Global Burden and Inequality of Dental Caries, 1990 to 2019

2021 ◽  
pp. 002203452110562
Author(s):  
P.Y.F. Wen ◽  
M.X. Chen ◽  
Y.J. Zhong ◽  
Q.Q. Dong ◽  
H.M. Wong

Previous studies on the global burden of caries primarily focused on simple descriptive statistics. We aimed to characterize the burden, trends, and inequalities of untreated caries of permanent and deciduous teeth from 1990 to 2019 at the global, regional, and national levels through an array of analytic approaches. Estimates of caries burden were extracted from the Global Burden of Disease Study 2019. Decomposition analysis was performed to examine the contribution of demographic and epidemiologic factors to the evolving number of prevalent caries cases. In portfolio analysis, the caries epidemiologic profile of each country was categorized by terciles of age-standardized prevalence in 2019 and average annual percentage change from 1990 to 2019. Sociodemographic attribution analysis was performed to reveal the scale of inequality in burden of caries. Age-standardized prevalence of caries in permanent and deciduous teeth decreased 3.6% (95% uncertainty interval, 2.6% to 4.5%) and 3.0% (1.3% to 4.9%), respectively. Population growth was the key driver of the changes in the number of caries cases, especially in sub-Saharan Africa (percentage contribution: 126.6%, permanent teeth; 103.0%, deciduous teeth). Caries prevalence in the permanent dentition was lower in more developed countries, whereas a reverse trend was noted in the deciduous dentition, except for the highest sociodemographic quintile where caries prevalence was the lowest. Globally, 64.6 million (95% CI, 64.4 to 64.9 million) and 62.9 million (62.8 to 63.1 million) prevalent cases of caries in permanent and deciduous teeth were attributable to sociodemographic inequality in 2019. This amounted to 3.2% (3.2% to 3.2%) and 12.1% (12.1% to 12.1%) of the global number of prevalent cases of caries in permanent and deciduous teeth. Burden of dental caries remains a global public health challenge. A systemwide reform of the global oral health care system is needed to tackle the causes of the burden and inequality of dental caries.

Author(s):  
Eugen Silviu Bud ◽  
Cristina Ioana Bica ◽  
Oana Elena Stoica ◽  
Alexandru Vlasa ◽  
Daniela Eșian ◽  
...  

The prevalence of dental caries and obesity is high as both raise significant health problems. The objective of this study was to evaluate the relationship between dental caries, the number of salivary colonies forming units of Mutans Streptococci (MS) and Lactobacillus (LB), and the nutritional status in a group of children from Transylvania. This observational study used a sample of 154 school children, aged 9 to 12 years. The prevalence of caries was measured using the decayed, missing, and filled teeth index for deciduous teeth (dmft index) and for permanent teeth (DMFT index). Height and weight were assessed for each subject, and their body mass index (BMI) percentile was calculated. Salivary levels of Mutans Streptococci (MS) and Lactobacillus (LB) were determined using the CRT Bacteria Test from Ivoclar Vivadent. In our study, we found a positive association between the BMI percentile, MS count, LB count, tooth brushing frequency, and the incidence of dental caries in children aged 9 to 12 years old. Future preventive programs should include nutrition control in order to prevent both the apparition of dental caries and obesity in children.


2009 ◽  
Vol 46 (5) ◽  
pp. 529-531 ◽  
Author(s):  
Mahmoud Al-Dajani

Objective: To evaluate the prevalence of dental caries in patients with cleft lip and/or palate and their cleft-free sibling controls. Methods: The two subject groups (patient and control) comprised 106 participants. The former group consisted of 53 patients with cleft lip and/or palate, aged 12 to 29 years, who visited the Oral and Maxillofacial Surgery Hospital at Damascus University of Syria. The control group consisted of the patients’ siblings who had no clefts, and they were sex matched to the patient group. Dental caries were examined clinically and were reported using the decayed, missing, and filled permanent teeth (DMFT) index. The DMFT scores were compared between the two groups. Results: The author found an overall association of dental caries with the presence of cleft lip and/or palate (odds ratio  =  2.52; 95% confidence interval  =  1.389–4.574; p < .05). The DMFT index scores were proportionally higher in patients with cleft lip and/or palate compared with the control group (p < .001). Conclusion: Subjects with cleft lip and palate are susceptible to dental caries independently of socioeconomic status.


2004 ◽  
Vol 15 (3) ◽  
pp. 167-174 ◽  
Author(s):  
Jaime Aparecido Cury ◽  
Livia Maria Andaló Tenuta ◽  
Cecilia Claudia Costa Ribeiro ◽  
Adriana Franco Paes Leme

Similar to that which occurred in most developed countries, dental caries have shown a significant decline in Brazil over the last two decades. Water fluoridation, expansion of preventive programs at schools, and especially, the widespread use of fluoride dentifrice are discussed as factors related to this reduction in caries. Data from epidemiological surveys and historical facts are presented to support the importance of fluoride dentifrices to the current caries prevalence in Brazil.


2021 ◽  
Vol 9 ◽  
Author(s):  
Min Guan ◽  
Ola A. Nada ◽  
Juan-juan Wu ◽  
Jiang-ling Sun ◽  
Na Li ◽  
...  

Objective: This study aimed to explore the factors influencing dental caries among 3–5-year-old children in Guizhou Province and the interrelationship between these factors using structural equation modeling, while providing theoretical references to improve the prevention and control strategy.Materials and Methods: A total of 1,291 children aged 3–5 years in Guizhou Province were selected by a multistage stratified and whole group random sampling to examine the caries prevalence in whole-mouth deciduous teeth crowns, and parents were surveyed with questionnaires to analyze the caries-related factors. IBM SPSS Statistics v 23.0 software (IBM, Armonk, NY, USA) was used for statistical analysis.Results: The caries prevalence of children aged 3–5 years in Guizhou Province was 63.1%, the mean decayed-missing-filled teeth was 3.32, the caries filling rate was 0.5%, and there was no statistically significant difference between urban and rural areas and among genders in each age group; results of logistic regression analysis showed that the caries risk increased with the following factors: age, brushing frequency &lt;2 times per day when parents did not take their children to the dentist, and with parents poor evaluation of the oral condition of their children. The higher the education of the parent, the lower the risk of children suffering from caries in deciduous teeth.Conclusions: With an overall poor situation about oral hygiene habits, oral healthcare attitude of the parents, and behavior transformation, the prevalence of dental caries in the deciduous teeth of children aged 3–5 years in Guizhou Province is high, and their caries status was severe, with more than 99% of the caries cases that were untreated. Therefore, prevention and treatment measures of caries in preschool children need strengthening through the improvement of public awareness and the enhancement of the management of oral health habits of their children.


1979 ◽  
Vol 29 (3) ◽  
pp. 328-339 ◽  
Author(s):  
Mitsumasa TAZAWA ◽  
Yoichi IIJIMA ◽  
Toshihide KUMETA ◽  
Masato MIYAZAWA ◽  
YEH-CHING Tsay ◽  
...  

2016 ◽  
Vol 50 (4) ◽  
pp. 394-399
Author(s):  
Esber Caglar ◽  
Mehmet Görgülü ◽  
Ozgur O. Kuscu

Dental caries and wear are important conditions to record in archaeological collections. The aim of the present paper is to determine the frequency and distribution of dental caries and dental wear in a mediaeval Byzantine paediatric population in Yenikapı, Constantinople, Istanbul. The present research was carried out on the skeletal remains of 1 infant and 28 children with a total of 180 teeth (113 primary and 67 permanent teeth). The frequency of ante-mortem tooth loss in the sample was 1%. The total frequency of carious lesions in the sample was 2.2%. The frequency of dental wear was rather low (3.3%) exhibiting presence of dentin clusters mostly. The present study evaluated an archaeological collection with low dental wear and low dental caries prevalence indicating a fishing community.


2021 ◽  
Vol 12 (1) ◽  
pp. 254-261
Author(s):  
Raghavendra Shanbhog ◽  
Srilatha K T ◽  
Madhushree B ◽  
Manjunatha S N ◽  
Chanchala H P

In literature real time monitoring of dental caries in rural parts of India are lacking. This warrants periodic prevalence studies to plan and implement oral health programs. So the present study aims at evaluating the dental caries status among rural population in Mysuru Taluk, of Karnataka. A cross-sectional study was conducted among 1800 children with recruited populations at varying age levels of three population groups 4-6, 8-10 and 12-14 years. Data regarding oral health status (DMFT, deft, PUFA, pufa) were collected by type-III clinical examinations. The collected data were administered statistically. In 8-10 years children permanent teeth caries prevalence was found to be 54.3% which increased to 67.8 % in12-14 years. Among 4-6 years children primary teeth caries prevalence was found to be 47.4% which increased to 73.2% in 8-10 years. Among 4-6 and 12-14 years children percentage prevalence of PUFA was 32.2% which increased to 52.3% in 8-10 years. No clinically significant variation was observed in Caries prevalence among gender. The study outcome revealed oral health condition in children of rural Mysuru was neglected. High prevalence of dental caries was observed among Children with low dental care utilization.


2013 ◽  
Vol 12 (2) ◽  
pp. 76
Author(s):  
Rini Pratiwi ◽  
Ririn Mutmainnah

Caries remains a major challenge for public health, and is a major problem for children. Based on 2007 Basic HealthResearch, in South Sulawesi, the prevalence of oral health problems of 5-14-year-old children was 42.2% and theprevalence of active caries on children aged 12 years was 39%. This study aims to describe the severity of untreatedcaries at 6, 9 and 12 years old, using pathfinder survey, samples are 6, 9 and 12 years old, respectively 450 children,in three districts of Pinrang, South Sulawesi. Index of PUFA/pufa was used to assess the severity of untreated caries.This index records the involvement of pulp (P/p), ulceration (U/u) of oral mucosa due to tooth fragment, fistula (F/f)and abscess (A/a). The results showed that most found caries involve the pulp exposure both in the permanent (P) anddeciduous (p) on the entire sample. Overall caries prevalence on 6-year-old is 62% with the highest component ofdental caries and there are 8 permanent teeth with caries with pulp involvement. For ages 9 years 65.8% with a 10% permanent dental caries and 12 years old is the highest prevalence of caries in permanent teeth, which is 25.3%. It isconcluded that 9-year-old children in the mixed dental period showed severe caries.


2018 ◽  
Vol 30 (2) ◽  
pp. 128-136 ◽  
Author(s):  
Leonard A. Crocombe ◽  
Penny Allen ◽  
Silvana Bettiol ◽  
Lucio Frederico Babo Soares

Timor-Leste struggles with problems of poverty and inequalities that underlie many health disparities, including oral health. This study aimed to determine the association between parental education and dental caries in school children aged 6 to 17 years from 40 randomly selected schools in 4 Dili subdistricts. A questionnaire and oral examination collected data and multivariable log binomial models were used for data analysis. Results indicate no association between parental education level and the prevalence of untreated decay in deciduous teeth ( P = .96). There was an association between parental education level and untreated decay in permanent teeth ( P = .03) and untreated decay overall ( P = .01). Children whose parents had higher education levels have approximately half the relative risk (aRR 0.47, 95% CI 0.25-0.89) of decay compared with children whose parents had low levels of education.


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