TY - JOUR
T1 - Periodontal changes after caries management in preschool and school-age children
AU - Waller, Maria Valéria
AU - Angst, Patrícia Daniela Melchiors
AU - Marques, Brenda Ribeiro
AU - da Silva, Gabriela Seabra
AU - Chambrone, Leandro
AU - Raggio, Daniela Prócida
AU - Mello-Moura, Anna Carolina Volpi
AU - Gimenez, Thais
AU - Tedesco, Tamara Kerber
N1 - Publisher Copyright:
© 2021 American Academy of Pediatric Dentistry. All rights reserved.
PY - 2021/1
Y1 - 2021/1
N2 - Purpose: To evaluate the effect of caries management on the periodontal status of preschool and school-age children. Methods: Twenty-six four- to eight-year-old children with at least one primary molar with a deep carious lesion were selected to undergo a periodontal evaluation before and six months after dental treatment. Two examiners conducted the periodontal exams using the visible plaque index (VPI) and gingival bleeding index (GBI). Longitudinal changes were compared using paired t-test and Fisher's test. Poisson regression models were used to investigate the variables influencing GBI (α=five percent). Results: There were no significant differences in the mean percentage of VPI-positive sites (55.8±26.9 percent to 54.5±29.8 percent; P=0.829) and GBI-positive sites (37.2±22.2 percent to 32.1±22.8 percent; P=0.222) before and after treatment. In contrast, the mean number of GBI sites decreased from 8.5±5.03 to 6.3±4.39 (P=0.026), while the percentage of patients presenting GBI of no more than 10 percent increased from 11.5 percent to 26.9 percent over time (P=0.013). Similar analyses for VPI did not show a statistical significance. Boys (P=0.037) and six- to eight-year-old children (P=0.029) had lower reductions on GBI. Conclusion: Caries management has a positive impact on the periodontal condition of children, especially on gingival bleeding.
AB - Purpose: To evaluate the effect of caries management on the periodontal status of preschool and school-age children. Methods: Twenty-six four- to eight-year-old children with at least one primary molar with a deep carious lesion were selected to undergo a periodontal evaluation before and six months after dental treatment. Two examiners conducted the periodontal exams using the visible plaque index (VPI) and gingival bleeding index (GBI). Longitudinal changes were compared using paired t-test and Fisher's test. Poisson regression models were used to investigate the variables influencing GBI (α=five percent). Results: There were no significant differences in the mean percentage of VPI-positive sites (55.8±26.9 percent to 54.5±29.8 percent; P=0.829) and GBI-positive sites (37.2±22.2 percent to 32.1±22.8 percent; P=0.222) before and after treatment. In contrast, the mean number of GBI sites decreased from 8.5±5.03 to 6.3±4.39 (P=0.026), while the percentage of patients presenting GBI of no more than 10 percent increased from 11.5 percent to 26.9 percent over time (P=0.013). Similar analyses for VPI did not show a statistical significance. Boys (P=0.037) and six- to eight-year-old children (P=0.029) had lower reductions on GBI. Conclusion: Caries management has a positive impact on the periodontal condition of children, especially on gingival bleeding.
KW - Dental caries
KW - Dental cavity
KW - Gingivitis
KW - Pediatric dentistry
KW - Periodontal diseases
UR - http://www.scopus.com/inward/record.url?scp=85104675833&partnerID=8YFLogxK
M3 - Article
C2 - 33875053
AN - SCOPUS:85104675833
SN - 1551-8949
VL - 88
SP - 52
EP - 57
JO - Journal of Dentistry for Children
JF - Journal of Dentistry for Children
IS - 1
ER -