Asociación entre consumo de frutas colombianas y desgaste dental erosivo en estudiantes universitarios colombianos

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dc.contributor.advisorMartignon, Stefania
dc.contributor.advisorBartlett, David
dc.contributor.advisorPitts, Nigel
dc.contributor.advisorUsuga-Vacca, Margarita
dc.contributor.advisorGamboa, Luis Fernando
dc.contributor.advisorO´Toole, Saoirse
dc.contributor.authorLópez Macías, Adriana Marcela
dc.date.accessioned2021-03-08T21:03:31Z
dc.date.available2021-03-08T21:03:31Z
dc.date.issued2017
dc.description.abstractEl desgaste dental erosivo (DDEr) es una patología dental asociada a desgaste por contacto con ácidos, relacionada con una dieta de alto contenido ácido o con problemas gastrointestinales. Los adultos jóvenes y los adolescentes son los más afectados. Su naturaleza irreversible, en severidad moderada, lleva a la generación de sensibilidad dentinal, desequilibrio biomecánico y alteraciones estéticas. En Colombia no se conocen estudios epidemiológicos sobre DDEr en adultos jóvenes y su asociación con factores de riesgo dietarios relacionados con el consumo de frutas y jugos de frutas. Establecer la asociación entre consumo de frutas colombianas y desgaste dental erosivo en adultos jóvenes estudiantes de la Universidad El Bosque. Dos examinadores calibrados en criterios BEWE (SM, AMLM) por un experto (DB) examinaron DDEr (BEWE: 0-sano, 1-Pérdida inicial de textura superficial, 2-defecto visible; pérdida de tejido duro <50% de la superficie del área, 3-Pérdida de tejido duro ≥ 50% de la superficie del área), en todas la superficies dentales (menos terceros molares), calculando por sujeto el índice BEWE total (suma de máximo valor por sextante: 0-18) y el máximo registro BEWE (0-3). Cinco examinadores entrenados en ICDAS/ICCMS™ valoraron caries (ICCMS™), calculando experiencia de caries ICCMS™ (COPSICCMS™). Se aplicó una encuesta de ingesta de frutas y jugos de fruta, hábitos de consumo, sensibilidad dentinal y cepillado dental. Se realizó análisis descriptivo y de asociación entre DDEr y factores de riesgo. Participaron 601 estudiantes de la Universidad El Bosque (18-25 años; 20±1.9). Se encontró una prevalencia de DDEr de 98.2% y la mayoría de los participantes presentaron puntuación BEWE de 2 y 3. El 11.64% presentaron exposición dentinal. El consumo de frutas/jugos arrojó que los participantes consumen entre 1 y 4 porciones de fruta y entre 2 y 8 vasos de jugo al día. Las frutas de mayor consumo fueron la manzana (19.5%), el banano (9.2%) y la mandarina (9.1%). Y los jugos más consumidos fueron: mora (19.4%), maracuyá (13.6%) y lulo (12.5%). En relación a la erosividad las frutas consumidas son principalmente E (44%) y Me (42%) contrario a los jugos de fruta: Er y E (39%) cada uno. En cuanto a los hábitos de consumo, el tiempo de consumo más frecuente por porción de fruta y vaso de jugo fue de 1-10 minutos al día y en 24 horas. Prevalencia de caries con ICCMS TM (88.02%, n=529) (𝑋̅=9.07 DS=7.53) y COPs (75%, n=451) (𝑋̅=4.92.DS=4.42). No se encontró asociación significativa (P>0.05) entre el DDEr y los hábitos de consumo. Por el contrario, se encontró asociación significativa entre las variables indicadoras del hábito de consumo de frutas y jugos de fruta (tiempo y frecuencia) con la erosividad mayor de los jugos (P=0.04) y (P=<0.001) respectivamente. También fue significativa la asociación entre el registro total del índice BEWE con la erosividad mayor de jugos de fruta;. entre el registro total y máximo registro BEWE con exposición de dentina (P<0.001), y se encontró que aquellos con exposición dentinal se encontraban en puntuación BEWE 3. También entre las variables del BEWE con el consumo de otros (gaseosas, bebidas energizantes y saborizadas con fruta) (P<0.001), con el tiempo transcurrido entre el cepillado de dientes posterior al consumo de fruta (P<0.05) y entre el máximo registro BEWE y el dolor manifestado al examen (P=0.012). No se reportó asociación con presencia de caries y con respecto a la placa bacteriana, la mayoría de los pacientes con puntuación BEWE 1 y 2 (81.99% y 88.89%) respectivamente, no la presentaban. Esta población muestra una prevalencia alta de DDEr (98.2%), y alto consumo de frutas colombianas y principalmente Er y Me y para los jugos de frutas Er y E. El tiempo de consumo más frecuente de frutas y jugos de frutas es de 1-10min. Se reportó asociación entre los hábitos de consumo y la erosividad mayor de jugos de fruta y entre las diferentes variables del BEWE con la erosividad mayor de jugos de frutas, exposición dentinal dolor al examen consumo de otros. Con respecto a la experiencia de caries Se reportó un mayor número de pacientes sanos con COPs, bajo riesgo de desarrollar nuevas lesiones y no se encontró asociación con DDEr.spa
dc.description.abstractenglishThe erosive dental wear (EDW) is a dental pathology associated with the worn out of tooth structure by contact with acids, related to a diet of high acid content or with gastrointestinal problems. Young adults and teenagers are the most affected. Its irreversible nature, in moderate severity, develops dentinal sensitivity, biomechanical imbalance and aesthetic implications. In Colombia, there are no known epidemiological studies on (EDW) in young adults and its association with dietary risk factors related to the consumption of fruits and fruit juices. To establish the relationship between consumption of Colombian fruits and erosive wear in young adult students of EL Bosque University. Two calibrated examiners in BEWE criteria (SM, AMLM), an expert (DB) examined dental erosive wear (BEWE: 0-healthy, 1-initial loss of surface texture, 2-visible defect; loss of hard tissue <50% of the area surface, 3-loss of hard tissue ≥ 50% of the surface of the area.), in all the tooth surfaces (without third molars), Calculating BEWE index by subject (sum of maximum value by sextant: 0-18) and the maximum BEWE record (0-3). Five examiners trained in ICDAS/ICCMS™ valued caries (ICCMS™), calculating the caries experience ICCMS™ (COPS-ICCMS™). A survey on fruits intake and fruit juices, consumption habits, sensitivity dentinal and brushing was conducted. A descriptive analysis was performed and association between risk factors and dental erosive wear. The sample included 601 students from El Bosque University (18-25 years; 20±1.9). Prevalence of EDW de 98.2%. The majority of participants presented BEWE scores of 2 and 3. 11.64% presented dentin exposure. The consumption of fruits and juices fruits yields an intake of between 1 an 4 servings of fruit and between 2 and 8 glasses of juice per day. The most consumed fruits were: apple (19.5%), banana (9.2%) and tangerine (9.1%). The most consumed juices were: blackberry (19.4%), passion fruit (13.6%) and lulo (12.5%). The erosivity of the fruits consumed are mainly E (44%) and Me (42%); contrary to the fruit juices: Er y E (39%) each. In terms of consumption habits, the most frequent consumption time per serving of fruit and glass of juice was 1-10 minutes per day and in 24 hours. Prevalence of caries with ICCMS™ (88.02%, n=529) (𝑋̅=9.07 DS=7.53) and COPs (75%, n=451). (𝑋̅=4.92.DS=4.42). No significant association was found (P>0.05) between EDW and consumption habits Conversely was found association between greater erosivity of juices and the variables indicative of consumption habits of fruits and juices fruits (time and frequency) (P=0.04) y (P=<0.001) respectively. It was also between total index BEWE record with the greater erosivity of juices of fruits; .also total index BEWE and maximun registration BEWE with dentine exposure (P<0.001), Those with dentine exposure had punctuation BEWE 3. As well between the variables of BEWE with other consumption (sodas, energy drinks and flavored drinks) (P<0.001), with the time elapsed between brushing after fruit consumption (P<0.05) and the maximun record BEWE and the pain manifested to the examination (P=0.012). No association with caries and plaque. And with respect to the plaque, the majority of the participants with punctuation BEWE 1 y 2 (81.99% y 88.89%) respectively, did not present. This population shows high prevalence of EDW (98.2%), and high consumption of Colombian fruits mainly Er and Me and for the juices fruits Er y E. El The most frecuent consumption time was 1-10min. It was reported an association between consumption habits and the greater erosivity of fruits juices and among BEWE variables with greater erosivity, dentine exposure, pain to the examination and another consumption with respect to the caries experience COPs, a greater number of healthy patients were reported, at low risk of developing caries and no association was found with EDW.eng
dc.description.degreelevelMaestríaspa
dc.description.degreenameMagíster en Ciencias Odontológicasspa
dc.format.mimetypeapplication/pdf
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlrepourl:https://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/5579
dc.language.isospa
dc.publisher.facultyFacultad de Odontologíaspa
dc.publisher.grantorUniversidad El Bosquespa
dc.publisher.programMaestría en Ciencias Odontológicasspa
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dc.rightsAttribution-NonCommercial-ShareAlike 4.0 International*
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf2
dc.rights.creativecommons2017-09
dc.rights.localAcceso abiertospa
dc.rights.urihttps://creativecommons.org/licenses/by-nc-sa/4.0/*
dc.subjectDesgaste dental erosivospa
dc.subjectFactores de riesgospa
dc.subjectDiagnósticospa
dc.subjectPrevenciónspa
dc.subjectAdultos jóvenesspa
dc.subject.decsConsumo -- Frutasspa
dc.subject.decsEnfermedades dentalesspa
dc.subject.decsSalud del estudiantespa
dc.subject.keywordsErosive dental wearspa
dc.subject.keywordsRisk factor´sspa
dc.subject.keywordsDiagnosticspa
dc.subject.keywordsPreventionspa
dc.subject.keywordsYoung adultsspa
dc.subject.nlmWU 100
dc.titleAsociación entre consumo de frutas colombianas y desgaste dental erosivo en estudiantes universitarios colombianosspa
dc.title.translatedAssociation between the consumption of Colombian fruits and erosive dental wear in Colombian university studentsspa
dc.type.coarhttps://purl.org/coar/resource_type/c_bdcc
dc.type.coarversionhttps://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.driverinfo:eu-repo/semantics/bachelorThesis
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersion
dc.type.localTesis/Trabajo de grado - Monografía - Maestríaspa

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