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Hao C, Hao Y, Lou X, Wang X, Liu W, Zhou H, Ban X, Wu W, Wang X, Wang X. Secular trends of dental caries and association with nutritional status: a retrospective analysis of 16,199 Chinese students from three successive national surveys from 2010 to 2019. Front Public Health 2024; 12:1379767. [PMID: 38841684 PMCID: PMC11150691 DOI: 10.3389/fpubh.2024.1379767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2024] [Accepted: 05/06/2024] [Indexed: 06/07/2024] Open
Abstract
Introduction The prevalence of dental caries (DC) among students in developing countries has increased at an alarming rate, and nutritional status has been shown to be associated with DC in children and adolescents with inconsistent conclusions. We aimed to understand the trends of DC prevalence in students aged 7, 9, 12, and 14 years and to explore the relationship between DC prevalence and nutritional status. Methods We recruited 16,199 students aged 7, 9, 12, and 14 years in China by multi-stage, stratified, random sampling methods from 2010 to 2019. Permanent caries were measured using the Decay, Loss, and Filling (DMF) index and prevalence rate. Deciduous caries were measured using the decay, loss, and filling (dmf) index and prevalence rate. Nutritional status was assessed using body mass index (BMI) and hemoglobin levels. Logistic regression analysis was used to assess the association between nutritional status and the DC prevalence in children and adolescents, incorporating information concerning family-related factors. Results The results indicated that DC prevalence increased from 39.75% in 2010 to 53.21% in 2019 in Henan province, with deciduous teeth and permanent teeth being 45.96 and 27.18%, respectively, in 2019. The total caries rate decreased with age (p < 0.05), and the caries rate of girls was higher than that of boys in 2019 (55.75% vs. 50.67%) (p < 0.001). The prevalence of dental caries among primary and secondary school students in areas with medium economic aggregate was the highest, followed by cities with the best economic development level, and cities with low economic levels have a lower prevalence of dental caries. The dental caries prevalence was negatively correlated with body mass index. In the fully adjusted model, underweight children had a higher caries prevalence (OR = 1.10, 95%CI: 0.86-1.41). Children with anemia had a higher prevalence of dental caries (OR = 1.18, 95%CI: 0.98-1.42). Conclusion The DC prevalence of students in Henan Province was high, with a tendency to increase. Females, young individuals, and those with a higher economic level showed a positive correlation with the prevalence of caries. In the process of economic development, particular attention should be paid to early childhood caries prevention. Nutritional status should be taken seriously among children and adolescents, and the oral health system should be improved to keep pace with economic development.
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Affiliation(s)
- Changfu Hao
- College of Public Health, Zhengzhou University, Zhengzhou, China
| | - Yudan Hao
- College of Public Health, Zhengzhou University, Zhengzhou, China
| | - Xiaomin Lou
- College of Public Health, Zhengzhou University, Zhengzhou, China
| | - Xiaolin Wang
- Department of Pediatrics, Luohe Central Hospital, Luohe, China
| | - Weiping Liu
- Department of Pediatrics, Luohe Central Hospital, Luohe, China
| | - Huijun Zhou
- College of Public Health, Zhengzhou University, Zhengzhou, China
| | - Xiaolei Ban
- College of Public Health, Zhengzhou University, Zhengzhou, China
| | - Wencan Wu
- College of Public Health, Zhengzhou University, Zhengzhou, China
| | - Xuejie Wang
- Department of Child Rehabilitation, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Xian Wang
- College of Public Health, Zhengzhou University, Zhengzhou, China
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Alautry HF, Namdari M, Khoshnevisan MH, Ghasemi H. Association between dental clinical measures and oral health-related quality of life among Iraqi schoolchildren: A cross-sectional study. PLoS One 2024; 19:e0293024. [PMID: 38662710 PMCID: PMC11045104 DOI: 10.1371/journal.pone.0293024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2023] [Accepted: 10/04/2023] [Indexed: 04/28/2024] Open
Abstract
OBJECTIVE The aim of this study was to assess the association between dental clinical measures and oral health-related quality of life (OHRQoL) together with the potential mediating role of sociodemographic factors and oral health behaviours on this association in a group of Iraqi children. METHODS The target population for this cross-sectional study consisted of 372 primary school children aged 8-10 years in the city of Kut, Iraq, during the year 2022. The participants were selected using a multi-stage random sampling technique. Detailed information about the children was collected through a comprehensive questionnaire that included demographic characteristics, oral health-related behaviors, the Arabic version of the Child Perceptions Questionnaire for 8-10-year-olds (CPQ8-10), and parental knowledge regarding oral health. Additionally, clinical dental evaluations were conducted, which included assessments of decayed, missing, and filled surfaces (DMFS, dmfs) as well as teeth (DMFT, dmft). Simplified oral hygiene index (OHI-S), bleeding on probing (BOP), and the community periodontal index (CPI) were also recorded for each participant using the recommended methodology by the World Health Organization (WHO). The statistical analysis included the Chi-square test, independent t-test, and simple and multiple linear regressions. RESULTS The mean age of the children was 9.0 (± 0.82) years. About one-third of children reported brushing at least two times per day and consuming a sweet snack once a day. Visiting a dentist during the past year was reported by 21% of children. Oral health behaviours demonstrated a significant association with the total CPQ8-10 scores (p < 0.001). Based on adjusted effects (β and 95% CI) from the multiple linear regressions, untreated dental caries (dt > 0, DT > 0) had a negative impact on the total CPQ8-10 score (adjusted β = 2.3 (95% CI: 0.67 to 3.91) and 3.4 (95% CI: 2.14 to 4.56), respectively). Decayed surfaces (DS), and teeth (DT) were associated with the total score of the CPQ8-10 and all its subscales (adjusted β range = 0.1 (95% C.I.: 0.03 to 0.19)-1.0 (95% CI: 0.72 to 1.26) and 0.2 (95% CI: 0.004 to 0.40)-1.2 (95% CI: 0.91 to 1.67), respectively). There was an association between oral hygiene index and total CPQ8-10 scores (adjusted β = 1.8 (95% CI: 0.62 to 3.02)), especially the functional limitations and emotional well-being subscales. CONCLUSION Findings of this study emphasizes the negative impact of dental caries and poor oral hygiene on children's OHRQoL. This association is highlighted more when considering that over two-thirds of these children do not comply with favourable levels of oral health behaviour. Enhancing the level of OHRQoL among these children, therefore, necessitates comprehensive programs for decreasing the volume of unmet oral health needs and improving children's adherence to recommended oral health behaviours.
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Affiliation(s)
- Hanan Fadhil Alautry
- Department of Community Oral Health, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mahshid Namdari
- Department of Biostatistics, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mohammad Hossein Khoshnevisan
- Department of Community Oral Health, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Hadi Ghasemi
- Department of Community Oral Health, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Su S, Zhang J, Deng R, Wang W, Cui T, Su Y, Li X. Oral health status and associated factors among 12 to 15-year-old Chinese adolescents in Southeast China: A cross-sectional study. Medicine (Baltimore) 2024; 103:e37080. [PMID: 38277543 PMCID: PMC10817015 DOI: 10.1097/md.0000000000037080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Accepted: 01/05/2024] [Indexed: 01/28/2024] Open
Abstract
This study assessed oral health conditions and associated factors (including sociodemographic characteristics and self-reported oral health-related behaviors) among Chinese adolescents. This cross-sectional study enrolled 3840 adolescents aged 12 to 15 years from 12 middle schools in Foshan, Southeast China, in 2016, using multistage, stratified cluster sampling. Participants underwent a clinical oral examination and completed a questionnaire. The prevalence of dental caries, probe bleeding, and calculus was 37.6%, 46.2%, and 39.7%, respectively; the mean decayed/missed/filled teeth index was 0.86 ± 1.58. A mean of 2.09 ± 3.65 and 1.85 ± 3.52 teeth showed probe bleeding and calculus, respectively. Only 0.3% and 0.1% of adolescents aged 15 years had periodontal pockets (depth ≥ 4 mm) and attachment loss, respectively, which were most common in tooth positions 46 and 36 (Federation Dentaire International 2-digit system). Regarding oral health-related behavior, 49.1% of the participants failed to brush their teeth at least twice daily, 98.5% never or rarely used dental floss, and 58.7% reported middle-high frequency sugar consumption. Older age, female, administrative region, maternal education lower than university, brushing teeth less than twice daily, flossing less than once daily, and frequent sugar consumption were significant risk factors of caries. Older age, female, administrative region, brushing less than twice daily, and flossing less than once daily significantly increased periodontal risk. Despite the overall low prevalence of adverse dental conditions among adolescents in Foshan, their oral hygiene habits were undeveloped. Thus, their identified risk factors need close monitoring, and families, schools, communities, and the government should jointly promote adolescents' oral health.
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Affiliation(s)
- Shuwen Su
- Foshan Stomatological Hospital, School of Medicine, Foshan University, Foshan, P.R. China
- Guangdong Engineering Research Center of Digital Stomatology, Foshan, P.R. China
- Foshan Engineering Research Center of Stomatology, Foshan, P.R. China
| | - Jianming Zhang
- Foshan Stomatological Hospital, School of Medicine, Foshan University, Foshan, P.R. China
- Guangdong Engineering Research Center of Digital Stomatology, Foshan, P.R. China
- Foshan Engineering Research Center of Stomatology, Foshan, P.R. China
| | - Ruibing Deng
- Foshan Stomatological Hospital, School of Medicine, Foshan University, Foshan, P.R. China
- Guangdong Engineering Research Center of Digital Stomatology, Foshan, P.R. China
- Foshan Engineering Research Center of Stomatology, Foshan, P.R. China
| | - Weiping Wang
- Foshan Stomatological Hospital, School of Medicine, Foshan University, Foshan, P.R. China
- Guangdong Engineering Research Center of Digital Stomatology, Foshan, P.R. China
- Foshan Engineering Research Center of Stomatology, Foshan, P.R. China
| | - Tianqiang Cui
- Foshan Stomatological Hospital, School of Medicine, Foshan University, Foshan, P.R. China
- Guangdong Engineering Research Center of Digital Stomatology, Foshan, P.R. China
- Foshan Engineering Research Center of Stomatology, Foshan, P.R. China
| | - Yuwu Su
- Foshan Stomatological Hospital, School of Medicine, Foshan University, Foshan, P.R. China
- Guangdong Engineering Research Center of Digital Stomatology, Foshan, P.R. China
- Foshan Engineering Research Center of Stomatology, Foshan, P.R. China
| | - Xia Li
- Foshan Stomatological Hospital, School of Medicine, Foshan University, Foshan, P.R. China
- Guangdong Engineering Research Center of Digital Stomatology, Foshan, P.R. China
- Foshan Engineering Research Center of Stomatology, Foshan, P.R. China
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Li Y, Zhang L, Cen W, Yuan Y. Association of KLK4 rs2235091 polymorphism with susceptibility to dental caries: a systematic review and meta-analysis. Front Pediatr 2023; 11:1236000. [PMID: 37711595 PMCID: PMC10498278 DOI: 10.3389/fped.2023.1236000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Accepted: 08/14/2023] [Indexed: 09/16/2023] Open
Abstract
Objective To investigate the association between Kallikrein-related peptidase-4 (KLK4) rs2235091 polymorphism and susceptibility to dental caries (DC) by a method of systematic review and meta-analysis. Methods Four English databases were searched for studies on the correlation between KLK4 rs2235091 polymorphism and susceptibility to DC from inception to April 1, 2023. Data analysis was processed by Stata 15.0 software. Results Four articles were eligible, including 848 individuals with caries and 463 controls. The results of pooled analysis showed no significant differences in the five gene models (G vs. A: odds ratio (OR) = 1.14, 95% CI: 0.73-1.79, P = 0.567; GG + GA vs. AA: OR = 1.01, 95% CI: 0.77-1.32, P = 0.489; GG vs. GA + AA: OR = 0.84, 95% CI: 0.57-1.23, P = 0.368; GA vs. AA: OR = 1.06, 95% CI: 0.80-1.41, P = 0.681; GG vs. AA: OR = 1.15, 95% CI: 0.57-2.31, P = 0.690). However, subgroup analysis indicated a statistically significant difference in the dominant (GG + GA vs. AA: OR = 1.74, 95% CI: 1.02-2.96, P = 0.042) gene model in primary dentition, but no significance in allelic, recessive, homozygous and heterozygous models. Besides, in permanent dentition, no significant differences were found among the five genetic models (all P > 0.05). Conclusion KLK4 rs2235091 polymorphism may be associated with susceptibility to DC of pediatric primary dentition, but not with the risk of caries of permanent dentition. Genotype GG + GA may increase susceptibility to DC of pediatric primary dentition. However, considering the limited records enrolled in this review, more trials with larger sample sizes and more rigorous designs are needed to verify the conclusions of this meta-analysis in the future. Systematic Review Registration https://inplasy.com/, identifier INPLASY202380014.
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Affiliation(s)
| | | | | | - Yongping Yuan
- Department of Stomatology, Ningbo College of Health Sciences, Ningbo, ZJ, China
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Jiang R, Yu J, Islam R, Li X, Nie E. Dental Caries Prevention Knowledge, Attitudes, and Practice among Patients at a University Hospital in Guangzhou, China. MEDICINA (KAUNAS, LITHUANIA) 2023; 59:1559. [PMID: 37763677 PMCID: PMC10535681 DOI: 10.3390/medicina59091559] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/10/2023] [Revised: 07/24/2023] [Accepted: 08/22/2023] [Indexed: 09/29/2023]
Abstract
Background and Objectives: This study aimed to assess the knowledge, attitudes, and practice (KAP) of patients regarding dental caries prevention in a university hospital in Guangzhou, China. Materials and Methods: A hospital-based KAP survey was conducted in a cross-sectional manner at the First Affiliated Hospital in Guangzhou, China, from 1 September to 30 September 2022. Questionnaires were distributed to eligible patients, resulting in the participation of 251 individuals. The questionnaire consisted of five sections capturing socio-demographic data and exploring participants' knowledge, attitudes, practice, and accurate preventive dental caries knowledge. Descriptive statistics and a generalized linear model with univariate tests were used for analysis. Results: The study results show that the knowledge score 7.97 (±0.91) and attitudes score 7.67 (±0.89) among the participants were good while the practice score was 6.80 (±0.81) moderate. The majority of participants identified tooth infections (81.3%), bacteria (92%), and sugar (89.2%) as the main causes of gum bleeding and tooth decay. Brushing (96%) and fluoride (80.5%) were also recognized as essential for preventing tooth decay. Of oral diseases, 94% were recognized as potentially affecting overall health. The vast majority ranging from 92.8% to 98%, believed that oral health is crucial to overall health and that regular check-ups and proper brushing habits are beneficial. There is a significant association of gender with age (p = 0.018), occupation (p = 0.050), lifestyle habit (p = 0.012), and knowledge score; whole education is significantly associated with practice score (p = 0.050). Conclusions: The majority of patients exhibited accurate knowledge and attitudes with moderate practice towards dental caries prevention, with socio-demographic factors playing a major role. However, effective implementation of dental health education programs across the healthcare system is still required to further enhance outcomes.
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Affiliation(s)
- Rui Jiang
- Department of Stomatology, First Affiliated Hospital, Sun Yat-Sen University, 58 Zhong Shan Road 2nd, Guangzhou 510080, China; (R.J.); (J.Y.)
| | - Jiali Yu
- Department of Stomatology, First Affiliated Hospital, Sun Yat-Sen University, 58 Zhong Shan Road 2nd, Guangzhou 510080, China; (R.J.); (J.Y.)
| | - Rafiqul Islam
- Department of Restorative Dentistry, Faculty of Dental Medicine, Hokkaido University, Kita 13, Nishi 7, Kita-ku, Sapporo 060-8586, Japan;
| | - Xiang Li
- Department of Stomatology, First Affiliated Hospital, Sun Yat-Sen University, 58 Zhong Shan Road 2nd, Guangzhou 510080, China; (R.J.); (J.Y.)
| | - Ermin Nie
- Department of Stomatology, First Affiliated Hospital, Sun Yat-Sen University, 58 Zhong Shan Road 2nd, Guangzhou 510080, China; (R.J.); (J.Y.)
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Shi J, Yuan R, Yan X, Wang M, Qiu J, Ji X, Yu G. Factors Influencing the Sharing of Personal Health Data Based on the Integrated Theory of Privacy Calculus and Theory of Planned Behaviors Framework: Results of a Cross-Sectional Study of Chinese Patients in the Yangtze River Delta. J Med Internet Res 2023; 25:e46562. [PMID: 37410526 PMCID: PMC10359915 DOI: 10.2196/46562] [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: 02/16/2023] [Revised: 05/16/2023] [Accepted: 06/08/2023] [Indexed: 07/07/2023] Open
Abstract
BACKGROUND The health care system in China is fragmented, and the distribution of high-quality resources remains uneven and irrational. Information sharing is essential to the development of an integrated health care system and maximizing its benefits. Nevertheless, data sharing raises concerns regarding the privacy and confidentiality of personal health information, which affect the willingness of patients to share information. OBJECTIVE This study aims to investigate patients' willingness to share personal health data at different levels of maternal and child specialized hospitals in China, to propose and test a conceptual model to identify key influencing factors, and to provide countermeasures and suggestions to improve the level of data sharing. METHODS A research framework based on the Theory of Privacy Calculus and the Theory of Planned Behavior was developed and empirically tested through a cross-sectional field survey from September 2022 to October 2022 in the Yangtze River Delta region, China. A 33-item measurement instrument was developed. Descriptive statistics, chi-square tests, and logistic regression analyses were conducted to characterize the willingness of sharing personal health data and differences by sociodemographic factors. Structural equation modeling was used to assess the reliability and validity of the measurement as well as to test the research hypotheses. The STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) checklist for cross-sectional studies was applied for reporting results. RESULTS The empirical framework had a good fit with the chi-square/degree of freedom (χ2/df)=2.637, root-mean-square residual=0.032, root-mean-square error of approximation=0.048, goodness-of-fit index=0.950, and normed fit index=0.955. A total of 2060 completed questionnaires were received (response rate: 2060/2400, 85.83%). Moral motive (β=.803, P<.001), perceived benefit (β=.123, P=.04), and perceived effectiveness of government regulation (β=.110, P=.001) had a significantly positive association with sharing willingness, while perceived risk (β=-.143, P<.001) had a significant negative impact, with moral motive having the greatest impact. The estimated model explained 90.5% of the variance in sharing willingness. CONCLUSIONS This study contributes to the literature on personal health data sharing by integrating the Theory of Privacy Calculus and the Theory of Planned Behavior. Most Chinese patients are willing to share their personal health data, which is primarily motivated by moral concerns to improve public health and assist in the diagnosis and treatment of illnesses. Patients with no prior experience with personal information disclosure and those who have tertiary hospital visits were more likely to share their health data. Practical guidelines are provided to health policy makers and health care practitioners to encourage patients to share their personal health information.
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Affiliation(s)
- Jingjin Shi
- International Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
| | - Rui Yuan
- Miaohang Town Community Health Service Center, Baoshan District, Shanghai, China
| | - Xueming Yan
- Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, China
| | - Miao Wang
- Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, China
| | - Jun Qiu
- International Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
| | - Xinhua Ji
- International Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
| | - Guangjun Yu
- Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, China
- School of Medicine, The Chinese University of HongKong, Shenzhen, China
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Aboubakr RM, Alkhadragy DM, Okda MMES, Rady HWM, Elnagar RM. Predictors of Caries Risk among Egyptian Children Attending Pediatric Dental Clinics at a University Hospital. SAUDI JOURNAL OF MEDICINE & MEDICAL SCIENCES 2023; 11:219-228. [PMID: 37533660 PMCID: PMC10393090 DOI: 10.4103/sjmms.sjmms_128_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/20/2023] [Revised: 04/24/2023] [Accepted: 06/01/2023] [Indexed: 08/04/2023]
Abstract
Background Dental caries is the most prevalent dental disease. The external validity of the available caries risk assessment (CRA) tools is not established, especially among pediatric population. Objectives To assess caries risk using the caries management by risk assessment (CAMBRA) protocol among Egyptian children aged 3-12 years and suggest variables that could potentially be used to develop a simpler CRA model. Materials and Methods For this cross-sectional study, we recruited 320 children aged 3 to <6 years (Group I) and 320 children aged 6-12 years (Group II). CAMBRA was used to collect data about disease indicators, biological and environmental factors, and protective factors among study participants. Each child was examined clinically to collect data about past caries experiences and to measure plaque scores. Results The risk of caries was high in 92.5% of Group I and 83.4% of Group II participants. The overall dmft was 5.71 ± 3.18 for Group I and 4.78 ± 2.53 for Group II. In Group I, a significant positive relation was found between the overall mean caries risk score and past caries experience (dmft; r = 0.344, P < 0.001) and mean plaque index (r = 0.463, P < 0.001). In Group II, a significant positive relation was found between the overall mean caries risk score and dmft score (r = 0.511, P < 0.001), S. mutans count (r = 234, P < 0.001), Lactobacilli count (r = 0.316, P < 0.001), and plaque index (r = 0.463, P < 0.001). Participants' age, parents' education, and parents' occupation had a negative significant effect on the overall mean caries risk score. Conclusion This study suggests predictors that can be used in the development of a new CRA model for children aged 3-12 years.
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Affiliation(s)
- Rabaa Mahmoud Aboubakr
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Mansoura University, Mansoura, Egypt
| | - Doaa Mohsen Alkhadragy
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Mansoura University, Mansoura, Egypt
| | - Mai Monuir El Said Okda
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Mansoura University, Mansoura, Egypt
| | - Hadeer Wael Mohamed Rady
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Mansoura University, Mansoura, Egypt
| | - Rasha Mokhtar Elnagar
- Department of Medical Microbiology and Immunology, Faculty of Medicine, Mansoura University, Mansoura, Egypt
- Department of Basic Medical Sciences, College of Medicine, AlMaarefa University, Riyadh, Saudi Arabia
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Obradović M, Dolić O, Milovanović V, Karaman N, Mišić M, Miljević V, Matošević-Jajčanin S, Sukara S, Kaurin P, Knežević N, Regoda-Šeranić M, Mijatović D, Galić-Pejić B. Caries Experience in Primary and Permanent Dentition in Children Up to 15 Years of Age from Bosnia and Herzegovina-A Retrospective Study. CHILDREN (BASEL, SWITZERLAND) 2023; 10:children10040754. [PMID: 37190003 DOI: 10.3390/children10040754] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/17/2023] [Revised: 04/16/2023] [Accepted: 04/19/2023] [Indexed: 05/17/2023]
Abstract
The purpose of the study was to analyze caries experience in primary and permanent dentition in children up to 15 years of age located in Banja Luka, Bosnia and Herzegovina. METHODS The research was conducted as a retrospective cross-sectional study. Analyzes and comparisons of caries indices were performed using groups formed according to their gender (male-M and female-F) and age, i.e., the first group-children in early childhood, ≤5 years; the second group, middle childhood 6-8 years; the third group, preadolescents 9-11 years old; fourth group, adolescents 12-15 years old. RESULTS Overall prevalence of caries in primary dentition was 89.1%, while in permanent dentition, it was 60.7%. The overall mean decayed, missing, and filled teeth- dmft in male participants was 5.4, while in female participants, it was 5.1. By contrast, a higher overall mean DMFT was established in the female participants (2.7 vs. 3.0). CONCLUSIONS We can see a high prevalence in all of the examined groups. In primary dentition, males examined during the course of the study had a higher overall mean dmft and the mean number of untreated decayed primary teeth, whereas females up to age 15 examined during the course of the study had more DMF teeth.
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Affiliation(s)
- Marija Obradović
- Department of Pediatric and Preventive Dentistry, Medical Faculty, University of Banja Luka, 78 000 Banja Luka, Bosnia and Herzegovina
| | - Olivera Dolić
- Department of Pediatric and Preventive Dentistry, Medical Faculty, University of Banja Luka, 78 000 Banja Luka, Bosnia and Herzegovina
| | | | - Nataša Karaman
- Public Health Center Čelinac, 78 240 Čelinac, Bosnia and Herzegovina
| | - Maja Mišić
- Public Health Center Doboj, 74 000 Doboj, Bosnia and Herzegovina
| | - Vesna Miljević
- Public Health Center Banja Luka, 78 000 Banja Luka, Bosnia and Herzegovina
| | | | - Slava Sukara
- Department of Pediatric and Preventive Dentistry, Medical Faculty, University of Banja Luka, 78 000 Banja Luka, Bosnia and Herzegovina
| | - Predrag Kaurin
- Department of Pediatric and Preventive Dentistry, Medical Faculty, University of Banja Luka, 78 000 Banja Luka, Bosnia and Herzegovina
| | - Nataša Knežević
- Department of Restorative Dentistry and Endodontics, Medical Faculty, University of Banja Luka, 78 000 Banja Luka, Bosnia and Herzegovina
| | | | - Darija Mijatović
- Institute of Dentistry, 78 000 Banja Luka, Bosnia and Herzegovina
| | - Božana Galić-Pejić
- Public Health Center Banja Luka, 78 000 Banja Luka, Bosnia and Herzegovina
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Chapain KP, Rampal KG, Gaulee Pokhrel K, Adhikari C, Hamal D, Pokhrel KN. Influence of gender and oral health knowledge on DMFT index: a cross sectional study among school children in Kaski District, Nepal. BMC Oral Health 2023; 23:59. [PMID: 36726123 PMCID: PMC9890681 DOI: 10.1186/s12903-023-02755-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2022] [Accepted: 01/19/2023] [Indexed: 02/03/2023] Open
Abstract
BACKGROUND Oral health problems are highly prevalent among school children in Nepal. Poor oral health condition may be influenced by various factors. However, little is known about the sociodemographic and awareness related factors on oral health problems among school children in Nepal. Therefore, this study aimed to assess the association of gender and knowledge on DMFT index among school children. METHODS A cross-sectional study was conducted among school children of Grade Seven in 12 schools of Kaski district in Nepal. Schools were randomly selected from the urban and semi-urban areas in the district. Data were collected covering oral health knowledge, socio-demographic characteristics, oral health condition and practices. The factors of poor oral health condition and practices were examined using t-test, one-way ANOVA, and multiple linear regression. RESULTS Of the total participants (n = 669), 54.9% were females and their mean DMFT score was 1.82 (SD = 1.07). Total decayed score was higher among those who did not have knowledge that fluoride prevents decay compared to those who had knowledge about it (Being aware of fluoride prevents decay: Mean = 1.21 (SD = 1.54) versus not being aware of that: mean = 2.13 (SD = 2.13); p = 0.029). Females were more likely to have higher DMFT scores compared to males (β-coefficient = 0.43, 95% CI 0.13, 0.73, p = 0.005). In addition, higher knowledge score was negatively associated with higher DMFT score (β-coefficient = - 0.09, 95% CI - 0.20, -0.01, p = 0.047). CONCLUSION Being female students and those having lower level of knowledge on oral health attributed to higher DMFT index. Periodic dental check-up coupled with oral health education on regular brushing, use of fluoridated paste, tongue cleaning and care of gum diseases are recommended in schools.
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Affiliation(s)
- Kamal Prasad Chapain
- Development and Research Service International Nepal, Khumaltar, Lalitpur, Nepal
| | | | | | - Chiranjivi Adhikari
- grid.444743.40000 0004 0444 7205School of Health and Allied Sciences (SHAS), Pokhara University, Kaski, Nepal ,grid.501262.20000 0004 9216 9160Department of Public Health, Indian Institute of Public Health-Gandhinagar (IIPHG), Gandhinagar, Gujarat India
| | - Deependra Hamal
- grid.416380.80000 0004 0635 3587Manipal College of Medical Sciences, Pokhara, Nepal
| | - Khem Narayan Pokhrel
- Development and Research Service International Nepal, Khumaltar, Lalitpur, Nepal.
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Zhang Z, Wang D, Zhao J, Wang D, Zhang B. Assessment of oral health status and related factors in adolescents aged 12-15 years in the Gansu Province of China: a cross-sectional survey. BMC Oral Health 2023; 23:42. [PMID: 36698127 PMCID: PMC9875395 DOI: 10.1186/s12903-023-02748-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2022] [Accepted: 01/16/2023] [Indexed: 01/26/2023] Open
Abstract
BACKGROUND The national oral epidemiological survey conducted every decade has become an indispensable means of detecting changes in oral disease patterns. This study was undertaken to investigate the oral health status and related factors in 12-15-year-old students in Gansu, China. METHODS According to the methodology adopted by the Fourth National Oral Health Survey, a multi-stage, stratified, random sampling method was used to select 3871 adolescents aged 12-15 years from four regions of Gansu Province for oral examination and questionnaire survey. Caries experience was measured using the Decayed, Missing, and Filled Teeth (DMFT) index; and periodontal health examination included gingival bleeding, calculus, periodontal pockets and attachment loss. The questionnaire included questions regarding sociodemographic characteristics, and oral health knowledge and behaviors. SPSS20.0 software was used for statistical analysis of the survey data. RESULTS The mean DMFT index was 0.83 ± 1.42. The prevalence of caries experience was 38.6%, filling rate was 1.6%, and pit and fissure sealing rate was 0.5%. Logistic regression analysis showed that female sex, rural district, older age, non-only child, frequency of dental visits, and toothache experience were the risk factors for caries experience, with OR ranging between 1.280 and 3.831 (p < 0.05). Prevalence of healthy periodontium was 29.8%. Female sex, rural district, and younger age were found to be the protective factors for healthy periodontium, with OR ranging between 1.178 and 1.414 (p < 0.05). CONCLUSIONS Adolescents in Gansu Province had high prevalence of caries experience along with low filling rate, and low prevalence of healthy periodontium. Therefore, it is necessary to vigorously strengthen oral health education, disease prevention and control programs in the province. This would help improve the oral health-related quality of life of these individuals.
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Affiliation(s)
- Zhidong Zhang
- grid.32566.340000 0000 8571 0482School of Stomatology, Lanzhou University, Lanzhou, 730000 China
| | - Di Wang
- grid.32566.340000 0000 8571 0482School of Stomatology, Lanzhou University, Lanzhou, 730000 China
| | - Jian Zhao
- grid.32566.340000 0000 8571 0482School of Stomatology, Lanzhou University, Lanzhou, 730000 China
| | - Dandan Wang
- grid.32566.340000 0000 8571 0482School of Stomatology, Lanzhou University, Lanzhou, 730000 China
| | - Baoping Zhang
- grid.32566.340000 0000 8571 0482School of Stomatology, Lanzhou University, Lanzhou, 730000 China ,grid.32566.340000 0000 8571 0482Hospital of Stomatology Lanzhou University, Lanzhou, 730000 China ,Gansu Province Key Lab of Maxillofacial Reconstruction and Intelligent Manufacturing, Lanzhou, 730000 China ,grid.32566.340000 0000 8571 0482Institute of Biomechanics and Medical Engineering, Lanzhou University, Key Laboratory of Mechanics on Disaster and Environment in Western China, Ministry of Education, Lanzhou University, Lanzhou, 730000 China
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Manrikyan M, Markaryan M, Vardanyan I, Spirito F, Lo Muzio L, Manrikyan G. Oral health status and indicators in children of Armenia based on the national surveys. Minerva Pediatr (Torino) 2022; 74:738-745. [PMID: 36655927 DOI: 10.23736/s2724-5276.22.07082-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
BACKGROUND The aim of this study was to determine the dynamics and the structure of dental morbidity of the children population of the Republic of Armenia, in order to improve the system of methods of therapeutic and preventive measures. METHODS In recommended children's key age groups, 5879 WHO assessment forms (1997) were analyzed. Calculated prevalence and intensity of dental caries, the Significant Index of Caries (SiC) and European dental health indicators, and the condition of periodontal tissues were determined with the help of the community periodontal index (CPI) and oral hygiene by OHI-S. The statistical analysis was performed within the SPSS 19 (SPSS Inc., Chicago, IL, USA). The obtained data were statistically processed in the STATISTICA 6.0 (StataCorp LLC, College Station, TX, USA) for Excel program (Microsoft Corp., Redmond, WA, USA). RESULTS The prevalence of caries of temporary teeth was 91.7% on the average. In 12-year-old schoolchildren the average prevalence of caries of permanent teeth rate was 87.5%. The prevalence of periodontal lesions in children was 47.8% on the average. CONCLUSIONS In Armenia there was an increase in dental morbidity during the 2009-2019 period, which presumably would be continued unless the factors affecting the development of diseases will be changed. To improve dental health at the population level not only specialists but also health authorities should make efforts introducing appropriate prevention programs.
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Affiliation(s)
- Mikael Manrikyan
- Department of Pediatric Dentistry and Orthodontics, YSMU, Yerevan, Armenia
| | | | - Izabella Vardanyan
- Department of Pediatric Dentistry and Orthodontics, YSMU, Yerevan, Armenia
| | - Francesca Spirito
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy -
| | - Lorenzo Lo Muzio
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy.,National Interuniversity Consortium for Bio-Oncology, Chieti, Italy
| | - Gayane Manrikyan
- Department of Therapeutic and Family Dentistry, YSMU, Yerevan, Armenia
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Cascaes AM, Silva NRJD, Fernandez MDS, Bomfim RA, Vaz JDS. Ultra-processed food consumption and dental caries in children and adolescents: a systematic review and meta-analysis. Br J Nutr 2022; 129:1-10. [PMID: 35894293 DOI: 10.1017/s0007114522002409] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
This study summarised the association between ultra-processed food (UPF) consumption and dental caries in children and adolescents through a systematic review and meta-analysis. The search of PubMed, Cochrane, Web of Science and Scopus databases using the 'PECOS' strategy retrieved 1462 eligible articles. Only studies with humans aged ≤ 19 years; that assessed groups of any UPF or specific UPF items; that measured dental caries as the decayed, filled and missing surfaces or teeth indexes, based on the WHO criteria; cross-sectional, case-control, cohort and all types of interventions that examined the adjusted association between UPF consumption and dental caries were included. All studies received qualitative evaluation. Meta-analysis using random-effects models combined multivariable-adjusted OR for case-control and cross-sectional studies and risk ratio (RR) for longitudinal studies of the highest v. lowest category of UPF consumption. Forty-two studies were included in the qualitative synthesis and twenty-seven in the meta-analysis. The pooled RR was 1·71 (95 % CI 1·31, 2·24), and the pooled OR was 1·55 (95 % CI 1·37, 1·75). The highest OR was found among participants who had dental caries prevalence >70 % (OR = 3·67, 95 % CI 2·16, 6·23). Better evidence quality was found among cohort studies that evaluated children <6 years old. The findings suggest that higher UPF consumption is associated with greater dental caries in children and adolescents. Public health efforts to reduce UPF consumption are needed to improve the oral health of children and adolescents.
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Affiliation(s)
- Andreia Morales Cascaes
- Federal University of Santa Catarina, Department of Public Health, Graduate Program in Public Health, Graduate Program in Dentistry, Florianópolis, SC, Brazil
| | | | | | - Rafael Aiello Bomfim
- Federal University of Mato Grosso do Sul, School of Dentistry, Graduate Program in Dentistry, Campo Grande, MS, Brazil
| | - Juliana Dos Santos Vaz
- Federal University of Pelotas, Faculty of Nutrition, Graduate Program in Nutrition and Foods, Pelotas, RS, Brazil
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Factors Affecting Willingness on Sharing of Electronic Health Records Data: A Survey on Chinese Residents. JOURNAL OF ONCOLOGY 2022; 2022:5280792. [PMID: 35859662 PMCID: PMC9293563 DOI: 10.1155/2022/5280792] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/24/2022] [Revised: 04/23/2022] [Accepted: 06/21/2022] [Indexed: 11/17/2022]
Abstract
Background China has been promoting sharing of Electronic Health Records (EHRs) data for several years. However, only a few studies have explored the views of Chinese residents on sharing personal health data, and the factors that affect sharing of EHRs have not been fully elucidated. This study sought to explore public attitudes toward sharing EHRs and the factors that affect sharing of personal health data among Chinese residents. Methods A multi-stage stratified sampling design was adopted in this survey to select residents in Hunan province, resulting in 932 responses randomly. The investigation was carried out with the administration of a 19-item questionnaire. The measure includes items on demographics, willingness to share EHRs, experiences on EHRs, public acknowledgment of the benefits of sharing EHRs, and public awareness of potential risks of sharing EHRs. Results The score of general willingness to share EHRs was 5.784 ± 2.031. Concerning the domain scores for the willingness, the willingness to share EHRs for research was 2.060 ± 0.942, whereas sharing anonymization EHRs for other nonmedical services was only 1.805 ± 0.877. Multiple linear regression showed that general willingness to share EHRs was related to job-related healthcare (β = 0.520), experiences on EHRs (β = 0.192), public awareness of potential risks of sharing EHRs (β = −0.130), and public acknowledgment of the benefits of sharing EHRs (β = 0.290). Conclusion The willingness to share EHRs data with Chinese residents was not high. The willingness of Chinese residents towards data sharing in EHRs is influenced by several factors, primarily job-related to healthcare, experiences on EHRs, public acknowledgment of the benefits of sharing EHRs, and public awareness of potential risks of sharing EHRs. The results provide a basis for related research and provide information for designing public health strategies such as formulating policies to improve public acceptance of sharing EHRs and promoting EHRs-based public health services.
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Association between Smoking and Sugar-Sweetened Beverage Consumption, Tooth Brushing among Adolescents in China. CHILDREN (BASEL, SWITZERLAND) 2022; 9:children9071008. [PMID: 35883992 PMCID: PMC9319217 DOI: 10.3390/children9071008] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Revised: 06/26/2022] [Accepted: 06/30/2022] [Indexed: 12/02/2022]
Abstract
The study aimed to investigate the relationship between smoking, Sugar-Sweetened Beverage (SSB) consumption and tooth brushing among adolescents in China. A valid sample of 6084 middle school students from the Zhejiang province was included. Participants were questioned about smoking status, SSB consumption, tooth brushing, and oral health-related quality of life (OHRQoL). Among the participants, smoking prevalence was 1.9% and nearly half of the students consumed SSBs. The demographic factors associated with smoking were gender, place of residence, and parental level of education. There are co-variations between smoking status, SSB consumption, and tooth brushing. Logistic regression showed that smoking adolescents were more likely to brush their teeth less than once per day (OR = 1.74, p < 0.05), consume soft drinks once or more per day (OR = 2.18, p < 0.01) and have a higher score on the Child Oral Health Impact Profile (OR = 1.05, p < 0.05) after adjusting for demographic factors. The findings provide compelling evidence for governments and related stakeholders to intervene in the lifestyle of adolescents. Future studies are needed to understand the interaction effects of such behaviors, and should help to inform appropriate interventions.
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Shi J, Wang Q, Ruan G, Chen Y, Zhao M, Shi D, Pan B, Xu Z, Zhang T, Wang F, Xu C. Efficacy of probiotics against dental caries in children: a systematic review and meta-analysis. Crit Rev Food Sci Nutr 2022; 63:9977-9994. [PMID: 35607893 DOI: 10.1080/10408398.2022.2077693] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Dental caries causes serious consequences and the financial burden of society especially in children with high morbidity rate. Here we carried out a meta-analysis to systematically evaluate the efficacy of probiotics against dental caries in children. Forty-three RCTs were eligible for this meta-analysis after searching the PubMed, Cochrane and Web of Science from the inception through October 2021. Pooled estimates demonstrated that treatment with probiotics significantly reduced noncavitated (dicdas2-6mft) (SMD = -0.18, 95% CI: -0.3 to -0.06, p = 0.002) and cavitated (dicdas5-6mft) carious lesions in children (SMD = -0.32, 95% CI: -0.5 to 0.14, p = 0.0004). Probiotics also reduced prevalence of noncavitated (dicdas2-6mft) carious lesions (RR = 0.8, 95% CI: 0.67 to-0.97, p = 0.02). Salivary Streptococcus mutans was declined after intervention (SMD = -1.17, 95% CI: -1.85 to -0.5, p = 0.0007), while Lactobacillus counts were upregulated (SMD = 1.19, 95% CI: 0.46-1.92, p = 0.001). However, no significant effects in total bacteria counts and salivary pH were observed. Our findings suggest that probiotics especially Lactobacillus could be a promising therapeutic strategy for clinical applications in children dental caries.
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Affiliation(s)
- Jiangmin Shi
- Department of Gastroenterology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China
| | - Qinjian Wang
- Department of Gastroenterology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China
| | - Gaoyi Ruan
- Department of Gastroenterology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China
| | - Yaoxuan Chen
- Department of Gastroenterology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China
| | - Min Zhao
- Department of Gastroenterology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China
| | - Dibang Shi
- Department of Gastroenterology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China
| | - Binhui Pan
- Department of Gastroenterology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China
| | - Zhihua Xu
- Department of Gastroenterology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China
| | - Tiaotiao Zhang
- Department of Gastroenterology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China
| | - Fangyan Wang
- Department of Pathophysiology, School of Basic Medicine Science, Wenzhou Medical University, Wenzhou, China
| | - Changlong Xu
- Department of Gastroenterology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China
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Factors Affecting Dental Caries Experience in 12-Year-Olds, Based on Data from Two Polish Provinces. Nutrients 2022; 14:nu14091948. [PMID: 35565915 PMCID: PMC9104912 DOI: 10.3390/nu14091948] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2022] [Revised: 05/02/2022] [Accepted: 05/04/2022] [Indexed: 12/22/2022] Open
Abstract
(1) Background: Dental caries is a chronic disease that affects a child’s dentition from the first stages of life. Several factors contribute to the development of the disease, including an improper diet. This cross-sectional study aimed to identify risk factors of dental caries in 12-year-old adolescents from Greater Poland and Lubusz Provinces (Poland). (2) Material and methods: The research was conducted in adolescents from five primary schools. A questionnaire consisted of close-ended questions on socioeconomic characteristics on family, diet, and oral hygiene habits. An assessment of the dentition was carried out in accordance with World Health Organization (WHO) recommendations. In addition to cavitated carious lesions, incipient caries lesions were noted according to the International Caries Detection and Assessment System, adapted for epidemiological studies (ICDASepiDMFt). (3) Results: The mean number of teeth with untreated caries; removed due to caries; and restored because of caries (DMFt) was 1.52 ± 1.90, while the ICDASepiDMFt index amounted to 2.64 ± 2.55, respectively. Children who did not brush every day had significantly higher odds of having ICDASepiDMFt > 0 than children brushing at least once daily (OR = 10.32, 95% CI = 1.36−78.32, p = 0.0240). Adolescents who drank sweet carbonated drinks every day had significantly higher ICDASepiDMTt than children who drank sweet carbonated drinks less frequently (p = 0.0477). (4) Conclusions: The research revealed that dental caries indices of 12-year-old adolescents from Greater Poland and Lubusz Provinces depend mainly on oral hygiene behaviors. The only significant nutritional factor that differentiated the caries intensity was the daily consumption of sweet carbonated drinks.
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Shi R, Lin C, Li S, Deng L, Lin Z, Xiu L. Obesity is negatively associated with dental caries among children and adolescents in Huizhou: a cross-sectional study. BMC Oral Health 2022; 22:76. [PMID: 35300666 PMCID: PMC8932162 DOI: 10.1186/s12903-022-02105-5] [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: 09/16/2021] [Accepted: 02/25/2022] [Indexed: 11/13/2022] Open
Abstract
Background Obesity and dental caries among children and adolescents are growing worldwide public health problems. They share some common and modifiable influences. The objective of this study was to evaluate the prevalence of obesity and dental caries among children and adolescents in Huizhou and explore the association between Body Mass Index (BMI) category and dental caries. Methods This cross-sectional study enrolled 105,181 students (55,500 males and 49,681 females) from 87 schools in Huizhou. Height and weight were measured, and BMI was calculated. Based on Chinese BMI standards, students were classified into underweight, normal weight, overweight, and obesity groups. Dental caries was diagnosed according to criteria recommended by World Health Organization (WHO). We used the Chi-square test to compare proportions of groups and performed Association Rules Mining to identify patterns and combinations of BMI categories and dental caries. Finally, a multilevel logistic regression model was applied to analyze the association between BMI category and dental caries when confounders were considered. Results The prevalence of underweight, overweight, and obesity among children and adolescents was 7.56%, 8.85%, and 2.95%, respectively. The overall prevalence of dental caries was 58.10%, with a lower prevalence among boys than girls. Students from primary schools and remote towns more easily suffer from dental caries. Caries prevalence of students belonged to underweight, normal, overweight, and obesity was 65.6%, 58.8%, 49.6%, and 46.1% individually. With increasing BMI levels, the prevalence of dental caries decreased. Further, this trend still exists in each subgroup of gender, educational stage, school type, and area. Association rules indicate underweight has a positive effect on the occurrence of dental caries, while overweight or obesity has a negative impact on the occurrence of dental caries. The three-level logistic regression model results show that BMI category is inversely associated with dental caries after adjusting confounders. Conclusion Obesity is negatively associated with dental caries among children and adolescents in Huizhou. Further research is required to investigate how dietary habits, oral hygiene habits, and parental socioeconomic status mediate the association between BMI and dental caries.
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Affiliation(s)
- Rou Shi
- Department of Endocrinology, Huizhou Municipal Central Hospital, Huizhou, 516001, Guangdong, China
| | - Chunwen Lin
- Department of Epidemiology and Medical Statistics, Guangdong Medical University, Dongguan, 523808, Guangdong, China
| | - Shu Li
- Department of Endocrinology, Huizhou Municipal Central Hospital, Huizhou, 516001, Guangdong, China.
| | - Linling Deng
- Department of Endocrinology, Huizhou Municipal Central Hospital, Huizhou, 516001, Guangdong, China
| | - Zhan Lin
- Department of Endocrinology, Huizhou Municipal Central Hospital, Huizhou, 516001, Guangdong, China
| | - Liangchang Xiu
- Department of Epidemiology and Medical Statistics, Guangdong Medical University, Dongguan, 523808, Guangdong, China.
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Atta L, Khalil R, Khan KM, Zehra M, Saleem F, Nur-e-Alam M, Ul-Haq Z. Virtual Screening, Synthesis and Biological Evaluation of Streptococcus mutans Mediated Biofilm Inhibitors. MOLECULES (BASEL, SWITZERLAND) 2022; 27:molecules27041455. [PMID: 35209243 PMCID: PMC8876203 DOI: 10.3390/molecules27041455] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/31/2021] [Revised: 02/16/2022] [Accepted: 02/18/2022] [Indexed: 11/16/2022]
Abstract
Dental caries, a global oral health concern, is a biofilm-mediated disease. Streptococcus mutans, the most prevalent oral microbiota, produces extracellular enzymes, including glycosyltransferases responsible for sucrose polymerization. In bacterial communities, the biofilm matrix confers resistance to host immune responses and antibiotics. Thus, in cases of chronic dental caries, inhibiting bacterial biofilm assembly should prevent demineralization of tooth enamel, thereby preventing tooth decay. A high throughput screening was performed in the present study to identify small molecule inhibitors of S. mutans glycosyltransferases. Multiple pharmacophore models were developed, validated with multiple datasets, and used for virtual screening against large chemical databases. Over 3000 drug-like hits were obtained that were analyzed to explore their binding mode. Finally, six compounds that showed good binding affinities were further analyzed for ADME (absorption, distribution, metabolism, and excretion) properties. The obtained in silico hits were evaluated for in vitro biofilm formation. The compounds displayed excellent antibiofilm activities with minimum inhibitory concentration (MIC) values of 15.26–250 µg/mL.
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Affiliation(s)
- Lubna Atta
- H. E. J. Research Institute of Chemistry, International Center for Chemical and Biological Sciences, University of Karachi, Karachi 75270, Pakistan; (L.A.); (K.M.K.); (F.S.)
| | - Ruqaiya Khalil
- Dr. Panjwani Center for Molecular Medicine and Drug Research, International Center for Chemical and Biological Sciences, University of Karachi, Karachi 75270, Pakistan; (R.K.); (M.Z.)
| | - Khalid Mohammed Khan
- H. E. J. Research Institute of Chemistry, International Center for Chemical and Biological Sciences, University of Karachi, Karachi 75270, Pakistan; (L.A.); (K.M.K.); (F.S.)
- Department of Clinical Pharmacy, Institute for Research and Medical Consultations (IRMC), Imam Abdulrahman Bin Faisal University, P.O. Box 31441, Dammam 31441, Saudi Arabia
| | - Moatter Zehra
- Dr. Panjwani Center for Molecular Medicine and Drug Research, International Center for Chemical and Biological Sciences, University of Karachi, Karachi 75270, Pakistan; (R.K.); (M.Z.)
| | - Faiza Saleem
- H. E. J. Research Institute of Chemistry, International Center for Chemical and Biological Sciences, University of Karachi, Karachi 75270, Pakistan; (L.A.); (K.M.K.); (F.S.)
| | - Mohammad Nur-e-Alam
- Department of Pharmacognosy, College of Pharmacy, King Saud University, P.O. Box 2457, Riyadh 11451, Saudi Arabia;
| | - Zaheer Ul-Haq
- H. E. J. Research Institute of Chemistry, International Center for Chemical and Biological Sciences, University of Karachi, Karachi 75270, Pakistan; (L.A.); (K.M.K.); (F.S.)
- Dr. Panjwani Center for Molecular Medicine and Drug Research, International Center for Chemical and Biological Sciences, University of Karachi, Karachi 75270, Pakistan; (R.K.); (M.Z.)
- Correspondence: ; Tel.: +92-21-99261672
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Wang Z, Feng J, Wang Q, Yang Y, Xiao J. Analysis of the correlation between malocclusion, bad oral habits, and the caries rate in adolescents. Transl Pediatr 2021; 10:3291-3300. [PMID: 35070843 PMCID: PMC8753468 DOI: 10.21037/tp-21-531] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/27/2021] [Accepted: 12/14/2021] [Indexed: 11/06/2022] Open
Abstract
BACKGROUND Malocclusion deformity and caries are common oral diseases in adolescents. In order to explore the correlation between malocclusion deformity and caries prevalence in adolescents, this study analyzed the influence of factors such as poor oral habits on caries in adolescents. METHODS In this study, 1,093 adolescents aged 11 to 14 enrolled in 2-3 schools in Zhangjiakou area from September 2020 to June 2021 were selected as the research subjects. The basic data of these adolescents were collected by questionnaires. Malocclusion and caries were examined by on-site inspection. Their bad oral habits were also investigated. After data collection, the chi-square test, logistic regression, the Mann-Whitney U test, and the Kruskal-Wallis H test were used for multivariate analysis. RESULTS The results showed that the incidence of malocclusion was 72.66% and the caries rate was 68.8% among adolescents aged 11-14 in this area. The 4 bad oral habits of biting, mandibular protrusion, lateral chewing, and mouth breathing were the influencing factors of malocclusion in adolescents. Bad oral habits, malocclusion, and frequent consumption of sugary beverages were independent risk factors for caries in adolescents, and significantly positively correlated with the caries rate. CONCLUSIONS Malocclusion and the four bad oral habits were independent risk factors of caries in adolescents.
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Affiliation(s)
- Zhonghua Wang
- Department of Stomatology, The First Affiliated Hospital of Hebei North University, Zhangjiakou, China
| | - Jianmei Feng
- Department of Stomatology, The First Affiliated Hospital of Hebei North University, Zhangjiakou, China
| | - Qin Wang
- Department of Stomatology, The First Affiliated Hospital of Hebei North University, Zhangjiakou, China
| | - Yongchao Yang
- Department of Stomatology, The First Affiliated Hospital of Hebei North University, Zhangjiakou, China
| | - Jinping Xiao
- Department of Stomatology, The First Affiliated Hospital of Hebei North University, Zhangjiakou, China
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Shirahmadi S, Khazaei S, Meschi M, Miresmaeili AF, Barkhordar S, Heidari A, Bashirian S, Jenabi E, Dadae N, Farzian S, Gafari A. Dental caries experience in primary school-age children following "Students' Oral Health Promotion Program," Iran. Int J Dent Hyg 2021; 20:453-464. [PMID: 34714594 DOI: 10.1111/idh.12561] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2021] [Revised: 10/09/2021] [Accepted: 10/20/2021] [Indexed: 11/29/2022]
Abstract
OBJECTIVES This study aimed at determining the changes in dental caries experience in elementary school-age children following 5 years of the Students' Oral Health Promotion Program implementation. METHODS In the present study, totally 2920 elementary school students participated and were selected by multistage cluster sampling. Based on the WHO Oral Health Survey Methods manual (4th edition), dental caries indices in primary and permanent teeth were assessed by clinical examination in schools. Data on socio-demographic characteristics and dental factors were collected through interviews based on questionnaire. The logistic and linear regression was used for data analysis. RESULTS The mean (SD) age of the elementary school children was 9.45 (1.71) years, and 1481 (50.7%) were boys. There was a significant difference between genders, age, dental pain experience and student's parent supervision with dmft, DMFT and their caries status. For 1-year increase in age, 1.67 times increase in DMFT and 0.33 decrease in dmft were predicted. Girls had higher odds of DMFT. In contrast, the odds of dmft for girls were significantly lower compared with boys. Students with dental pain experience had significantly higher odds of DMFT and dmft. The Significant Caries Index (SiC) score for permanent dentition in 12-year-old children was 5.47. Sex was significantly correlated with SiC index. The odds of developing Sic was 0.98 times lower in girls than in boys. CONCLUSIONS Dental caries was identified as a major public health problem among the elementary school students despite the implementation of the national project for oral health promotion.
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Affiliation(s)
- Samane Shirahmadi
- Department of Community Oral Health, School of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Salman Khazaei
- Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Marjaneh Meschi
- Department of Community Oral Health, School of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Amir Farhang Miresmaeili
- Department of Orthodontics, School of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Shagaeg Barkhordar
- Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Ali Heidari
- Office of education in Hamadan, Hamadan, Iran
| | - Saeid Bashirian
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Ensiyeh Jenabi
- Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Neda Dadae
- Autism Spectrum Disorders Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Shahnaz Farzian
- Departments of Oral Health, Vice Chancellor for Health, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Abdollah Gafari
- Departments of Oral Health, Vice Chancellor for Health, Hamadan University of Medical Sciences, Hamadan, Iran
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Fu T, Liu Y, Shen J, Shen H. Oral Health Status of Residents in Jiangsu Province, China: An Epidemiologic Survey. Int Dent J 2021; 72:519-528. [PMID: 34657734 PMCID: PMC9381386 DOI: 10.1016/j.identj.2021.08.051] [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: 02/23/2021] [Revised: 07/29/2021] [Accepted: 08/05/2021] [Indexed: 11/26/2022] Open
Abstract
Introduction This study was conducted to characterise the oral health conditions of residents in Jiangsu Province, China. Methods In this descriptive study, 5 groups of participants were selected by a multistage stratified equal capacity random sampling, including 3- to 5-year-olds, 12- to 15-year-olds, 35- to 44-year-olds, 55- to 64-year-olds, and 65- to 74-year-olds. The data were collected by using the fifth edition of Oral Health Surveys-Basic Methods recommended by the World Health Organization (WHO). Results In these 5 groups, the mean DMFT/dmft of coronal caries were 3.07, 0.69, 4.03, 7.15, and 11.97, respectively, resulting in prevalence rates of 59.69%, 34.98%, 52.05%, 56.86%, and 72.19%, respectively. However, the filling rates were low in all age groups (1.88%, 17.53%, 29.88%, 16.13%, and 19.36%, respectively). Only 3.58% of the 12-year-old participants had good pit and fissure sealants. The adults include three groups, 35- to 44-year-olds, 55- to 64-year-olds, and 65- to 74-year-olds, and the prevalence rates of clinical attachment loss (CAL ≥4 mm) were 32.19%, 76.47%, and 85.43%, respectively. The proportions of adult groups with implant dentures, fixed dentures, removable partial dentures, complete dentures, and substandard dentures were 0%, 26.44%, 11.11%, 0.67%, and 4.89%, respectively. Additionally, 49.64% of adults had missing teeth that were not replaced. Conclusions Dental caries and periodontal disease were frequent and common in Jiangsu, China. But only a few of the residents sought treatment. Oral diseases continued to be a major problem for local residents.
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Affiliation(s)
- Tingting Fu
- Department of Pediatric and Preventive Dentistry, Affiliated Hospital of Stomatology, Nanjing Medical University, Jiangsu Key Laboratory of Oral Diseases, Nanjing, China
| | - Yiran Liu
- Department of Pediatric and Preventive Dentistry, Affiliated Hospital of Stomatology, Nanjing Medical University, Jiangsu Key Laboratory of Oral Diseases, Nanjing, China
| | - Jiaping Shen
- Department of Pediatric and Preventive Dentistry, Affiliated Hospital of Stomatology, Nanjing Medical University, Jiangsu Key Laboratory of Oral Diseases, Nanjing, China.
| | - Hong Shen
- Department of Pediatric and Preventive Dentistry, Affiliated Hospital of Stomatology, Nanjing Medical University, Jiangsu Key Laboratory of Oral Diseases, Nanjing, China.
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22
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Zhang K, Li J, Lu Z. Oral health status and knowledge of only and non-only children in China. Br Dent J 2021:10.1038/s41415-021-3477-y. [PMID: 34616027 DOI: 10.1038/s41415-021-3477-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Accepted: 12/07/2020] [Indexed: 11/09/2022]
Abstract
Objectives To evaluate the oral health status and knowledge of only children (OC) and non-only children (NOC), and to explore potential reasons for the differences.Materials and methods This cross-sectional sampling survey included 3,731 children between the ages of 12 and 15 years. The oral health of the subjects was examined, according to the Basic Methods of Oral Health Survey (fifth edition) recommended by the World Health Organisation, and their eating habits, oral health knowledge and oral habits were recorded. EpiData software was used to input data, and SPSS version 19.0 software was used for analysis and comparison.Results The incidence of dental caries and the decayed, missing and filled teeth index (DMFT) in OC (53.2% and 1.53, respectively) were significantly lower than those in NOC (56.2% and 1.86, respectively) (P <0.05). These values were highest in female NOC (63.7%). Gingival bleeding in NOC (78.9%) was significantly higher than that in OC (74.1%) and the difference was statistically significant (P <0.05). The pit and fissure sealant rate of the OC (17.9%) was better than that of the NOC (11.0%), and the difference was statistically significant (P <0.05). There were no significant differences in the oral health attitudes between the two groups, while the scores of the OC were higher than that of the NOC on eight questions of oral health knowledge and awareness, with statistically significant differences for five of the questions (P <0.05). In terms of oral behavioural habits and related factors, the OC scored better than the NOC.Conclusions Our results show that the oral health status of NOC, especially female children, is worrying. When formulating health-related policies, it is necessary to consider these inequalities in adolescents and to provide more resources to the relatively vulnerable adolescents.
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Affiliation(s)
- Kaiqiang Zhang
- Department of Preventive Dentistry, School and Hospital of Stomatology, China Medical University, Shenyang, 110002, China
| | - Jian Li
- Department of Preventive Dentistry, School and Hospital of Stomatology, China Medical University, Shenyang, 110002, China
| | - Zhenfu Lu
- Department of Preventive Dentistry, School and Hospital of Stomatology, China Medical University, Shenyang, 110002, China; Liaoning Provincial Key Laboratory of Oral Diseases, Shenyang, 110002, China.
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Que L, Jia M, You Z, Jiang LC, Yang CG, Quaresma AAD, das Neves EMAA. Prevalence of dental caries in the first permanent molar and associated risk factors among sixth-grade students in São Tomé Island. BMC Oral Health 2021; 21:483. [PMID: 34583665 PMCID: PMC8479893 DOI: 10.1186/s12903-021-01846-z] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2021] [Accepted: 09/22/2021] [Indexed: 02/08/2023] Open
Abstract
Background Dental caries is one of the most preventable oral diseases among children in developing countries. This study aims to estimate the prevalence and severity of dental caries in the first permanent molar and analyze the related risk factors among sixth-grade students in São Tomé Island. Methods A cross-sectional study with a stratified cluster sampling method was conducted on 1855 sixth-grade school children, mainly aged 11 to 14 years old, from 10 schools in 6 regions of São Tomé Island, from April 17 to June 27, 2021. Dental caries examination was performed by using the CAST criteria (DMFT) index, and the self-administered questionnaires about family background, oral hygiene, and relevant behaviors were collected. Multivariable logistic regression was used to study risk factors related to dental caries of the first permanent molar, and all data analyses were done using SPSS version 25. Results The prevalence of dental caries in the first permanent molar was 68.79%, without significant difference between gender, age, residence, and whether only child or not. The mean Decayed, Missing, and Filled Teeth (DMFT) index and mean Decayed, Missing, and Filled Surface (DMFS) index were 1.751 ± 1.514 and 3.542 ± 3.941, respectively. The rate of filling teeth was 5.50%, and Pit and Fissure Sealant (PFS) rate was 2.21%. The overall prevalence and DMFT index of dental caries of permanent teeth was 76.01% and 2.753 ± 4.569, respectively. The results of logistic regression analysis indicated that the frequency of candy/chocolate consumption (OR = 1.095) and fair self-assessment of dental health (OR = 1.354) were significantly associated with dental caries (P < 0.05). Conclusions The high prevalence of dental caries in the first permanent molar was a public health issue among sixth-grade school children in São Tomé Island. The prevalence of dental caries, mean DMFT and DMFS scores were higher, while the rate of filling and PFS teeth were lower than the average score of other African countries. Thus, oral health education, implement oral health preaching to school children and their parents is crucial to prevent dental caries. Supplementary Information The online version contains supplementary material available at 10.1186/s12903-021-01846-z.
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Affiliation(s)
- Lin Que
- State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, China.,Department of Head and Neck Oncology, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, China
| | - Mao Jia
- State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, China.,Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, China
| | - Zhen You
- Department of Biliary Surgery, West China Hospital, Sichuan University, Chengdu, 610041, China.
| | - Li-Cheng Jiang
- Department of Cardiology, The First Affiliated Hospital of Chengdu Medical College, Chengdu, 610041, China
| | - Chun-Guang Yang
- Department of Rehabilitation, Hospital of Traditional Chinese and Western Medicine of Panzhihua, Panzhihua, 617000, China
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Jain V, Agarwal N, Jabin Z, Singh S, Anand A, Jain M. Cross-cultural adaptation and psychometric properties of the Hindi version of Child Perception Questionnaire (CPQ 11-14 ) in school children. Int J Paediatr Dent 2021; 31:459-467. [PMID: 32762050 DOI: 10.1111/ipd.12693] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Revised: 07/02/2020] [Accepted: 07/23/2020] [Indexed: 11/27/2022]
Abstract
BACKGROUND There is a need to validate OHRQoL measures in Hindi to assess the OHRQoL of Indian children. AIM To develop a Hindi version of the CPQ11-14 and to appraise its validity and reliability for use among North Indian children aged 11-14 years. DESIGN The cross-culturally adapted Hindi version of CPQ11-14 was achieved by forward translation, backward translation, committee review, and pretesting. A total of 1000 children were recruited from schools, chosen by two-stage cluster random sampling technique. After completing the self-administered questionnaire CPQ11-14 by the child, oral examination was conducted using decayed/missing/filled teeth (DMFT) index, malocclusion index, and Dean's fluorosis index. Test-retest reliability was checked on 100 participants after one week. RESULTS The floor effect was present in 3.6% individuals, and there was no ceiling effect. Cronbach's alpha for the overall CPQ11-14 scale was 0.963. Intra-class correlation (ICC) coefficient was 0.952 for the entire scale. Cronbach's alpha value for test-retest was 0.918. There was a non-significant change in domain-level and overall median CPQ11-14 scores with an increase in DMFT scores. For malocclusion and fluorosis, there was a statistically significant increase in overall and domain-level scores with increased severity scores. CPQ11-14 and individual domains significantly correlated with both the global questions. CONCLUSION Hindi version of CPQ11-14 is a reliable scale to assess OHRQoL in Hindi speaking 11- to 14-year-old children.
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Affiliation(s)
- Vishal Jain
- Department of Pediatric Dentistry, Institute of Dental Studies and Technology, Modinagar, India
| | - Nidhi Agarwal
- Department of Pediatric Dentistry, Institute of Dental Studies and Technology, Modinagar, India
| | - Zohra Jabin
- Department of Pediatric Dentistry, Institute of Dental Studies and Technology, Modinagar, India
| | - Shilpi Singh
- Department of Public Health Dentistry, Institute of Dental Studies and Technology, Modinagar, India
| | - Ashish Anand
- Department of Pediatric Dentistry, Institute of Dental Studies and Technology, Modinagar, India
| | - Meena Jain
- Department of Public Health Dentistry, Faculty of Dental Sciences, Manav Rachna Dental College, MRIIRS, Faridabad, India
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Velasco SRM, Pistelli GC, Razera FPM, Menezes-Silva R, Bastos RS, Navarro MFDL. Dental caries spectrum profile in Brazilian public school children and adolescents. Braz Oral Res 2021; 35:e067. [PMID: 34133580 DOI: 10.1590/1807-3107bor-2021.vol35.0067] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2020] [Accepted: 12/07/2020] [Indexed: 11/22/2022] Open
Abstract
Dental caries remains a major public health problem, with a higher prevalence among in adolescence. The present study aimed to assess the dental caries spectrum profile in children and adolescents in Brazilian public schools. A cross-sectional study was performed in two public schools in Brazil to examine the permanent teeth of children and adolescents. The dental caries were assessed by applying the Caries Assessment Spectrum and Treatment (CAST) instrument, and the results were distributed as per disease status (healthy/codes 0-2; pre-morbidity/code 3; morbidity/code 4-5; severe morbidity/codes 6-7; mortality/code 8) and by severity as per the CAST-F1 formula (no severity, mild, moderate, and severe). The CAST data were described by age groups (8-9 y, 10-11 y, 12-13 y, 14-15 y, 16-17 y, and 18-19 y). The Kruskal-Wallis test was used to investigate differences in CAST prevalence and severity among the groups (p < 0.05). Total 598 students were enrolled. Most of the subjects were male (53.34%) and belonged to the age group of 12-13 y (34.95%). The variables CAST 0/1 (p = 0.024), CAST (p = 0.024), and CAST-F1 (p = 0.029) showed significant differences among age groups, and the post hoc test showed the differences in these variables as per the age groups of 14-15 y and 16-17 y (CAST 0/1, p = 0.047; CAST, p = 0.047; CAST-F1, p = 0.033). The dental caries spectrum increased from 8 to 19 y with a peak in the prevalence and severity in the middle of adolescence.
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Affiliation(s)
- Sofia Rafaela Maito Velasco
- Universidade de São Paulo - USP, Faculty of Public Health, Department of Epidemiology, São Paulo, SP, Brazil
| | - Gustavo Chab Pistelli
- Universidade de São Paulo - USP, Bauru School of Dentistry, Department of Pediatrics Dentistry, Orthodontics and Public Health, Bauru, SP, Brazil
| | - Fernanda Pátaro Marsola Razera
- Universidade de São Paulo - USP, Bauru School of Dentistry, Department of Pediatrics Dentistry, Orthodontics and Public Health, Bauru, SP, Brazil
| | - Rafael Menezes-Silva
- Universidade de São Paulo - USP, Bauru School of Dentistry, Department of Operative Dentistry, Bauru, SP, Brazil
| | - Roosevelt Silva Bastos
- Universidade de São Paulo - USP, Bauru School of Dentistry, Department of Pediatrics Dentistry, Orthodontics and Public Health, Bauru, SP, Brazil
| | - Maria Fidela de Lima Navarro
- Universidade de São Paulo - USP, Bauru School of Dentistry, Department of Operative Dentistry, Bauru, SP, Brazil
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Liu JZ, Bao R, Chen C, Wang R. The occurrence, severity degree, and associated risk factors of dental fluorosis among the 12-year-old schoolchildren in Jilin, China. Medicine (Baltimore) 2021; 100:e23820. [PMID: 34087818 PMCID: PMC8183705 DOI: 10.1097/md.0000000000023820] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/01/2020] [Accepted: 11/23/2020] [Indexed: 01/04/2023] Open
Abstract
This study aims to describe the occurrence, severity degree, and correlated risk factors of dental fluorosis among the 12-year-old schoolchildren of Jilin, China.We conducted a cross-sectional, observational, and descriptive study among 960 12-year-old schoolchildren in Jilin. The Dean index was utilized to evaluate the severity degree of dental fluorosis. A questionnaire was sent to the guardians of children. Community fluorosis index was measured to estimate the importance of enamel fluorosis for the whole population's public health. The logistic regression analysis was also utilized to identify the correlation between fluorotic teeth and the independent variables.Nine hundred sixty children were assessed. Among them, 480 (50%) were female. 30.5% of subjects had dental fluorosis, 7.19% had very mild dental fluorosis, 10.73% experienced mild dental fluorosis, 9.58% suffered moderate dental fluorosis, and 3.02% encountered severe dental fluorosis. The overall community fluorosis index was 0.73. The results of logistic regression showed that schoolchildren who brushed teeth more frequently (OR: 2.012, 95% CI 1.767-2.342), deficiency of parental supervision (OR: 4.219, 95% CI 3.887-4.573), and lived in rural areas (OR: 2.776, 95% CI 2.163-3.489) were more correlated with enamel fluorosis. Moreover, schoolchildren whose mothers or fathers were of high education level (OR: 0.336, 95% CI 0.217-0.413 and 0.346, 95% CI 0.113-0.512) and only child (OR: 0.378, 95% CI 0.213-0.415) were protective factors for dental fluorosis.In the Jilin province of China, the risk indicators for dental fluorosis include rural areas, more frequency of brushing, low educational background of parents, and deficiency of parental supervision.
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Huang Z, Su M, Wang Q, Li W, Jiang H. Dental caries and associated factors among Chinese children and adolescents: A protocol for systematic review and meta-analysis. Medicine (Baltimore) 2021; 100:e25829. [PMID: 33950992 PMCID: PMC8104302 DOI: 10.1097/md.0000000000025829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Accepted: 04/16/2021] [Indexed: 01/04/2023] Open
Abstract
BACKGROUND Dental caries is a common disease under the action of many factors. Dental caries may occur in all age groups, among which children and adolescents are at high risk of dental caries. Early identification of the risk factors of dental caries is very important for clinical staff to prevent and intervene as soon as possible and reduce the incidence of dental caries. Although Chinese scholars have studied and summarized the risk factors of dental caries in children and adolescents, the conclusions are different. Therefore, in this study, meta-analysis was used to summarize the risk factors of dental caries in Chinese children and adolescents, and to explore the characteristics of high-risk groups of dental caries, so as to provide reference for early detection and prevention of dental caries. METHODS Medical specialty databases like PubMed, Embase, Cochrane Library, Web of Science, China Biology Medicine Database, China National Knowledge Infrastructure, China Science and Technology Journal Database, and Wanfang Database were consistently and exhaustively searched. According to the method of evidence-based medicine, the inclusion and exclusion criteria were established, and the meta-analysis of all eligible research results was carried out by using Review Manager 5.3 software. RESULTS We will disseminate the findings of this systematic review and meta-analysis via publications in peer-reviewed journals. CONCLUSIONS Our study was carried out to estimate the pooled prevalence of dental caries and its associated factors among Chinese children and adolescents. OSF REGISTRATION NUMBER DOI 10.17605/OSF.IO/RA9D6.
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Affiliation(s)
| | | | - Qiaojing Wang
- Xiamen Haicang Hospital, Xiamen, Fujian province, China
| | - Wenjie Li
- Xiamen University Zhongshan Hospital
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Wan S, Tao L, Liu M, Liu J. Prevalence of toothache in Chinese adults aged 65 years and above. Community Dent Oral Epidemiol 2021; 49:522-532. [PMID: 33829523 DOI: 10.1111/cdoe.12640] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2020] [Revised: 02/01/2021] [Accepted: 03/08/2021] [Indexed: 01/21/2023]
Abstract
OBJECTIVES To investigate the prevalence of toothache and its risk indicators in the older Chinese population. METHODS National cross-sectional survey data on 25 048 Chinese people ≥65 years in 2011, 2014 and 2018 survey year were analysed and then pooled. Chi-square test was used to examine the differences in prevalence among specific subgroups. Multivariate modified Poisson regression analyses with robust error variances were used to detect related factors and prevalence ratios (PR) were calculated. RESULTS The prevalence of toothache was 16.3% (95% CI: 15.5%-17.1%), 12.8% (95% CI: 12.0%-13.7%) and 16.0% (95% CI: 15.3%-16.7%) in years 2011, 2014 and 2018. In the pooled multivariate Poisson regression model, factors associated with toothache were female (PR: 1.27, 95% CI: 1.18-1.37), younger age (PR: 1.84, 95% CI: 1.63-2.09), currently married and living with spouse (PR: 1.08, 95% CI: 1.01-1.15), current living in urban area (PR:1.12, 95% CI: 1.06-1.20), enough financial support (PR: 0.69, 95% CI: 0.65-0.74), having chronic disease (PR: 1.46, 95% CI: 1.35, 1.57), higher sugar intake (PR: 1.10, 95% CI: 1.03-1.17), salty flavour (PR:1.15, 95% CI: 1.07-1.23), smoking (PR: 1.14, 95% CI:1.06-1.23) or drinking (PR: 1.17, 95% CI: 1.09-1.25), with denture (PR: 1.15, 95% CI: 1.08-1.22) and higher toothbrushing frequency (PR: 1.25-1.50). CONCLUSIONS More than one in ten older Chinese population had toothache, and it was related to age, gender, socioeconomic status, behaviour and oral health status. Lifestyle interventions should be taken to avoid the occurrence of the toothache.
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Affiliation(s)
- Shiyu Wan
- Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, China
| | - Liyuan Tao
- Research Center of Clinical Epidemiology, Peking University Third Hospital, Beijing, China
| | - Min Liu
- Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, China
| | - Jue Liu
- Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, China
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Zhang JL, Yao J, Ren QC, Xu YH. Analysis of dental caries and the impact factors of caries in children aged 3-5 years old in Changdu, Xizang. HUA XI KOU QIANG YI XUE ZA ZHI = HUAXI KOUQIANG YIXUE ZAZHI = WEST CHINA JOURNAL OF STOMATOLOGY 2021; 39:53-57. [PMID: 33723937 DOI: 10.7518/hxkq.2021.01.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
OBJECTIVES To investigate caries status and its impact factors in preschool children in plateau and to provide reference for caries prevention in highlands. METHODS Examination of caries was performed on 1 597 children aged 3-5 years old in 11 kindergartens in Changdu, Xizang, in accordance with the 4th National Oral Health Survey standards and methods. Their parents were surveyed with the questionnaire regarding oral hygiene habit and consciousness about oral health and related factors. All the data were collected and analyzed. RESULTS The prevalence of caries among children aged 3-5 years old in Changdu was 52.85%, with dmft index of 2.44. The caries rate and dmft of children aged 3 years old were lower than those of children aged 4 and 5 years old (P<0.05). No significant difference was observed in the caries rate between males and females (P>0.05). Single-factor analysis showed that the frequency of brushing teeth more than twice a day, low frequency of eating sweets, high frequency of drinking butter tea, and regular oral examination can reduce the rate of caries (P<0.05). Multivariate logistic analysis showed that the frequency of eating sweets, drinking butter tea, and oral examination are related impact factors of caries. CONCLUSIONS The prevalence of ca-ries in children aged 3-5 years old in Changdu increases with aging. Good oral hygiene and eating habits and regular oral examination can reduce the rate of caries.
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Affiliation(s)
- Jia-Li Zhang
- Fujian Key Laboratory of Oral Diseases, Fujian Provincial Engineering Research Center of Oral Biomaterial, Stomatological Key Laboratory of Fujian College and University, Dept. of Pediatric Dentistry, Hospital of Stomatology, Fujian Medical University, Fuzhou 350001, China
| | - Jun Yao
- Fujian Key Laboratory of Oral Diseases, Fujian Provincial Engineering Research Center of Oral Biomaterial, Stomatological Key Laboratory of Fujian College and University, Dept. of Pediatric Dentistry, Hospital of Stomatology, Fujian Medical University, Fuzhou 350001, China
| | - Qing-Cuomu Ren
- Dept. of Stomatology, Changdu Women and Children Health Care Hospital, Changdu 854000, China
| | - Yuan-Hong Xu
- Dept. of Stomatology, Changdu Women and Children Health Care Hospital, Changdu 854000, China
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Free Sugars Intake among Chinese Adolescents and Its Association with Dental Caries: A Cross-Sectional Study. Nutrients 2021; 13:nu13030765. [PMID: 33652968 PMCID: PMC7996778 DOI: 10.3390/nu13030765] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2021] [Revised: 02/22/2021] [Accepted: 02/23/2021] [Indexed: 02/07/2023] Open
Abstract
This study aims to estimate the free sugars intake, identify the primary food sources of free sugars, and explore the relationship between free sugars intake and dental caries among Chinese adolescents. This cross-sectional study included 1517 middle-school students aged 12–14 years in Changsha city, China. Adolescents completed a 12-item Food Frequency Questionnaire (FFQ) and oral health assessment. The students’ dental caries experience was available as DMFT score (number of decayed, missing, and filled permanent teeth). Statistical analyses included the Mann–Whitney test, Kruskal–Wallis test, Chi-square test, and binary logistic regression model. The average intake of free sugars was 53.1 g/d in adolescents, and 43.2% of the students consumed more than 50 g of free sugars daily. The primary contributor to free sugars was sugar-sweetened beverages (SSBs). Age, boarders, and high family income were risk factors for excessive free sugars intake (p < 0.05), and increased free sugars intake was a risk factor for dental caries (odds ratio, OR = 1.446, 95% confidence interval: 1.138–1.839). Both the free sugars intake and dental caries prevalence in Chinese adolescents were high. Targeted interventions are urgently needed to address the excessive consumption of free sugars and improve Chinese adolescents’ oral health.
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Tay K, Beh CLJ, Babar MG, Kweh TJ, Priya E, Pau A. Racial variations in tooth pain and care-seeking in adolescents in Malaysia. BDJ Open 2021; 7:2. [PMID: 33469006 PMCID: PMC7815706 DOI: 10.1038/s41405-021-00058-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2020] [Revised: 11/06/2020] [Accepted: 11/15/2020] [Indexed: 01/17/2023] Open
Abstract
Objective Tooth pain among adolescents is a common event that impacts substantially on quality of life. The purpose of this paper is to explore the role of race in the tooth pain experience and associated care-seeking. Design A cross-sectional questionnaire survey was conducted on 14–18 years from four different public schools in Kuala Lumpur. Socio-demographic, pain symptoms, and social impacts data were collected as well as medication use and visiting a dentist for tooth pain. Results Of 1473 questionnaires distributed, 1452 (98.6%) completed questionnaires were returned, with 269 (18.5%) reported having experienced tooth pain in the past 1 month. Those who identified as Indian (26.1%) were more likely to report tooth pain compared to Chinese (16.5%) and Malay (20.9%). In regression analysis, no factors were identified as independently associated with medication use, but Chinese and Indians compared to Malays, and those expressing difficulty sleeping were more likely to report visiting a dentist for treatment. Conclusion Racial variations in the tooth pain experience and care-seeking have been identified. This may be related to socio-economic status, but further research is needed on the role of culture-related care-seeking and accessibility of dental services.
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Affiliation(s)
- Kangjie Tay
- School of Dentistry, International Medical University, Kuala Lumpur, Malaysia
| | | | - Muneer Gohar Babar
- School of Dentistry, International Medical University, Kuala Lumpur, Malaysia
| | - Ting Jing Kweh
- School of Dentistry, International Medical University, Kuala Lumpur, Malaysia.
| | - Ekta Priya
- School of Dentistry, International Medical University, Kuala Lumpur, Malaysia
| | - Allan Pau
- School of Dentistry, International Medical University, Kuala Lumpur, Malaysia
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Pentapati KC, Yeturu SK, Siddiq H. Global and regional estimates of dental pain among children and adolescents-systematic review and meta-analysis. Eur Arch Paediatr Dent 2021; 22:1-12. [PMID: 32557184 PMCID: PMC7943429 DOI: 10.1007/s40368-020-00545-7] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2020] [Accepted: 06/07/2020] [Indexed: 01/13/2023]
Abstract
AIM We aimed to evaluate the pooled prevalence of dental pain amongst children and adolescents. METHODS Studies conducted in children and adolescents up to18 years of age and where prevalence of dental is reported or calculated were included. Search was performed in four major databases from inception to June 1st, 2019. Prevalence estimate at the maximal recall for the dental pain for the individual study was used to calculate the overall pooled estimate. RESULTS The prevalence of dental pain ranged from 1.33 to 87.8% in the included publications for quantitative synthesis (n = 97). More than half of the publications reported the lifetime prevalence of dental pain (n = 51) while few studies reported the current prevalence of dental pain (n = 3) and only one study evaluated the dental pain in the past one week. Heterogeneity was high among the included publications (Q = 49,063.12; P < 0.001; df = 96 and I2 = 99.8; P < 0.001). Overall pooled prevalence of dental pain was 32.7 (CI = 29.6-35.9). No difference was seen with respect to the trends in prevalence of dental pain (Coefficient: 0.005; 95% CI - 0.001-0.011; P-value: 0.101). CONCLUSION Two out of ten children below five years, four out of ten children between 6 and 12 years and three out of ten adolescents between 13 and 18 years would have experienced pain in the past. Overall, three out of ten children or adolescents might have experienced dental pain in the past. There was no difference in the pain prevalence between male and females. Studies from Africa reported highest pooled prevalence (50.1%) with least being from Australia (20.7%). Studies from India (40.4%), China (41.3%) and Iran (42.6%) reported high pooled prevalence estimates of dental pain.
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Affiliation(s)
- Kalyana Chakravarthy Pentapati
- Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, 576104, Karnataka, India.
| | - Sravan Kumar Yeturu
- grid.411370.00000 0000 9081 2061Department of Public Health Dentistry, Amrita School of Dentistry, Amrita Viswavidya Peetham, Kochi, India
| | - Hanan Siddiq
- grid.411639.80000 0001 0571 5193Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, 576104 Karnataka India
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Trends in the Burden of Untreated Caries of Permanent Teeth in China, 1993-2017: An Age-Period-Cohort Modeling Study. Am J Prev Med 2020; 59:896-903. [PMID: 33153836 DOI: 10.1016/j.amepre.2020.06.012] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/09/2020] [Revised: 06/03/2020] [Accepted: 06/05/2020] [Indexed: 11/23/2022]
Abstract
INTRODUCTION This study aims to identify the trends in incidence and prevalence of untreated caries in permanent teeth in China during 1993-2017. METHODS Data representing >31 billion person-years of observation from the Global Burden of Disease study 2017 were analyzed. Age-period-cohort modeling was performed to investigate the trends in untreated caries that may be of value to policymakers. Analyses were conducted in 2019-2020. RESULTS Prevalence of untreated caries in permanent teeth decreased steadily before 2010; after which, an increasing trend was noted without the signs of plateauing (age-adjusted annual percentage change, 1993-2017: -0.54%, 95% CI= -0.75%, -0.33%; declining period RR, 1993-2017: p=6.33 × 10-9; declining cohort RR, 1993-2017: p=3.46 × 10-6). Although untreated caries prevalence declined overall among multiple age groups (p<0.05), an increase in prevalence after 2010 was noted. This was driven by the deteriorating oral health condition in recent birth cohorts aged <25 years. Estimates of the longitudinal age trend (incidence: -0.013, 95% CI= -0.015, -0.011; prevalence: -0.0038, 95% CI= -0.0060, -0.0015) suggested that the highest untreated caries incidence and prevalence rate were both observed among young adults aged 20-24 years. No differences between incidence and prevalence of untreated caries were observed among adults aged >55 years (p>0.05). CONCLUSIONS The increased burden of untreated caries in China after 2010 is driven by those aged <25 years. Untreated caries data from the Global Burden of Disease study are a valid complement to the data from the Chinese National Oral Health Epidemiology Surveys.
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Corrêa LLG, Sousa MDLRD, Frias AC, Antunes JLF. Factors associated with dental caries in adolescents: a cross-sectional study, São Paulo State, Brazil, 2015. ACTA ACUST UNITED AC 2020; 29:e2019523. [PMID: 33027427 DOI: 10.1590/s1679-49742020000500007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2020] [Accepted: 06/10/2020] [Indexed: 11/22/2022]
Abstract
OBJECTIVE To analyze association between prevalence and severity of dental caries and demographic, socioeconomic, behavioral and oral health status in adolescents. METHODS This was a cross-sectional study with secondary data on 5,558 adolescents examined in the São Paulo State Oral Health Survey in 2015. The zero-inflated negative binomial regression model was used, considering sample weights. Prevalence ratios (PR), ratios of mean (RM) and confidence intervals (CI) were estimated. RESULTS Caries prevalence was 71.7%, and was higher in females (PR=1.09 - 95%CI 1.04;1.15), associated with being behind at school (PR=1.11 - 95%CI 1.03;1.18), dental calculus (PR=1.10 - 95%CI 1.01;1.20) and no access to fluoridated water (PR=1.21 - 95%CI 1.01;1.45). CONCLUSION Identification of factors associated with dental caries can instruct the programming of health services aimed at controlling the disease.
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Affiliation(s)
| | | | - Antônio Carlos Frias
- Universidade de São Paulo, Faculdade de Odontologia, Social, São Paulo, SP, Brasil
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Correlation of Caries Prevalence, Oral Health Behavior and Sweets Nutritional Habits among 10 to 19-Year-Old Cluj-Napoca Romanian Adolescents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17186923. [PMID: 32971957 PMCID: PMC7558728 DOI: 10.3390/ijerph17186923] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/11/2020] [Revised: 09/15/2020] [Accepted: 09/16/2020] [Indexed: 12/19/2022]
Abstract
Background and objectives: The primary oral disease during adolescence is dental caries. Less is known about the caries prevalence, oral health behavior, and sweets nutritional habits in Romanian adolescents. The objective of this study was to assess the actual caries prevalence among Romanian adolescents in a representative area of Romania, Cluj, and to correlate with oral hygiene behaviors and dietary sugary foods intake. Materials and methods: We have done a cross-sectional study of 650 adolescents aged 10 to 19-years-old (average age 15.3 ± 2.8). We performed the oral dental examination according to the WHO methodology, calculated the number of decayed, missing (due to caries), and filled teeth (DMFT index), assessed the oral hygiene and dietary behaviors using a two-section valid questionnaire and statistically analyzed the interrelation between DMFT, oral hygiene and eating behaviors by multivariate statistical analysis. Results: (a) The caries prevalence in the adolescent population enrolled in the study was 95.5%; (b) the mean DMFT was 3.13 ± 2.0, without significant differences between the urban and rural adolescents (p = 0.253); lower in females than males (p < 0.050), (c) more than one third (33.7%, n = 219) of teenagers are seldom or never brush their teeth in the evening; (c) 40.6% of adolescents are missing the regular annual dental check-ups leading to an increased DMFT as shown in the multivariate analysis (p = 0.038); and (d) there is an increased prevalence of caries with age (p = 0.020), and with sugary sweetened beverages consumption (p = 0.028). Conclusions: Our study evidenced a persistent high caries prevalence in Romanian teenagers. Their dietary habits and irregular dental check-up were associated with the occurrence of dental conditions.
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Wang C, Wang Y, Zhang G, Chen Y, Han X, Liang L, Xu Y, Xu L. Preparation of a Novel Transplant Material, Zirconium Oxide (ZrO₂) Nanotubes, and Characterizations Research. Ann Transplant 2020; 25:e924272. [PMID: 32647105 PMCID: PMC7375031 DOI: 10.12659/aot.924272] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
Background Zirconia is one of the most widely used ceramic materials for transplanting and treating caries. This study aimed to synthesize zirconium oxide (ZrO2) nanotubes and evaluated their characteristics. Material/Methods Zr film was prepared using an ion plating method. Nanoarray film was constructed with anodizing. Photocatalytic properties of nnanotubes were assessed by evaluating decolorization of methyl orange. Elemental analysis and structural morphology for coatings were evaluated using x-ray analysis and scanning electron microscopy (SEM). Dimensions for layers were measured with SEM imaging. X-ray diffraction (XRD) was measured using Empyrean x-ray diffractometry. Results There were irregular cavities on the surface of ZrO2 nanotubes undergoing anodizing of 30V. Anodizing voltage of 45 V (with regular nano-pore arrays and smooth nanotube walls) and anodic oxidation duration of 60 min (ZrO2 nanotubes clearly formed atop ZrO2-coated substrate surface) were the optimal condition for ZrO2 nanotube formation. TEM illustrated tube length of ZrO2 nanotubes was approximately 2.01 μm. Nanotube diameter was 51.06 nm, and wall thickness was 13 to 14 nm. Annealed nanotubes showed an obvious crystal diffraction pattern. TEM diffraction ring showed nanotube array without obvious transistor structure before annealing, but with good crystallinity post-annealing. Increased annealing temperatures result in enhanced intensity for the monoclinic phase (400–800°C). After annealing at 600°C, the decolorization effect of ZrO2 nanotubes on methyl orange was better than that post-annealing at 400 and 800°C. ZrO2 nanotubes demonstrated higher microshear bond strength. Conclusions Zirconium nanotubes were successfully synthesized and demonstrated good structural characteristics, which can be applied to transplanting and treating caries.
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Affiliation(s)
- Chen Wang
- Department of Stomatology, Eighth Medical Center, General Hospital of Chinese People's Liberation Army (PLA), Beijing, China (mainland)
| | - Yuchen Wang
- Department of Orthodontics, First Medical Center, General Hospital of Chinese People's Liberation Army (PLA), Beijing, China (mainland)
| | - Gengmin Zhang
- Key Laboratory for the Physics and Chemistry of Nanodevices and Department of Electronics, Peking University, Beijing, China (mainland)
| | - Yanhui Chen
- Key Laboratory for the Physics and Chemistry of Nanodevices and Department of Electronics, Peking University, Beijing, China (mainland)
| | - Xue Han
- Department of Stomatology, Eighth Medical Center, General Hospital of Chinese People's Liberation Army (PLA), Beijing, China (mainland)
| | - Li Liang
- Department of Stomatology, Eighth Medical Center, General Hospital of Chinese People's Liberation Army (PLA), Beijing, China (mainland)
| | - Yiquan Xu
- Department of Stomatology, Eighth Medical Center, General Hospital of Chinese People's Liberation Army (PLA), Beijing, China (mainland)
| | - Lulu Xu
- Department of Orthodontics, First Medical Center, General Hospital of Chinese People's Liberation Army (PLA), Beijing, China (mainland)
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Abstract
An effective prevention policy for dental caries is absent in Jilin, China because of outdated and insufficient data. Therefore, this study aimed to investigate dental caries status and related risk indicators among 12-year-old students in Jilin Province.We conducted a cross-sectional investigation among 2324 children aged 12 years from 9 regions of Jilin in 2017. Caries was evaluated with the decayed-missing-filled teeth index and the significant caries index. The rate of pit and fissure closure, education level of patients, brushing habits, and sugar consumption were evaluated in a structured questionnaire. The associated risk indicators of caries were also assessed through logistic regression analysis.The prevalence of dental caries is 56.11%, and the value of decayed-missing-filled teeth was 1.53. More dental caries was found in students living in high-fluorine areas (P < .01). The results of logistic regression analysis show that females, poor self-assessment of oral health, toothache experience, dental visits, and education levels of parents are risk indicators for caries (P < .01).Regarding the current status of DC among 12-year-old students in Jilin Province, (1) The high-fluorine areas have lower DC prevalence than the non-high fluorine areas, (2) Female students have higher DC prevalence than male students, (3) Poor self-assessment of dental health, toothache experience, dental visits, and low education levels of parents can increase the risk of dental caries.
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Stojković B, Igić M, Jevtović Stoimenov T, Tričković Janjić O, Ignjatović A, Kostić M, Petrović M, Stojanović S. Can Salivary Biomarkers Be Used as Predictors of Dental Caries in Young Adolescents? Med Sci Monit 2020; 26:e923471. [PMID: 32518218 PMCID: PMC7301671 DOI: 10.12659/msm.923471] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
Background Identifying caries predictors in the subpopulation at risk is one of the preconditions for developing effective caries prevention measures. The present exploratory study aimed to examine the significance of socio-demographic characteristics, dietary-hygiene habits, salivary pH, and salivary antimicrobial HNP-1, hBD-2, and LL-37 peptides as potential caries risk predictors in children ages 11–13 years. Material/Methods This prospective 1-year study enrolled 213 children ages 11–13 years. The subjects underwent a dental examination and their mothers were interviewed. Unstimulated saliva was collected from the subjects to determine its pH value, as well as the salivary levels of HNP-1, hBD-2, and LL-37 peptides in 85 of the subjects. After 12 months, the 1-year caries incidence rate was recorded. Logistic regression analysis was used to estimate the ability of selected variables to predict caries risk. Results The univariable logistic regression analysis determined that the most significant independent caries risk predictors were: sex (female) (OR=2.132, p=0.007), mothers’ education (OR=1.986, p=0.020), salivary pH (OR=0.270, p=0.043), oral hygiene index (OR=1.886, p=0.015), and daily tooth brushing frequency (OR=0.565, p=0.042). The multivariable model showed that sex and oral hygiene-related variables were the most important caries predictors. Conclusions Salivary HNP-1, hBD-2, and LL-37 peptides were not found to have a significant predictive value. Therefore, socio-demographic and oral hygiene variables remain important caries predictors in early adolescents, suggesting the importance of the mechanical control of biofilm as the key measure for preventing caries. However, there is still a need for effective caries risk biomarkers, and additional research is needed in this area of caries risk prediction.
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Affiliation(s)
| | - Marija Igić
- Department of Dentistry, Medical Faculty Niš, University of Niš, Niš, Serbia
| | | | | | - Aleksandra Ignjatović
- Department of Medical Statistics and Informatics, Medical Faculty Niš, University of Niš, Niš, Serbia
| | - Miloš Kostić
- Department of Immunology, Medical Faculty Niš, University of Niš, Niš, Serbia
| | - Milica Petrović
- Department of Dentistry, Medical Faculty Niš, University of Niš, Niš, Serbia
| | - Simona Stojanović
- Department of Dentistry, Medical Faculty Niš, University of Niš, Niš, Serbia
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Tang SD, Zhang YX, Chen LM, Wang YY, Cheng Y, Tang LQ. Influence of life-style factors, including second-hand smoke, on dental caries among 3-year-old children in Wuxi, China. J Paediatr Child Health 2020; 56:231-236. [PMID: 31408250 DOI: 10.1111/jpc.14566] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/09/2019] [Revised: 05/22/2019] [Accepted: 06/29/2019] [Indexed: 11/29/2022]
Abstract
AIM To examine the association of life-style factors, including second-hand smoke, with dental caries among 3-year-old children in Wuxi, China. METHODS A multi-stage stratified random cluster sampling method was used, and 283 children were recruited. The prevalence of dental caries was 29.3% (83/283). RESULTS Univariate analysis indicated that the possible related factors of dental caries included sleep duration, interest in snacks, candy, exposure to second-hand smoke and weight of birth (all P < 0.05). Meanwhile, multivariate logistic regression analysis suggested that children who had used fluoride were less susceptible to dental caries than those who had not used fluoride before (P < 0.05). Moreover, the risk of dental caries in children who were very interested in snacks was greater than those with little interest in snacks (P < 0.05). CONCLUSIONS Life-style behaviours are crucial factors and should attract enough attention. There might be a potential negative effect of second-hand smoke on the deciduous caries, but it still requires further studies. A co-ordinated effort by health-care providers, policymakers and health institutions has successfully improved children's oral health and the awareness of hygiene knowledge among citizens in Wuxi city.
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Affiliation(s)
- Shai-Di Tang
- Department of Public Health and Preventive Medicine, Wuxi School of Medicine, Jiangnan University, Wuxi, China
| | - Yan-Xiao Zhang
- Department of Orthodontics, Wuxi Stomatology Hospital, Wuxi, China
| | - Li-Mei Chen
- Department of Public Health and Preventive Medicine, Wuxi School of Medicine, Jiangnan University, Wuxi, China
| | - Yue-Yan Wang
- Department of Endodontics, Wuxi Stomatology Hospital, Wuxi, China
| | - Yang Cheng
- Department of Public Health and Preventive Medicine, Wuxi School of Medicine, Jiangnan University, Wuxi, China
| | - Li-Qin Tang
- Department of Prosthodontics, Wuxi Stomatology Hospital, Wuxi, China
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Ortiz AS, Tomazoni F, Knorst JK, Ardenghi TM. Influence of socioeconomic inequalities on levels of dental caries in adolescents: A cohort study. Int J Paediatr Dent 2020; 30:42-49. [PMID: 31454454 DOI: 10.1111/ipd.12572] [Citation(s) in RCA: 25] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/24/2019] [Revised: 08/18/2019] [Accepted: 08/22/2019] [Indexed: 11/30/2022]
Abstract
BACKGROUND Socioeconomic factors at both contextual and individual levels influence health. AIM Evaluate the influence of socioeconomic inequalities on the incidence of dental caries in adolescents. DESIGN This cohort study was conducted with a multistage random sample of 1134 12-year-old adolescents from Southern Brazil. The experience of dental caries was assessed according to the decayed, missed, or filled surfaces (DMF-S) index. The Basic Education Development Index (IDEB) was collected during baseline as a school-level variable. Individual variables included demographic, socioeconomic, behavior-related, and oral health measures. Multilevel Poisson regression analysis through a hierarchical approach was used to explore the influence of exploratory variables on the mean of decayed surfaces. RESULTS 770 14-year-old adolescents were reevaluated (follow-up rate of 68%) after 2 years. Examiner's Kappa values for the assessment of dental caries ranged from 0.81 to 0.90. Adolescents with low household income and lower school's IDEB had higher mean of decayed surfaces. Non-white adolescents, lower frequency of dental attendance, parents' poor perception of child's oral health, and dental plaque were also associated with the incidence of dental caries. CONCLUSION Adolescents from a lower socioeconomic background and poor school context had higher levels of dental caries over time.
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Affiliation(s)
- Adriana Santos Ortiz
- Post Graduate Program in Dental Science, Federal University of Santa Maria, Santa Maria, Brazil
| | - Fernanda Tomazoni
- Post Graduate Program in Dental Science, Federal University of Santa Maria, Santa Maria, Brazil
| | - Jessica Klöckner Knorst
- Post Graduate Program in Dental Science, Federal University of Santa Maria, Santa Maria, Brazil
| | - Thiago Machado Ardenghi
- Post Graduate Program in Dental Science, Federal University of Santa Maria, Santa Maria, Brazil
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Wang K, Pang L, Fan C, Cui T, Yu L, Lin H. Enamel and Dentin Caries Risk Factors of Adolescents in the Context of the International Caries Detection and Assessment System (ICDAS): A Longitudinal Study. Front Pediatr 2020; 8:419. [PMID: 32850535 PMCID: PMC7399199 DOI: 10.3389/fped.2020.00419] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/17/2020] [Accepted: 06/18/2020] [Indexed: 12/11/2022] Open
Abstract
Objective: The objective of this study was to identify risk factors for enamel and dentin caries in adolescents. Method: This 1-year longitudinal study was conducted in 2018 and 2019; 13- to 14-year-old adolescents were recruited. The merged International Caries Detection and Assessment System (ICDAS) was used to identify caries. The relationships between the caries increment and variables were analyzed with a zero-inflated negative binomial (ZINB) regression model. Results: A total of 1,016 participants completed the assessment. The ZINB analysis found that individuals with caries at baseline were more likely to develop new dentin caries. Females, or individuals who had a high cariostat score had an increased likelihood of having a high ΔD4-6MFT score. Among the caries-free adolescents at baseline, females, or individuals who consumed snacks once or more than once a day were more likely to develop caries. Individuals from one-child families, who used fluoride toothpaste, and who had a high saliva buffering capability (pH≥4.25) had an increased likelihood of a low ΔD1-6MFT score. Conclusion: The results suggest that there are some specific risk factors of initiating of enamel caries in adolescents, including the frequency of snack consumption, sex, saliva buffering capability, fluoride toothpaste usage and belonging to a one-child family. In all adolescents, most of whom have enamel caries, the dentin caries risk factors were past caries experience, cariostat score and sex.
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Affiliation(s)
- Ketian Wang
- Department of Preventive Dentistry, Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangzhou, China.,Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-sen University, Guangzhou, China
| | - Liangyue Pang
- Department of Preventive Dentistry, Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangzhou, China.,Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-sen University, Guangzhou, China
| | - Cancan Fan
- Department of Preventive Dentistry, Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangzhou, China.,Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-sen University, Guangzhou, China
| | - Tianqiang Cui
- Foshan Stomatology Hospital, Foshan, School of Stomatology and Medicine, Foshan University, Foshan, China
| | - Lixia Yu
- Department of Preventive Dentistry, Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangzhou, China.,Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-sen University, Guangzhou, China
| | - Huancai Lin
- Department of Preventive Dentistry, Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangzhou, China.,Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-sen University, Guangzhou, China
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Inquimbert C, Bourgeois D, Bravo M, Viennot S, Tramini P, Llodra JC, Molinari N, Dussart C, Giraudeau N, Carrouel F. The Oral Bacterial Microbiome of Interdental Surfaces in Adolescents According to Carious Risk. Microorganisms 2019; 7:E319. [PMID: 31491909 PMCID: PMC6780098 DOI: 10.3390/microorganisms7090319] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2019] [Revised: 09/02/2019] [Accepted: 09/04/2019] [Indexed: 12/31/2022] Open
Abstract
Adolescence is closely associated with a high risk of caries. The identification of specific bacteria in an oral microniche, the interdental space of the molars, according to carious risk can facilitate the prediction of future caries and the anticipation of the progression or stabilization of caries in adolescents. A cross-sectional clinical study according to the bacteriological criteria of interdental healthy adolescents and carious risk factors-low and high-using a real-time polymerase chain reaction technique was conducted. The presence of 26 oral pathogens from the interdental microbiota of 50 adolescents aged 15 to 17 years were qualitatively and quantitatively analyzed. Bacteria known to be cariogenic (Bifidobacterium dentium, Lactobacillus spp., Rothia dentocariosa, Streptococcus cristatus, Streptococcus mutans, Streptococcus salivarius, Streptococcus sobrinus, and Streptococcus wiggsiae) did not present differences in abundance according to carious risk. Periodontal bacteria from the red complex are positively correlated with carious risk. However, only 3 bacteria-S. sobrinus, E corrodens and T. forsythia-presented a significant increase in the highest group. Estimating the risk of caries associated with bacterial factors in interdental sites of molars in adolescents contributes to the better definition of carious risk status, periodicity and intensity of diagnostic, prevention and restorative services.
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Affiliation(s)
- Camille Inquimbert
- Laboratory "Systemic Health Care", EA4129, University Lyon 1, University of Lyon, 69008 Lyon, France.
- Department of Public Health, Faculty of Dental Medicine, University of Montpellier, 34090 Montpellier, France.
| | - Denis Bourgeois
- Laboratory "Systemic Health Care", EA4129, University Lyon 1, University of Lyon, 69008 Lyon, France.
| | - Manuel Bravo
- Department of Preventive and Community Dentistry, Faculty of Odontology, University of Granada, 18010 Granada, Spain.
| | - Stéphane Viennot
- Laboratory "Systemic Health Care", EA4129, University Lyon 1, University of Lyon, 69008 Lyon, France.
| | - Paul Tramini
- Department of Public Health, Faculty of Dental Medicine, University of Montpellier, 34090 Montpellier, France.
| | - Juan Carlos Llodra
- Department of Preventive and Community Dentistry, Faculty of Odontology, University of Granada, 18010 Granada, Spain.
| | - Nicolas Molinari
- Service DIM, CHU de Montpellier, UMR 5149 IMAG, University of Montpellier, 34090 Montpellier, France.
| | - Claude Dussart
- Laboratory "Systemic Health Care", EA4129, University Lyon 1, University of Lyon, 69008 Lyon, France.
| | - Nicolas Giraudeau
- Department of Public Health, Faculty of Dental Medicine, University of Montpellier, 34090 Montpellier, France.
| | - Florence Carrouel
- Laboratory "Systemic Health Care", EA4129, University Lyon 1, University of Lyon, 69008 Lyon, France.
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