Alterations in the chronology and sequence of eruption of primary teeth associated with factors that influenced up to the twentieth week of gestation of patients attended at the Maternal and Child Health Center Pachacútec Peru-Korea (Callao, 2017)

Abstract

Objective: To determine the association between the internal factors that influence pregnant women up to the twentieth week of gestation and that produce alterations in the chronology and sequence of eruption of the primary teeth of their children. Methodology: The present study was observational, analytical and retrospective. The population and sample consisted of 150 children, treated at the growth and development service (CRED) who presented some alteration in the chronology or sequence of eruption of the temporary teeth, and the medical records of their respective mothers, who attend the Center Maternal and Child Health Pachacútec Peru-Korea (Callao, 2017). To do this, they had to meet the following inclusion criteria: mothers who agree to participate with their youngest child in the research project, children between 6 and 31 months who attend the growth and development service (CRED), who present some alteration in the chronology or dental eruption sequence. Children with normal weight and height, and exclusively breastfed for the first six months of life. Mothers who have their complete medical records with their pregnancy controls, who go to the health center and are between 20 and 35 years old. The exclusion criteria were the following: mothers or children who do not belong to the jurisdiction of the health center, children with malnutrition or with formula-based (artificial) feeding, children with a syndrome or premature babies, children with systemic diseases. Results: The factors that influenced pregnancy were evaluated using the Chi square statistical test and worked at a significance level of 0.05. When analyzing the association between infectious diseases and changes in chronology, it was found that in diseases such as UTIs, which are the most common (82.8%), there was a level of significance p = 0.000. In the case of the association between infectious diseases and alterations in the sequence, it was found that, in diseases such as UTI, 88.1% presented a level of significance p = 0.008. Lower percentages were found in diseases such as hypertension (4.1%), mental health (3.3%) and nutritional diseases (9.8%), with regard to chronology. In the case of the sequence, they were hypertension (2.4%), mental health (2.4%) and nutritional diseases (7.1%). Regarding gender and the association with alterations in the eruption chronology, the results were 49.2% for females and 50.8% for males (p = 0.271). Regarding gender and the association with alterations in the eruption sequence, the results were 54.8% for females and 45.2% for males (p = 0.600). Conclusions: A statistically significant association was found between the infectious disease and the alteration in the chronology with the delay of the eruption of the primary teeth. A statistically significant association was found between the infectious disease and alterations in the eruption sequence; however, it was not as categorical as the alteration in chronology, so further investigation is suggested.