This finding may help clinicians in treatment decisions. “
“Oral health inequalities are the measures by which equity in oral health is tracked. Despite widespread improvement in children’s dental health globally, substantial socio-economic disparities persist and may be worsening. Quantify 10-year changes in child caries occurrence by socio-economic position in a Southern Brazilian city and compare oral health inequalities over time. Representative surveys of dental caries in children (age <6 years) in Canoas, Brazil, were conducted in 2000 and 2010 following standardized methods. For each survey year, we calculated disparities by socio-economic MI-503 solubility dmso position
(maternal education and family income) in age- and sex-standardized caries occurrence (prevalence: dmft > 0; severity: mean dmft) using absolute measures (difference and Slope Index of Inequality) and relative measures (ratio and Relative Index of Inequality). Comparing 2010 to 2000, caries occurrence was lower in
all socio-economic strata. However, reductions were more pronounced among socio-economically advantaged groups, yielding no improvement in children’s oral health disparities. Some disparity indicators were consistent with increasing inequality. Overall, dental caries levels among children in Canoas improved, but inequalities in disease distribution endured. Concerted public health efforts targeting socio-economically disadvantaged groups are needed to achieve greater equity in children’s oral health. “
“To investigate risk factors for the occurrence of traumatic dental injuries (TDI) at 4 years of age. Prospective cohort Apoptosis inhibitor study. A birth cohort (n = 500) was recruited from the public healthcare system in São Leopoldo, Brazil. Demographic, socioeconomic, anthropometric, and behavioral variables were collected at 6 months, 1 year, and 4 years of age. Clinical examinations at 4 years of age were carried out by a single examiner using the Andreasen classification. Poisson
regression was used to determine risk factors for the occurrence of TDI at 4 years of age. A total of 23.7% of the children (80/337) exhibited TDI at 4 years of age. The risk of TDI was 35% lower among children who had been breastfeed for ≥6 months relative Dimethyl sulfoxide risk (RR 0.65; 95% CI 0.43-0.97) and more than twofold higher among those who were bottle fed ≥ three times a day (RR 2.37; 95% CI 1.10–5.11) at 12 months of age. Higher household income in the first year of life and greater height at 4 years of age were significantly associated with the outcome. The identification of behavioral, socioeconomic, and anthropometric risk factors for TDI in early childhood can contribute to the elaboration of prevention strategies. “
“The aetiology of isolated clefts of the lip and/or palate remains obscure. Unaffected family members are treated as if their genetic risks are equivalent and low.