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Revista Facultad de Odontología Universidad de Antioquia

Print version ISSN 0121-246X

Abstract

RESTREPO-PEREZ, Luis Fernando et al. RELATIONSHIP BETWEEN FAMILY-RELATED SOCIAL DETERMINANTS AND DENTAL CARIES IN PRESCHOOLERS FROM ANAPOIMA, CUNDINAMARCA. Rev Fac Odontol Univ Antioq [online]. 2018, vol.30, n.1, pp.55-66. ISSN 0121-246X.  http://dx.doi.org/10.17533/udea.rfo.v30n1a6.

Objective:

identify social determinants of health in families of preschoolers from Anapoima, Cundinamarca, and their relationship with prevalence of caries experience.

Methods:

in the framework of the Alliance for a Caries-Free Future - Colombia Chapter (Alianza por un Futuro Libre de Caries-Capítulo Colombia, AFLC-CC), the prevalence of caries experience in preschool children from Anapoima, Cundinamarca, was assessed using the International Caries Detection and Assessment System (ICDAS) and the dmft (decayed, missing, filled teeth) index, characterizing their families and homes. Descriptive analysis was done, using X2 to explore associations between dmft and ICDAS with socioeconomic and infrastructure conditions, as well as health practices in families.

Results:

120 kindergarten children from the municipality of Anapoima were assessed and their homes were visited. The prevalence of caries experience (dmft) was 33.3% (average: 1.3 ± 2.5); when initial lesions were included, the prevalence reached 46.7% (4.3 ± 7.0). There was a relationship between the presence of caries and type of oral health problems referred to by parents, kin relationship with caregiver, visits to the oral health service, and availability of a space for the toothbrush (p < 0.05).

Conclusions:

the assessed children showed low caries experience compared to national benchmarks, which can be explained by the intermediate determinants identified in their family environments, with economic, infrastructure and family structure conditions favorable to health practices. It is necessary to better understand the relationship between social determinants and oral health from a structural point of view and to strengthen health strategies, in order to achieve caries-free populations.

Keywords : dental caries; children; primary prevention; social determinants of health; risk factors; oral health.

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