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Overweight/obese children are associated with lower caries experience than normal‐weight children/adolescents
Author(s) -
Guaré Renata Oliveira,
Perez Mayra Manoella,
Novaes Tatiane Fernandes,
Ciamponi Ana Lídia,
Gorjão Renata,
Diniz Michele Baffi
Publication year - 2019
Publication title -
international journal of paediatric dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.183
H-Index - 62
eISSN - 1365-263X
pISSN - 0960-7439
DOI - 10.1111/ipd.12565
Subject(s) - medicine , dentistry , overweight , logistic regression , odds ratio , body mass index , tooth surface
Aim To compare (a) enamel carious (EC) and dentin carious (DC) lesions and (b) caries risk, between normal‐weight (NW) and overweight/obese (OW) children/adolescents. Design In this cross‐sectional study, 91 participants aged 6‐12 years were classified according to the body mass index (BMI): NW (n = 50) and OW (n = 41). Caries experience was evaluated using the International Caries Detection and Assessment System (ICDAS) with two thresholds: “EC/DC” (ICDAS 1‐3/4‐6) and “DC” (ICDAS 4‐6). Caries risk was determined by the Caries Management by Risk Assessment (CAMBRA) system. A logistic regression analysis was performed to determine the association among OW, caries thresholds, and caries risk. Results Caries experience was similar for both groups at the “EC/DC” threshold ( P = .477) and higher for the NW group at the “DC” threshold ( P = .009). For CAMBRA, caries risk classification was similar for both groups ( P = .082). The logistic regression showed the OW group was less likely to exhibit radiographically visible proximal carious lesions (odds ratio [OR] of 0.330, P = .019), thick biofilm visible on the tooth surface (OR = 0.360, P = .019), high caries risk (OR = 0.367, P = .039), and moderate‐to‐high caries levels (OR = 0.190, P = .022). Conclusion OW children/adolescents had lower caries experience, at both ICDAS thresholds, and lower caries risk, compared to NW children/adolescents.