ECC Prevalence, Caries Risk and Prematurity in PR Children
L. LOPEZ, University of Puerto Rico, San Juan, USA

Purpose: The purpose of this retrospective study was to assess the ECC prevalence and caries risk from a sample of Puerto Rican children aged 6 to 69 months based on records. The children were classified in cases and controls by history of premature delivery and/or LBW. Methods: One hundred fifty six records from children aged 6 to 69 months from a previous ECC prevalence study were classified in cases and controls based on premature delivery and/or LBW. ECC prevalence, prematurity, gender, mean age, mean BW, mean months of gestation, type of delivery and mean dmft, dmfs and dt were collected from records. ECC was classified between SECC and ECC based on AAPD guidelines. Descriptive statistics and significant associations were studied for risk of ECC and prematurity. Results: Twenty four of the sample was classified as cases based on 8 mos or less of gestation and LBW below 5 pounds. Mean sample age was 34.87 mos (36.61 mos cases, 34.05 mos controls), mean BW was 6.45 pounds (5.06 p cases, 6.81 p controls); mean gestational age was 8.68 mos ( 7.64 mos cases, 9 mos controls); mean dmft, dmfs and df was 2.44, 4.11, 2.12 for total sample ( 3.64, 6.9, 2.9 for cases, 1.69, 2.66, and 1.54 for controls). Caries prevalence in the total sample was 33% (cases 47% and controls 30%). SECC was seen in 32% of the cases and in 15% of the controls. SECC in total sample was 22.2%. Significant associations were found for being premature (case) dmft, dmfs, dt, eruption age and SECC. Cases have 2.36 more caries risk than control (OR=2.36, p= 0.03).Conclusions: Risk of severe carious involvement or SECC is associated with history of prematurity and LWBW in the sample studied. Other risk factors must be studied through longitudinal investigations.

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