Published

2019-01-01

Factores de riesgo de la atrición dental severa: un estudio de casos y controles

Severe dental attrition and associated factors: a case-control study

DOI:

https://doi.org/10.15446/aoc.v9n1.76506

Keywords:

Atrición dental, factores de riesgo, estudios de casos y controles, bruxismo, edentulismo (es)
Dental attrition, risk factors, case-control studies, bruxism, jaw edentulous (en)

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Objetivo: identificar los factores de riesgo de la atrición dental severa en pacientes que acudieron a instituciones de atención odontológica, públicas y privadas, de la ciudad de Cuenca, Ecuador. Materiales y métodos: fueron analizados 237 pacientes adultos, 79 casos con atrición dental grados 2, 3 y 4, según el índice de Smith y Knight, y 158 controles con atrición grados 0 y 1. Se realizó un examen clínico y fotográfico para determinar la relación entre la atrición dental y factores como edad, sexo, procedencia, número de dientes residuales, pH salival y bruxismo. Resultados: los pacientes mayores de 25 años (OR= 2,47 IC= 1,41 – 4,35 X2= 10,21 p= 0,001), con menos de 20 dientes en boca (OR= 4,95 IC= 1,47 – 16,62 X2= 7,97 p= 0,004) y con bruxismo (OR= 2,64 IC= 1,45 – 4,81 X2= 10,49 p= 0,001) tienen más probabilidades de presentar atrición dental severa. Luego de una regresión logística binaria se confirmó dicha relación: pacientes mayores de 25 años (OR= 2,03 IC= 1,08 – 3,818) con menos de 20 dientes en boca (OR= 3,90 IC= 1,07 – 14,19) y con bruxismo (OR= 3,22 IC= 1,70 – 6,10); sin embargo, se observó una capacidad predictora muy baja de la variables ajustadas según el R–cuadrado de Cox y Snell (0,123) y el R–cuadrado de Nagelkerke (0,172). Conclusiones: edad avanzada, menor cantidad de dientes en boca y bruxismo aumentaron la posibilidad de presentar atrición dental severa en los pacientes analizados. Mientras que el sexo masculino, la procedencia rural y el pH salival crítico (menor a 6) no se comportaron como factores de riesgo

Objective: to identify the risk factors of severe dental attrition in patients who attended public and private dental care institutions in the city of Cuenca-Ecuador. Materials and methods: were analyzed 237 adult patients, 79 cases, with dental attrition grades 2, 3 and 4 according to the Smith and Knight index and 158 controls with attrition grades 0 and 1. A clinical and photographic examination was carried out to determine the relationship between dental attrition and factors such as age, sex, origin, number of residual teeth, salivary pH and bruxism. Results: after a bivariate analysis, it was evident that patients older than 25 years (OR = 2.47 CI = 1.41 - 4.35 X2 = 10.21 p = 0.001), with less than 20 teeth in the mouth (OR = 4.95 IC = 1.47 - 16.62 X2 = 7.97 p = 0.004) and with bruxism (OR = 2.64 IC = 1.45 - 4.81 X2 = 10.49 p = 0.001) are more likely to have severe tooth attrition. After a binary logistic regression this relationship was confirmed: patients older than 25 years (OR = 2.03 IC = 1.08 - 3.818) with less than 20 teeth in the mouth (OR = 3.90 CI = 1.07 - 14.19) and with bruxism (OR = 3.22 IC = 1.70 - 6.10), however a very low predictive capacity of the adjusted variables was observed according to R-square of Cox and Snell (0.123) and Nagelkerke's R-square (0.172). Conclusions: advanced age, minor quantity of teeth in mouth and bruxism increased the possibility of presenting dental severe attrition in the analyzed patients. While the masculine sex, the rural origin and the salivary critical pH (less than 6) do not behave as factors of risk.

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How to Cite

APA

Astudillo Ortiz, J., Lafebre Carrasco, F. and Ortiz Segarra, J. (2019). Factores de riesgo de la atrición dental severa: un estudio de casos y controles. Acta Odontológica Colombiana, 9(1), 9–23. https://doi.org/10.15446/aoc.v9n1.76506

ACM

[1]
Astudillo Ortiz, J., Lafebre Carrasco, F. and Ortiz Segarra, J. 2019. Factores de riesgo de la atrición dental severa: un estudio de casos y controles. Acta Odontológica Colombiana. 9, 1 (Jan. 2019), 9–23. DOI:https://doi.org/10.15446/aoc.v9n1.76506.

ACS

(1)
Astudillo Ortiz, J.; Lafebre Carrasco, F.; Ortiz Segarra, J. Factores de riesgo de la atrición dental severa: un estudio de casos y controles. Acta Odontol. Colomb. 2019, 9, 9-23.

ABNT

ASTUDILLO ORTIZ, J.; LAFEBRE CARRASCO, F.; ORTIZ SEGARRA, J. Factores de riesgo de la atrición dental severa: un estudio de casos y controles. Acta Odontológica Colombiana, [S. l.], v. 9, n. 1, p. 9–23, 2019. DOI: 10.15446/aoc.v9n1.76506. Disponível em: https://revistas.unal.edu.co/index.php/actaodontocol/article/view/76506. Acesso em: 19 jan. 2025.

Chicago

Astudillo Ortiz, Jaime, Fabricio Lafebre Carrasco, and José Ortiz Segarra. 2019. “Factores de riesgo de la atrición dental severa: un estudio de casos y controles”. Acta Odontológica Colombiana 9 (1):9-23. https://doi.org/10.15446/aoc.v9n1.76506.

Harvard

Astudillo Ortiz, J., Lafebre Carrasco, F. and Ortiz Segarra, J. (2019) “Factores de riesgo de la atrición dental severa: un estudio de casos y controles”, Acta Odontológica Colombiana, 9(1), pp. 9–23. doi: 10.15446/aoc.v9n1.76506.

IEEE

[1]
J. Astudillo Ortiz, F. Lafebre Carrasco, and J. Ortiz Segarra, “Factores de riesgo de la atrición dental severa: un estudio de casos y controles”, Acta Odontol. Colomb., vol. 9, no. 1, pp. 9–23, Jan. 2019.

MLA

Astudillo Ortiz, J., F. Lafebre Carrasco, and J. Ortiz Segarra. “Factores de riesgo de la atrición dental severa: un estudio de casos y controles”. Acta Odontológica Colombiana, vol. 9, no. 1, Jan. 2019, pp. 9-23, doi:10.15446/aoc.v9n1.76506.

Turabian

Astudillo Ortiz, Jaime, Fabricio Lafebre Carrasco, and José Ortiz Segarra. “Factores de riesgo de la atrición dental severa: un estudio de casos y controles”. Acta Odontológica Colombiana 9, no. 1 (January 1, 2019): 9–23. Accessed January 19, 2025. https://revistas.unal.edu.co/index.php/actaodontocol/article/view/76506.

Vancouver

1.
Astudillo Ortiz J, Lafebre Carrasco F, Ortiz Segarra J. Factores de riesgo de la atrición dental severa: un estudio de casos y controles. Acta Odontol. Colomb. [Internet]. 2019 Jan. 1 [cited 2025 Jan. 19];9(1):9-23. Available from: https://revistas.unal.edu.co/index.php/actaodontocol/article/view/76506

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Copyright (c) 2018 Jaime Astudillo Ortiz, Fabricio Lafebre Carrasco, José Ortiz Segarra

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