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Velasco SRM, Moriyama CM, Bonecker M, Butini L, Abanto J, Antunes JLF. Relationship between oral health literacy of caregivers and the oral health-related quality of life of children: a cross-sectional study. Health Qual Life Outcomes 2022; 20:117. [PMID: 35907863 PMCID: PMC9338565 DOI: 10.1186/s12955-022-02019-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2021] [Accepted: 07/13/2022] [Indexed: 11/10/2022] Open
Abstract
Background Oral health literacy is the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate oral health decisions. However, scientific evidence about the oral health literacy of caregivers and the children’s oral health-related quality of life. The purpose of this study was to verify the relationship between the level of oral health literacy of caregivers and the children's oral health-related quality of life (OHRQOL). Methods This study was conducted with children aged 2 to 4 in Diadema, São Paulo, Brazil. Six hundred thirty children were examined to assess the prevalence of dental caries (dmft index). Parents were interviewed to obtain sociodemographic status, oral conditions, and oral health literacy (OHL). The variable outcome was the children's OHRQOL as assessed by the Early Childhood Oral Health Impact Scale (ECOHIS). We fitted zero-inflated negative binomial regression (ZINB) models to evaluate associations between the study outcome and covariates in terms of PR (Prevalence Ratios), RR (Rate Ratios), and their respective Confidence Intervals (95% CI). Results Children's OHRQOL was not associated with OHL. Dental caries had a negative impact on the children's quality of life (p < 0.05). A reduced impact on OHRQOL is also associated with having siblings (PR = 0.70, 95% CI 0.52–0.95). A higher age of the mother reduced OHRQOL impacts (PR = 0.72, 95% CI 0.52–0.98). Conclusions The factors associated with children's OHRQOL were the number of siblings, the mothers' age, and dental caries. This study observed no association between parental OHL and children's OHRQOL.
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Affiliation(s)
- Sofia Rafaela Maito Velasco
- Public Health School, University of São Paulo, São Paulo, Av. Dr. Arnaldo, 715 - Cerqueira César, São Paulo, SP, 01246-904, Brazil.
| | - Caroline Moraes Moriyama
- Department of Paediatric and Orthodontic Dentistry, University of Sao Paulo, São Paulo, SP, Brazil.,Department of Postgraduation Program in Dentistry, Metropolitana de Santos University, Santos, SP, Brazil
| | - Marcelo Bonecker
- Department of Paediatric and Orthodontic Dentistry, University of Sao Paulo, São Paulo, SP, Brazil
| | - Luciane Butini
- Oral Radiology in the School of Dentistry, School of Dentistry, São Leopoldo Mandic, Campinas, SP, Brazil
| | - Jenny Abanto
- Public Health School, University of São Paulo, São Paulo, Av. Dr. Arnaldo, 715 - Cerqueira César, São Paulo, SP, 01246-904, Brazil
| | - José Leopoldo Ferreira Antunes
- Public Health School, University of São Paulo, São Paulo, Av. Dr. Arnaldo, 715 - Cerqueira César, São Paulo, SP, 01246-904, Brazil
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Carrozzino G, Matos HCA, Ammari MM, Pomarico L. Influence of oral health in the quality of life of preschoolers in a faculty-based practice in Rio de Janeiro. J Public Health (Oxf) 2021. [DOI: 10.1007/s10389-019-01106-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Inclusion of initial caries lesions in a population-based sample of Brazilian preschool children: Impact on estimates and treatment needs. PLoS One 2020; 15:e0234122. [PMID: 32559191 PMCID: PMC7304588 DOI: 10.1371/journal.pone.0234122] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2019] [Accepted: 05/19/2020] [Indexed: 12/11/2022] Open
Abstract
This study aimed to assess changes in epidemiological estimates and treatment needed when initial caries lesions are included in a population-based survey of preschool children. A cross-sectional survey was conducted in a Brazilian municipality, collecting data of preschool children in 16 health centers. Caries detection used the merged codes (epi-codes) for ICDAS/ICCMS. An option for treatment, according to ICCMS, was chosen during the examination. Caries experience (dmft/dmfs) and prevalence were estimated considering three thresholds (A- initial, moderate, and severe lesions, B- only moderate and severe lesions and C- severe lesions). Incremental need for non-operative care was also verified. The sample consisted of 663 children aged 2–4 years (response rate of 99.85%). Including initial lesions, a 2-fold increase in dmft was observed (A: 3.36, B: 1.02, p<0.001). With the inclusion, the caries prevalence increased to 75% compared to threshold B only (28%). The majority (76%) of children who required any intervention (56%) should be scheduled for non-operative care. We suggest that including initial caries lesions in an epidemiological survey may significantly impact assessment of population caries experience.
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Comassetto MO, Baumgarten A, Kindlein KDA, Hilgert JB, Figueiredo MC, Faustino-Silva DD. Acesso à saúde bucal na primeira infância no município de Porto Alegre, Brasil. CIENCIA & SAUDE COLETIVA 2019; 24:953-961. [DOI: 10.1590/1413-81232018243.29082016] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2016] [Accepted: 03/23/2017] [Indexed: 11/22/2022] Open
Abstract
Resumo O objetivo foi avaliar o acesso e fatores associados à consulta odontológica em crianças de até 5 anos no município de Porto Alegre, Brasil. Estudo transversal realizado em 10 Unidades Básicas de Saúde, através de questionário e exame clínico em 560 crianças. Foram avaliadas variáveis clínicas (placa visível, sangramento gengival e ceo-s), sociodemográficas, e de acesso à consulta. Regressão de Poisson foi utilizada para cálculo de Razões de Prevalência (RP), com intervalo de confiança de 95%. Os resultados mostraram que 68,2% das crianças nunca haviam ido ao dentista. O principal motivo relatado para a não realização de consulta odontológica foi não ter sentido necessidade (48,7%) e dificuldade de acesso ao posto de saúde (15,8%). A procura pelo dentista teve como propósito a prevenção/revisão (55,8%) e os locais mais procurados para consultas foi o consultório particular (43,9%) e o posto de saúde (39,5%). O modelo multivariado final mostrou que a idade da criança (IC95%, RP = 1,03 (1,02-1,05)), a renda familiar (RP = 1,05; (1,01-1,08)) e a mãe ter concluído o ensino médio (RP = 1,69 (1,15-2,56)) estiveram associados com a procura por consulta odontológica. Assim, torna-se fundamental reconhecer a importância do contexto familiar durante os primeiros anos de vida.
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Freire MDCM, Daher A, Costa LR, Corrêa-Faria P, de Brito LC, Bönecker MJS, de Abreu MHNG. Caries severity declined besides persistent untreated primary teeth over a 22-year period: Trends among children in Goiânia, Brazil. Int J Paediatr Dent 2018; 29:129-137. [PMID: 30450741 DOI: 10.1111/ipd.12451] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/12/2018] [Revised: 11/01/2018] [Accepted: 11/08/2018] [Indexed: 11/28/2022]
Abstract
BACKGROUND Evidence of time trends in early childhood caries in low- and middle-income countries in the second decade of the year 2000 is scarce. AIM To assess the trends in early childhood caries prevalence and severity in 2- to 5-year-old children over a 22-year period (1993-2015) in Goiânia, Midwest Brazil. Additionally, we aimed to investigate the changes regarding affected dental arches and teeth. DESIGN A time-lag analysis of trends in caries was carried out using data from three cross-sectional studies based on the World Health Organization diagnostic criteria, in 1993 (N = 1362), 2001 (N = 1620), and 2015 (N = 548). RESULTS Caries prevalence declined from 45.1% in 1993 to 29.0% in 2015. Prevalence of severe caries (dmft ≥ 6) in 2015 was nearly one-third of that found in 1993, and the SiC index (mean dmft of the highest tertile) decreased from 4.55 to 3.32. Decline was higher in the 1993-2001 than in the 2001-2015 time-lag. Posterior teeth and second molars had the greatest reductions. High proportions of untreated caries were found in all ages and survey years. CONCLUSION There were significant changes in caries prevalence and severity, marked by a striking decline from 1993 to 2001, followed by a less prominent decrease up to 2015, and high levels of untreated caries.
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Affiliation(s)
- Maria do Carmo Matias Freire
- Department of Oral Health, Faculty of Dentistry, Federal University of Goiás, Goiânia, GO, Brazil
- Dentistry Graduate Program, Faculty of Dentistry, Federal University of Goiás, Goiânia, GO, Brazil
| | - Anelise Daher
- Department of Oral Health, Faculty of Dentistry, Federal University of Goiás, Goiânia, GO, Brazil
| | - Luciane Rezende Costa
- Department of Oral Health, Faculty of Dentistry, Federal University of Goiás, Goiânia, GO, Brazil
- Dentistry Graduate Program, Faculty of Dentistry, Federal University of Goiás, Goiânia, GO, Brazil
| | - Patrícia Corrêa-Faria
- Dentistry Graduate Program, Faculty of Dentistry, Federal University of Goiás, Goiânia, GO, Brazil
| | - Letícia Candine de Brito
- Department of Oral Health, Faculty of Dentistry, Federal University of Goiás, Goiânia, GO, Brazil
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Antunes LAA, Ornellas G, Fraga RS, Antunes LS. Oral health outcomes: the association of clinical and socio-dental indicators to evaluate dental caries in preschool children. CIENCIA & SAUDE COLETIVA 2018; 23:491-500. [DOI: 10.1590/1413-81232018232.21022015] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2015] [Accepted: 01/22/2016] [Indexed: 05/29/2023] Open
Abstract
Abstract Dental caries is a public health problem that impacts oral health related to quality of life (OHRQoL). This study aimed to evaluate the outcome of dental caries in children by associating clinical and socio-dental indicators. A cross-sectional study was carried out with 2 to 6-year-old children who attended public day care centers in a city in the Southeast Region of Brazil. After sample calculation, 446 children were randomly selected by eligibility criteria. Two professionals evaluated dental caries using WHO (2013) criteria and classified subjects according to early childhood caries (ECC) severity. Parents/care- givers answered a characterization questionnaire and self-reported socio-dental indicator (B-ECO-HIS). The prevalence of dental caries was 33.7%. The children with high severity of ECC had 5 times higher chance of suffering an impact on OHRQoL. The one way ANOVA test showed that the impact on OHRQoL (ECOHIS scores) was associated with ECC. The outcome dental caries in oral health presented high prevalence as clinical indicator and high impact on OHRQoL as socio dental indicator. Clinical and socio-dental indicators should be evaluated together.
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Carvalho TS, Abanto J, Pinheiro ECM, Lussi A, Bönecker M. Early childhood caries and psychological perceptions on child's oral health increase the feeling of guilt in parents: an epidemiological survey. Int J Paediatr Dent 2018; 28:23-32. [PMID: 28514517 DOI: 10.1111/ipd.12306] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
AIM To assess whether parents feel guilty for their children's oral problems, associating this feeling with socio-economic, demographic, and psychological factors. DESIGN We included 1313 parent-and-child pairs in this study. The children were 2-4 years old. Parents answered questionnaires on socio-economic and demographic data, and on psychological variables. Sixteen trained dentists (κ > 0.8) examined the children for oral hygiene (the presence and absence of plaque), early childhood caries (ECC; no caries, low and high severity), malocclusion (the presence and absence), and traumatic dental injuries (TDI; the presence and absence). We analysed the data with a hierarchical regression. RESULTS Twenty-four percentage of parents reported feeling guilty for the oral problems in their children; 26.3% of the children presented with caries, 39.8% malocclusion, 22.9% TDI. Of the parents who felt guilty, 54% thought that their children had problems in their teeth, and most of them (82%) thought that the problem could have been avoided. The feeling of guilt in parents was significantly associated with ECC and the psychological variables: the thought that the child had problems in his/her teeth and the thought that the problem could have been avoided. CONCLUSION Parents feel more guilty with increased caries severity in their children, and the likelihood of feeling guilty increases when parents believe that their child has an oral problem or that this problem could have been avoided.
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Affiliation(s)
- Thiago Saads Carvalho
- Department of Preventive, Restorative and Pediatric Dentistry, University of Bern, Bern, Switzerland
| | - Jenny Abanto
- Department of Pediatric Dentistry and Orthodontics, Dental School, University of São Paulo-USP, São Paulo, Brazil
| | | | - Adrian Lussi
- Department of Preventive, Restorative and Pediatric Dentistry, University of Bern, Bern, Switzerland
| | - Marcelo Bönecker
- Department of Pediatric Dentistry and Orthodontics, Dental School, University of São Paulo-USP, São Paulo, Brazil
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Henry JA, Muthu MS, Saikia A, Asaithambi B, Swaminathan K. Prevalence and pattern of early childhood caries in a rural South Indian population evaluated by ICDAS with suggestions for enhancement of ICDAS software tool. Int J Paediatr Dent 2017; 27:191-200. [PMID: 27438341 DOI: 10.1111/ipd.12251] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
BACKGROUND Early Childhood Caries (ECC) continues to be the most common public health issue in developing countries. AIM The purpose of this study was to assess the prevalence of ECC in 0- to 3-year-old children from rural areas of South India, using the ICDAS. DESIGN A cross-sectional study was carried out with 1486 children aged 0-3 years in South India. Two calibrated examiners performed the oral examinations using International Caries Detection and Assessment System (ICDAS) criteria. Data analysis involved the use of the new ICDAS epidemiological software tool. RESULTS Prevalence of ECC in studied child population was 40.6%. Among the 604 children with ECC, only non-cavitated teeth were present in 314 children, and only cavitated teeth were present in 84 children. The remaining 206 children had both cavitated and non-cavitated teeth. Interesting lesion behavior was observed in 27 children, who had enamel lesions in mandibular canines only, in an otherwise sound dentition. On examining the teeth surfaces affected (n = 102,274), 50.3% had non-cavitated surfaces and 49.7% had cavitated surfaces. CONCLUSIONS The results demonstrate the high prevalence of ECC in this population and the need to consider early diagnosis and specific preventive interventions. The authors of this study have also addressed their views about the use of ICDAS software tool.
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Affiliation(s)
- Jean Aishwarya Henry
- Department of Pedodontics and Preventive Dentistry, Faculty of Dental Sciences, Sri Ramachandra University, Chennai, India
| | - Murugan Satta Muthu
- Department of Pedodontics and Preventive Dentistry, Faculty of Dental Sciences, Sri Ramachandra University, Chennai, India
| | - Ankita Saikia
- Department of Pedodontics and Preventive Dentistry, Faculty of Dental Sciences, Sri Ramachandra University, Chennai, India
| | - Balamurugan Asaithambi
- Department of Pedodontics and Preventive Dentistry, Faculty of Dental Sciences, Sri Ramachandra University, Chennai, India
| | - Kavitha Swaminathan
- Department of Pedodontics and Preventive Dentistry, Faculty of Dental Sciences, Sri Ramachandra University, Chennai, India
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G Mangla R, Kapur R, Dhindsa A, Madan M. Prevalence and associated Risk Factors of Severe Early Childhood Caries in 12- to 36-month-old Children of Sirmaur District, Himachal Pradesh, India. Int J Clin Pediatr Dent 2017; 10:183-187. [PMID: 28890620 PMCID: PMC5571389 DOI: 10.5005/jp-journals-10005-1431] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2016] [Accepted: 11/29/2016] [Indexed: 11/30/2022] Open
Abstract
AIM To assess the prevalence, distribution, and associated risk factors of severe early childhood caries (S-ECC) among 12- to 36-month-old children of district Sirmaur, Himachal Pradesh, India. MATERIALS AND METHODS The present study was conducted on a random sample of 510 children, both boys and girls, between 12 and 36 months of age randomly selected from various government-sponsored day-care centers, private day-care centers, and vaccination centers. Caries was recorded using World Health Organization criteria. Statistical analysis was done by using chi-square test and Mann-Whitney test. A two-sided p value was calculated for each statistical test. Multiple logistic regressions were done to calculate the risk of S-ECC from independent variables. RESULTS In the present study, S-ECC was found in 21% of 510, 12 to 36 months old children of Sirmaur district, Himachal Pradesh. The S-ECC was found to be significantly higher in 25 to 36 months old children's age group and was 27.8% in them as compared with 8% in 12 to 24 months old children. CONCLUSION Providing anticipatory guidance and education to parents is essential for the promotion of optimal oral health of their children. There is a need for moving upstream to propose and implement policies and programs to improve the oral health of the very young, especially in a developing country like India, which lacks much data on S-ECC. HOW TO CITE THIS ARTICLE Mangla RG, Kapur R, Dhindsa A, Madan M. Prevalence and associated Risk Factors of Severe Early Childhood Caries in 12- to 36-month-old Children of Sirmaur District, Himachal Pradesh, India. Int J Clin Pediatr Dent 2017;10(2):183-187.
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Affiliation(s)
- Ritu G Mangla
- Redaer, Department of Pedodontics and Preventive Dentistry, Himachal Institute of Dental Sciences, Paonta Sahib, Himachal Pradesh India
| | - Raman Kapur
- Professor, Department of Pedodontics and Preventive Dentistry, Swami Devi Dyal Hospital and Dental College, Panchkula, Haryana India
| | - Abhishek Dhindsa
- Professor, Department of Pedodontics and Preventive Dentistry, Maharishi Markandeshwar College of Dental Sciences and Research Ambala, Haryana, India
| | - Manish Madan
- Professor and Head, Department of Pedodontics and Preventive Dentistry, Himachal Institute of Dental Sciences, Paonta Sahib, Himachal Pradesh India
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Roncalli AG, Sheiham A, Tsakos G, Araújo-Souza GCD, Watt RG. Social Factors Associated with the Decline in Caries in Brazilian Children between 1996 and 2010. Caries Res 2016; 50:551-559. [DOI: 10.1159/000442899] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2015] [Accepted: 11/26/2015] [Indexed: 11/19/2022] Open
Abstract
Dental caries levels have declined in children since the 1970s in many countries. Most of the postulated main reasons for the decline are speculative and have not been rigorously evaluated. The objective of this study was to assess the relationship between some social factors and the decline in dental caries in Brazilian 12-year-old children from 1996 to 2010. Secondary analysis of national data was performed in 27 Brazilian state capitals. A panel data regression model with fixed effects and multiple linear regression were used to verify the relationship between the explanatory and the dependent variables and also the time-trend effect. The results showed that the DMFT (decayed, missing, and filled teeth) decreased by about 3% per year, and the percentage of caries-free children increased by 4.5% per year. For DMFT and percentage caries free, the results for the panel data regression showed a significant association for the Human Development Index (HDI) in the adjusted model (p = 0.010). When the overall changes over time were compared, the Gini index had a significant association with the overall change in DMFT in the final model of the multiple regression analysis (p = 0.033). Our results indicate that the maintenance of good levels of human development, which includes better education, income, and longevity, are important factors relating to improving levels of oral health in 12-year-old Brazilian children. However, to accelerate this process in cities with the worst caries situation, income inequality should be tackled.
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Arangannal P, Mahadev SK, Jayaprakash J. Prevalence of Dental Caries among School Children in Chennai, Based on ICDAS II. J Clin Diagn Res 2016; 10:ZC09-12. [PMID: 27190939 DOI: 10.7860/jcdr/2016/14731.7523] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2015] [Accepted: 10/12/2015] [Indexed: 10/21/2022]
Abstract
INTRODUCTION Dental caries is a common dental disease, which occurs during childhood and continues to be a major public health problem. The prevalence of dental caries was associated with oral hygiene practice, sugar consumption and implementation of the preventive oral health program. AIM The purpose of this study was to assess the prevalence of dental caries in school children aged between 6-14 years using the International Caries Detection and Assessment System (ICDAS II). MATERIALS AND METHODS The study population consisted of 2796 school children living in Pallikkaranai, Chennai, India and studying in government recognized schools. Each student was examined by a single examiner using ICDAS system under natural light during normal school hours. RESULTS The prevalence of dental caries was 68.8% in the total surveyed population. The gender-wise prevalence of dental caries shows, females to have slightly higher prevalence than male. The prevalence of dental caries at the age group of 6 years was 57%, seven year 67%, eight year 63%, nine year 74%, 10 year 76%, 11 year 74%, 12 year 69%, 13 year 71%, and 14 year 69%. The distribution of CARS (Caries associated with Sealants and Restorations) in the surveyed population was only 1.4. CONCLUSION The distribution of non-cavitated/early enamel lesions was higher in the studied population and indicated a requirement of a sustained dental health preventive program targeting specific segments of the population.
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Affiliation(s)
- Ponnudurai Arangannal
- Professor and Head of Department, Department of Pedodontics, Sree Balaji Dental College and Hospital , Chennai, India
| | - Sunil Kumar Mahadev
- Senior Lecturer, Department of Pedodontics, Madha Dental College and Hospital , Chennai, India
| | - Jeevarathan Jayaprakash
- Professor, Department of Pedodontics, Sree Balaji Dental College and Hospital , Chennai, Chennai, India
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Abanto J, Tello G, Bonini GC, Oliveira LB, Murakami C, Bönecker M. Impact of traumatic dental injuries and malocclusions on quality of life of preschool children: a population-based study. Int J Paediatr Dent 2015; 25:18-28. [PMID: 24387748 DOI: 10.1111/ipd.12092] [Citation(s) in RCA: 57] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND Few studies assessed the impact of traumatic dental injuries (TDI) and malocclusions on the oral health-related quality of life (OHRQoL) in preschool children. AIM To assess the impact of the presence of TDI and malocclusions, as well as its severity and types, respectively, on the OHRQoL of preschool children. DESIGN The study was conducted in 1215 children aged 1-4 years old who attended the National Day of Children Vaccination in Diadema, Brazil. Parents answered the Brazilian version of the Early Childhood Oral Health Impact Scale (B-ECOHIS) and socio-demographic conditions. Calibrated dental examiners performed the oral examinations for TDI and malocclusions. Poisson regression models adjusted by dental caries associated the clinical and socio-demographic conditions with the outcome. RESULTS The multivariate adjusted models showed associations between some individual domains of the B-ECOHIS and clinical and socio-demographic conditions (P < 0.05). The severity of TDI showed a negative impact on the symptoms domain and self-image/social interaction domain (P < 0.05). Children with complicated TDI were more likely to experience a negative impact on total B-ECOHIS scores (PR = 2.10; P = 0.048). CONCLUSIONS The presence of complicated TDI and dental caries were associated with worse OHRQoL of Brazilian preschool children, whereas malocclusions do not.
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Affiliation(s)
- Jenny Abanto
- Department of Pediatric Dentistry and Orthodontics Department, Dental School, University of São Paulo-USP, São Paulo, Brazil
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Assessing individual and neighborhood social factors in child oral health-related quality of life: a multilevel analysis. Qual Life Res 2014; 23:2521-30. [DOI: 10.1007/s11136-014-0690-z] [Citation(s) in RCA: 50] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/08/2014] [Indexed: 11/25/2022]
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Ueda EMO, Dezan CC, Frossard WTG, Salomão F, Morita MC. Prevalence of dental caries in 3- and 5-year-old children living in a small Brazilian City. J Appl Oral Sci 2012; 12:34-8. [PMID: 21365149 DOI: 10.1590/s1678-77572004000100007] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2003] [Accepted: 09/04/2003] [Indexed: 11/22/2022] Open
Abstract
Despite the reduction in the prevalence of dental caries, very little is known about the prevalence of the disease, especially in deciduous teeth, in small Brazilian cities (<20,000 inhabitants). The aim of this study was to evaluate the prevalence of dental caries in children aged 3 and 5 years of age in the city of Cambira - State of Parana. All children that participated in the national vaccination campaign against poliomyelitis in 2002 at the two basic health units of the city were examined. The campaign covered 99.5% of the population aged 1 to 5 years. Two previously trained and calibrated dentists performed the clinical examinations after the children brushed their teeth and recorded their caries experience by means of the dmf index. The results showed that there was no statistically significant difference in the prevalence of the disease between the male and female genders and between the rural and urban zones. At the age of 3, 68.50% of the children were caries-free, compared to 31.10% at the age of 5. In the total population, 11.19% of the children accounted for 50.86% of the teeth affected by dental caries. The dmf index at 3 and 5 years in the study population was 2.10 and 3.51, respectively. These data showed that the city has not yet reached the goals proposed by the WHO for the year 2000, what indicates the need for greater investment in programs aimed to prevention and control of the disease.
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Piovesan C, Ardenghi TM, Guedes RS, Ekstrand KR, Braga MM, Mendes FM. Activity assessment has little impact on caries parameters reduction in epidemiological surveys with preschool children. Community Dent Oral Epidemiol 2012; 41:204-11. [DOI: 10.1111/cdoe.12004] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2011] [Accepted: 08/11/2012] [Indexed: 11/29/2022]
Affiliation(s)
- Chaiana Piovesan
- Departament of Pediatric Dentistry; Faculdade de Odontologia da Universidade de São Paulo; São Paulo; Brazil
| | - Thiago M. Ardenghi
- Departament of Stomatology; Universidade Federal de Santa Maria; Rio Grande do Sul; Brazil
| | - Renata S. Guedes
- Departament of Stomatology; Universidade Federal de Santa Maria; Rio Grande do Sul; Brazil
| | - Kim R. Ekstrand
- Department of Cariology and Endodontics; School of Dentistry, Faculty of Health Sciences; University of Copenhagen; Copenhagen; Denmark
| | - Mariana M. Braga
- Departament of Pediatric Dentistry; Faculdade de Odontologia da Universidade de São Paulo; São Paulo; Brazil
| | - Fausto M. Mendes
- Departament of Pediatric Dentistry; Faculdade de Odontologia da Universidade de São Paulo; São Paulo; Brazil
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Aldrigui JM, Abanto J, Carvalho TS, Mendes FM, Wanderley MT, Bönecker M, Raggio DP. Impact of traumatic dental injuries and malocclusions on quality of life of young children. Health Qual Life Outcomes 2011; 9:78. [PMID: 21943368 PMCID: PMC3186738 DOI: 10.1186/1477-7525-9-78] [Citation(s) in RCA: 96] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2011] [Accepted: 09/24/2011] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The presence of traumatic dental injuries and malocclusions can have a negative impact on quality of life of young children and their parents, affecting their oral health and well-being. The aim of this study was to assess the impact of traumatic dental injuries and anterior malocclusion traits on the Oral Health-Related Quality of Life (OHRQoL) of children between 2 and 5 years-old. METHODS Parents of 260 children answered the six domains of the Early Childhood Oral Health Impact Scale (ECOHIS) on their perception of the OHRQoL (outcome). Two calibrated dentists assessed the types of traumatic dental injuries (Kappa = 0.9) and the presence of anterior malocclusion traits (Kappa = 1.0). OHRQoL was measured using the ECOHIS. Poisson regression was used to associate the type of traumatic dental injury and the presence of anterior malocclusion traits to the outcome. RESULTS The presence of anterior malocclusion traits did not show a negative impact on the overall OHRQoL mean or in each domain. Only complicated traumatic dental injuries showed a negative impact on the symptoms (p = 0.005), psychological (p = 0.029), self image/social interaction (p = 0.004) and family function (p = 0.018) domains and on the overall OHRQoL mean score (p = 0.002). The presence of complicated traumatic dental injuries showed an increased negative impact on the children's quality of life (RR = 1.89; 95% CI = 1.36, 2.63; p < 0.001). CONCLUSIONS Complicated traumatic dental injuries have a negative impact on the OHRQoL of preschool children and their parents, but anterior malocclusion traits do not.
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Affiliation(s)
- Janaina M Aldrigui
- Department of Pediatric Dentistry and Orthodontics, Dental School, University of São Paulo-USP, São Paulo, Brazil
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Abanto J, Carvalho TS, Mendes FM, Wanderley MT, Bönecker M, Raggio DP. Impact of oral diseases and disorders on oral health-related quality of life of preschool children. Community Dent Oral Epidemiol 2010; 39:105-14. [DOI: 10.1111/j.1600-0528.2010.00580.x] [Citation(s) in RCA: 225] [Impact Index Per Article: 16.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Mendes FM, Braga MM, Oliveira LB, Antunes JLF, Ardenghi TM, Bönecker M. Discriminant validity of the International Caries Detection and Assessment System (ICDAS) and comparability with World Health Organization criteria in a cross-sectional study. Community Dent Oral Epidemiol 2010; 38:398-407. [DOI: 10.1111/j.1600-0528.2010.00557.x] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Bönecker M, Ardenghi TM, Oliveira LB, Sheiham A, Marcenes W. Trends in dental caries in 1- to 4-year-old children in a Brazilian city between 1997 and 2008. Int J Paediatr Dent 2010; 20:125-31. [PMID: 20384827 DOI: 10.1111/j.1365-263x.2009.01030.x] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVE The objective of this study was to assess trends in dental caries prevalence and severity in 1- to 4 year-old children living in Diadema, Brazil, over a 11-year period, from 1997 to 2008. METHODS In 2008 an epidemiological oral health survey was carried out and the results on caries were compared with five cross-sectional studies carried out using the same methods and criteria in 1997, 1999, 2002, 2004, and 2006 in the same city. In all surveys, children were randomly selected from those attending a National Day of Children's Vaccination. Calibrated dentists carried out the clinical examination using WHO criteria. Caries trends were assessed by time-lag analysis. In total, 5348 children were examined in the six surveys over the 11-year period. RESULTS Time-lag analysis showed a marked and statistically significant decline in the prevalence (chi(2) for trends: P < 0.001) and severity (Kruskal-Wallis: P < 0.001) of dental caries between 1997 and 2008. CONCLUSION In conclusion, the last cohort of preschool children in Diadema had much better dental caries status than those in 1997.
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Affiliation(s)
- Marcelo Bönecker
- Department of Orthodontics and Pediatric Dentistry, School of Dentistry, Universidade de São Paulo, São Paulo, Brazil.
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Oliveira LB, Sheiham A, Bönecker M. Exploring the association of dental caries with social factors and nutritional status in Brazilian preschool children. Eur J Oral Sci 2008; 116:37-43. [PMID: 18186730 DOI: 10.1111/j.1600-0722.2007.00507.x] [Citation(s) in RCA: 149] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
The main objective of this study was to assess whether dental caries status was related to nutritional status in preschool urban Brazilian children aged 12-59 months. Dental and anthropometric examinations were conducted on 1,018 12-59-month-old children during the National Day of Children Vaccination. Dental caries prevalence and severity were measured using the decayed, missing or filled surfaces (dmfs) index. The World Health Organization (WHO) Child Growth Standards Reference was used to evaluate nutritional status. Results on nutritional status were presented as Z-scores. The data collected included socio-economic conditions. Multilevel linear regression was applied to investigate the effect of nutritional, socio-economic, and demographic factors on the status of children's dental caries. Caries was present in 23.4% of children. The final hierarchical logistic model showed a significant association between nutritional status and caries experience. Children with low Z-scores in some indexes had an increased risk of having caries. In addition, children whose mothers had < 8 yr of education and were from lower-income families had an increased risk of high levels of dental caries. There was an association between nutritional and socio-economic factors, and dental caries. In conclusion, underweight children and those with adverse socio-economic conditions were more likely to have caries experience.
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Affiliation(s)
- Luciana B Oliveira
- Department of Orthodontics and Pediatric Dentistry, Faculty of Dentistry, Universidade de São Paulo, São Paulo, Brazil.
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Gushi LL, Soares MDC, Forni TIB, Vieira V, Wada RS, de Sousa MDLR. Cárie dentária em adolescentes de 15 a 19 anos de idade no Estado de São Paulo, Brasil, 2002. CAD SAUDE PUBLICA 2005; 21:1383-91. [PMID: 16158143 DOI: 10.1590/s0102-311x2005000500010] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Verificou-se a experiência da cárie dentária em adolescentes de 15 a 19 anos, considerando-se prevalência e severidade da doença, segundo idade, gênero, etnia e fluoretação das águas. Foi um estudo transversal realizado com dados do levantamento epidemiológico do Estado de São Paulo, Brasil, 2002, no qual 1.825 adolescentes foram examinados em seus domicílios, por 132 cirurgiões-dentistas em 35 municípios. Utilizaram-se os testes qui-quadrado, Kruskal-Wallis e Mann-Whitney (alfa= 5%). Com o SiC Index, definiu-se um terço dos indivíduos com maior experiência de cárie. O índice CPO-D foi 6,44 (dp = 4,60) e o SiC Index 11,68. O percentual de livres de cárie foi 9,6%. Não houve diferença entre o CPO-D dos municípios com e sem fluoretação, entretanto houve maior porcentagem de livres de cárie nos municípios com água fluoretada. O gênero masculino teve pior condição em relação à cárie que o gênero feminino. Os não-brancos tiveram maior percentual de dentes cariados e perdidos que os brancos. Sugere-se, portanto, a ênfase em estratégias que possam atenuar os danos causados pela progressão da doença, especialmente no grupo com maior experiência de cárie dentária.
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Affiliation(s)
- Lívia Litsue Gushi
- Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas, Piracicaba, Brasil
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Pereira MBB, do Carmo Matias Freire M. An infant oral health programme in Goiânia-GO, Brazil: results after 3 years of establishment. Braz Oral Res 2004; 18:12-7. [PMID: 15273780 DOI: 10.1590/s1806-83242004000100003] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
The objective of this study was to describe the outcomes of an infant oral health programme 3 years after implementation, a programme focused on health education for parents and caries prevention methods for children in a baby clinic. A retrospective cohort study was carried out. The setting was the Infant Oral Health Programme developed at the baby clinic of the State Department of Health, Goiânia-GO, Brazil. The sample comprised 100 children who entered the programme from birth to 12 months and were followed for 2 to 3 years. Variables investigated were caries experience, caries risk, and children's behaviour in the dental clinic. The number of children with caries experience was 1 at the initial visit and 8 after the follow-up. There was a dramatic decrease in the number of children in the high risk group, from 51% at the initial visit to only 1% after 2 to 3 years. Children's behaviour in the dental clinic was according to their psychological development. It was concluded that the Infant Oral Health Programme in Goiânia showed positive outcomes after 3 years of establishment. Further investigations should evaluate the cost-benefit, as well as the effectiveness of the procedures used in the programme.
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Cypriano S, Pecharki GD, de Sousa MDLR, Wada RS. [Oral health of schoolchildren residing in areas with or without water fluoridation in Sorocaba, São Paulo State, Brazil]. CAD SAUDE PUBLICA 2003; 19:1063-71. [PMID: 12973571 DOI: 10.1590/s0102-311x2003000400028] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
This study describes dental caries data and fluorosis in seven municipalities in the Sorocaba region, S o Paulo State, Brazil, comparing those with fluoridated as opposed to non-fluoridated water. Criteria were those proposed by the World Health Organization (WHO, 1997), adapted by the School of Public Health, University of S o Paulo. The sample was selected at random, without replacement, and was calculated by age, accepting a design error of 2 and a sampling loss of 20% (n = 96 per age). There were six trained examiners, with accepted agreement percentage above 89% for all variables. In the Sorocaba region, the dmft index in 5 year-old children was 3.1, and 37.6% were caries-free (DMFT = 0). At age 12, 32.3% were caries-free (DMFT = 0), and the DMFT index in the region was 2.6, thus characterizing the area as having a low prevalence of caries. In areas with fluoridated water, the proportion of caries-free children at 12 years was higher than in those without fluoridated water (p = 0.019), and the DMFT was lower (p = 0.001). Prevalence of fluorosis at age 12 was 12.7% in the Sorocaba area and did not pose a public health problem according to the community fluorosis index (CFI).
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Affiliation(s)
- Silvia Cypriano
- Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas, Piracicaba, SP, 13414-018, Brasil.
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