Association between salivary flow and dental caries in institutionalized adolescents: Cross-sectional study

Background: Brazil has a larger number of adolescent offenders, but studies evaluating their oral health are still limited. Objective: Assess the association between salivary flow and caries experience in youngsters deprived of liberty. Methodology: Sixty-eight male adolescents in conflict with the...

Full description

Saved in:
Bibliographic Details
Main Authors: Mariana da Silva Muñoz, Natália Marcumini Pola, Paulo Roberto Grafitti Colussi, Cassiano Kuchenbecker Rösing, Francisco Wilker Mustafa Gomes Muniz
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Journal of Oral Biology and Craniofacial Research
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2212426823001422
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1846159457559511040
author Mariana da Silva Muñoz
Natália Marcumini Pola
Paulo Roberto Grafitti Colussi
Cassiano Kuchenbecker Rösing
Francisco Wilker Mustafa Gomes Muniz
author_facet Mariana da Silva Muñoz
Natália Marcumini Pola
Paulo Roberto Grafitti Colussi
Cassiano Kuchenbecker Rösing
Francisco Wilker Mustafa Gomes Muniz
author_sort Mariana da Silva Muñoz
collection DOAJ
description Background: Brazil has a larger number of adolescent offenders, but studies evaluating their oral health are still limited. Objective: Assess the association between salivary flow and caries experience in youngsters deprived of liberty. Methodology: Sixty-eight male adolescents in conflict with the law, aged between 15 and 19 years, from a Socio-Educational Assistance Center in Brazil participated in the present study. They answered a structured questionnaire, and oral examination was performed by the Decayed, Missing, and Filled Teeth (DMFT) index. The salivary flow rate was obtained using the mechanically stimulated total saliva method. Adjusted Poisson regression was used for the association with total DMFT and its decayed component, using the salivary flow (continuous fashion) or the hyposalivation (≤1 ml/min) as independent variables. Results: Participants were divided into two groups, those who did not have any decayed teeth at the moment of the examination (n = 39) and those who had at least one decayed tooth (n = 29). Moreover, two groups were formed based on the DMFT: those who had DMFT = 0 (n = 20) and those who had DMFT≥1 (n = 48). In the multivariate analysis, hyposalivation was associated with DMFT≥1 (p = 0.048), but when the salivary flow was included, no significant association with DMFT index was identified (p = 0.178). Conversely, the presence of at least one decayed tooth was significantly associated with the salivary flow (p = 0.004), but not with hyposalivation (p = 0.091). Conclusions: Institutionalized adolescents who present hyposalivation or low salivary flow are associated with DMFT≥1 index or presence of at least one decayed tooth, respectively.
format Article
id doaj-art-54c28f39b5f64b0d800b1d9b5f0e762d
institution Kabale University
issn 2212-4268
language English
publishDate 2024-01-01
publisher Elsevier
record_format Article
series Journal of Oral Biology and Craniofacial Research
spelling doaj-art-54c28f39b5f64b0d800b1d9b5f0e762d2024-11-23T06:30:34ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682024-01-011415560Association between salivary flow and dental caries in institutionalized adolescents: Cross-sectional studyMariana da Silva Muñoz0Natália Marcumini Pola1Paulo Roberto Grafitti Colussi2Cassiano Kuchenbecker Rösing3Francisco Wilker Mustafa Gomes Muniz4Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, BrazilDepartment of Periodontology, Federal University of Pelotas, Pelotas, BrazilPrivate Practice, Passo Fundo, BrazilDepartment of Periodontology, Federal University of Rio Grande do Sul, Porto Alegre, BrazilDepartment of Periodontology, Federal University of Pelotas, Pelotas, Brazil; Corresponding author. Federal University of Pelotas, Rua Gonçalves Chaves, 457, Pelotas/RS, 960105-560, Brazil.Background: Brazil has a larger number of adolescent offenders, but studies evaluating their oral health are still limited. Objective: Assess the association between salivary flow and caries experience in youngsters deprived of liberty. Methodology: Sixty-eight male adolescents in conflict with the law, aged between 15 and 19 years, from a Socio-Educational Assistance Center in Brazil participated in the present study. They answered a structured questionnaire, and oral examination was performed by the Decayed, Missing, and Filled Teeth (DMFT) index. The salivary flow rate was obtained using the mechanically stimulated total saliva method. Adjusted Poisson regression was used for the association with total DMFT and its decayed component, using the salivary flow (continuous fashion) or the hyposalivation (≤1 ml/min) as independent variables. Results: Participants were divided into two groups, those who did not have any decayed teeth at the moment of the examination (n = 39) and those who had at least one decayed tooth (n = 29). Moreover, two groups were formed based on the DMFT: those who had DMFT = 0 (n = 20) and those who had DMFT≥1 (n = 48). In the multivariate analysis, hyposalivation was associated with DMFT≥1 (p = 0.048), but when the salivary flow was included, no significant association with DMFT index was identified (p = 0.178). Conversely, the presence of at least one decayed tooth was significantly associated with the salivary flow (p = 0.004), but not with hyposalivation (p = 0.091). Conclusions: Institutionalized adolescents who present hyposalivation or low salivary flow are associated with DMFT≥1 index or presence of at least one decayed tooth, respectively.http://www.sciencedirect.com/science/article/pii/S2212426823001422AdolescentInstitutionalizedDental cariesDMF indexInstitutionalizationSalivation
spellingShingle Mariana da Silva Muñoz
Natália Marcumini Pola
Paulo Roberto Grafitti Colussi
Cassiano Kuchenbecker Rösing
Francisco Wilker Mustafa Gomes Muniz
Association between salivary flow and dental caries in institutionalized adolescents: Cross-sectional study
Journal of Oral Biology and Craniofacial Research
Adolescent
Institutionalized
Dental caries
DMF index
Institutionalization
Salivation
title Association between salivary flow and dental caries in institutionalized adolescents: Cross-sectional study
title_full Association between salivary flow and dental caries in institutionalized adolescents: Cross-sectional study
title_fullStr Association between salivary flow and dental caries in institutionalized adolescents: Cross-sectional study
title_full_unstemmed Association between salivary flow and dental caries in institutionalized adolescents: Cross-sectional study
title_short Association between salivary flow and dental caries in institutionalized adolescents: Cross-sectional study
title_sort association between salivary flow and dental caries in institutionalized adolescents cross sectional study
topic Adolescent
Institutionalized
Dental caries
DMF index
Institutionalization
Salivation
url http://www.sciencedirect.com/science/article/pii/S2212426823001422
work_keys_str_mv AT marianadasilvamunoz associationbetweensalivaryflowanddentalcariesininstitutionalizedadolescentscrosssectionalstudy
AT nataliamarcuminipola associationbetweensalivaryflowanddentalcariesininstitutionalizedadolescentscrosssectionalstudy
AT paulorobertografitticolussi associationbetweensalivaryflowanddentalcariesininstitutionalizedadolescentscrosssectionalstudy
AT cassianokuchenbeckerrosing associationbetweensalivaryflowanddentalcariesininstitutionalizedadolescentscrosssectionalstudy
AT franciscowilkermustafagomesmuniz associationbetweensalivaryflowanddentalcariesininstitutionalizedadolescentscrosssectionalstudy