scholarly journals Increased Dental Use May Affect Changes in Treated and Untreated Dental Caries in Young Children

2018 ◽  
Vol 4 (1) ◽  
pp. 49-57
Author(s):  
M. Lin ◽  
G. Thornton-Evans ◽  
S.O. Griffin ◽  
L. Wei ◽  
M. Junger ◽  
...  

Introduction: From 1999–2004 to 2011–2014, untreated dental caries prevalence decreased among US children aged 2 to 5 y, regardless of family income. Policies were concurrently initiated for children to increase access to preventive dental services in dental, primary, and community settings and to restorative care in dental settings. Objectives: We aimed to examine 1) whether changes in prevalence and severity of untreated and treated caries between the periods varied by family income and 2) to what degree increased past-year dental visit (PYDV) contributed to the changes. Methods: We used data for 3,822 children in the National Health and Nutrition Examination Survey 1999 to 2004 and 2011 to 2014. Caries prevalence included prevalence of untreated caries with ≥1 decayed teeth (dt) and prevalence of treated caries with ≥1 filled teeth (ft). Caries severity included number of dt and ft among those with ≥1 dt or ft. We estimated changes in caries outcomes among low- and higher-income children with models—one controlling for sociodemographics and another controlling for sociodemographics and PYDV. Significant changes ( P < 0.05) becoming insignificant after controlling for PYDV provide insight on the contribution of PYDV to changes in outcomes. Results: Prevalence of untreated caries decreased for low- and higher-income children, with a slightly larger decrease for low-income children; dt decreased only for low-income children; and estimated decreases did not vary by model. An increase in prevalence of treated caries was observed only among low-income children but became minimized and insignificant after controlling for PYDV. Similarly, after controlling for PYDV, the increase in ft among low-income children lost significance, whereas the increase among higher-income children remained. Conclusion: Untreated caries among children aged 2 to 5 y declined from 1999–2004 to 2011–2014, with larger declines among low-income children. While changes in PYDV contributed to increases in treated caries, particularly for low-income children, additional factors appear to have contributed to decreased untreated caries. Knowledge Transfer Statement: For young children, the degree and direction of changes in caries over the last decade varied by outcome measure (e.g., untreated or treated) and family poverty status. Examining the effect of increased dental utilization on changes in untreated and treated caries outcomes can help identify those policies that contribute to changes in these outcomes and highlight the potential role of the different caries assessment criteria used in dental offices versus those in a population-based survey.

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 ◽  
...  

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.


2016 ◽  
Vol 21 (2) ◽  
pp. 573-584 ◽  
Author(s):  
Gabriela Cristina Santin ◽  
Tatiana Pegoretti Pintarelli ◽  
Fabian Calixto Fraiz ◽  
Ana Cristina Borges de Oliveira ◽  
Saul Martins Paiva ◽  
...  

Abstract The aim of the present study was to assess the association between untreated dental caries (UDC) and household food insecurity (HFI) among schoolchildren in different income strata. A population-based study was carried out with a sample of 584 12-y-old schoolchildren. Oral examinations were performed and HFI was determined using a validated scale. Other independent variables were analyzed for being of interest to the stratification of the results (per capita household income) or for acting as potential confounding variables. The prevalence of UDC and HFI was 45% and 39%, respectively. The multivariate models demonstrated that the UDC was significantly more prevalent among children in food-insecure households with per capita income of up to US$ 70.71 than among those in the same income stratum that were free of HFI [PR = 1.52 (95%CI = 1.01-2.29)]. HFI was associated with a greater frequency of UDC among low-income schoolchildren, but had no significant impact on this variable among children from other income strata. Thus, ensuring access to quality food may be a good strategy for minimizing inequities in oral health and reducing dental caries experience among schoolchildren from low-income families.


2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Masuma Pervin Mishu ◽  
Martin Hobdell ◽  
Mahfujul Haq Khan ◽  
Richard M. Hubbard ◽  
Wael Sabbah

Background. Children in low-income developing countries are likely to suffer from undergrowth. Dental caries is another common problem in these countries.Aim. To examine the association between untreated dental caries in primary and permanent teeth with age-adjusted height and weight among 6–12-year-old children in Bangladesh.Design. Social, behavioural, and clinical data were collected from 1699 children in nine different randomly selected primary schools in socially deprived areas of Bangladesh. The associations of age-adjusted weight and height and being underweight with dental caries were examined adjusting for sex, area of residence, socioeconomic position, skipping meals, tooth cleaning, and doctor visits.Results. 26% of the children were underweight and 55% had untreated dental caries. Children with at least one decayed tooth were significantly underweight with odds ratios 1.6 (95% CI 1.1, 2.3) and 1.5 (95% CI 1.1, 2.0) for 6–8-years and 9–12-year-old children, respectively, in the adjusted model. The number of decayed teeth was inversely and significantly associated with the standardized age-adjusted weight.Conclusions. The findings highlight the association between untreated dental caries and being underweight in primary school children in socially deprived areas in low-income developing countries and emphasize the need to integrate oral and general health policies with social policies.


1997 ◽  
Vol 18 (3) ◽  
pp. 345-372 ◽  
Author(s):  
Barbara B. Fazio

ABSTRACTThis report describes two studies on memory for rote linguistic sequences and sensitivity to rhyme in young children with and without language impairment. In the first study, 10 low income kindergarteners with specific language impairment (SLI) were compared with age- and income-matched classmates on reciting common nursery rhymes, reciting the alphabet, and rote counting. Children with SLI displayed lower performance on most of the rote linguistic sequence tasks, especially on (heir knowledge of Mother Goose nursery rhymes. The second study examined the learning and retention of nursery rhymes in 8 young children with SLI after 6 weeks of classroom instruction. Low-income, 4- and 5-year-old children with SLI and their age- and income-matched classmates were taught five novel Mother Goose rhymes during a large-group classroom activity. Children were tested before and after the intervention on their ability to recite nursery rhymes and to detect rhyme. When compared with their peers, children with SLI had difficulty repeating the nursery rhymes, despite daily classroom exposure. Although the performance of children with SLI on rhyme recitation and detection tasks was poor, their relative performance was better on a cloze task based on the set of nursery rhymes. The results of this study suggest that children with SLI have difficulty storing and/or retrieving lines of memorized text. Traditional informal techniques for teaching rote linguistic sequences may need to be modified to give children with SLI more opportunities to practice rote sequences.


2016 ◽  
Vol 61 (2) ◽  
pp. 247-259 ◽  
Author(s):  
Azam Baheiraei ◽  
Fatemeh Bakouei ◽  
Eesa Mohammadi ◽  
Reza Majdzadeh ◽  
Seyed Mostafa Hosseni

In this population-based cross-sectional study of women of reproductive age in Tehran, Iran, the social capital integrated questionnaire and socio-demographic questionnaire were used. The highest mean scores were related to social cohesion and inclusion dimension (55.72 ± 11.94) and the lowest mean scores to groups and networks dimension (31.78 ± 19.43). Stepwise multiple linear regressions showed the significant association between dimensions of social capital and certain socio-demographic variables, particularly family income. Policy makers should help low-income families by designing effective interventions for improving the status of social capital in this group, because it is considered one of the social determinants of health.


2011 ◽  
Vol 71 (1) ◽  
pp. 46-53 ◽  
Author(s):  
Marcia Helena Baldani ◽  
Yasmine Bittencourt Emílio Mendes ◽  
Juliana Aparecida de Campos Lawder ◽  
Ana Paula Ingles de Lara ◽  
Michelli Marta Azevedo da Silva Rodrigues ◽  
...  

2020 ◽  
Vol 54 ◽  
pp. 98
Author(s):  
Francelena de Sousa Silva ◽  
Rejane Christine de Sousa Queiroz ◽  
Maria dos Remédios Freitas Carvalho Branco ◽  
Vanda Maria Ferreira Simões ◽  
Yonna Costa Barbosa ◽  
...  

OBJECTIVE: To estimate the effect of being a beneficiary of the Bolsa Família Program (BFP) in the vaccination of children aged 13 to 35 months. METHODS: Our study was based on all birth records of residents of Ribeirão Preto (SP) and probabilistic sampling with 1/3 of the births of residents of São Luís (MA), selecting low-income children, born in 2010, belonging to the cohorts Brazilian Ribeirão Preto and São Luís Birth Cohort Studies and eligible for the Bolsa Família program. The information of Cadastro Único (CadÚnico – Single Registry) was used to categorize the receipt of benefit from the BFP (yes or no). The final sample consisted of 532 children in Ribeirão Preto and 1,229 in São Luís. The outcome variable was a childhood vaccine regimen, constructed with BCG, tetravalent, triple viral, hepatitis B, poliomyelitis, rotavirus and yellow fever vaccines. The adjustment variables were: economic class, mother’s schooling and mother’s skin color. Children with monthly per capita family income of up to R$ 280.00 and/or economic class D/E were considered eligible for the benefit of the BFP. A theoretical model was constructed using a directed acyclic graph to estimate the effect of being a beneficiary of the BFP in the vaccination of low-income children. In the statistical analyses, weighing was used by the inverse of the probability of exposure and pairing by propensity score. RESULTS: Considering a monthly per capita family income of up to R$ 280.00, being a beneficiary of the BFP had no effect on the childhood vaccination schedule, according to weighing by the inverse of the probability of exposure (SL-coefficient: −0.01; 95%CI −0.07 to 0.04; p = 0.725 and RP-coefficient: 0.04; 95%CI −0.02 to 0.10; p = 0.244) and pairing by propensity score (SL-coefficient: −0.01; 95%CI −0.07 to 0.05; p = 0.744 and RP-coefficient: 0.04; 95%CI −0.02 to 0.10; p = 0.231). CONCLUSIONS: The receipt of the benefit of the BFP did not influence childhood vaccination, which is one of the conditionalities of the program. This may indicate that this conditionality is not being adequately monitored.


Author(s):  
Ameera Ibrahim Amer ◽  
Walaa Yahia Alsehaim ◽  
Wissam Hussain Alabdalaal ◽  
Ohood Mohammad Alsemran ◽  
Osama Mohammad Mansori ◽  
...  

Oral diseases are highly prevalent across the different countries globally, indicating that these conditions represent a significant challenge to the healthcare authorities. Moreover, like untreated dental caries, chronic diseases were linked with poor school performance and deteriorated quality of life. This current literature review aims to discuss the effect of untreated dental caries on school performance and social life. Our findings indicate the strong association between having untreated dental caries and reduced performance at school. We also found that these children usually suffer from deteriorated aspects of social life, being more prone to verbal bullying than other children without dental caries. Different factors were reported to affect the correlation between untreated dental caries and performance at school. For instance, socioeconomic status has a significant role in this association. Evidence also indicates the vital role of gender, family income, and parental education. These findings indicate the urgent need to draw proper interventional plans to reduce the risk of dental caries. Besides, healthcare authorities should plan for screening programs to detect children with untreated dental caries and provide adequate management of these conditions to enhance the quality of life and educational aspects. However, the findings are not consistent among the different investigations in the literature. Therefore, future studies are needed to validate the current evidence and enhance the outcomes.


RSBO ◽  
2017 ◽  
Vol 14 (3) ◽  
pp. 162-07
Author(s):  
Claudia Roberta de Mello Moura ◽  
Eduardo Pizzatto ◽  
João Armando Brancher ◽  
Luiza Foltran de Azevedo Koch ◽  
Cristiano Zortéa ◽  
...  

Tooth decay is still a highly prevalent disease in populations. Because of this, epidemiological studies are carried out frequently and allow the monitoring of the experience of the disease. Objective: To estimate the prevalence of dental caries of 5 and 12-years-old schoolchildren in the cities of Florianópolis, Santa Catarina, and Porto Velho, Rondônia, as well as to search hypotheses of association with social/economic determinants and access to dental services. Material and methods: Secondary data were used from the Brazilian Oral Health Survey of 2010, as follows: household income by city and dmft/DMFT index for ages by city and region of Brazil. Results: It was observed in the city of Florianópolis a 5-years-old dmft of 1.56, and 12-years-old DMFT of 0.55. In Porto Velho the means were 2.89 and 4.15 to the respective age. It was found that in Porto Velho 89.5% of surveyed had family income up to R$2,500.00, while in Florianópolis 81.9% had R$501.00 to R$9,500.00. Conclusion: The city of Florianópolis had the best caries indices and socioeconomic conditions, suggesting an association between these variables, in detriment to the regions in the opposite situation.


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

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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