O papel do dentifrício sem flúor na ocorrência da cárie dentária entre pacientes com deficiências de desenvolvimento até os seis anos de idade

Abstract

The objective of this study was to investigate if cavities are associated with the use of non-fluoridated toothpaste in children with developmental disabilities treated in an extension project at the Faculty of Dentistry of the Universidade Federal de Minas Gerais (Belo Horizonte, Minas Gerais State, Brazil). We analyzed secondary data from the database of the project, from January 1998 to December 2014. The data was analyzed by percentage calculations and bivariate analysis (chi-square) stratified by age, gender and maternal education, by using the Epi Info 7 software. A total of 107 dental records were analyzed. In a general view, individuals who did not use fluoridated toothpaste were 5.97 times more (IC: 1.75-20.35) likely to develop dental cavities (P=0.001). In children up to 1 year old, the risk of having cavities was 5.97 times higher (CI: 1.75-10.35) than in the group that did not use fluoridated toothpaste (P=0.039). In the 2-3 years old group the risk of presenting dental cavities was 6.75 times higher (1.21-17.62) than the group of individuals who used non-fluoridated toothpaste(P=0.029). In the 4 to 6 years old group, the risk was 5.97 times higher (CI: 1.75-10.35) (P=0.018). Among boys, that risk was 7.42 (CI:1.63-33.69) higher without the use of fluoridated toothpaste (P=0.004). This effect was neither observed in girls (P=0.08) nor it was associated with maternal education level (P=0.08). We concluded that the use of non-fluoridated toothpaste was associated with dental cavities among individuals with developmental disabilities under six years old