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(Reference retrieved automatically from SciELO through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Emergence of the first permanent molar in 5-6-year-old children: implications from a longitudinal analysis for occlusal caries prevention

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Author(s):
Paulo Frazão [1]
Total Authors: 1
Affiliation:
[1] Universidade de São Paulo. Faculdade de Saúde Publica. Departamento de Prática de Saúde Pública - Brasil
Total Affiliations: 1
Document type: Journal article
Source: Revista Brasileira de Epidemiologia; v. 14, n. 2, p. 338-346, 2011-06-00.
Field of knowledge: Health Sciences - Collective Health
Abstract

The timing of tooth emergence is of considerable importance in the planning of prevention of occlusal caries. OBJECTIVE: The aim was to estimate the trends of emergence of the first permanent molars in girls and boys between 5-6 years of age, since more children are included in the first grade after Brazilian elementary education has been extended from eight to nine years of duration. METHODS: Dental spaces of 497 children aged 60 months or older were examined four times by a calibrated dentist (kappa > 0.97) during 18 months in a longitudinal study. The first permanent molar was considered emerged when any tooth surface could be reached by a ball point probe. Participants' age was measured in months; 95% confidence intervals were obtained for prevalence and incidence values for each sex in three age groups - 60.0 to 65.9; 66.0 to 71.9; 72.0 to 77.9 months. Incidence rate ratios were estimated by Poisson regression analysis. RESULTS: The majority of children from 66.0 to 71.9 months and 72.0 to 77.9 months presented at least one emerged permanent molar. For each three children in the 66.0-71.9-month group, at least one had all four permanent molars emerged. CONCLUSION: The emergence trends observed justify the need for specific protection and surveillance measures for occlusal caries prevention. (AU)