Effective Caries Prevention in a Hebridean Island Population

2015 ◽  
Vol 4 (4) ◽  
pp. 27-32
Author(s):  
Margaret Formby

Background The Isle of Islay has a remote-rural population. Two dentists have been responsible for the care of the majority of the school-age children for 15 years. The island affords a unique situation to measure caries prevalence in a relatively static population. Aim This study measures the changes in the dental caries experience of five and 12-year olds exposed to a preventive-based approach to improving dental health, which included a school-based tooth-brushing programme (four to 12-year-olds). Design Data from practice-based records were collected for children aged five and 12 in the years 1999–2003 and 2012–2014. Indices including percentage of children with no obvious caries, decayed, missing or filled teeth (dmft/DMFT) and care indexes were calculated, translated into graphs and compared to Scotland's National Dental Inspection Programme (NDIP) data. Results 478 children were included in the study. The mean number in each year group for five-year-olds was 28 (SD±5.65) and for 12-year-olds was 31.75 (SD±8.30). The percentage of children caries-free increased from 39% to 85% (five-year-olds) and 31% to 97% (12-year-olds). DMFT decreased from 3.04 to 0.30 (five-year-olds) and 3.74 to 0.03 (12-year-olds). Figures for care index and percentage of first permanent molars fissure sealed were higher than national data averages. Conclusion Caries prevalence decreased in children in Islay aged five and 12 years over the period 1999–2014. There was no control group but the differences described above can be associated with the introduction of a preventive approach, however they cannot be assumed to be causative.

PeerJ ◽  
2019 ◽  
Vol 7 ◽  
pp. e6997 ◽  
Author(s):  
Zhaoyou Wang ◽  
Wensheng Rong ◽  
Ying Zhang ◽  
Xiaojuan Zeng ◽  
Zhiqiang Li ◽  
...  

Background From 2005 to 2015, the prevalence of dental caries in both primary and permanent dentitions was significantly increased in China. Previous studies have shown that the prevalence of permanent dental caries in school-aged children had already reached 19.7%–54.0%, 97.5% affecting first permanent molars. This study aimed to investigate the prevalence and contributing factors of dental caries in 6-year-old children in four regions of China to provide information for oral health promotion programs. Methods A randomized cluster sampling method was employed in the study. All 6-year-old first grade children from the selected schools were invited to receive a clinical oral examination. Dental caries were diagnosed according to the World Health Organization criteria. The erupting first permanent molars were recorded using the modified International Caries Detection Assessment System. Questionnaires assessing children’s oral health-related behaviors and their caretakers’ oral health awareness and attitudes were completed by the children’s parents or guardians. Results Overall, 4,936 6-year-old school children participated in the survey. The prevalence of caries among these children was 87.7%, with a mean number of decayed, missing and filled teeth of 6.04 (SD, 4.24). In primary dentition, the caries prevalence was 87.7%, and the mean dmft score was 6.01 (SD, 4.22). In permanent dentition, the caries prevalence was 2.0%, the mean DFS score was 0.04 (SD, 0.31). All permanent dental caries occurred on the first permanent molars. Carious tooth surfaces were identified as modified ICDAS code “A” to indicate initial caries and distinct visual change in enamel. The mean DAS score of non-cavitated caries in the first permanent molars was 0.18 (SD, 0.67). Logistic regression analysis showed that regional and gender factors were significantly related to the caries experience of these children. Conclusions The 6-year-old children from four regions of China had sever primary dental caries and the first permanent molars were at high risk for dental caries. It is critical to protect permanent teeth from caries as early as the eruption of the first permanent molars.


2003 ◽  
Vol 14 (1) ◽  
pp. 48-54 ◽  
Author(s):  
Marisa Maltz ◽  
Berenice Barbachan e Silva ◽  
Danusa Queiroz de Carvalho ◽  
Alexandre Volkweis

The aim of this study was to describe the 2-year results of an individualized treatment program designed to control occlusal caries in erupting first permanent molars. The sample consisted of 145 five-to-six-year-old students divided into a control group (n=71) and a test group (n=74). All test children received a biannual basic preventive program and a recall system according to individual disease activity. The basic program consisted of 3 (March) and 2 (August) sessions of oral hygiene orientation and toothbrushing with fluoride gel. The analysis of the baseline and 1-2-year data showed a significant reduction in the number of active lesions in the test group. In the control group, there were initially 70 active lesions and after two years 68 surfaces remained with disease and 24 surfaces had been filled. The children in the test group had 80 surfaces with active lesions initially and after two years only 3 surfaces with disease remained. From the 15 cavitated lesions, only 5 surfaces needed to be filled. This program showed that care of erupting teeth on an individualized basis can control occlusal caries.


Sports ◽  
2020 ◽  
Vol 8 (6) ◽  
pp. 83
Author(s):  
Jesper Fritz ◽  
Marcus E. Cöster ◽  
Björn E. Rosengren ◽  
Caroline Karlsson ◽  
Magnus K. Karlsson

Physical activity (PA) may improve brain development, cognition, concentration and academic performance. In this prospective controlled intervention study, we increased the level of PA in 338 children aged 6–8 years at study start, from the Swedish standard of 60 min per week to 200 min per week (40 min daily). The intervention continued in all nine compulsory school years until the students graduated between 2007–2012. All other 689,881 Swedish children who graduated the same years were included as a control group. We registered at graduation eligibility rate for upper secondary school and the final grade score (from 0 to 320 grade points). We also registered the same end points in the 295 students in the index school and in all other 471,926 Swedish students who graduated in 2003–2006, that is, those who graduated before the intervention study started. Before the intervention, academic performance was similar among children in the index school as for all other Swedish boys and girls. With the intervention, the eligibility rate increased for boys in the index school by 7.3 percentage points and the mean grade scores by 13.3 points. This should be compared with a decrease of 0.8 percentage points in eligibility rate and an increase by 2.7 points in grade score in other Swedish boys. No changes were seen for intervention girls, neither in eligibility rates or grade scores. By introducing daily school-based PA in compulsory school, more boys would probably reach the eligibility rate for higher education.


2013 ◽  
Vol 37 (3) ◽  
pp. 309-313 ◽  
Author(s):  
S Joshi ◽  
AM Hegde ◽  
K Rai ◽  
S Shetty

Aim- The aim of present study was to evaluate the salivary sialic acid levels in Acute Lymphoblastic Leukemic (ALL) children and to correlate it with dental caries experience. Method- A total of 120 children aged 4-10yrs were divided into 4 groups of 30 each. Dental caries experience was recorded followed by un-stimulated saliva collection. Results- The mean salivary sialic acid levels of the study group were much higher when compared with the control group, which was statistically significant. A linear relationship between salivary sialic acid levels and dental caries in leukemic children was observed. Conclusion - The findings of our study conclude that salivary sialic acid levels may have a potent activity in dental caries process and can be used as a useful marker in cancer.


2019 ◽  
Vol 7 (3) ◽  
pp. 293
Author(s):  
Aprida Manurung ◽  
Budi Anna Keliat ◽  
Ira Erwina

Permasalahan kenakalan anak usia sekolah yang sering terjadi adalah bolos, melangar peraturan sekolah, merokok, tauran hingga bully. Hal ini disebabkan karena saat perkembangan konsep diri anak mengalami kerancuan identitas, hingga depersonalisasi. Untuk mencegah hal itu maka diperlukan suatu tindakan preventif, salah satunya dengan melakukan therapy supportif. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh Therapy Supportif terhadap Konsep Diri dan perkembangan anak, dengan metode quasi eksperimental pre-post test with control group dan menggunakan kuesioner konsep diri. Sampel berjumlah 80, 40 Kelompok Intervensi dan 40 kontrol, mengunakan tehnik random sampling. Hasil penilitian  didapatkan ada pengaruh yang bermakna pada Therapy supporti terhadap perkembangan dan konsep diri, denga nilai rerata variabel perkembangan sebelum diberikan Therapy supportif pada kelompok intervensi 72,78 atau 77,45% dan nilai rerata setelah dilakukan therapy supportif  83 atau 88,32% dari nilai tersebut terjadi peningkatan perkembangan sebesar 10,22 (10,87%) yang artinya Therappy Supportif  memiliki pengaruh bermakna terhadap perkembangan anak, Sedangkan untuk nilai variabel konsep diri sebelum dilakukan terapi suportif pada kelompok intervensi 68,28 atau 72,63%, Setelah dilakukan Therapy Supportif  didapatkan nilai rerata 83,87 atau 89,22%, dari nilai tersebut dapat dianalisis bahwa terjadi peningkatan, sebesar 15,59 atau 22,84% yang artinya Therappy Supportif  memiliki pengaruh bermakna terhadap konsep diri anak Kata kunci: terapi supportif, konsep diri, anak sekolah dasar THE EFFECT OF THERAPY SUPPORTIVE SELF-CONCEPT AGAINSTCHILDREN'S CONCEPT OF BASIC SCHOOL ABSTRACTThe problem of delinquency in school-age children that often occurs is truancy, violating school rules, smoking, mixing, and bullying. This is because when the child's self-concept development experiences confusion in identity, to depersonalization. To prevent that, we need a preventive action, one of them is by doing supportive therapy. The purpose of this study was to determine the effect of Supportive Therapy on Self-Concept and child development, with a quasi-experimental method of pre-post test with control group and using a self-concept questionnaire. Samples amounted to 80, 40 intervention groups and 40 controls, using random sampling techniques. The results of the study, found that there is a significant relationship in supportive therapy to development and supportive therapy in self-concept, with the average value of the development variables before being given supportive therapy in the intervention group 72.78 or 77.45% and the mean value after supportive therapy 83 or 88.32% of the value there was an increase in development of 10.22 (10.87%) which means that Therappy Supportive has a significant influence on children's development, while for the value of self-concept variables before supportive therapy in the intervention group 68.28 or 72, 63%, after supportive therapy, the mean value is 83.87 or 89.22%. From this value, it can be analyzed that there is an increase of 15.59 or 22.84%, which means that therapeutic support has a significant influence on the child's self-concept Keywords: supportive therapy, self-concept, elementary school children


Author(s):  
Yulianto Yulianto ◽  
Yufi Aris Lestari ◽  
Hartin Hartin Suidah ◽  
Nur Nur Chasanah ◽  
Nanik Nur Rosyidah

ABSTRACT Introduction: Hand washing is an activity of removing microorganism from hand using soap and flowing water. Video, image, and song methods are the ones that can be used for school-age children to provide health education about hand washing. The objective of research was to find out the effectiveness of video, image, and song methods on hand washing behavior. Method: This study was a research using Pre-experiment design with pre-post test design, the one using causal relationship without control group participation. The population of research consisting of 90 students. Technique of analyzing data used was to compare mean scores of video, image, and song methods. Result: The result of research showed that the mean score of hand washing ability in video group was 2.183 before intervention and 5.727 after intervention; there was an increase by 3.545 point in the mean score of hand washing ability. In Image group, the mean score of hand washing ability was 2.273 before intervention and 4.545 after intervention; there was increase by 2.273 in the mean score of hand washing ability. Meanwhile, in song group, the mean score of hand washing ability was 2.273 before intervention and 6.00 after intervention; there was increase by 3.727 in the mean score of hand washing ability. Analysis and Discussion: Respondents in song group had highest increase in the hand washing ability compared with those in video and image groups. Song method could be an alternative choice for hand washing practice.


Author(s):  
J.A. Smallridge ◽  
S. Albadri

Caries is a chronic disease. If it starts to affect the permanent teeth the child patient is drawn into a cycle requiring ongoing care for the rest of his/her life. Therefore when treating the young permanent dentition we have to adopt an approach that considers and addresses the whole disease process and not just treat the outcome of the disease. Caries is still a considerable problem in children and adolescents. The 2013 Child Dental Health Survey for England, Wales, and Northern Ireland found that, on average, nearly half (46%) of 15-year-olds and a third (34%) of 12-year-olds had obvious decay experience. Although the proportion of children with untreated dentinal caries has improved from 2003, it remained high at 21% and 19% for 15-year-olds and 12-year-olds, respectively. These children are at high risk of pain and discomfort relating to their teeth. The 2013 survey also looked at the impact on daily life. On average, a fifth of 12- and 15-year-old children reported experiencing difficulty eating, and about half reported that their life had been affected by problems with their teeth or mouth within the previous 3 months (Steele et al. 2015). Caries prevalence declined in the later decades of the twentieth century. As it dropped, a concentration of the disease occurred, with a small percentage of the population experiencing most of the disease. Caries prevalence is greatest in the occlusal surfaces of the first permanent molars and buccal grooves of the lower first molars, and the prevalence in these sites has dropped by the smallest proportion. The least susceptible sites are the approximal surfaces of the incisors, so caries seen in these permanent teeth indicates more extensive disease (Sheiham and Sabbah 2010). The first permanent teeth erupt in the mouth at approximately 6 years of age, but may appear as early as 4 years of age. The eruption of the anterior teeth usually causes great excitement, as it is associated with ‘the fluttering of tooth fairy wings’. However, the eruption of the first permanent molars goes largely unnoticed until there is a problem.


2017 ◽  
Vol 8 (1-2) ◽  
pp. 21-25
Author(s):  
Manju R. ◽  
Amitha M. Hegde ◽  
Anisha Keshan

Aims and Objectives: To assess the effect of exposure to arsenic by drinking water and caries prevalence in children. Material and Methods: A total of 200 children between 10 to 14 years of age, 100 each from study village (Hutti, Raichur district, Karnataka) and control village (Sanduru, Bellary district, North Karnataka) were included in the study. Water samples from both the villages were analyzed for arsenic levels. Arsenic levels were determined in the hair and nail samples from the subjects to assess chronic arsenic exposure. Caries experience was measured by the DMFT/deft index and the severity of caries was measured by modified ICDAS-II index. Results: The mean concentration of arsenic in the study group was found to be 2.44 ppm in the hair samples and 2.72 ppm in the nail samples as compared to 0.12 ppm in both hair and nail samples in the control group. These values were statistically significant ( p < 0.001). The mean DMFT score in the control group was 0.99 and in the study group was 2.45, which was statistically significant ( p < 0.05) using SPSS version 21. Conclusion: Chronic arsenic exposure could be a possible cause for the increased caries experience in children in the study group.


2021 ◽  
Vol 10 (12) ◽  
pp. 2602
Author(s):  
Peter Schmidt ◽  
Michael Egermann ◽  
Claudia Sauerland ◽  
Andreas G. Schulte

Background: In Germany, there is limited evidence on the oral health of adults with intellectual disabilities (AwID). Methods: In 2017/18, dental examinations of AwID and a questionnaire survey of their legal guardians were carried out. The mean D3MFT values were calculated to describe the caries experience. The prevalence of AwID with at least one fissure sealant (FS) was determined and associations between caries experience and various sociodemographic factors (e.g., age, gender, living arrangements) were investigated. Results: The data of 132 AwID (mean age 35.2 years; range 18–69 years) could be included. For all AwIDs the mean D3MFT value was 9.5 (95% CI 8.1–11.0). The mean D3MFT value for the 35–44-year-olds was 10.9 (95% CI 8.4–13.4). All caries-free persons (n = 14) were younger than 45 years. Furthermore, the mean D3MFT value for AwID living with their parents was lower at a statistically significant level than that of AwID in independent living arrangements. Moreover, younger AwIDs (18–34-year-olds) with at least one FS had a statistically significantly lower mean D3MFT value compared to those without any FS (D3MFT: 3.0 vs. 6.7). Conclusions: The dental health of AwID has improved in Germany in recent years, but, on average, AwIDs still have more missing teeth than their peers in the general population. Oral epidemiological studies on AwID should include information on their living arrangements to assess potential associations between sociodemographic factors and oral health.


2020 ◽  
Vol 77 (8) ◽  
pp. 852-858
Author(s):  
Vladan Djordjevic ◽  
Mila Jovanovic ◽  
Sanja Colic ◽  
Milena Stasevic ◽  
Amina Asotic ◽  
...  

Background/Aim. According to the World Health Organization (WHO), there is an increasing prevalence of mental disorders among children and adolescents worldwide. Previous studies have shown that people with mental disorders, regardless age, have an increased prevalence of dental caries due to several reasons. The aim of this study was to determine prevalence of dental caries in adolescents with mental disorders and to consider possible risk factors that might contribute to their current dental health status. Methods. The study was conducted as an observational cross-sectional study. The study group comprised 70 randomly selected hospitalized adolescents with mental disorders. The control group comprised 70 randomly chosen mentally healthy adolescents. They were matched to the study group by gender and age. All the participants were subjected to targeted dental examination according to criteria recommended by the WHO. Collection of data related to mental disorders of the study group was obtained from the patient?s medical records. All collected data were organized and analyzed by descriptive statistical parameters and regression models. Results. Majority of the study group patients were diagnosed with schizophrenia, schizotypal and delusional disorders (F20-F29), as well as behavioral and emotional disorders usually occurring in childhood and adolescence (F90-F98). Almost 90% of them were treated with antipsychotics of the second generation, as monotherapy or in combination with first-generation antipsychotics. Adolescents with mental disorders had significantly more carious and extracted teeth and three times less filled teeth than mentally healthy adolescents in the control group. The mean value of the decay-missing-filled teeth (DMF) index in the study group patients was also significantly higher than the mean value of DMF index in the control group subjects. Conclusion. It seems that mental disorder among adolescents mainly affects oral health indirectly, decreasing motivation of patients in maintaining oral hygiene.


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