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Neves ÉTB, da Costa Dutra L, de Lima LCM, Perazzo MF, Ferreira FM, Paiva SM, Granville-Garcia AF. Structuring of the effects of oral health literacy on dental caries in 12-year-old adolescents. Community Dent Oral Epidemiol 2023; 51:864-871. [PMID: 35879864 DOI: 10.1111/cdoe.12777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Revised: 06/17/2022] [Accepted: 07/15/2022] [Indexed: 11/29/2022]
Abstract
OBJECTIVES To explore the pathways by which oral health literacy is associated with dental caries in adolescents, assessing direct and indirect effects of family cohesion and socioeconomic status. METHODS A population-based, representative cross-sectional study was conducted with 740 12-year-old adolescents in Campina Grande, Brazil. Parents/guardians answered a sociodemographic questionnaire. Adolescents answered validated questionnaires addressing family cohesion and oral health literacy. Dental caries was diagnosed using Nyvad criteria. Two dentists underwent training exercises for the diagnosis and administration of the questionnaires (k > 0.80). Descriptive analysis was followed by the use of structural equation modelling to determine direct and indirect associations between the variables incorporated into the theoretical model of the study (95% CI). RESULTS Oral health literacy (standardized coefficient: -3.472, p < .01) and mother's schooling (standardized coefficient: -0.405, p < .01) were directly associated with dental caries, whereas family cohesion and socioeconomic status exerted an indirect effect on the occurrence of dental caries in the adolescents. CONCLUSIONS Sociodemographic factors, family characteristics and oral health literary are associated with dental caries in 12-year-old adolescents.
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Affiliation(s)
| | - Laio da Costa Dutra
- Graduate Program in Dentistry, State University of Paraiba (UEPB), Campina Grande, Brazil
| | | | | | - Fernanda Morais Ferreira
- Graduate Program in Dentistry, Federal University of Minas Gerais (UFMG), Belo Horizonte, Brazil
| | - Saul Martins Paiva
- Graduate Program in Dentistry, Federal University of Minas Gerais (UFMG), Belo Horizonte, Brazil
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Lin P, Huang Y, Chen H, Wang J, Chen S, Chang H, Chi L. Decline in dental caries experience among schoolchildren in Taiwan, 2012–2020. Community Dent Oral Epidemiol 2022; 51:519-526. [DOI: 10.1111/cdoe.12823] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Revised: 11/08/2022] [Accepted: 11/18/2022] [Indexed: 11/29/2022]
Affiliation(s)
- Po‐Yen Lin
- Department of Dentistry, School of Dentistry National Yang Ming Chiao Tung University Taipei Taiwan
- Association of Family Dentistry Taipei Taiwan
| | - Yao‐Hui Huang
- Association of Family Dentistry Taipei Taiwan
- School of Oral Hygiene, College of Oral Medicine Taipei Medical University Taipei Taiwan
- School of Dentistry National Defense Medical Center Taipei Taiwan
| | - Hsiu‐Hsien Chen
- Department of Dentistry, School of Dentistry National Yang Ming Chiao Tung University Taipei Taiwan
| | - Jui Wang
- Institute of Epidemiology and Preventive Medicine, College of Public Health National Taiwan University Taipei Taiwan
| | - Shao‐Ching Chen
- Department of Oral Health Ministry of Health and Welfare Taipei Taiwan
| | - Hong‐Ji Chang
- Association of Family Dentistry Taipei Taiwan
- Department of Dentistry Cheng Hsin General Hospital Taipei Taiwan
| | - Lin‐Yang Chi
- Department of Dentistry, School of Dentistry National Yang Ming Chiao Tung University Taipei Taiwan
- Association of Family Dentistry Taipei Taiwan
- Department of Stomatology Kaohsiung Veteran General Hospital Kaohsiung Taiwan
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BRITO ACM, BEZERRA IM, CAVALCANTE DDFB, PEREIRA AC, VIEIRA V, MONTEZUMA MF, LUCENA EHGD, CAVALCANTI YW, ALMEIDA LDFDD. Dental caries experience and associated factors in 12-year-old-children: a population based-study. Braz Oral Res 2020; 34:e010. [DOI: 10.1590/1807-3107bor-2020.vol34.0010] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2019] [Accepted: 12/03/2019] [Indexed: 11/22/2022] Open
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Baldani MH, Rocha JS, Fadel CB, Nascimento AC, Antunes JLF, Moysés SJ. Assessing the role of appropriate primary health care on the use of dental services by Brazilian low-income preschool children. CAD SAUDE PUBLICA 2017; 33:e00158116. [PMID: 29166484 DOI: 10.1590/0102-311x00158116] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2016] [Accepted: 02/06/2017] [Indexed: 11/22/2022] Open
Abstract
This cross-sectional study aimed to assess the association between the quality of primary health care (PHC) and the use of dental services by preschoolers served by the Family Health Strategy (FHS), controlling for socio-demographic determinants and perceived need. The sample encompassed 438 children aged 3-5 years, enrolled in 19 FHS facilities in Ponta Grossa, Paraná State, Brazil. Individual level variables were collected by interviewing parents or caregivers at home. They answered a questionnaire on socioeconomic conditions, oral hygiene habits and use of dental services. Parental perception of child's oral health related quality of life, as perceived need, was assessed by the Brazilian version of Early Childhood Oral Health Impact Scale (ECOHIS). Normative need was assessed by oral examinations, according to guidelines standardized by the World Health Organization. The contextual level factor was defined as the extent of implementation of PHC in the facilities. Managers responded to PCATool-Brazil, a validated questionnaire which measures the extent of PHC. Dentists answered to a version of PCATool, which was adapted and pretested for dental services. Multilevel analysis, based on Andersen's behavioral model, fitted the adjustment of "having ever consulted a dentist" to contextual and individual covariates. We observed high prevalence of dental caries. Almost half of the sample had had dental appointments in life. Social gradients were observed for the use of dental services. Although it was not able to eliminate the impact of adverse social conditions, higher levels of PHC attributes in dental services favored the effective use of such services by low-income children.
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Affiliation(s)
- Márcia Helena Baldani
- Faculdade de Odontologia, Universidade Estadual de Ponta Grossa, Ponta Grossa, Brasil
| | | | - Cristina Berger Fadel
- Faculdade de Odontologia, Universidade Estadual de Ponta Grossa, Ponta Grossa, Brasil
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NUNES-DOS-SANTOS DL, ALMEIDA DE DEUS MOURA LDF, DEUS MOURA LIMA MD, SOARES PEREIRA LOPES T, SILVA DE MOURA M. Is severe early childhood caries predictive of caries and fluorosis in permanent teeth? Ten-year follow-up. REVISTA DE ODONTOLOGIA DA UNESP 2017. [DOI: 10.1590/1807-2577.17916] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract Introduction Severe early childhood caries is defined as the presence of any sign of decay in children younger than three years. Objective This retrospective longitudinal observational study investigated caries and fluorosis in children with S-ECC from a city with fluoridated water. Material and method We included children under the age of three years who followed a maternal and child dental care program between the years of 1997 and 2003. The children were divided into 2 groups: group 1 (S-ECC) and group 2 (no caries). Guardians were contacted by telephone or mail. Caregivers completed questionnaire on socio-demographic and behavioral variables. The clinical dental examinations were performed in a dental clinic to assess caries experience and dental fluorosis. Multiple linear regression was used to determine factors associated with DMFT, and multivariate analysis by multiple logistic regression was used to determine the possible independent factors associated with the occurrence of fluorosis. Result The sample consisted of 126 patients aged 8-12 years, of whom 52.4% were male. The presence of S-ECC increased the DMFT by an average of 0.84 (p = 0.02). Both the frequency of tooth brushing and the use of standard toothpaste were protective factors from the development of caries in the permanent dentition (p <0.05). Parents who reported that their children refused to brush their teeth had 70% less chance of developing fluorosis (p = 0.02). Conclusion The presence of S-ECC was a risk factor for the development of caries in the permanent dentition, but not for the development of fluorosis.
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Abstract
OBJECTIVES National oral health data is required to assess a population's oral health needs, monitor oral health, plan effective intervention community programs and health policies, and evaluate progress toward health objectives. The study aimed to estimate the prevalence, severity, and inequality in dental caries distribution among Korean young people. STUDY DESIGN Trained, calibrated examiners at the Korea Ministry of Health & Welfare conducted epidemiological surveys in 2000, 2006, and 2012 during which dental caries were assessed according to World Health Organization (WHO) diagnostic criteria. Decayed, missing, and filled surface and tooth (DMFS/DMFT) indices were estimated. RESULTS DMFT indices decreased in all regions between 2000 and 2012, with values of 3.3, 2.2, and 1.8 for 12-year-old children in 2000, 2006, and 2012, respectively. The prevalence of caries was higher among female versus male subjects and in rural versus urban areas. CONCLUSIONS Despite the observed decrease in caries experience indicators in Korea, the caries prevalence remains considerably higher than that in European countries and than the targets set by WHO within the Health21 policy framework. Therefore, Korea apparently retains further potential for caries reduction. Community-based oral disease prevention programs are urgently needed to promote oral health.
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Vettore MV, Meira GDF, Rebelo MAB, Rebelo Vieira JM, Machuca C. Multimorbidity patterns of oral clinical conditions, social position, and oral health-related quality of life in a population-based survey of 12-yr-old children. Eur J Oral Sci 2016; 124:580-590. [PMID: 27718526 DOI: 10.1111/eos.12304] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/29/2016] [Indexed: 01/20/2023]
Abstract
The aim of this study was to describe the patterns of multimorbidities of oral clinical conditions in children. The association between social position and number of oral clinical conditions, and the relationship of social position and number of oral clinical conditions with oral health-related quality of life [OHRQoL, measured using the Brazilian Child-Oral Impacts on Daily Performance (Child-OIDP)] were also investigated. The study analysed data on 7,208 children, 12 yr of age, from the Brazilian Oral Health Survey (SBBrasil Project). Cluster analysis based on the observed/expected (O/E) ratios identified six significant clusters of oral clinical conditions: (i) dental caries and missing teeth; (ii) dental caries and dental trauma; (iii) dental trauma and gingivitis; (iv) dental caries, missing teeth, and dental trauma; (v) dental caries, dental trauma, and gingivitis; and (vi) all oral clinical conditions. Ordinal regression showed that poor social position was associated with a large number of oral clinical conditions. Poisson regression demonstrated that low social position and greater number of oral clinical conditions increased the likelihood of poor OHRQoL (Child-OIDP extent). The four oral clinical conditions clustered into six distinct clusters among Brazilian children. Multimorbidity of oral clinical conditions predicted poor OHRQoL. Social position was of high relevance to multimorbidity of oral clinical conditions and children's OHRQoL.
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Affiliation(s)
- Mario V Vettore
- Academic Unit of Dental Public Health, School of Clinical Dentistry, University of Sheffield, Sheffield, UK
| | | | - Maria A B Rebelo
- School of Dentistry, Federal University of Amazonas, Manaus, Brazil
| | | | - Carolina Machuca
- Academic Unit of Dental Public Health, School of Clinical Dentistry, University of Sheffield, Sheffield, UK
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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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Kramer PF, Chaffee BW, Bertelli AE, Ferreira SH, Béria JU, Feldens CA. Gains in children's dental health differ by socioeconomic position: evidence of widening inequalities in southern Brazil. Int J Paediatr Dent 2015; 25:383-92. [PMID: 25323949 PMCID: PMC4401627 DOI: 10.1111/ipd.12140] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
UNLABELLED Oral health inequalities are the measures by which equity in oral health is tracked. Despite widespread improvement in children's dental health globally, substantial socio-economic disparities persist and may be worsening. OBJECTIVES Quantify 10-year changes in child caries occurrence by socio-economic position in a Southern Brazilian city and compare oral health inequalities over time. METHODS Representative surveys of dental caries in children (age <6 years) in Canoas, Brazil, were conducted in 2000 and 2010 following standardized methods. For each survey year, we calculated disparities by socio-economic position (maternal education and family income) in age- and sex-standardized caries occurrence (prevalence: dmft > 0; severity: mean dmft) using absolute measures (difference and Slope Index of Inequality) and relative measures (ratio and Relative Index of Inequality). RESULTS Comparing 2010 to 2000, caries occurrence was lower in all socio-economic strata. However, reductions were more pronounced among socio-economically advantaged groups, yielding no improvement in children's oral health disparities. Some disparity indicators were consistent with increasing inequality. CONCLUSIONS Overall, dental caries levels among children in Canoas improved, but inequalities in disease distribution endured. Concerted public health efforts targeting socio-economically disadvantaged groups are needed to achieve greater equity in children's oral health.
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Affiliation(s)
| | - Benjamin W. Chaffee
- Department of Preventive and Restorative Dental Sciences, University of California San Francisco, San Francisco, United States
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Tagliaferro EPDS, Marinho DS, Pereira CCDA, Pardi V, Ambrosano GMB, Meneghim MDC, Pereira AC. [Cost-effectiveness analysis of preventive methods for occlusal surface according to caries risk: results of a controlled clinical trial]. CAD SAUDE PUBLICA 2015; 29 Suppl 1:S121-30. [PMID: 25402241 DOI: 10.1590/0102-311x00021613] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2013] [Accepted: 07/04/2013] [Indexed: 11/21/2022] Open
Abstract
This study presents the results of a cost-effectiveness analysis in a controlled clinical trial on the effectiveness of a modified glass ionomer resin sealant ( Vitremer, 3M ESPE) and the application of fluoride varnish (Duraphat, Colgate) on occlusal surfaces of first permanent molars in children 6-8 years of age (N = 268), according to caries risk (high versus low). Children were examined semiannually by the same calibrated dentist for 24 months after allocation in six groups: high and low risk controls (oral health education every three months); high and low risk with varnish (oral health education every three months + varnish biannually); and high and low risk with sealant (oral health education every three months + a single application of sealant). Economic analysis showed that sealing permanent first molars of high-risk schoolchildren showed a C/E ratio of US$ 119.80 per saved occlusal surface and an incremental C/E ratio of US$ 108.36 per additional saved occlusal surface. The study concluded that sealing permanent first molars of high-risk schoolchildren was the most cost-effective intervention.
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Affiliation(s)
| | - Daniel Savignon Marinho
- Centro de Desenvolvimento Tecnológico em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | | | - Vanessa Pardi
- Ostrow School of Dentistry, University of Southern, Los Angeles, U.S.A
| | | | | | - Antonio Carlos Pereira
- Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas, Piracicaba, Brasil
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Mittal N, Bhatia HP, Haider K. Methods of Intracanal Reinforcement in Primary Anterior Teeth-Assessing the Outcomes through a Systematic Literature Review. Int J Clin Pediatr Dent 2015; 8:48-54. [PMID: 26124581 PMCID: PMC4472871 DOI: 10.5005/jp-journals-10005-1282] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2014] [Accepted: 01/09/2015] [Indexed: 11/23/2022] Open
Abstract
AIM To assess how the various methods of intracanal reinforcement (short root canal posts) performed in their clinical and radiographic outcomes for restoring grossly broken down primary anterior teeth after pulpectomy for 1 year or longer follow-up period. MATERIALS AND METHODS Literature search of electronic databases (Sept 2013) and various journals (1980-Sept 2013) using medical subject headings and free text terms was conducted. For inclusion in quality assessment, prespecified inclusion criteria were applied. Quality assessment was performed by using 'The Cochrane collaboration's tool for assessing risk of bias'. RESULTS Seven relevant papers were selected for full text evaluation. After applying the inclusion criteria, only two trials could be considered for quality assessment. Both of these were classified as having high risk of bias. CONCLUSION The evidence to support any method of intracanal reinforcement for restoring grossly broken down anterior teeth is presently lacking. Further trials with well-defined methodology are needed. How to cite this article: Mittal N, Bhatia HP, Haider K. Methods of Intracanal Reinforcement in Primary Anterior Teeth- Assessing the Outcomes through a Systematic Literature Review. Int J Clin Pediatr Dent 2015;8(1):48-54.
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Affiliation(s)
- Neeti Mittal
- Assistant Professor, Department of Pedodontics and Preventive Dentistry Santosh Dental College, Ghaziabad, Uttar Pradesh, India
| | - Hind Pal Bhatia
- Professor and Head, Department of Pedodontics and Preventive Dentistry, Manav Rachna Dental College, Faridabad, Haryana, India
| | - Khushtar Haider
- Postgraduate Student, Department of Pedodontics and Preventive Dentistry Santosh Dental College, Ghaziabad, Uttar Pradesh, India
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Promoting Oral Health in 6-12 Year-Old Students: A Systematic Review. JOURNAL OF EDUCATION AND COMMUNITY HEALTH 2014. [DOI: 10.20286/jech-010466] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Söderström U, Johansson I, Sunnegårdh-Grönberg K. A retrospective analysis of caries treatment and development in relation to assessed caries risk in an adult population in Sweden. BMC Oral Health 2014; 14:126. [PMID: 25326206 PMCID: PMC4209083 DOI: 10.1186/1472-6831-14-126] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2014] [Accepted: 10/10/2014] [Indexed: 11/25/2022] Open
Abstract
Background The Public Dental Service of Västerbotten County (Sweden) recommends using population-based prevention strategies combined with an individual strategy for high-risk patients to manage caries. To facilitate this management strategy, all patients are evaluated for their risk of developing caries in the coming year using defined criteria. Using caries risk scoring over a seven-year period, the present study evaluates prophylactic measures, caries development, and non-operative treatments in adult patients. Methods From all adult patients (25–65 years; n = 76 320) scored with a high caries risk in 2005 (baseline) and with a dental visit in 2011, 200 subjects were randomly selected. In addition, an equally sized control group with a no/low caries risk was selected. Information concerning dental status, counselling, treatments, visits, and costs were retrieved from dental records. Results Over the seven-year study period, subjects with high caries risk had significantly higher caries incidence in spite of shorter recall intervals, more dental appointments, and higher costs for dental care than subjects with no/low caries risk. Non-operative measures, such as additional fluoride and individual counselling on diet at baseline (2005), was higher in the high caries risk group, whereas information about basic prophylaxis and counselling on oral hygiene showed only small differences. The frequency of non-operative measures given during the seven-year study period to patients in the high caries risk group is considered to be remarkably low and improvement, determined as reclassification from high to no/low caries risk from 2005 to 2011, was seen in only 13% of the participants. Conclusions This study formulated two major conclusions. First, adult patients with high or no/low caries represent different populations, that each contain distinct subpopulations, those who improve/impair or maintained their caries risk and disease progression. These groups need different strategies in disease treatment. Second, preventive measures and non-operative treatments were associated with improvements in caries risk and maintenance, but the extent to which such treatments were given to high caries risk subjects was unacceptably low. Improved adherence to the guidelines for caries treatment may reduce caries risk, visits to dental clinics, and costs for the patients.
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Chen Z, Si Y, Gong Y, Wang J, Liu J, He Y, He W, Nan Z, Zhang Y. Traumatic dental injuries among 8‐ to 12‐year‐old schoolchildren in
P
inggu
D
istrict,
B
eijing,
C
hina, during 2012. Dent Traumatol 2014; 30:385-390. [PMID: 24735156 DOI: 10.1111/edt.12110] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/25/2014] [Indexed: 11/27/2022]
Affiliation(s)
- Zhuo Chen
- Department of Oral and Maxillofacial Surgery Peking University School and Hospital of StomatologyBeijing China
| | - Yan Si
- Department of Preventive Dentistry Peking University School and Hospital of StomatologyBeijing China
| | - Yi Gong
- Department of Dental Emergency Beijing Stomatological Hospital Capital Medical UniversityBeijing China
| | - Jian‐Guo Wang
- Department of Stomatology Pinggu District Hospital of Capital Medical University Beijing China
| | - Jing‐Xin Liu
- Department of Stomatology Pinggu District Hospital of Capital Medical University Beijing China
| | - Yang He
- Department of Oral and Maxillofacial Surgery Peking University School and Hospital of StomatologyBeijing China
| | - Wen‐Peng He
- Department of Oral and Maxillofacial Surgery Peking University School and Hospital of StomatologyBeijing China
| | - Zhe Nan
- Department of Dental Emergency Beijing Stomatological Hospital Capital Medical UniversityBeijing China
| | - Yi Zhang
- Department of Oral and Maxillofacial Surgery Peking University School and Hospital of StomatologyBeijing China
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Gauba A, Bal IS, Jain A, Mittal HC. School based oral health promotional intervention: Effect on knowledge, practices and clinical oral health related parameters. Contemp Clin Dent 2014; 4:493-9. [PMID: 24403795 PMCID: PMC3883330 DOI: 10.4103/0976-237x.123056] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Background: No organized school oral health program is existent in India. Aim: The aim of this study is to test the feasibility and efficacy of an economical school oral health promotional intervention with educational and preventive components. Settings and Design: School oral health promotional intervention carried out in one of the randomly selected school and evaluated through short duration prospective model. Materials and Methods: A total of 100 children with an age range of 10-12 years with no previous history of dental intervention were enrolled. Interventions comprised of oral health education (delivered through lecture and demonstrations by an undergraduate dental student) and topical antibacterial therapy (fluoride varnish and povidone iodine). Outcomes consisted of Knowledge and practices (KAP) regarding oral health, clinical oral health related parameters such as plaque index (PI), gingival index (GI) and caries activity as per Modified Snyder's test. These were reported at baseline, 3 weeks and 6 months follow-up examination by a calibrated examiner. Statistical Analysis: McNemar Bowker's test, Student's t-test, Pearson Chi-square tests were used. Results: Highly significant (P < 0.001) improvements in KAP scores, PI scores, GI scores and caries activity were reported at 3 weeks and 6 months follow-up examination. Conclusion: This small economical school oral health program positively influenced oral health related practices and parameters of oral health such as oral cleanliness, gingival health and caries activity.
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Affiliation(s)
- Arjun Gauba
- Department of Public Health Dentistry, Dr. HSJ Institute of Dental Sciences, Chandigarh, India
| | - Ikreet Singh Bal
- Department of Public Health Dentistry, Dr. HSJ Institute of Dental Sciences, Chandigarh, India
| | - Ashish Jain
- Department Periodontology and Principal, B.P.S Government Medical College for Women, Khanpur Kalan, Sonipat, Haryana, India
| | - Hitesh Chander Mittal
- Department of Dentistry, B.P.S Government Medical College for Women, Khanpur Kalan, Sonipat, Haryana, India
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Mittal NP. Restoring the smile: Inexpensive biologic restorations. Dent Res J (Isfahan) 2014; 11:415-21. [PMID: 25097656 PMCID: PMC4119379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Extensive breakdown of primary teeth to the cervical level and their loss in very young children is not uncommon. Owing to increasing concerns over self-appearance, due considerations to esthetic aspects in addition to restoring function are necessary aspects of rehabilitation of mutilated teeth to help children grow into a psychologically balanced personality. The present article describes rehabilitation of grossly decayed teeth with biologic restorations such as dentine posts, dentine post and core and biologic shell crown. This treatment modality provided a cost-effective esthetic solution.
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Affiliation(s)
- Neeti P. Mittal
- Department of Pedodontics and Preventive Dentistry, Santosh Dental College and Hospital, Ghaziabad, Uttar Pradesh, India,Address for correspondence: Dr. Neeti P Mittal, Department of Pedodontics and Preventive Dentistry, Santosh Dental College and Hospital, No. 1, Santosh Nagar, Ghaziabad - 201 009, Uttar Pradesh, India. E-mail:
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Gonçalves MM, Leles CR, Freire MDCM. Associations between Caries among Children and Household Sugar Procurement, Exposure to Fluoridated Water and Socioeconomic Indicators in the Brazilian Capital Cities. Int J Dent 2013; 2013:492790. [PMID: 24307900 PMCID: PMC3838834 DOI: 10.1155/2013/492790] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2013] [Revised: 09/06/2013] [Accepted: 09/23/2013] [Indexed: 11/18/2022] Open
Abstract
The objective of this ecological study was to investigate the association between caries experience in 5- and 12-year-old Brazilian children in 2010 and household sugar procurement in 2003 and the effects of exposure to water fluoridation and socioeconomic indicators. Sample units were all 27 Brazilian capital cities. Data were obtained from the National Surveys of Oral Health; the National Household Food Budget Survey; and the United Nations Program for Development. Data analysis included correlation coefficients, exploratory factor analysis, and linear regression. There were significant negative associations between caries experience and procurement of confectionery, fluoridated water, HDI, and per capita income. Procurement of confectionery and soft drinks was positively associated with HDI and per capita income. Exploratory factor analysis grouped the independent variables by reducing highly correlated variables into two uncorrelated component variables that explained 86.1% of total variance. The first component included income, HDI, water fluoridation, and procurement of confectionery, while the second included free sugar and procurement of soft drinks. Multiple regression analysis showed that caries is associated with the first component. Caries experience was associated with better socioeconomic indicators of a city and exposure to fluoridated water, which may affect the impact of sugars on the disease.
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