Impact of untreated dental caries and dental pain on sadness related to oral health of Brazilian children

This study assessed oral health outcomes (perceived dental treatment need, untreated dental caries, gingival bleeding, periodontal pockets, and pain in teeth and gums), in relation to color/race inequalities among adolescents in each Brazilian region. The database included dental examination and interview of 16,833 15-19-year-old adolescents, surveyed by the Brazilian health authority, from May 2002 to October 2003, in accordance with international diagnostic criteria standardized by the World Health Organization. Prevalence ratios estimated by Poisson regression, and controlled by socioeconomic status and access to fluoridated piped water, assessed oral health differentials among color/race groups and country's regions. Except for periodontal pockets, prevalence figures were higher in the North and Northeast: perceived dental treatment needs, untreated dental caries, gingival bleeding at probing and pain in teeth and gums varied between 80-83%, 75-76%, 38-43%, and 17-18%, respectively, in these regions. Adolescents living in the Southeast - the richest Brazilian region - presented a better general profile of oral health than their counterparts living in the remaining regions; they had a lower prevalence of untreated dental caries (54%) and unfavorable gingival status (29%). However, the Southeast presented color/race inequalities in all oral health outcomes, with a poorer profile systematically affecting browns or blacks, depending on the oral health condition under consideration. These results reinforce the need for expanding the amplitude of health initiatives aimed at adolescent oral health. Socially appropriate health programs should concurrently aim at the reduction of levels of oral disease and its inequalities.

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Self-reported dental pain and associated factors in Ugandan schoolchildren

Norsk Epidemiologi ◽

10.5324/nje.v15i2.216 ◽

2009 ◽

Vol 15 (2) ◽

Cited By ~ 2

Author(s):

S.N. Kiwanuka ◽

A.N. Åstrøm

Keyword(s):

Oral Health ◽

Dental Caries ◽

Primary Schools ◽

Multiple Logistic Regression Analysis ◽

Health Indicators ◽

Dental Pain ◽

Permanent Teeth ◽

Cross Sectional Survey ◽

Anterior Teeth ◽

Oral Health Indicators

There is a limited amount of research on the prevalence and determinants of subjective oral health indicators in children. Objective: to assess the prevalence of self-reported dental pain and to explore its relationship with socio-demographic characteristics in 10-14 year olds attending primary schools. Method: A cross-sectional survey was conducted during January-March 2004, including 11 public primary schools in Kampala, Uganda. A total of 614 children completed questionnaires administered in schools. Dental caries and plaque status were recorded in permanent teeth. Results: Experience with dental pain was confirmed by 42.1% boys and 52.3% girls. The crude prevalence of dental caries was 37.9% in boys and 42.1% in girls. Plaque was present on anterior teeth and 84.3% complained of at least one oral problem. Multiple logistic regression analysis revealed that reporting at least two oral problems (OR = 2.7), being dissatisfied with dental appearance (OR = 2.7) and having visited a dentist twice during the previous 3 years (OR = 2.2) were associated with higher odds of reported dental pain. Conclusion: A substantial proportion of school children had experience with dental pain. Dental pain associated positively with dental caries, subjective oral health indicators and dental attendance. Knowledge about the extent and significance of dental pain is important for the planning and evaluation of preventive and treatment efforts.

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Assessment of the impact of toothache, untreated caries and its consequences on the quality of life among poor Brazilian children

Revista da Faculdade de Odontologia - UPF ◽

10.5335/rfo.v25i1.10236 ◽

2020 ◽

Vol 25 (1) ◽

pp. 88-95

Author(s):

Maria Clara Calvancati Campêlo ◽

Renata Matos Lamenha Lins ◽

Gabriela Freire Alves ◽

José Cláudio Santos Costa ◽

Valdeci Elias dos Santos-Júnior

Keyword(s):

Quality Of Life ◽

Dental Caries ◽

Dental Pain ◽

Emotional Wellbeing ◽

Cross Sectional ◽

Pufa Ratio ◽

Untreated Caries ◽

The Impact ◽

Untreated Dental Caries

Purpose: To evaluate the impact of dental pain and the consequences of untreated dental caries on the quality of life in children of low social-economic status aged from 8 to 10 years old. Materials and Methods: In this cross-sectional study, 230 children were submitted to a clinical examination in which the caries-pufa ratio was measured, afterward, they answered to two questionnaires: one about their quality of life (CPQ8-10) and the other about dental pain. Data were statistically analyzed through Chi-square, Mann-Whitney or Kruskal-Wallis tests to evaluate the association between the variables with impact on children’s OHRQoL. To establish the existence of risk factors among variables and impact on OHRQoL a Poisson Regression model was applied. Results: Dental caries (p = 0.003; PR 2.39; 95% CI 1.04–1.56), severity of untreated caries (p = 0.008; PR 2.86; 95% CI 1.13–2.00), toothache (p < 0.001; PR 2.31; 95% CI 1.64–3.27) and PUFA + pufa index (p < 0.023; PR 2.68; 95% CI 1.10–1.87) were associated with and were a predictor factor for impact on overall OHRQoL. All of these variables also had an effect over the social welfare subscale (p ≤ 0.001), whereas caries presence was also statistically linked with the emotional wellbeing subscale (p = 0.008) and dental pain with all four subscales (p ≤ 0.001). Conclusion: Untreated dental caries’ clinical consequences and dental pain exerted a negative influence on the quality of life of schoolchildren analyzed.

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Clinical Consequences of Untreated Dental Caries, Individual Characteristics, and Environmental Factors on Self-Reported Oral Health Measures in Adolescents: A Follow-Up Prevalence Study

Caries Research ◽

10.1159/000506438 ◽

2020 ◽

Vol 54 (2) ◽

pp. 176-184

Author(s):

Michele Pagliarini Silva ◽

Mario Vianna Vettore ◽

Maria Augusta Bessa Rebelo ◽

Janete Maria Rebelo Vieira ◽

Ana Paula Corrêa de Queiroz Herkrath ◽

...

Keyword(s):

Oral Health ◽

Dental Caries ◽

Psychosocial Factors ◽

Family Income ◽

Individual Characteristics ◽

Health Measures ◽

Clinical Consequences ◽

Parental Schooling ◽

Untreated Dental Caries

Background/Aims: This study evaluated the relationships of clinical consequences of untreated dental caries, individual characteristics, and environmental factors on self-reported oral health measures in adolescents. Methods: A follow-up prevalence study was conducted involving 406 twelve-year-old adolescents selected from public schools in the eastern area of the city of Manaus, Brazil. Baseline data included clinical consequences of untreated caries (PUFA/pufa index), DMFT, sociodemographic characteristics (sex, parental schooling, and family income), psychosocial factors (sense of coherence [SOC-13 scale], oral health beliefs and self-esteem [Rosenberg Self-Esteem Scale]), and social support (SSA questionnaire). Oral health-related quality of life (OHRQoL [CPQ11–14]) and self-rated oral health were assessed at the 6-month follow-up. Structural equation modelling was used to explore the relationships between variables according to the Wilson and Cleary model. Results: The prevalence of PUFA/pufa was 17.8% and mean DMFT was 1.5. The number of teeth with clinical consequences of untreated caries predicted poor self-rated oral health at the 6-month follow-up. Low parental schooling predicted low family income and clinical consequences of untreated dental caries. Psychosocial factors predicted OHRQoL directly and self-rated oral health indirectly. OHRQoL was linked to self-rated oral health. Clinical consequences of untreated dental caries mediated the relationship of parental schooling with OHRQoL and self-rated oral health. OHRQoL mediated the relationship of psychosocial factors and sex with self-rated oral health. Clinical consequences of untreated dental caries was associated with adolescents’ self-rated oral health. Furthermore, the former was an important mediator on the link between low parental education and adolescents’ self-reported oral health measures. Conclusions: Socioeconomic status, psychosocial factors, and social support were related to OHRQoL and self-rated oral health via direct and indirect pathways.

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Self-Perceptions of the Impact of Oral Problems on the Social Behavior of Preschoolers

JDR Clinical & Translational Research ◽

10.1177/2380084419894576 ◽

2019 ◽

Vol 5 (4) ◽

pp. 342-348

Author(s):

M.F. Perazzo ◽

M.C. Gomes ◽

É.T.B. Neves ◽

R.T. Firmino ◽

A.A. Barros ◽

...

Keyword(s):

Social Behavior ◽

Dental Caries ◽

Household Income ◽

Dental Pain ◽

Open Bite ◽

Anterior Open Bite ◽

Dental Services ◽

The Social ◽

The Impact ◽

Untreated Dental Caries

Introduction: Investigating preschool children’s social behaviors and the association with oral health variables helps to understand child development. Besides that, different perceptions need to be explored regarding the impact of oral problems on the social behavior between the child’s self-report and parent’s/caregiver’s proxy report. Objective: To determine which socioeconomic and oral factors are associated with difficulty sleeping and playing and the avoidance of smiling in preschoolers. Methods: A cross-sectional study was conducted with a representative random sample of 769 pairs of parents/caregivers and 5-y-old preschoolers. The preschoolers answered a questionnaire on difficulty sleeping, difficulty playing, and the avoidance of smiling for reasons related to oral problems. The parents/caregivers answered a questionnaire addressing socioeconomic characteristics as well as the use of dental services. Two calibrated dentists examined the children for the determination of dental caries, traumatic dental injury (TDI), malocclusion, and bruxism. Descriptive and Poisson regression analysis for complex samples with robust variance was used to test the associations (α = 5%). Results: The variables associated with difficulty sleeping were low household income (confidence interval [CI]: 1.40–3.01), number of untreated dental caries (CI, 1.02–1.04), dental pain (CI, 1.76–3.59), TDI (CI, 1.08–2.11), and anterior open bite (CI, 1.11–2.20). Difficulty playing also was associated with the low household income (CI, 1.34–3.15), number of untreated dental caries (CI, 1.01–1.04), dental pain (CI,1.42–3.61), and TDI (CI, 1.13–2.33). The number of untreated dental caries (CI, 1.02–1.05), dental pain (CI, 1.03–2.88), anterior open bite (CI, 1.30–3.26), and not using dental services (CI, 1.13–2.73) were determinant factors for the avoidance of smiling. Conclusion: Socioeconomic, symptomatic, and/or oral esthetic problems exerted an impact on the social behavior of the preschoolers analyzed, such as playing, sleeping, and smiling. Knowledge Transfer Statement: The results of the present study may help parents and clinicians to understand better the association of oral problems with the social behavior of preschool children. Moreover, this study shows the importance of listening to children in clinical decisions. These results also can help in the elaboration of oral health policies.

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Caregiver’s oral health literacy is associated with prevalence of untreated dental caries in preschool children

Ciência & Saúde Coletiva ◽

10.1590/1413-81232018247.18752017 ◽

2019 ◽

Vol 24 (7) ◽

pp. 2737-2744 ◽

Cited By ~ 4

Author(s):

Gisele Ristow Montes ◽

Danielle Veiga Bonotto ◽

Fernanda Morais Ferreira ◽

José Vitor Nogara Borges Menezes ◽

Fabian Calixto Fraiz

Keyword(s):

Preschool Children ◽

Oral Health ◽

Health Literacy ◽

Dental Caries ◽

Adult Literacy ◽

Oral Health Literacy ◽

Cross Sectional ◽

Low Degree ◽

Untreated Caries ◽

Untreated Dental Caries

Abstract The aim of this study was to evaluate the relationship between oral health literacy (OHL) among caregivers and untreated dental caries among preschoolers. A cross-sectional study was conducted involving 415 preschool children and their caregivers from Curitiba, Brazil. The children were examined for dental caries and dental plaque. The caregivers’ OHL was evaluated using an instrument translated and validated for Brazilian Portuguese: the Brazilian Rapid Estimate of Adult Literacy in Dentistry-30. The prevalence of children with untreated caries was 42.9% (95%CI: 38.1-47.7%). A low degree of OHL was found among 15.7% (95%CI: 12.2-19.2) of caregivers. The multivariable Poisson regression analysis indicated a higher prevalence of untreated caries among children whose caregivers had a low OHL (PR = 1.35; 95% CI: 1.01-1.79), those with visible plaque (PR = 1.28; 95% CI: 1.01-1.62) and those who never or only occasionally had their teeth brushed by their caregivers (PR = 1.48; 95% CI: 1.16-1.91) in comparison to those without these conditions. In conclusion, a higher prevalence of untreated dental caries was found among preschool children whose caregivers had a low degree of OHL.

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Depression, periodontitis, caries and missing teeth in the USA, NHANES 2009–2014

Family Medicine and Community Health ◽

10.1136/fmch-2020-000583 ◽

2020 ◽

Vol 8 (4) ◽

pp. e000583

Author(s):

Muath Aldosari ◽

Mohammad Helmi ◽

Erinne N Kennedy ◽

Riddhi Badamia ◽

Satomi Odani ◽

...

Keyword(s):

Depressive Symptoms ◽

Oral Health ◽

Dental Caries ◽

Periodontal Diseases ◽

Health Providers ◽

Oral Diseases ◽

Missing Teeth ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Untreated Dental Caries

PurposeThis study aimed to investigate the association between self-reported depressive symptoms and oral diseases in US adults, including periodontitis, caries, missing teeth and untreated dental caries.DesignThis study was designed as a secondary data analysis of a cross-sectional survey. We conducted descriptive, multivariable logistic and Poisson regression analyses on weighted data.SettingUS National Health and Nutrition Examination Survey 2009–2014 data.ParticipantsIndividuals aged ≥30 years who completed a periodontal examination and depression screening (n=9799).Results21.6% (28.9 million) of adults aged ≥30 years reported depressive symptoms, with a higher prevalence among females, current smokers and participants with lower income and education status. More than half of the adults with moderate depressive symptoms had periodontal diseases, and more than one-third had teeth with untreated dental caries. After adjusting for sociodemographics, behavioural factors, having diabetes and psychotherapeutic medication use, depressive symptoms were associated with poorer oral health. Severe depressive symptoms were associated with higher odds of mild periodontitis (2.20; 99% CI 1.03 to 4.66). For those with mild depressive symptoms, the mean number of missing teeth was 1.20 (99% CI 1.06 to 1.37) times the average of non-symptomatic individuals; and 1.38 times (99% CI 1.15 to 1.66) among individuals with moderate depressive symptoms.ConclusionsDepressive symptoms were associated with mild periodontitis and a greater number of missing teeth, while having teeth with untreated dental caries was attributed to sociodemographic factors. Awareness of oral health status among patients with depressive symptoms can inform both dental and mental health providers to develop tailored treatment and help patients achieve overall wellness.

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Dental pain associated with untreated dental caries and sociodemographic factors in 5-year-old children

Journal of Clinical and Experimental Dentistry ◽

10.4317/jced.57827 ◽

2020 ◽

pp. 0-0

Author(s):

SO. Paredes ◽

R. da Nóbrega ◽

TS. Soares ◽

M. Bezerra ◽

M. de Abreu ◽

...

Keyword(s):

Dental Caries ◽

Sociodemographic Factors ◽

Dental Pain ◽

Untreated Dental Caries

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Regional differences in early childhood dental caries in 5-year-old Brazilian children and associated factors

Research Society and Development ◽

10.33448/rsd-v10i1.11946 ◽

2021 ◽

Vol 10 (1) ◽

pp. e43510111946

Author(s):

Rosa Núbia Vieira de Moura ◽

Patrícia Maria Pereira Zarzar ◽

Raquel Conceição Ferreira ◽

Flávio de Freitas Mattos ◽

Rafaela da Silveira Pinto ◽

...

Keyword(s):

Early Childhood ◽

Oral Health ◽

Dental Caries ◽

Low Income ◽

Family Income ◽

Treatment Needs ◽

Significant Difference ◽

Untreated Caries ◽

Component C ◽

Brazilian Children

The aim of this study was to identify variables associated with early childhood caries (ECC) in 5-year old Brazilian children to allow their monitoring at both regional and national levels. It is a population-based cross-sectional study with epidemiological and socioeconomic data of 7.217 children included in the National Oral Health Survey (SBBrasil 2010). The dependent variable was untreated caries (component c of cpod). Independent variables were grouped into individual and contextual ones, and multilevel models of Poisson regression analysis were applied. In the country, 49,8% of children aged 5 years presented untreated caries. Among the 5 national regions, prevalence of untreated caries was higher in the North (64,9%) and lower in the Southeast (43,7%). National cpod index was 2,45 (CI 95%: 2,20-2,71) and component c was 2,05 (CI 95%: 1,81-2,29). There was a significant difference between North (3,11; CI 95%: 2,69-3,53) and Southeast (1,68; CI 95%: 1.40-1,95) regions. At individual level, low family income was associated with higher prevalence of untreated dental caries (CI 95%: 2,05-2,88). At contextual level, there was higher prevalence of untreated caries in areas with less access to fluoridated water (CI 95%: 1,04-2,25), less access to primary oral health care (CI 95%: 0,93-0,98), higher population/dentist ratio (CI 95%: 1,04-1,33), and higher percentage of children living in low-income families (CI 95%: 1,18-1,78). Our results indicate that socioeconomic factors were determinant for ECC prevalence, increasing dental treatment needs.

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