Determinant Factors of Dental Pain in Preschool Brazilian Children: Three-Year Cohort.

IF 1.9 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE International journal of paediatric dentistry Pub Date : 2025-09-01 Epub Date: 2025-03-13 DOI:10.1111/ipd.13306
Luana Viviam Moreira, Laura Jordana Santos Lima, Maria Eliza Consolação Soares, Renata Aparecida Guimarães, Joana Ramos-Jorge, Maria Letícia Ramos-Jorge, Izabella Barbosa Fernandes
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Abstract

Background: Dental pain is a public health problem that exerts a negative impact on the quality of life of children.

Aim: To determine the causal factors of dental pain in preschool children.

Design: A prospective cohort study was conducted with a random sample of 151 children aged from one to three and their parents/guardians for a period of 3 years in Brazil. Dental pain was investigated using the Brazilian version of the Dental Discomfort Questionnaire (DDQ-B) at baseline and follow-up for the calculation of incidence. The participants were examined clinically for dental caries using the International Caries Detection and Assessment System (ICDAS) and traumatic dental injury was investigated using the criteria proposed by Andreasen. Sociodemographic, economic and food consumption characteristics were investigated during baseline and in the three-year follow-up. Data analysis involved descriptive statistics and Poisson regression analyses.

Results: The incidence of dental pain was 14.6%. The incidence of caries (RR = 3.47; 95% CI: 1.05-11.47) and the absence of dental treatment (RR = 2.81; 95% CI: 1.33-5.97) were associated with a higher incidence of dental pain.

Conclusion: The incidence of dental caries and the lack of dental treatment recommended at baseline were risk factors for a greater incidence of dental pain in preschool children.

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巴西学龄前儿童牙痛的决定因素:三年队列。
背景:牙痛是一个严重影响儿童生活质量的公共卫生问题。目的:探讨学龄前儿童牙痛的病因。设计:对巴西151名1 - 3岁儿童及其父母/监护人进行了为期3年的前瞻性队列研究。在基线和随访时使用巴西版牙齿不适问卷(DDQ-B)调查牙痛,以计算发生率。使用国际龋齿检测和评估系统(ICDAS)对参与者进行临床龋齿检查,并使用Andreasen提出的标准调查创伤性牙损伤。在基线和三年随访期间调查了社会人口统计学、经济和食品消费特征。数据分析包括描述性统计和泊松回归分析。结果:牙痛发生率为14.6%。龋齿发生率(RR = 3.47;95% CI: 1.05-11.47)和未接受牙科治疗(RR = 2.81;95% CI: 1.33-5.97)与较高的牙痛发生率相关。结论:学龄前儿童牙痛发生率较高的危险因素是龋病的发生率和缺乏基线推荐的牙科治疗。
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来源期刊
CiteScore
5.50
自引率
2.60%
发文量
82
审稿时长
6-12 weeks
期刊介绍: The International Journal of Paediatric Dentistry was formed in 1991 by the merger of the Journals of the International Association of Paediatric Dentistry and the British Society of Paediatric Dentistry and is published bi-monthly. It has true international scope and aims to promote the highest standard of education, practice and research in paediatric dentistry world-wide. International Journal of Paediatric Dentistry publishes papers on all aspects of paediatric dentistry including: growth and development, behaviour management, diagnosis, prevention, restorative treatment and issue relating to medically compromised children or those with disabilities. This peer-reviewed journal features scientific articles, reviews, case reports, clinical techniques, short communications and abstracts of current paediatric dental research. Analytical studies with a scientific novelty value are preferred to descriptive studies. Case reports illustrating unusual conditions and clinically relevant observations are acceptable but must be of sufficiently high quality to be considered for publication; particularly the illustrative material must be of the highest quality.
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