortellazzi1, Stela Márcia Pereira, Elaine Pereira de Silva Tagliaferro
1Department of Community Dentistry, Piracicaba Dental School, State University of Campinas (UNICAMP), SP, Brazil. karine.cortellazzi@gmail.com
Insights
Gingivitis affects 16.6% of 5-year-olds in Piracicaba. Risk factors include low family income, male gender, initial caries, and tooth crowding, highlighting the need for early intervention.
Area of Science:
- Pediatric Dentistry
- Public Health
- Epidemiology
Background:
- Gingivitis is a common oral health issue in children.
- Identifying risk factors is crucial for prevention and early intervention strategies.
- Socioeconomic and clinical factors may influence gingivitis prevalence in young children.
Purpose of the Study:
- To determine the prevalence of gingivitis in 5-year-old preschool children in Piracicaba, Brazil.
- To identify socioeconomic, clinical, and gender-related risk indicators for gingivitis in this population.
Main Methods:
- A cross-sectional study was conducted with 728 five-year-old children from public and private preschools.
- Clinical examinations assessed gingival status using the gingival alteration index.
- Parental questionnaires collected data on socioeconomic variables.
Main Results:
- The prevalence of gingivitis was 16.6%.
- Significant risk indicators identified through logistic regression included low monthly family income (up to 4 minimum wages), male gender, presence of initial caries lesions, and tooth crowding.
- Several socioeconomic and clinical variables were initially associated with gingivitis.
Conclusions:
- Gingivitis affects 16.6% of 5-year-old children in Piracicaba.
- Low family income, male gender, initial caries, and tooth crowding are significant risk indicators for gingivitis in this age group.
- These findings emphasize the importance of targeted oral health interventions for at-risk children.
Purpose:
To identify the risk indicators of gingivitis among socioeconomic, clinical and gender variables in 5-year-old children attending preschools in Piracicaba, Brazil, in 2005.
Materials And Methods:
The sample consisted of 728 subjects attending 22 public (n = 428) and 18 private (n = 300) preschools. A previously calibrated examiner performed the clinical examination in an outdoor setting, under natural light, using a dental mirror, Community Periodontal Index probe and air-drying. Gingival status was measured using the gingival alteration index for 5-year-olds according to the national survey carried out in 2002 in Brazil (Health Ministry of Brazil, 2004). Socioeconomic variables (monthly family income, number of people living in the household, parents' educational level, home ownership and car ownership) were collected by means of a parental semi-structured questionnaire.
Results:
The prevalence of gingivitis was 16.6%. Monthly family income (p < 0.0001), father's education (p < 0.0007), mother's education (p = 0.0004), type of school (p < 0.0001), car ownership (p = 0.0854), gender (p = 0.0087), initial lesion (p < 0.0001), dental caries (p = 0.0008), crowding (p = 0.0054) and spacing (p = 0.0019) were associated with gingival bleeding at p < 0.15 and were selected for the regression analysis. By means of multiple logistic regression analyses, monthly family income of up to 4 Brazilian minimum wages, presence of initial lesion, presence of crowding and male gender were found to be risk indicators of gingivitis.
Conclusion:
The prevalence of gingivitis in 5-year-old preschool children in Piracicaba was 16.6%. Also, family income of up to 4 minimum wages, male gender, the presence of initial caries lesion and crowding were risk indicators of gingivitis.
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