Aprile 2005 - Volume XXIV - numero 4
Pagine elettroniche
1Unità Operativa di Età Evolutiva, Servizio di Medicina Pereventiva nelle Comunità, ASL Provincia di Milano Due
2Centro vaccinale, Servizio di Igiene e Salute Pubblica, ASL Provincia di Milano Due
3Centro di Collaborazione dell’OMS per l’Epidemiologia e l’Odontoiatria di Comunità di Milano
Indirizzo per corrispondenza: maria.vezzoni@aslmi2.it
Key words: Oral health, Childhood, Prevention
Caries are a major problem of low- education and low-income families. In order to assess the need for “prevention” we’ve measured “caries free prevalence”, “dmft-DMFT”, “Community Parodontal Index” (CPI) and “Significant Caries index" (SiC) in Milano province. We’ve investigated a “simple random sample” of 6 and 12 years old (y.o.) children. Sixty seven percent of 6 y.o. children and 49% of 12 y.o. boys are “caries free”; 12 y.o. boys present a DMFT of 1.5. At 12 years, one third of boys suffers from 83% of all caries. This inequality is shown by the SiC, which scores 4. We found significantly higher prevalence of caries where father’s educational level was lower. Our effort should focus on the “at high risk for caries” sub group. Family paediatricians should screen for risk factors from 6 months of age onwards. Community paediatrician should monitor oral health indicators and feedback them to the community. Teachers should fill the gap of competence among children “at higher risk for caries”.
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Pagine elettroniche
Clinica Pediatrica, IRCCS “Burlo Garofolo”, Università di Trieste
Indirizzo per corrispondenza: stefaniabassanese@yahoo.it
Key words: Fever, Sweat test, Ectodermal dysplasia
We report the case of a child with failure to thrive and dysphagia associated to a persistent fever, which not respond to antibiotic treatment. An accurate interview allowed us to underline some important points: the fever decreased undressing the child while it did not respond to paracetamol; presence of eyedrops during crying was never observed; the mother presented monolateral agalactogenesis and a childhood history of poor hair and malformed teeth. We performed a sweat test to the baby which demonstrate the absence of sweat production, substaining our hypothesis of an anhidrotic ectodermal dysplasia. The genetic analysis confirmed the diagnosis.
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