Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 11.425
Filtrar
1.
Medicine (Baltimore) ; 99(7): e19092, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-32049814

RESUMEN

To determine the treatment needs and the care index for dental caries in the primary dentition and permanent dentition of schoolchildren and to quantify the cost of care that would represent the treatment of dental caries in Mexico.A secondary analysis of data from the First National Caries Survey was conducted, which was a cross-sectional study conducted in the 32 states of Mexico. Based on dmft (average number of decayed, extracted, and filled teeth in the primary dentition) and DMFT (average number of decayed, extracted, and filled teeth in permanent dentition) information, a treatment needs index (TNI) and a caries care index (CI) were calculated.At age 6, the TNI for the primary dentition ranged from 81.7% to 99.5% and the CI ranged from 0.5% to 17.6%. In the permanent dentition, the TNI ranged from 58.8% to 100%, and the CI ranged from 0.0% to 41.2%. At age 12, the TNI ranged from 55.4% to 93.4%, and the CI ranged from 6.5% to 43.4%. At age 15, the TNI ranged from 50.4% to 98.4%, and the CI ranged from 1.4% to 48.3%. The total cost of treatment at 6 years of age was estimated to range from a purchasing power parity (PPP) of USD $49.1 to 287.7 million in the primary dentition, and from a PPP of USD $3.7 to 24 million in the permanent dentition. For the treatment of the permanent dentition of 12-year-olds, the PPP ranged from USD $13.3 to 85.4 million. The estimated cost of treatment of the permanent dentition of the 15-year-olds ranged from a PPP of USD $10.9 to 70.3 million. The total estimated cost of caries treatment ranged from a PPP of USD $77.1 to 499.6 million, depending on the type of treatment and provider (public or private).High percentages of TNI for dental caries and low CI values were observed. The estimated costs associated with the treatment for caries have an impact because they represent a considerable percentage of the total health expenditure in Mexico.


Asunto(s)
Caries Dental/epidemiología , Caries Dental/terapia , Adolescente , Niño , Costos y Análisis de Costo , Estudios Transversales , Índice CPO , Caries Dental/economía , Femenino , Humanos , Masculino , México/epidemiología , Prevalencia
2.
West Afr J Med ; 37(1): 13-18, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32030706

RESUMEN

OBJECTIVES: To assess and compare caries prevalence among institutionalized visually impaired and sighted 10dash;19 year old children in Lagos State, Nigeria. METHODS: A cross sectional study of institutionalized visually impaired and sighted 10-19-year-old adolescents was carried out using the World Health Organisation (WHO) Basic Oral Methods caries diagnostic criteria. A random sample of 10-19-year-old visually impaired and sighted institutionalised children was carried out. The mean decayed, missing, filled teeth (dmft/DMFT) and significant caries (SiC) indices of both groups were obtained and compared with Chi-square test using SPSS version 20. RESULTS: Mean age of visually impaired participants was 16 years while that of sighted was 12.5 years. The male to female ratio was 1:1 among the visually impaired participants and 1:1.5 among the sighted. Caries prevalence of 28.8% (64/222), mean dmft/DMFT 1.98±1.25 and 27.5% (63/229), mean dmft/DMFT 1.90±1.28 were obtained for the sighted and visually impaired 10dash;19 years old children respectively. The significant caries (SiC) indices for both groups were 3.3. CONCLUSION: Caries prevalence among the visually impaired and sighted adolescents in this study was considerable with no significant differences between them. Both populations had significant caries experiences. There is therefore need for oral health promotion among both sighted and visually impaired institutionalized adolescents in this environment.


Asunto(s)
Adolescente Institucionalizado , Atención Dental para Personas con Discapacidades/estadística & datos numéricos , Caries Dental/epidemiología , Personas con Daño Visual , Adolescente , Adulto , Ceguera/complicaciones , Niño , Estudios Transversales , Caries Dental/complicaciones , Femenino , Humanos , Masculino , Nigeria/epidemiología , Prevalencia , Adulto Joven
3.
Braz Oral Res ; 34: e010, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32049111

RESUMEN

Relevant public policies in oral health have been implemented in Brazil since 2004. Changes in the epidemiological status of dental caries are expected, mainly in the child population. This study aimed to assess the dental caries experience and associated factors among 12-year-old children in the state of São Paulo, Brazil. A cross-sectional population-based study was conducted with data obtained from 415 cities, including a total of 26,325 schoolchildren who were included by the double-stage cluster technique, by lot and by systematic sampling. The statistical model included data from the São Paulo Oral Health Survey (SBSP 2015), the Human Development Index (HDI) and the Social Vulnerability Index (SVI). A theoretical-conceptual model categorized the variables into three blocks, namely, contextual (HDI, SVI, region of residence and fluoridation of water), individual (sex and ethnicity) and periodontal conditions (gingival bleeding, dental calculus and the presence of periodontal pockets), for association with the experience of caries (DMFT). Statistically significant associations were verified by hierarchical multivariate logistic (L) and Poisson (P) regression analyses (p < 0.05). The results showed that 57.7% of 12-year-old children had caries experience. Factors that determined a greater prevalence of dental caries in both models were nonwhite ethnicity (ORL = 1.113, ORP = 1.154) and the presence of gingival bleeding (ORL = 1.204, ORP = 1.255). Male children (ORL = 0.920 ORP = 0.859) and higher HDI (ORL = 0.022), ORP = 0.040) were associated with a lower prevalence of dental caries experience. Water fluoridation was associated with a lower DMFT index (ORP = 0.766). Dental caries experience is still associated with social inequalities at different levels. Policymakers should direct interventions towards reducing inequalities and the prevalence of dental caries among 12-year-old children.


Asunto(s)
Caries Dental/epidemiología , Brasil/epidemiología , Niño , Estudios Transversales , Índice CPO , Caries Dental/etiología , Femenino , Fluoruración/estadística & datos numéricos , Humanos , Modelos Logísticos , Masculino , Análisis Multivariante , Índice Periodontal , Prevalencia , Factores de Riesgo , Distribución por Sexo , Factores Socioeconómicos , Poblaciones Vulnerables/estadística & datos numéricos
4.
Medicine (Baltimore) ; 99(5): e19061, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-32000455

RESUMEN

To analyze whether a correlation exists between the caries status (Decayed, Missing and Filled Teeth, DMFT Index) of the first permanent molars (FPMs) and that of the full permanent dentition of Mexican adolescents, and to propose its use in large epidemiological studies of dental caries.We conducted a cross-sectional study of 1538 adolescents from 12 to 15 years old. Based on a clinical oral examination, we determined the DMFT Indices of their FPMs (FPM-DMFT) and of their full permanent dentition (comprehensive DMFT Index). We explored each FPM to determine whether it was with or without caries, filled, missing or sealed. For our statistical analysis, we used Fisher exact test and Spearman correlation in Stata software.After examining a total of 6157 FPMs, we found that 56.8% of our sample of adolescents had no caries in their 4 FPMs whereas 4.9% experienced caries in all 4. No significant differences emerged by sex (P > .05); however, by age, the older adolescents experienced greater FPM-DMFT (P < .05). Analysis yielded a correlation of r = 0.8693 between the FPM-DMFT and comprehensive DMFT scores (P < .0001) of participants. The underestimation of caries prevalence (DMFT > 0) was 5.4% (48.6% vs 43.2%), while the DMFT Index was underestimated at 0.34 (1.15 vs 0.81).The strong correlation between the FPM-DMFT and comprehensive DMFT Indices suggests that overall caries status can be inferred on the basis of FPM caries status. This evidence is useful when conducting large epidemiological studies such as national surveys.


Asunto(s)
Caries Dental/epidemiología , Dentición Permanente , Diente Molar , Adolescente , Niño , Estudios Transversales , Índice CPO , Femenino , Humanos , Masculino , México/epidemiología , Prevalencia
5.
Braz Oral Res ; 33: e122, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31939501

RESUMEN

The distribution of harms to health varies spatially determined by the socioeconomic conditions of the environment. This research aimed to assess the spatial distribution of dental caries in 12-year-old children and their correlation with socioeconomic indicators in Brazilian states. The sample of this ecological study comprised all the 26 Brazilian states and the Federal District. Thematic and correlation maps were constructed in order to assess the spatial dependency, as well as the correlation between dental caries and socioeconomic factors. The results showed that the states with the worst DMFT indexes were located in the north and northeast, showing spatial autocorrelation. These regions also had the worst results for the following variables: poverty, illiteracy, education, and income. The bivariate analysis showed that household income and education level had negative spatial correlation with the DMFT index, while illiteracy and poverty rates showed positive correlation. Despite advances in the decline of DMFT index in recent years, there is still an inequity in the distribution of the caries disease.


Asunto(s)
Índice CPO , Caries Dental/epidemiología , Disparidades en el Estado de Salud , Brasil/epidemiología , Niño , Composición Familiar , Femenino , Geografía , Humanos , Masculino , Pobreza , Factores Socioeconómicos
6.
Braz Oral Res ; 33: e124, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31994597

RESUMEN

This study aimed to assess the association of demographic conditions, socioeconomic status, clinical variables, and psychosocial factors with the number of filled teeth in adolescents from public schools. This cohort study comprised 1,134 12-year-old adolescents enrolled in public schools in Santa Maria, Brazil, in 2012. They were followed-up in 2014, where 743 individuals were reassessed (follow-up rate of 65.52%) for the number of filled teeth. Data were collected via dental examinations and structured interviews. Demographic and socioeconomic characteristics were collected from parents or legal guardians. The psychosocial factor comprised students' subjective measurement of happiness (Brazilian version of the Subjective Happiness Scale - SHS). Dental examinations were performed to assess the number of filled teeth through decay, missing, and filled teeth index (DMF-T). Unadjusted and adjusted Poisson regression analyses were performed to assess the association between baseline variables and filled teeth at follow-up. The number of filled teeth in 2012 and 2014 were 193 (17.02%) and 235 (31.63%), respectively. The incidence of filled teeth in 2014 was 42 (5.65%). Adolescents with untreated dental caries, those who visited the dentist in the last 6 months, those that exhibited being happier, and those who had filled teeth at baseline were associated with a higher number of filled teeth at follow-up. We conclude that the number of filled teeth in adolescents was influenced by clinical and psychosocial factors, emphasizing the need to focus on oral health policies in individuals with higher disease burden and those who feel psychologically inferior.


Asunto(s)
Encuestas de Salud Bucal/estadística & datos numéricos , Restauración Dental Permanente/estadística & datos numéricos , Sector Público/estadística & datos numéricos , Instituciones Académicas/estadística & datos numéricos , Estudiantes/estadística & datos numéricos , Adolescente , Brasil/epidemiología , Niño , Estudios de Cohortes , Caries Dental/epidemiología , Caries Dental/terapia , Servicios de Salud Dental/estadística & datos numéricos , Restauración Dental Permanente/psicología , Femenino , Accesibilidad a los Servicios de Salud/estadística & datos numéricos , Humanos , Masculino , Análisis de Regresión , Factores Socioeconómicos , Estudiantes/psicología
7.
Acta Odontol Scand ; 78(1): 6-12, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31267814

RESUMEN

Aim: To describe the distribution of enamel-, dentin-, root- and secondary caries within an elderly population in Northern-Norway.Material and methods: A study population (n = 1 173) was divided into age groups: 65-69 (seniors), 70-74 (young elderly), 75-79 (elderly) and 80-94 (old elderly). Seven examiners registered presence, location and severity of caries lesions on x-rays and intra-oral photos. Severity of approximal, occlusal, secondary and root caries was graded (D1-2: into enamel; D3-5: into dentin, root caries), and decayed missing filled surfaces/teeth (DMFS/DMFT) were calculated. T-test, ANOVA and a Bonferroni correction were used.Results: The seniors had more primary caries (DS1-5) compared to the oldest age groups, while the old elderly had significantly more secondary caries than the other groups (p < .05). Of those ≥65 years 13.8% were affected with root caries, 21% among the oldest. About 48% of the old elderly had one or more surfaces with untreated caries lesions into dentin, while for the other groups the number was 35% (p < 0.05).Conclusion: Individuals seem to maintain good oral health up to at least 80 years of age. Those older than 80 years have more root caries needing more intensified caries-controlling measures and a higher prevalence of untreated dentin lesions often in need of operative treatment.


Asunto(s)
Esmalte Dental , Anciano , Anciano de 80 o más Años , Índice CPO , Caries Dental/epidemiología , Esmalte Dental/patología , Dentina/patología , Femenino , Humanos , Masculino , Noruega/epidemiología , Prevalencia
8.
Clin Oral Investig ; 24(1): 71-77, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31016542

RESUMEN

OBJECTIVES: We investigated factors associated with failure of adhesive restorations in primary teeth and whether repair may increase the survival of failed restorations placed in high-caries risk children. MATERIALS AND METHODS: The sample comprised children who attended a university dental service to perform restorative treatment in primary teeth. Data were collected retrospectively from clinical records to assess the longevity of restorations. The outcomes were calculated in two levels: "Success" (Level 1)-when any re-intervention was considered as failure; "Survival" (Level 2)-when repaired restorations were considered clinically acceptable. The Kaplan-Meier survival test was used to analyze the longevity of restorations. Multivariate Cox regression with shared frailty was used to assess factors associated with failures (p < 0.05). RESULTS: A total of 584 primary teeth restorations (178 patients) were included in the analysis. The longevity of restorations up to 36 months (Level 1) was 34.8% (AFR 29.6%). Multi-surface restorations showed significantly more failures than single-surface ones (HR 1.69; 95% CI 1.18, 2.41), and endodontically treated teeth presented more failures compared to vital teeth (HR 2.22; 95% CI 1.35, 3.65). There was an increase in restoration survival when repair was not considered as failure (p < 0.001). The survival of repaired restorations (Level 2) reached 43.7% (AFR 24.1%). CONCLUSIONS: Adhesive restorations placed in primary teeth of high-caries risk children showed restricted longevity; however, the repair of failed restorations has increased its survival over time. CLINICAL RELEVANCE: Repair is a more conservative and technically simple procedure that increases the survival of failed restorations in primary teeth.


Asunto(s)
Caries Dental/epidemiología , Restauración Dental Permanente , Niño , Resinas Compuestas , Fracaso de la Restauración Dental , Humanos , Estudios Retrospectivos , Diente Primario , Universidades
9.
Support Care Cancer ; 28(1): 65-71, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-30982094

RESUMEN

OBJECTIVE: The aim of the present study was to evaluate oral health-related quality of life (OHRQoL) among breast cancer survivors and identify possible factors associated with the outcome. METHODS: A cross-sectional study was conducted with 151 women in follow-up at a hospital after treatment for breast cancer. Data were collected on socio-demographic characteristics, general health, and breast cancer. Clinical examinations were performed to determine caries experience using the decayed, missing, and filled teeth (DMFT) index. The Oral Health Impact Profile (OHIP-14) questionnaire was administered for the assessment of OHRQoL. Logistic regression analysis was performed to identify associated factors after adjustments for confounding variables. RESULTS: The mean OHIP-14 score was 12.8 (SD 10.92). The prevalence of negative impact was 58.9%. A negative impact was associated with depression, the diagnosis of breast cancer, chemotherapy, number of restored teeth, and xerostomia (p < 0.05). In the adjusted analysis, only the oral variables remained significantly associated with the outcome. CONCLUSION: A greater number of restored teeth and xerostomia exert a negative impact on the OHRQoL of women who have survived breast cancer, which suggests the need for special attention to the oral health of this population.


Asunto(s)
Neoplasias de la Mama/epidemiología , Supervivientes de Cáncer/estadística & datos numéricos , Salud Bucal/estadística & datos numéricos , Calidad de Vida , Adulto , Anciano , Neoplasias de la Mama/complicaciones , Estudios Transversales , Atención Odontológica/normas , Atención Odontológica/estadística & datos numéricos , Caries Dental/epidemiología , Femenino , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Salud Bucal/normas , Prevalencia , Encuestas y Cuestionarios
10.
Georgian Med News ; (295): 42-47, 2019 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-31804197

RESUMEN

The aim of the study was to study the current problems of non-carious dental lesions in residents of Penza, depending on the influence of production factors. In the structure of non-carious lesions, there is a large group of diseases (and injuries) of the hard tissues of the teeth (enamel, dentin, cement), which have their various clinical manifestations, the occurrence and development of which is not directly related to the microbial factor, unlike carious lesions. Such diseases are enamel and dentin hypoplasia, fluorosis, wedge-shaped defect, etc. All these diseases can be manifested by spotting, expressed to varying degrees on permanent and temporary teeth, which sometimes complicates the differential diagnosis with the initial stages and causes a significant aesthetic defect. Thus, the identification and treatment of non-carious lesions in practical dentistry is undoubtedly an urgent task. The team of authors conducted a dental examination of 350 patients from among adult residents of Penza and the Penza region aged from 20 to 60 years of the main professional groups of the region (working at enterprises of heavy and medium machinery, in the timber processing industry, engaged in agriculture). As a result of the study it was revealed that the Penza region is endemic for fluorosis, in connection with which there are high prevalence rates of fluorosis and hypoplasia of teeth. At the same time, respondents working in the machine-building and timber processing industries have a slightly lower prevalence, which is associated with large proportions of the foreign population (persons born and raised in other regions). At the same time, the influence of production factors on the incidence of different types of non-carious dental pathology in respondents working in the machine-building and timber processing industries of the Penza region was established. This mainly concerned non-carious diseases that occur after teething-pathological abrasion of teeth, wedge-shaped defect, multiple cracks of enamel.


Asunto(s)
Caries Dental , Hipoplasia del Esmalte Dental , Fluorosis Dental , Diente , Adulto , Caries Dental/epidemiología , Esmalte Dental , Hipoplasia del Esmalte Dental/epidemiología , Dentina , Fluorosis Dental/epidemiología , Georgia (República)/epidemiología , Humanos , Persona de Mediana Edad , Prevalencia , Adulto Joven
11.
Rev Saude Publica ; 53: 105, 2019.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-31826174

RESUMEN

OBJECTIVE: To evaluate the factors associated with tooth loss in adults from the position and number of teeth lost in the dental arches. METHODS: This is a cross-sectional, population-based study with adults participating in the epidemiological survey of oral health of São Paulo in 2015. The outcome of the study was tooth loss, assessed by the proposed classification, namely: I) lost up to 12 back teeth; II) lost up to 12 teeth (including front teeth); and III) lost more than 12 teeth. A four-block analysis was conducted, supported by a conceptual theoretical model adapted for tooth loss. For the multinomial logistic regression, "individuals who did not lose teeth due to caries or periodontal disease" was used as reference (p < 0.05). RESULTS: Of 6,051 adults evaluated, 25.3% (n = 1,530) were classified in category I, 32.7% (n = 1,977) in II, 9.4% (n = 568) in III, and 1.9% (n = 117) were edentulous. Lower income and schooling, the perception of need for treatment and the last appointment motivated by routine, pain or extraction were associated with tooth loss, regardless of the classification. The negative evaluation of the dental service was associated with individuals who lost up to 12 teeth, both front and back. The presence of women and periodontal pocket were associated with tooth loss of up to 12 teeth, including front, and more than 12 teeth. Caries were associated with adults who lost up to 12 teeth, including front teeth. CONCLUSION: The proposed classification allowed the identification of differences between the associated factors. Thus, the need to consider such classification in future studies is evident.


Asunto(s)
Pérdida de Diente/epidemiología , Adulto , Factores de Edad , Brasil/epidemiología , Estudios Transversales , Caries Dental/epidemiología , Caries Dental/fisiopatología , Femenino , Humanos , Masculino , Salud Bucal , Enfermedades Periodontales/clasificación , Bolsa Periodontal/epidemiología , Bolsa Periodontal/fisiopatología , Factores de Riesgo , Factores Sexuales , Factores Socioeconómicos , Pérdida de Diente/etiología
12.
Rev Fac Cien Med Univ Nac Cordoba ; 76(4): 222-226, 2019 11 27.
Artículo en Español | MEDLINE | ID: mdl-31833745

RESUMEN

Introduction: Asthma is related to caries but the risk factors are not completely determined. Therefore, the objective of the study was to determine the risk of dental caries in pediatric asthmatic patients in inhalation treatment with salbutamol and budesonide who went to the National Hospital Arzobispo Loayza. Methods: Case-control study that consisted of 184 pediatric patients, between 5 and 12 years old, who attended the pneumology and pediatric dentistry service of the National Hospital Arzobispo Loayza during the years 2016-2017. The group of cases (n = 92) was composed of patients with moderate asthma medicated with inhaled salbutamol and budesonide, while the control group (n = 92) was composed of healthy patients. The risk of dental caries was evaluated with the dietary record, oral hygiene index and number of carious lesions. Results: The risk according to the type of cariogenic diet was moderate in both groups (p = 0.768). The oral hygiene index in the control group was regular in 63% (n = 58) and in the case group, bad in 60.9% (n = 56); p=0.001. The number of carious lesions in the control group was moderate in 50% (n = 46) and in the case group, high in 47.8% (n = 44); p = 0.001. Therefore, the risk of dental caries in the case group was high in 50% (n = 46) and in the control group it was moderate in 72.8% (n = 67); p = 0.001. Conclusion: The risk of dental caries in asthmatic patients on inhaled therapy with salbutamol and budesonide is significantly higher than that of healthy patients.


Asunto(s)
Albuterol/efectos adversos , Antiasmáticos/efectos adversos , Asma/tratamiento farmacológico , Budesonida/efectos adversos , Caries Dental/inducido químicamente , Administración por Inhalación , Albuterol/administración & dosificación , Antiasmáticos/administración & dosificación , Budesonida/administración & dosificación , Estudios de Casos y Controles , Niño , Preescolar , Caries Dental/epidemiología , Femenino , Humanos , Incidencia , Masculino , Higiene Bucal , Perú/epidemiología , Proyectos Piloto , Factores de Riesgo
13.
Ann Agric Environ Med ; 26(4): 623-629, 2019 Dec 19.
Artículo en Inglés | MEDLINE | ID: mdl-31885237

RESUMEN

INTRODUCTION: Fluorine is a common element in nature; however, the difference between a beneficial dose and a toxic dose for the organisms is small. The main source of fluoride for humans is water in addition to food. OBJECTIVE: The aim of this study was to estimate the degree of severity of pathological changes, namely, caries or fluorosis, in the mineralized tooth tissue of 15-year-old adolescents with respect to their hygienic and nutritional habits, and the content of fluorine in drinking water, soil and plant products. MATERIAL AND METHODS: 100 adolescents aged 15 from schools in Sosnilka, L'viv region, were examined. The condition of mineralized tooth tissue was evaluated by the caries severity, expressed by the mean number D3MFT, caries frequency and value of the SIC index. Fluorine in plant material and soil were determined according to the PN-G-04543:1982 standard, and water according to the PN-EN ISO 10304 - 1: 2009+ AC: 2012 standard. RESULTS: Severity of caries disease expressed by the D3MFT number in the examined group of 15-year-olds was 3.39; in the group of girls - 3.08, and in the group of boys - 3.76. In the examined group, the average number of teeth with fluorosis was 7.59. Value of the SIC index among the examined population of students (n-31) was 6.26: 5.89 (n-18) for girls and 7.31 (n-13) for boys. Fluorine concentration in the water was 0.78 - 1.25(mg·dm-3). In the soil, it also did not vary across the sampled areas and amounted, on average, to 176 mg·dm-3. The biggest fluorine content noted in the dry mass of beetroots was 3.50 (mg F· kg), and the lowest - 3.34 (mg F· kg). CONCLUSIONS: Close to optimal fluorine content lowers caries severity and frequency of fluorosis. Optimal fluorine content in drinking water and food does not require additional diet supplementation.


Asunto(s)
Caries Dental/epidemiología , Agua Potable/análisis , Flúor/análisis , Fluorosis Dental/epidemiología , Adolescente , Calcificación Fisiológica , Caries Dental/etiología , Caries Dental/metabolismo , Higienistas Dentales , Agua Potable/metabolismo , Femenino , Flúor/efectos adversos , Flúor/metabolismo , Fluorosis Dental/etiología , Fluorosis Dental/metabolismo , Humanos , Masculino , Diente/fisiopatología , Ucrania/epidemiología
14.
Braz Oral Res ; 33: e118, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31859707

RESUMEN

The objective of this study was to investigate the experience of caries related to social capital and associated factors in adults in large-scale population-based study. A Cross-sectional study was performed in 163 municipalities in the State of São Paulo, Brazil (SBSP-2015). 17,560 people were evaluated, of which 6051 were adults aged 35-44 years. Hierarchical logistic regression analysis was proposed. Outcome variables (decayed teeth, missing teeth and DMFT) and independent variables were included in the model, considering the distal (income and schooling); intermediate (social capital) and proximal levels (sex and ethnicity). Results showed that income up to 1,500 reais - US$ 367.6 in 11/11/2019 - (OR = 1.91;1.75-2.08), schooling up to 8 years (OR = 1.32;1.12-1.56) and non-white ethnicity (OR = 1.54;1.35-1.76) were more likely to have decayed teeth. Income up to 1500 reais (OR = 1.29;1.15-1.44), schooling up to 8 years (OR = 2.13;1.90-2.38), low social capital (OR = 1.84;1.65-2.04), medium social capital (OR = 1.15;1.01-1.30) and females were more likely to have lost teeth (OR = 1.13;1.03-1.23). Schooling up to 8 years (OR = 1.51;1.35-1.69), low social capital (OR = 1.25; 1.14-1.37) and female (OR = 1.40,1.19-1.53) were associated with DMFT. It was concluded that sociodemographic factors and low social capital were associated with the experience of caries, which should be taken into account in the formulation of public policies.


Asunto(s)
Caries Dental/epidemiología , Capital Social , Adulto , Brasil/epidemiología , Estudios Transversales , Índice CPO , Femenino , Humanos , Modelos Logísticos , Masculino , Prevalencia , Distribución por Sexo , Factores Socioeconómicos , Encuestas y Cuestionarios
15.
Medicine (Baltimore) ; 98(51): e18463, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31861023

RESUMEN

There is a lack of population-based surveys on oral health in Jilin province. Accordingly, this study aimed to understand the oral health status of 12-year-old children in Jilin province, China, to demonstrate the prevalence of oral health-related diseases, as well as to identify the associated risk factors.From February to April 2017, a cross-sectional investigation was conducted among 2324 children aged 12 years from 63 public schools of 9 regions in Jilin province, China. A questionnaire of World Health Organization (WHO) was conducted to ascertain the potential risk factors associated with oral diseases. The 3 examiners, who received theoretical and clinical training before the investigation, underwent clinical examinations to assess dental caries, dental fluorosis, presence of calculus, and gingival bleeding. Furthermore, the mean decayed-missing-filled tooth (DMFT), the rate of pit and fissure closure, education level of patients, brushing habits, and sugar consumption were also evaluated. All data analyses were conducted using SPSS version 19.0.A total of 2324 twelve-year-old children from 9 regions in Jilin-China were examined from February to April 2017. The prevalence of dental caries, dental fluorosis, calculus, and gingival bleeding reached 40.8%%, 21.8%, 47.93%, and 48.88%, respectively; the mean DMFT was 0.8787. The proportion of DMFT was 83.7% for decayed teeth, 0.2% for missing teeth, and 16.1% for filling teeth. The prevalence of pit and fissure closure was 10%.Educational level of parents was negatively correlated with the prevalence of oral diseases, whereas sugar consumption was positively associated with dental caries prevalent in children. We also found that there was no association between brushing habits and dental caries in children aged 12 years in Jilin Province.


Asunto(s)
Índice CPO , Caries Dental/epidemiología , Fluorosis Dental/epidemiología , Salud Bucal/estadística & datos numéricos , Niño , China/epidemiología , Azúcares de la Dieta , Conocimientos, Actitudes y Práctica en Salud , Humanos
16.
BMC Public Health ; 19(1): 1569, 2019 Nov 27.
Artículo en Inglés | MEDLINE | ID: mdl-31775741

RESUMEN

BACKGROUND: Socio-economic factors are considered as main determinants causing disparities in oral health across different countries. The aim of the present study was to investigate the associations of social and economic factors with dental caries experience among 6- and 12-year-old Iranian children. METHODS: In this cross-sectional study, a total of 31,146 students, aged 6 and 12 years old, were enrolled from all (31) provinces in Iran. Based on the standardized World Health Organization (WHO) criteria for oral health surveys, dental caries indices in primary and permanent teeth were assessed by clinical examination in schools. Data on socio-economic status was obtained from the modified WHO questionnaire and national data bank. The decayed, missing and filled teeth (dmft/DMFT) indices for primary and permanent dentition were compared at the individual and provincial levels using multilevel regression analysis. Poisson regression analysis was used to evaluate the association of social (demographic and behavioral) determinants with dental caries indices among individuals. To assess the causes of difference in dental caries indices across provinces, justifiable economic factors were also analyzed using poisson regression analysis. RESULTS: The mean (SE) of dmft and DMFT were 5.84 (0.05) and 1.84 (0.03), for 6-and 12-year-old children, respectively. The differences of dental caries indices were statistically significant among provinces. Higher level of parental education was negatively related to dental caries indices of both age groups. Rural residency was positively and dental flossing was reversely associated with dmft index of 6-year-old children. Negative associations were found between frequency of tooth brushing and preventive dental utilization with dmft and DMFT indices. Gross Domestic Product (GDP) index had negative and Consumer Price Index (CPI) had positive associations with dmft and DMFT indices in both age groups. However, positive relationships were observed between Gini index with DMFT index among 12-year-old children; as well as between the number of dentists per capita with dmft index among 6-year-old children. CONCLUSION: Socio-demographic and behavioral factors were found to be associated with dental caries experience. However, economic indicators had the greatest importance.


Asunto(s)
Caries Dental/epidemiología , Disparidades en el Estado de Salud , Clase Social , Determinantes Sociales de la Salud , Niño , Estudios Transversales , Femenino , Humanos , Irán/epidemiología , Masculino , Análisis Multinivel , Factores de Riesgo
17.
BMC Oral Health ; 19(1): 258, 2019 11 25.
Artículo en Inglés | MEDLINE | ID: mdl-31766996

RESUMEN

BACKGROUND: Attention deficit hyperactivity disorder (ADHD) is defined as childhood neurobehavioural disorder. Due to short attention span, oral hygiene and dental treatment of such individuals can be challenging. Aim of this study was to evaluate the oral health of children and adolescents with and without ADHD living in residential care in rural Rhineland-Palatinate, Germany. METHODS: Included in the study were 79 participants (male/female:58/21, age 9-15 years) living in residential care: 34 participants with ADHD and 45 participants without ADHD (control). Oral examination included the following parameters decayed, missing, filled teeth in the primary dentition (dmft), decayed, missing, filled surfaces/teeth in the secondary dentition (DMFS/DMFT), approximal plaque index (API), bruxism and orthodontic treatment. Additionally, oral hygiene, last dental visit and treatment performed, and dietary habits were assessed by questionnaire. RESULTS: There were no significant differences in dmft, API, bruxism and oral hygiene habits between groups. However, participants with ADHD tended to have higher DMFS/DMFT values than the control group. Ongoing orthodontic treatment was found more often in the control group. The ADHD group tended to consume acidic/sugary beverages and sweet snacks more often than the controls. Different treatments (control visit/prophylaxis, dental therapy, orthodontic treatment) were performed at the last dental visit in the two groups. CONCLUSIONS: Within the limitations of this study, oral health was similar in children and adolescents with or without ADHD from the same residential care setting. Parents/guardians need instructions for better supervision of oral hygiene and dietary habits to improve the poor oral health of children with or without ADHD.


Asunto(s)
Trastorno por Déficit de Atención con Hiperactividad/complicaciones , Caries Dental/complicaciones , Salud Bucal , Higiene Bucal/estadística & datos numéricos , Adolescente , Trastorno por Déficit de Atención con Hiperactividad/epidemiología , Estudios de Casos y Controles , Niño , Índice CPO , Caries Dental/epidemiología , Índice de Placa Dental , Conducta Alimentaria , Femenino , Alemania/epidemiología , Humanos , Masculino , Instituciones Residenciales , Población Rural , Cepillado Dental/estadística & datos numéricos
18.
Braz Oral Res ; 33: e100, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31664362

RESUMEN

It has been postulated that oral health-related quality of life (OHRQoL) may be affected by the sense of coherence (SOC), but there are no epidemiological studies investigating this association in Brazilian adults. The present study was conducted among adults of a mid-sized Brazilian city, with the aim of looking into this association. The probability sampling consisted of 342 adults aged 35-44 years old, from a mid-sized Brazilian city, who were examined at their homes for caries (Decayed, Missing and Filled Teeth [DMFT] Index) and periodontal disease (Community Periodontal Index - CPI), according to WHO criteria. The questionnaire applied included demographic factors, socioeconomic information, use of dental services, behavior, SOC and the Oral Health Impact Profile (OHIP). The OHIP outcome, measured by prevalence of the impact, was analyzed by binary logistic regression using a hierarchical approach, a conceptual model, and a 5% significance level. A total of 67.9% of the respondents had one or more impacts on OHRQoL, and 54.4% showed a high SOC. The impact on OHRQoL was more prevalent in adults who had a manual occupation (PR = 2.47, 95%CI 1.24-4.93), those who perceived the need for dental treatment (PR = 2.93, 95%CI 1.67-5.14), and those who had untreated caries (PR = 1.93, 95%CI 1.07-3.47). Those with a low SOC had a twofold higher prevalence of impact on OHRQoL (PR = 2.19, 95%CI 1.29-3.71). This impact on OHRQoL was associated with a low SOC, even after adjusted by socioeconomic, behavioral and clinical factors. Future studies should consider the SOC in determining the oral health impact on quality of life.


Asunto(s)
Encuestas de Salud Bucal , Salud Bucal/estadística & datos numéricos , Calidad de Vida , Sentido de Coherencia , Adulto , Brasil/epidemiología , Estudios Transversales , Caries Dental/epidemiología , Caries Dental/psicología , Femenino , Humanos , Modelos Logísticos , Masculino , Análisis Multivariante , Enfermedades Periodontales/epidemiología , Enfermedades Periodontales/psicología , Valores de Referencia , Distribución por Sexo , Perfil de Impacto de Enfermedad , Factores Socioeconómicos
19.
Cent Eur J Public Health ; 27(3): 256-262, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31580564

RESUMEN

OBJECTIVE: The aim of the study was to evaluate caries prevalence in a sample of schoolchildren aged 6 to 16 years from rural and urban areas in Croatia. METHODS: Using standardized World Health Organisation (WHO) criteria, the oral health status of 1,589 children (265 from rural and 1,324 from urban areas) was assessed by recording the following indices: DMFT (decayed, missing, filled permanent teeth), deft (decayed, extracted, filled primary teeth), DMFS (decayed, missing, filled surfaces - permanent teeth), defs (decayed, extracted, filled surfaces - primary teeth) and SiC (Significant Caries Index). Rural areas were Stitar and Babina Greda municipalities in Slavonia and urban areas were the cities of Zupanja (Slavonia), Zagreb and Dubrovnik. RESULTS: Half of the examined children (50.0%) had caries (D component in DMFT), with 46.0% of these being from urban and 70.2% from rural areas. The median DMFT among children was 2, 4 (rural) and 2 (urban) (p < 0.001). Among 12-year-olds, the median DMFT was 4 (rural) and 3 (urban), and mean DMFT was 3.4. The median DMFS for rural area was 5 and for urban area 3 (p < 0.001). The median deft was 1.00 for rural and 1.00 for urban, while the highest value was found among 6-year-olds at 9 in rural and 7 in urban areas. The median SiC was 4, 4 (urban) and 5 (rural). CONCLUSION: Schoolchildren from urban and rural areas in Croatia differ significantly in caries prevalence. They fall into the medium DMFT classification group according to the WHO, which indicates the need for a comprehensive oral health preservation programme.


Asunto(s)
Caries Dental , Adolescente , Niño , Croacia , Índice CPO , Caries Dental/epidemiología , Humanos , Prevalencia , Población Rural/estadística & datos numéricos
20.
Cien Saude Colet ; 24(9): 3529-3537, 2019 Sep 09.
Artículo en Portugués | MEDLINE | ID: mdl-31508770

RESUMEN

Caries Assessment Spectrum and Treatment (CAST) is an instrument developed for caries detection to be used in epidemiological surveys; it has been validated and is believed to provide a clearer picture of the oral health status than the criteria provided by the World Health Organization (WHO). This article aims to compare the epidemiological survey results using the CAST instrument and the WHO criteria in the same population. 680 schoolchildren aged 6-8 years from Federal District, Brazil, were evaluated by two examiners trained to use the CAST. The visible plaque index (VPI) and gingival bleeding index (GBI) were also evaluated. The maximum CAST codes per tooth were converted into the dmf/DMF, the mean scores for primary and permanent dentition were calculated. The mean age was 7.45(± 0.91) years. The prevalence of caries differed when CAST and the WHO criteria were applied. In the primary dentition, it was 65.44% and 61.61%, and for the permanent dentition, 38.19% and 10.2%, respectively. It was possible to calculate the mean dmft [2.4(± 2.7)] and the DMFT [0.16(± 0.53)] using CAST. VPI was associated with higher maximum CAST scores p < 0,005. The way CAST results are presented showed a higher sensibility to identify the presence and severity of carious lesions in comparison to the WHO criteria.


Asunto(s)
Caries Dental/epidemiología , Brasil/epidemiología , Niño , Estudios Transversales , Índice CPO , Dentición Permanente , Femenino , Humanos , Masculino , Prevalencia , Diente Primario
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA