A influência dos primeiros mil dias de vida da criança na incidência de defeitos de desenvolvimento de esmalte dentário

• Ano de defesa: 2018
• Autor(a) principal: Lunardelli, Sandra Espíndola
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Palavras-chave em Português: Saúde das crianças; Inquéritos de saúde bucal; Esmalte sentário
• Link de acesso: https://repositorio.animaeducacao.com.br/handle/ANIMA/15178

Introduction: The development and growth of a child are strongly influenced by demographic, socioeconomic and maternal-infant factors occurring during the first thousand days of life, which comprise the nine-month gestation up to two years of age. Defects of enamel development are changes in the structure of the dental enamel generated by local or systemic aggressions occurred during its formation. Objective: To study the association between pre, neo and postnatal conditions in the first thousand days of life, in the incidence of developmental defects of dental enamel in schoolchildren of six years old. Methods: Retrospective longitudinal study involving 655 six-year-old schoolchildren born and residing in Palhoça/SC. Sociodemographic and health data were collected through interviews with mothers in the homes and oral examinations of children in schools. Multivariate analyzes were performed using Cox regression. Results: The incidence of enamel development defects was 44.0% (95% CI 40.2, 47.8). Demarcated opacities were the most incident types 31.1% (95% CI 27.5, 34.6) followed by diffuse opacities 19.1% (CI 95% 16.1, 22.1). The variables late pregnancy (age between 35 and 44 years), maternal schooling (less than eight years of schooling), female gender and the child's white skin color were independently associated with the incidence of demarcated opacities. Conclusions: Demographic and socioeconomic factors that occurred in the first thousand days of life influenced the incidence of enamel development defects, especially in demarcated opacities.