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Comparison of two visual methods for detecting caries among obese and non-obese children
Eduardo Gomes Ferraz1,2, Luciana Rodrigues Silva2,3, Viviane Almeida Sarmento1,4
1a School of Dentistry , Federal University of Bahia , Salvador , Bahia , Brazil ;
Objective:
The study aimed to compare two visual methods for detecting caries among obese and non-obese children in Salvador, Brazil.
Materials And Methods:
A cross-sectional study was conducted from 2011-2012, which evaluated 180 paediatric patients, 6-14 years old, girls and boys, categorized into two groups: obese and non-obese (healthy weight), according to the body mass index. For the evaluation of dental caries, the decayed, missing or filled teeth index (DMFT/dmft) and International Caries Detection and Assessment System II (ICDAS II) visual criteria were used.
Results:
The mean DMFT value was 0.98 in obese children and 0.57 in the non-obese children, without significant differences between groups (p = 0.206). The mean dmft value in the non-obese children (1.66) was higher than in obese children (0.95), with significant differences between groups (p = 0.021). According to ICDAS II criteria, there was a higher prevalence of non-cavitated enamel lesions (D1-3) in obese children (n = 156, 10.5%) compared to the non-obese children (n = 55, 1.9%), with significant differences between the groups (p < 0.001).
Conclusions:
The inclusion of non-cavitated lesions during the caries evaluation represents a challenge in diagnosis, which allows for control of this process before the evolution of these lesions to cavitation.
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