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RESUMEN Objetivo: estimar la experiencia de caries dental en ninos de 5 anos de edad de Medellin, Colombia. Metodologia: los datos se obtuvieron en una muestra probabilistica de 486 ninos, examinados para el diagnostico de experiencia de caries en dentina y de lesiones limitadas al esmalte dental. Se calcularon los indices de experiencia de caries ceo-d clasico y ceo-d modificado (ceod-m). Se realizaron pruebas Chi-Cuadrado y t student. Resultados: el 54,7% de los ninos de estratos bajos y el 26 % de los estratos medio y altos tenian experiencia de caries en dentina; los porcentajes aumentan a 88,6% y 50,7% respectivamente, cuando se incluyen lesiones limitadas al esmalte dental. Los promedios de los indices ceod clasico (ceod-c) y ceod modificado (ceod-m) fueron fue 1,9±2,9, 4,9±4,6 respectivamente. En los ninos de estratos bajos el ceod clasico fue 2,2±3,1 y en los de estratos altos fue 0,6±1,2; mientras que los valores del ceod-m fueron 5,4±4,7 y 1,9±2,8 respectivamente. Conclusion: los ninos de estrato socioeconomico bajo de Medellin, a la edad de cinco anos tienen altos niveles de caries dental, resultado que indica la necesidad de implementar programas preventivos y de atencion en salud bucal desde edades tempranas. ABSTRACT Objective: To estimate the experience of dental caries among five-year-olds from Medellin, Colombia. Methodology: data were obtained from a random probabilistic sample of 486 children who were examined for caries experience in dentin and caries limited to tooth enamel. The classic dmft and modified dmft caries experience indexes were calculated. Similarly, Chi-square and student t tests were conducted. Results: the percentage of children with caries experience was 54.7% for children of lower classes, and 26% for children of middle and upper classes. These percentages increased to 88.6% and 50.7% respectively after including lesions limited to dental enamel. The averages of the classic and modified dmft were 1.9 ± 2.9 and 4.9±4.6 respectively. For children of lower classes, the classic dmft was 2.2±3.1, and 0.6±1.2 for those of higher classes. In contrast, the values of the the modified dmft were 5.4±4.7 and 1.9±2.8 respectively. Conclusion: five-year-olds of lower classes in Medellin had high levels of dental caries, which points to a need to implement health prevention and care programs in oral health from early ages. RESUMO Objetivo: estimar a presenca de caries dental em criancas de 5 anos de idade de Medellin, Colombia. Metodologia: os dados foram obtidos em uma amostra probabilistica de 486 criancas, examinadas para o diagnostico de presenca de caries em dentina e de lesoes limitadas ao esmalte dental. Calcularam-se os indices de presenca de caries ceo-d classico e ceo-d modificado (ceod-m). Realizaram-se provas Qui- Quadrado e t student. Resultados: 54,7% das criancas de classe baixa e 26% das classes media e alta tinham presenca de caries em dentina; as percentagens sobem para 88,6% e 50,7% respectivamente, quando incluidas lesoes limitadas ao esmalte dental. As medias dos indices ceo-d classico (ceod-c) e ceod modificado (ceod-m) foram 1,9±2,9, 4,9±4,6 respectivamente. Em criancas de classe baixa o ceod classico foi 2,2±3,1 e nas de classe alta foi 0,6±1,2; enquanto que os valores do ceod-m foram 5,4±4,7 e 1,9±2,8 respectivamente. Conclusao: as criancas de classe baixa de Medellin, de cinco anos de idade, tem altos niveis de caries dental, resultado que indica a necessidade de implementar programas preventivos e de atencao a saude bucal desde idades precoces.

Experiencia de caries en dentición primaria en niños de 5 años, Medellín, Colombia