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Published on: December 31, 2017
Chronic malnutrition and oral health status in children aged 1 to 5 years: An observational study
Karlla A Vieira1,2, Laerto S Rosa-Júnior2, Maria A V Souza2
1Department of Biophotonics, Nove de Julho University (UNINOVE), São Paulo.
Insights
Chronic malnutrition negatively impacts children's oral health, reducing salivary flow. Early diagnosis and treatment are crucial for improving children's quality of life and oral well-being.
Area of Science:
- Pediatric Dentistry
- Nutritional Science
- Public Health
Background:
- Chronic malnutrition is a significant global health issue affecting children.
- Oral health is integral to overall child development and well-being.
- The interplay between nutritional status and oral health in young children requires further investigation.
Purpose of the Study:
- To assess the impact of chronic malnutrition on the oral health of children aged 1 to 5 years.
- To evaluate salivary flow rate and buffering capacity in relation to malnutrition severity.
- To determine the prevalence of caries (dmft index) in malnourished children.
Main Methods:
- An observational, analytical, cross-sectional study involving 82 children (12-71 months).
- Nutritional status assessed via anthropometric indicators.
- Oral health status, caries prevalence (dmft index), salivary flow rate, and buffering capacity were measured.
Main Results:
- A weak negative correlation was found between nutrition status and salivary flow rate (r = -0.267).
- Significant differences in salivary flow were observed across malnutrition categories (P < .05).
- No significant differences in buffering capacity or dmft index were found among malnutrition groups.
Conclusions:
- Malnutrition negatively impacts children's oral cavity, specifically reducing salivary flow.
- Reduced salivary flow associated with malnutrition may increase oral health risks.
- Early detection of oral manifestations of malnutrition is vital for timely intervention and improved quality of life.
Abstract:
To evaluate the effect of chronic malnutrition on the oral health of children aged 1 to 5 years.An observational, analytical, cross-sectional study was conducted and involved 82 children (12-71 months of age). Nutritional status was evaluated using anthropometric indicators and oral health status/caries prevalence was measured. Non-stimulated saliva was collected and flow rate and buffering capacity was measured.The mean dmft index was 1.38 for the adequately nourished children, 3.04 for those with mild malnutrition, 2.5 for those with moderate malnutrition and 2.4 for those with severe malnutrition. 69 of the 82 children had low to very low buffering capacity. No significant differences among the groups were found between malnutrition and age, buffering capacity or the dmft index (P > .05). However, significant differences in salivary flow were found among the different malnutrition categories (P < .05). Spearman correlation coefficient revealed a weak negative correlation between nutrition and salivary flow (r = -0.267).Malnutrition exerts a negative impact on the oral cavity of children and a reduction in salivary flow rate was observed with the increase in malnutrition. Diagnosing the effects of malnutrition in oral environment of children is important because it could improve the quality of life and give them an adequate treatment.
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