Diferencias de sexo en severidad y factores de riesgo para caries dental y enfermedad periodontal

Introducción: el objetivo de este estudio fue determinar si existen diferencias de sexo en la severidad y factores de riesgo en la aparición de caries dental y enfermedad periodontal. Métodos: realizamos un estudio retrospectivo transversal a través de la revisión de historias clínicas de 621 pacien...

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Autores:: Mafla Chamorro, Ana Cristina
Patiño, Mauricio Alexander

Tipo de recurso:: Article of investigation

Fecha de publicación:: 2019

Institución:: Universidad Cooperativa de Colombia

Repositorio:: Repositorio UCC

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repository_id_str
dc.title.spa.fl_str_mv	Diferencias de sexo en severidad y factores de riesgo para caries dental y enfermedad periodontal
title	Diferencias de sexo en severidad y factores de riesgo para caries dental y enfermedad periodontal
spellingShingle	Diferencias de sexo en severidad y factores de riesgo para caries dental y enfermedad periodontal Caries dental Enfermedad periodontal Caracteres sexuales Factores de riesgo Epidemiología Dental caries Periodontal disease Sexual characteristics Risk factors Epidemiology
title_short	Diferencias de sexo en severidad y factores de riesgo para caries dental y enfermedad periodontal
title_full	Diferencias de sexo en severidad y factores de riesgo para caries dental y enfermedad periodontal
title_fullStr	Diferencias de sexo en severidad y factores de riesgo para caries dental y enfermedad periodontal
title_full_unstemmed	Diferencias de sexo en severidad y factores de riesgo para caries dental y enfermedad periodontal
title_sort	Diferencias de sexo en severidad y factores de riesgo para caries dental y enfermedad periodontal
dc.creator.fl_str_mv	Mafla Chamorro, Ana Cristina Patiño, Mauricio Alexander
dc.contributor.author.none.fl_str_mv	Mafla Chamorro, Ana Cristina Patiño, Mauricio Alexander
dc.subject.spa.fl_str_mv	Caries dental Enfermedad periodontal Caracteres sexuales Factores de riesgo Epidemiología
topic	Caries dental Enfermedad periodontal Caracteres sexuales Factores de riesgo Epidemiología Dental caries Periodontal disease Sexual characteristics Risk factors Epidemiology
dc.subject.other.spa.fl_str_mv	Dental caries Periodontal disease Sexual characteristics Risk factors Epidemiology
description	Introducción: el objetivo de este estudio fue determinar si existen diferencias de sexo en la severidad y factores de riesgo en la aparición de caries dental y enfermedad periodontal. Métodos: realizamos un estudio retrospectivo transversal a través de la revisión de historias clínicas de 621 pacientes de la clínica de la Facultad de Odontología de la Universidad Cooperativa de Colombia en Pasto, Colombia, durante 2008 y 2013. Se obtuvo el índice Copd e ICdas II para determinar la severidad de caries dental y el Índice CpItn para evaluar enfermedad periodontal. Se realizó un análisis descriptivo y la asociación entre caries dental y enfermedad periodontal y los factores de riesgo se evaluaron mediante modelos lineales generalizados. Resultados: La media de Copd fue levemente mayor en mujeres (20,97±6,01) que en hombres (20,59±5,47) (P=0,191). Existió diferencia con respecto a dientes perdidos en hombres (4,85±4,54) y mujeres (6,12±5,64) (P=0,020). Encontramos que 12,8 % de hombres y 10,2 % de mujeres tenían bolsas periodontales ≥6mm (P=0,136). La presencia de diastemas (OR=2,881; IC al 95 %: 1,479-5,613; P=0,002) y sangrado gingival (OR=40,263; IC al 95 %: 7,851-206,484; P<0,001) se asociaron significativamente con la enfermedad periodontal en hombres y tener apiñamiento (OR=2,059; IC al 95 %: 1,387-3,055; P<0,001) y estar casada (OR=1,859; IC al 95 %: 1,046-3,304; P<0,034) influyó en esta enfermedad en mujeres. Conclusión: el diseño de estudio retrospectivo transversal es limitado, pero ofrece una vía prometedora para futuras exploraciones. Los resultados tienen implicaciones para la promoción de diferencias en sexo en cuidados de salud oral.
publishDate	2019
dc.date.issued.none.fl_str_mv	2019-04
dc.date.accessioned.none.fl_str_mv	2021-09-07T15:20:54Z
dc.date.available.none.fl_str_mv	2021-09-07T15:20:54Z
dc.type.none.fl_str_mv	Artículos Científicos
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dc.type.driver.none.fl_str_mv	info:eu-repo/semantics/article
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dc.identifier.issn.spa.fl_str_mv	2357-4607
dc.identifier.uri.spa.fl_str_mv	https://doi.org/10.16925/2357-4607.2019.01.03
dc.identifier.uri.none.fl_str_mv	https://hdl.handle.net/20.500.12494/35861
dc.identifier.bibliographicCitation.spa.fl_str_mv	Mafla, A. C., & Patiño, M. A. (2019). Diferencias de sexo en severidad y factores de riesgo para caries dental y enfermedad periodontal. Revista Nacional De Odontología, 15(28). https://doi.org/10.16925/2357-4607.2019.01.03
identifier_str_mv	2357-4607 Mafla, A. C., & Patiño, M. A. (2019). Diferencias de sexo en severidad y factores de riesgo para caries dental y enfermedad periodontal. Revista Nacional De Odontología, 15(28). https://doi.org/10.16925/2357-4607.2019.01.03
url	https://doi.org/10.16925/2357-4607.2019.01.03 https://hdl.handle.net/20.500.12494/35861
dc.relation.ispartofjournal.spa.fl_str_mv	Revista Nacional de Odontología
dc.relation.references.spa.fl_str_mv	Legato MJ. Por qué los hombres nunca recuerdan y las mujeres nunca olvidan. Barcelona:Urano; 2006. 268 p. Gur RC, Mozley LH, Mozley PD, Resnick SM, Karp JS, A Alavi, et al. Sex differences in regionalcerebral glucose metabolism during a resting state. Science. 1995; 267: 528-53. Recuperadoen: https://www.ncbi.nlm.nih.gov/pubmed/7824953. Petersen PE. The world oral health report 2003: continuous improvement of oral healthin the 21st century-the approach of the WHO Global Oral Health Programme. CommunityDent Oral Epidemiol. 2003; 31(1): 3-23. Recuperado en: https://www.ncbi.nlm.nih.gov/pubmed/15015736 Skinner J, Johnson G, Phelan C, Blinkhorn A. Dental caries in 14- and 15-year-olds in NewSouth Wales, Australia. BMC Public Health. 2013; 13: 1060. doi: 10.1186/1471-2458-13-1060 Al-Darwish M, El Ansari W, Bener A. Prevalence of dental caries among 12-14 year old children in Qatar. Saudi Dent J. 2014; 26(3): 115-25. doi: 10.1016/j.sdentj.2014.03.006 Silva AE, Menezes AM, Assunção MC, Gonçalves H, Demarco FF, Vargas-Ferreira F, et al.Validation of self-reported information on dental caries in a birth cohort at 18 years of age.PLoS One. 2014; 9(9): 106382. doi: 10.1371/journal.pone.0106382. Žemaitienė M, Grigalauskienė R, Vasiliauskienė I, Saldūnaitė K, Razmienė J, Slabšinskienė E. Prevalence and severity of dental caries among 18-year-old Lithuanian adolescents. Medicina (Kaunas). 2016; 52(1): 54-60. doi: 10.1016/j.medici.2016.01.006. Kutesa A, Kasangaki A, Nkamba M, Muwazi L, Okullo I, Rwenyonyi CM. Prevalence and factors associated with dental caries among children and adults in selected districts in Uganda. AfrHealth Sci. 2015; 15(4): 1302-7. doi: 10.4314/ahs.v15i4.33 Edman K, Öhrn K, Nordström B, Holmlund A, Hellberg D. Trends over 30 years in the preva-lence and severity of alveolar bone loss and the influence of smoking and socio-economicfactors - based on epidemiological surveys in Sweden 1983-2013. Int J Dent Hyg. 2015; 13(4): 283-91. doi: 10.1111/idh.12164 Aimetti M, Perotto S, Castiglione A, Mariani GM, Ferrarotti F, Romano F. Prevalence of perio-dontitis in an adult population from an urban area in North Italy: findings from a cross-sec-tional population-based epidemiological survey. J Clin Periodontol. 2015; 42(7): 622-31. doi: 10.1111/jcpe.12420. Torrungruang K, Tamsailom S, Rojanasomsith K, Sutdhibhisal S, Nisapakultorn K,Vanichjakvong O, et al. Risk indicators of periodontal disease in older Thai adults. JPeriodontol. 2005; 76(4): 558-65. Balaji SK, Lavu V, Rao S. Chronic periodontitis prevalence and the inflammatory burden in a sample population from South India. Indian J Dent Res. 2018; 29(2): 254-9. doi: 10.4103/ijdr.IJDR_335_17 Idrees M, Hammad M, Faden A, Kujan O. Influence of body mass index on severity of den-tal caries: cross-sectional study in healthy adults. Ann Saudi Med. 2017; 37(6): 444-8.doi: 10.5144/0256-4947.2017.444 Ramírez-Puerta BS, Viñas-Sarmiento Y, López-Camacho V, Morales-Flórez JL. Línea debase en caries dental, Antioquia (Colombia), 2011. Rev Nac Odontol. 2012; 8(15): 9-20. doi:10.16925.issn.1900-3080. Wang L, Cheng L, Yuan B, Hong X, Hu T. Association between socio-economic status anddental caries in elderly people in Sichuan Province, China: a cross-sectional study. BMJ Open. 2017; 7(9): 016557. doi: 10.1136/bmjopen-2017-016557 He S, Thomson WM. An oral epidemiological comparison of Chinese and New Zealand adults in 2 key age groups. Community Dent Oral Epidemiol. 2018; 46(2): 154-160. doi: 10.1111/cdoe.12348 Lorenzo SM, Álvarez R, Andrade E, Piccardo V, Francia A, Massa Fernando, et al. Periodontalconditions and associated factors among adults and the elderly: findings from the first National Oral Health Survey in Uruguay. Cad. Saúde Pública. 2015; 31(11): 2425-36. doi: 10.1590/0102-311X00012115 Vlassoff C. Gender differences in determinants and consequences of health and illness.J Health Popul Nutr. 2007; 25(1): 47-61. Recuperado en: https://www.ncbi.nlm.nih.gov/pubmed/17615903. Vano M, Gennai S, Karapetsa D, Miceli M, Giuca MR, Gabriele M, et al. The influence of educatio-nal level and oral hygiene behaviours on DMFT index and CPITN index in an adult Italian po-pulation: An epidemiological study. Int J Dent Hyg. 2015; 13(2): 151-7. doi: 10.1111/idh.12098 Álvarez L, Liberman J, Abreu S, Mangarelli C, Correa MB, Demarco FF, et al. Dental caries inUruguayan adults and elders: Findings from the first Uruguayan National Oral Health Survey. Cad Saude Publica. 2015; 31(8): 1663-72. doi: 10.1590/0102-311X00132214 Ajayi DM, Abiodun-Solanke IM, Gbadebo SO. A 5-year retrospective study of rampant dentalcaries among adult patients in a Nigerian Teaching Hospital. Indian J Dent Res. 2015; 26(3):267-70. doi: 10.4103/0970-9290.162885 Rojas-Gutiérrez WJ, Vivares-Builes AM, Agudelo-Suárez AA. Caries dental e higiene bucal enescolares de la zona rural del municipio de Jericó, Antioquia, 2013. Rev Nac Odontol. 2013;9(17): 27-34. doi: 10.16925/od.v9i17.569 Lukacs JR, Largaespada LL. Explaining sex differences in dental caries prevalence: saliva,hormones, and ‘‘Life-History’’ etiologies. American Journal of Human Biology. 2006; 18(4):540-55. Recuperado en: https://www.ncbi.nlm.nih.gov/pubmed/16788889. Stock C, Jürges H, Shen J, Bozorgmehr K, Listl S. A comparison of tooth retention and replace-ment across 15 countries in the over-50s. Community Dent Oral Epidemiol. 2016; 44(3): 223-31. doi: 10.1111/cdoe.12209. Tsai SJ, Lin MS, Chiu WN, Jane SW, Tu LT, Chen MY. Factors associated with having less than20 natural teeth in rural adults: a cross-sectional study. BMC Oral Health. 2015; 15(1): 158.doi: 10.1186/s12903-015-0147-y. Tiwari T, Scarbro S, Bryant LL, Puma J. Factors associated with tooth loss in older adults inrural Colorado. J Community Health. 2016; 41(3): 476-81. doi: 10.1007/s10900-015-0117-y. Roohafza H, Afghari P, Keshteli AH, Vali A, Shirani M, Adibi P, Afshar H. The relationship between tooth loss and psychological factors. Community Dent Health. 2015; 32(1): 16-9. Recuperado en: https://www.ncbi.nlm.nih.gov/pubmed/26263587. Bansal M, Mittal N, Singh TB. Assessment of the prevalence of periodontal diseases andtreatment needs: A hospital-based study. J Indian Soc Periodontol. 2015; 19(2): 211-5.doi: 10.4103/0972-124X.145810. García-Conde G, Espinosa de Santillana A, Martínez F, Huerta-Herrera N, Islas-Márquez AJ,Medina-Solís E. Periodontal treatment needs in adults from Mixteca rural area in Puebla State,Mexico. Rev. Salud Pública. 2010; 12(4): 647-57. Recuperado en: https://www.ncbi.nlm.nih.gov/pubmed/21340129 Oertelt-Prigione S. The influence of sex and gender on the immune response. AutoimmunRev. 2012; 11(6-7): 479-85. doi: 10.1016/j.autrev.2011.11.022. Recuperado en: https://www.ncbi.nlm.nih.gov/pubmed/22155201. Whitacre CC, Reingold SC, O’Looney PA. A gender gap in autoimmunity. Science. 1999;283(5406): 1277-1278. Recuperado en:https://pubmed.ncbi.nlm.nih.gov/10084932/ Kanda N, Tsuchida T, Tamaki K. Testosterone inhibits immunoglobulin production by human peripheral blood mononuclear cells. Clin Exp Immunol. 1996; 106(2): 410-5. doi: 10.1046/j.1365-2249.1996.d01-842.x Haytac MC, Ozcelik O, Mariotti A. Periodontal disease in men. Periodontol 2000. 2013; 61(1):252-65. doi: 10.1111/j.1600-0757.2011.00410.x Orwoll ES, Chan BK, Lambert LC, Marshall LM, Lewis C, Phipps KR. Sex steroids, periodontal heal-th, and tooth loss in older men. J Dent Res. 2009; 88(8): 704-8. doi: 10.1177/0022034509341013 Raber-Durlacher J, Steenbergen T, Velden U, Graaf J, Abraham L. Experimental gingivitis du-ring pregnancy and post-partum: Clinical, endocrinological, and microbiological aspects.J Clin Periodontol. 1994; 21(8): 549-58. Recuperado en: https://pubmed.ncbi.nlm.nih.gov/7989619/ Tilakaratne A, Soory M, Ranasinghe A, Corea S, Ekanayake S, De Silva M. Periodontal disea-se status during pregnancy and 3 months post-partum, in a rural population of Sri-Lankanwomen. J Clin Periodontol. 2000; 27(10): 787-92. Recuperado en: https://www.ncbi.nlm.nih.gov/pubmed/11034128. Goyal S, Gupta G, Thomas B, Bhat KM, Bhat GS. Stress and periodontal disease: The link and logic!! Ind Psychiatry J. 2013; 22(1): 4-11. doi: 10.4103/0972-6748.123585 González-Díaz ME, Toledo Pimentel B, Nazco Ríos C. Enfermedad periodontal y factores loca-les y sistémicos asociados. Rev Cubana Estomatol. 2002; 39(3): 374-395 Broadbent JM, Williams KB, Thomson WM, Williams SM. Dental restorations: a risk fac-tor for periodontal attachment loss? J Clin Periodontol. 2006; 33(11): 803-10. doi:10.1111/j.1600-051X.2006.00988.x American Psychological Association (apa). Gender and stress. [Internet]. 2016 [citado el 14de enero de 2018]. Recuperado en: https://www.apa.org/news/press/releases/stress/2010/gender-stress Bansal J, Bansal A, Shahi M, Kedige S, Narula R. Periodontal emotional stress syndrome: review ofbasic concepts, mechanism and management. Open Journal of Medical Psychology. 2014; 3(3): 250-61. Recuperado en: http://www.scirp.org /journal/PaperInformation.aspx?PaperID=45252].
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spelling	Mafla Chamorro, Ana CristinaPatiño, Mauricio AlexanderVol.15, No. 282021-09-07T15:20:54Z2021-09-07T15:20:54Z2019-042357-4607https://doi.org/10.16925/2357-4607.2019.01.03https://hdl.handle.net/20.500.12494/35861Mafla, A. C., & Patiño, M. A. (2019). Diferencias de sexo en severidad y factores de riesgo para caries dental y enfermedad periodontal. Revista Nacional De Odontología, 15(28). https://doi.org/10.16925/2357-4607.2019.01.03Introducción: el objetivo de este estudio fue determinar si existen diferencias de sexo en la severidad y factores de riesgo en la aparición de caries dental y enfermedad periodontal. Métodos: realizamos un estudio retrospectivo transversal a través de la revisión de historias clínicas de 621 pacientes de la clínica de la Facultad de Odontología de la Universidad Cooperativa de Colombia en Pasto, Colombia, durante 2008 y 2013. Se obtuvo el índice Copd e ICdas II para determinar la severidad de caries dental y el Índice CpItn para evaluar enfermedad periodontal. Se realizó un análisis descriptivo y la asociación entre caries dental y enfermedad periodontal y los factores de riesgo se evaluaron mediante modelos lineales generalizados. Resultados: La media de Copd fue levemente mayor en mujeres (20,97±6,01) que en hombres (20,59±5,47) (P=0,191). Existió diferencia con respecto a dientes perdidos en hombres (4,85±4,54) y mujeres (6,12±5,64) (P=0,020). Encontramos que 12,8 % de hombres y 10,2 % de mujeres tenían bolsas periodontales ≥6mm (P=0,136). La presencia de diastemas (OR=2,881; IC al 95 %: 1,479-5,613; P=0,002) y sangrado gingival (OR=40,263; IC al 95 %: 7,851-206,484; P<0,001) se asociaron significativamente con la enfermedad periodontal en hombres y tener apiñamiento (OR=2,059; IC al 95 %: 1,387-3,055; P<0,001) y estar casada (OR=1,859; IC al 95 %: 1,046-3,304; P<0,034) influyó en esta enfermedad en mujeres. Conclusión: el diseño de estudio retrospectivo transversal es limitado, pero ofrece una vía prometedora para futuras exploraciones. Los resultados tienen implicaciones para la promoción de diferencias en sexo en cuidados de salud oral.Introduction: The objective of this study was to determine if there are sex differences in severity and risk factors in the development of dental caries and periodontal disease. Methods: We performed a retrospective cross-sectional study by reviewing medical records of 621 patients at the Faculty of Dentistry of the Universidad Cooperativa de Colombia in Pasto, Colombia, during 2008 and 2013. The COPD and ICDAS II index were obtained to determine the severity of dental caries and the CPITN Index to evaluate periodontal disease. A descriptive analysis was performed, and the association between dental caries and periodontal disease as well as the risk factors were evaluated using generalized linear models. Results: the mean COPD was slightly higher in women (20.97 ± 6.01) than in men (20.59 ± 5.47) (P = 0.191). There was difference in teeth lost in males (4.85 ± 4.54) and females (6.12 ± 5.64) (P = 0.020). We found that 12.8% of men and 10.2% of women had periodontal pockets ≥6mm (P = 0.136). The presence of diastemas (OR = 2.881, 95% CI: 1.479-5.613, P = 0.002) and gingival bleeding (OR = 40.263, 95% CI: 7.851-206.484, P <0.001) were significantly associated with periodontal disease (OR = 2.859, 95% CI: 1.046-3.304, P <0.034) had an influence on this disease in women (OR = 2.059, 95% CI: 1.387-3.055, P <0.001). Conclusion: the retrospective cross-sectional study design is limited, but offers a promising avenue for future explorations. The results have implications for promoting differences in sex in oral health care.1. Resumen. -- 2. Introducción. -- 3. Materiales y métodos. -- 4. Resultados. -- 5. Discusión. -- 6. Conclusiones.https://orcid.org/0000-0002-2805-7901ana.mafla@campusucc.edu.cop. 1-31Universidad Cooperativa de Colombia, Facultad de Ciencias de la Salud, Odontología, PastoOdontologíaPastoCaries dentalEnfermedad periodontalCaracteres sexualesFactores de riesgoEpidemiologíaDental cariesPeriodontal diseaseSexual characteristicsRisk factorsEpidemiologyDiferencias de sexo en severidad y factores de riesgo para caries dental y enfermedad periodontalArtículos Científicoshttp://purl.org/coar/resource_type/c_2df8fbb1http://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionNINGUNAinfo:eu-repo/semantics/closedAccesshttp://purl.org/coar/access_right/c_14cbRevista Nacional de OdontologíaLegato MJ. Por qué los hombres nunca recuerdan y las mujeres nunca olvidan. Barcelona:Urano; 2006. 268 p.Gur RC, Mozley LH, Mozley PD, Resnick SM, Karp JS, A Alavi, et al. Sex differences in regionalcerebral glucose metabolism during a resting state. Science. 1995; 267: 528-53. Recuperadoen: https://www.ncbi.nlm.nih.gov/pubmed/7824953.Petersen PE. The world oral health report 2003: continuous improvement of oral healthin the 21st century-the approach of the WHO Global Oral Health Programme. CommunityDent Oral Epidemiol. 2003; 31(1): 3-23. Recuperado en: https://www.ncbi.nlm.nih.gov/pubmed/15015736Skinner J, Johnson G, Phelan C, Blinkhorn A. Dental caries in 14- and 15-year-olds in NewSouth Wales, Australia. BMC Public Health. 2013; 13: 1060. doi: 10.1186/1471-2458-13-1060Al-Darwish M, El Ansari W, Bener A. Prevalence of dental caries among 12-14 year old children in Qatar. Saudi Dent J. 2014; 26(3): 115-25. doi: 10.1016/j.sdentj.2014.03.006Silva AE, Menezes AM, Assunção MC, Gonçalves H, Demarco FF, Vargas-Ferreira F, et al.Validation of self-reported information on dental caries in a birth cohort at 18 years of age.PLoS One. 2014; 9(9): 106382. doi: 10.1371/journal.pone.0106382.Žemaitienė M, Grigalauskienė R, Vasiliauskienė I, Saldūnaitė K, Razmienė J, Slabšinskienė E. Prevalence and severity of dental caries among 18-year-old Lithuanian adolescents. Medicina (Kaunas). 2016; 52(1): 54-60. doi: 10.1016/j.medici.2016.01.006.Kutesa A, Kasangaki A, Nkamba M, Muwazi L, Okullo I, Rwenyonyi CM. Prevalence and factors associated with dental caries among children and adults in selected districts in Uganda. AfrHealth Sci. 2015; 15(4): 1302-7. doi: 10.4314/ahs.v15i4.33Edman K, Öhrn K, Nordström B, Holmlund A, Hellberg D. Trends over 30 years in the preva-lence and severity of alveolar bone loss and the influence of smoking and socio-economicfactors - based on epidemiological surveys in Sweden 1983-2013. Int J Dent Hyg. 2015; 13(4): 283-91. doi: 10.1111/idh.12164Aimetti M, Perotto S, Castiglione A, Mariani GM, Ferrarotti F, Romano F. Prevalence of perio-dontitis in an adult population from an urban area in North Italy: findings from a cross-sec-tional population-based epidemiological survey. J Clin Periodontol. 2015; 42(7): 622-31. doi: 10.1111/jcpe.12420.Torrungruang K, Tamsailom S, Rojanasomsith K, Sutdhibhisal S, Nisapakultorn K,Vanichjakvong O, et al. Risk indicators of periodontal disease in older Thai adults. JPeriodontol. 2005; 76(4): 558-65.Balaji SK, Lavu V, Rao S. Chronic periodontitis prevalence and the inflammatory burden in a sample population from South India. Indian J Dent Res. 2018; 29(2): 254-9. doi: 10.4103/ijdr.IJDR_335_17Idrees M, Hammad M, Faden A, Kujan O. 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Diferencias de sexo en severidad y factores de riesgo para caries dental y enfermedad periodontal

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