scholarly journals Dental Caries in 12-Year-Old Schoolchildren who Participate in a Preventive and Restorative Dentistry Program

2021 ◽  
pp. 405-413
Author(s):  
Karol Ramírez ◽  
Adrián Gómez-Fernández
Keyword(s):  
Oral Health ◽  
Costa Rica ◽  
Dental Caries ◽  
Health Program ◽  
Positive Impact ◽  
Assessment System ◽  
Caries Detection ◽  
Occlusal Surfaces ◽  
Dmft Index ◽  
The University

Since 2013, the Faculty of Dentistry of the University of Costa Rica has provided a preventive and restorative oral health program at Carmen Lyra Public School. The first generation of students that received dental care from this project were examined in 2019 for caries status.  A total of 62 twelve-year-old schoolchildren were examined (31 boys and 31 girls). First, all teeth surfaces were cleaned with a brush and then rinsed. Subsequently, examination was performed in each person by a calibrated examiner using the International Caries Detection and Assessment System (ICDAS). Prevalence of dental caries was 59.7%. ICDAS code 2 was the most prevalent (68.8%), followed by 1 (19.3%), 5 (4.5%), 3 (3.5%), 6 (2.5%), and 4 (1.4%). Regarding number of carious surfaces, the highest prevalence was observed in the occlusal surfaces (77.3%), followed by the vestibular (13.9%), mesial (4.2%), palatal/lingual (4,1%) and distal (0.5%). Of these carious surfaces, 7% were caries associated with restorations and were present only on the occlusal surfaces. Boys had more cavities than girls (54.1% compared to 45.9%), however, this difference was not significant. Regarding the condition of restorations in teeth, 92 dental restorations (resin or amalgam) were found in the population studied and were well adjusted. Most of these restorations were found on the occlusal surfaces (82.6%), followed by vestibular surfaces (8.7%,) palatal/lingual (5.4%) surfaces, mesial surfaces (3.3%), and no restorations were detected on the distal surfaces. Sealants were identified in 11.3% schoolchildren; 98% were identified on the occlusal surfaces and the other 2% were found on the palatal/lingual surfaces. DMFT Index was 1.6±0.71. The prevalence of dental caries in this sample was low compared to other studies in twelve-year-old schoolchildren in Costa Rica. This may suggest that the oral health program had a positive impact in the studied population.

Prevalence and Severity of Dental Caries in Foster-Care Children and Adolescents

2018 ◽  
Vol 42 (4) ◽  
pp. 269-272 ◽  
Author(s):  
A Solis-Riggioni ◽  
C Gallardo-Barquero ◽  
D Chavarria-Bolaños
Keyword(s):  
Foster Care ◽  
Costa Rica ◽  
Dental Caries ◽  
Children And Adolescents ◽  
Assessment System ◽  
Caries Detection ◽  
San Jose ◽  
Cross Sectional ◽  
Significant Difference ◽  
Student’S T

Aim: The aim of this study was to determine the prevalence and severity of dental caries among institutionalized children and adolescents in San José, Costa Rica. Study design: This cross-sectional descriptive study included 201 children and adolescents between the ages of 2 and 17 years. Participants were selected by following pre-established criteria from 33 shelters located in the province of San José, Costa Rica. The International Caries Detection Assessment System (ICDAS) method was used for caries assessment. ANOVA and Student's T-test were used for statistical analysis. Results: Caries prevalence was estimated at 96.35% among participants in the study. No significant difference was found for sex (p=0.653) or age group (p=0.349). Regarding caries severity, it was found that early enamel lesions were the most frequent pathology, representing 79.2% of decayed surfaces. Conclusions: This study found that different risk factors (social, psychological, economic, and personal) may be related to the high prevalence of dental caries in foster-care children and adolescents. Special strategies may need to be developed to prevent and treat dental caries in this vulnerable population.

scholarly journals Impact of Oral Health on Quality of Life in Relation to Dental Caries and Social Determinants in Venezuelan Migrants Lima-2019

2021 ◽  
pp. 354-367
Author(s):  
Marco I. Quintanilla-Cohello ◽  
Carmen R. García-Rupaya
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Dental Caries ◽  
Social Determinants ◽  
Negative Impact ◽  
Positive Impact ◽  
Sociodemographic Factors ◽  
Dmft Index ◽  
The Impact

Objective: To evaluate the results of the impact of oral health on quality of life through the OHIP-14 in relation to dental caries and social determinants in Venezuelan migrants. Methodology: A cross-sectional study was carried out in a population of 350 Venezuelan migrants (30.1±7.4 years; 52% Men). Where to evaluate the impact of oral health on quality of life, the “Oral Health Impact Profile Spanish version Lima” questionnaire (OHIP-14sp Lima) was used, contrasting with both clinical (DMFT index) and sociodemographic factors, in order to determine the influence of these on the instrument. The impact of oral health on quality of life (OHIP-14) was determined, according to the average general score and by dimensions. Subsequently, a clinical examination was carried out evaluating the presence of dental caries lesions (DMFT Index) and sociodemographic data were collected through a survey. Results: The average of the OHIP-14sp Lima generated a negative impact of 10.6% on the migrant population. The dimension of "Psychological Discomfort" was the one that showed a higher frequency of negative impact with a percentage of 38.3%. Conclusion: The results of the OHIP-14 sp Lima in the total of evaluated migrants were low in percentage terms, generating mostly an average of a positive impact. However, it cannot be ruled out that sociodemographic factors such as sex and levels of education; they were factors that did generate a negative impact, significantly affecting the results observed in one or more of the dimensions evaluated using the OHIP-14 instrument in the present study.

scholarly journals Dental caries among Finnish teenagers participating in physical activity and diet intervention: association with anthropometrics and behavioural factors

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mirja Methuen ◽  
Sofia Kauppinen ◽  
Anna Liisa Suominen ◽  
Aino-Maija Eloranta ◽  
Juuso Väistö ◽  
...  
Keyword(s):  
Physical Activity ◽  
Dental Caries ◽  
Assessment System ◽  
Carbohydrate Intake ◽  
Caries Detection ◽  
Caries Experience ◽  
Food Record ◽  
Fat Percentage ◽  
Teenage Girls ◽  
Behavioural Factors

Abstract Background An association between childhood anthropometric measurements and dental caries is conflicting. The prevalence and severity of dental caries and its association with anthropometric and behavioural factors, were investigated among Finnish teenagers. Methods The study sample comprised 202 15–17-year-old participants in the Physical Activity and Nutrition in Children (PANIC) Study. Dental caries findings were recorded using International Caries Detection and Assessment System (ICDAS) criteria, including activity estimation; numbers of decayed teeth (DT) and decayed, missing and filled teeth (DMFT) were recorded. Body weight, height and waist circumference were measured and respective body mass index (BMI) was calculated. Body fat percentage was assessed by dual-energy X-ray absorptiometry. Health-related behaviours and consumption of food and drinks were assessed using questionnaires, and intake of nutrients using a 4-day food record. Results Mean DMFT for all the participants was 2.4 (SD = 2.9), DT 0.6 (SD = 1.3), and 36% had DMFT = 0. No difference between genders was observed. In bivariate analyses, use of sugar-sweetened beverages (SSB) three times or less per week and not having used snuff associated significantly, whereas higher carbohydrate intake (E%), toothbrushing less often than twice a day and higher caries experience at baseline almost significantly with DT > 0. In adjusted regression analyses, frequent use of SSB and higher carbohydrate intake increased the odds for DT > 0. Additionally, higher carbohydrate intake (E%) and infrequent tooth brushing significantly associated with a higher number of DT. Conclusion Caries prevalence is still low and similar in Finnish teenage girls and boys. Behavioural factors are, but anthropometric factors are not associated with dental caries.

scholarly journals Impact of dental caries on oral health related quality of life among preschool children: perceptions of parents

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mina Pakkhesal ◽  
Elham Riyahi ◽  
AliAkbar Naghavi Alhosseini ◽  
Parisa Amdjadi ◽  
Nasser Behnampour
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Dental Caries ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Dmft Index ◽  
The Mean ◽  
The Impact

Abstract Background Childhood dental caries can affect the children’s and their parents’ oral health-related quality of life. The aim of the present study was to evaluate the impact of oral and dental health conditions on the oral health-related quality of life in preschool children and their parents. Methods In this descriptive-analytical cross-sectional study, samples were selected from children 3 to 6 years old enrolled in licensed kindergartens using "proportional allocation" sampling. Then, the parents of the children were asked to complete the Early Childhood Oral Health Impact Scale (ECOHIS). Results In this study, 350 children aged 3 to 6 years were evaluated with a mean age of 4.73 years. The mean dmft index (decayed, missed, and filled teeth) was 3.94 ± 4.17. The mean score of oral health-related quality of life was 11.88 ± 6.9, which 9.36 ± 5.02 belongs to the impact on children and 2.52 ± 3.20 to parents' impact. Conclusions The mean score of ECOHIS increased with the dmft index increase in children, indicating a significant relationship between the dmft and ECOHIS score. These outcomes can be used as proper resources to develop preventive policies and promote oral health in young children.

Body Mass Index and Association With Caries in School-Aged Children With Orofacial Cleft: A Case-Control Study

2019 ◽  
Vol 57 (2) ◽  
pp. 169-176
Author(s):  
Anna Lena Sundell ◽  
Anna-Karin Nilsson ◽  
Agneta Marcusson ◽  
Carl-Johan Törnhage
Keyword(s):  
Body Mass Index ◽  
Dental Caries ◽  
Body Mass ◽  
Cleft Lip ◽  
Case Control ◽  
Assessment System ◽  
Caries Detection ◽  
Adopted Children ◽  
Cross Sectional ◽  
The Impact

Objective: Data on the association between body mass index (BMI) and dental caries in children with orofacial clefts are sparse. Therefore, studies on the impact of BMI on caries frequency in children with cleft lip and/or palate (CL/P) are of importance. The aim of the current study was to investigate the association between BMI and frequency of dental caries in children with and without CL/P. Height, weight, and BMI in children with CL/P were also compared to controls. Design: This study used a cross-sectional case-control design. Participants: One hundred and thirty-nine 5- and 10-year-old children with CL/P and 299 age-matched controls. Main Outcome Measures: Caries was recorded according to the International Caries Detection and Assessment System. Height and weight were recorded, and BMI was calculated as weight/height2. Results: There was no correlation between BMI and caries frequency. Weight, height, and BMI were significantly lower in all children with CL/P compared to controls. After adjustment for international adoption, only BMI was significantly lower in CL/P children compared to controls. Non-adopted children with CL/P were significantly heavier and longer than adopted children with CL/P. Conclusions: Five- and 10-year-old children with corrected CL/P seemed to have a lower BMI than controls, but there was no association between BMI and caries frequency. Internationally adopted children with CL/P were lighter and shorter than non-adopted CL/P children and controls.

scholarly journals Monitoring of Sound and Carious Surfaces under Sealants over 44 Months

2014 ◽  
Vol 93 (11) ◽  
pp. 1070-1075 ◽  
Author(s):  
M. Fontana ◽  
J.A. Platt ◽  
G.J. Eckert ◽  
C. González-Cabezas ◽  
K. Yoder ◽  
...  
Keyword(s):  
Assessment System ◽  
Retention Rates ◽  
Caries Detection ◽  
Major Barrier ◽  
Occlusal Surfaces ◽  
Before And After ◽  
Permanent Molars ◽  
Caries Lesions ◽  
Sealant Retention ◽  
Lesion Severity

Although there is strong evidence for the effectiveness of sealants, one major barrier in sealant utilization is the concern of sealing over active caries lesions. This study evaluated detection and monitoring of caries lesions through a clear sealant over 44 mo. Sixty-four 7- to 10-year-old children with at least 2 permanent molars with International Caries Detection and Assessment System (ICDAS) scores 0-4 (and caries less than halfway through the dentin, radiographically) were examined with ICDAS, DIAGNOdent, and quantitative light-induced fluorescence (QLF) before sealant placement and 1, 12, 24, and 44 mo (except QLF) after. Bitewing radiographs were taken yearly. DIAGNOdent and QLF were able to distinguish between baseline ICDAS before and after sealant placement. There was no significant evidence of ICDAS progression at 12 mo, but there was small evidence of minor increases at 24 and 44 mo (14% and 14%, respectively) with only 2% ICDAS ≥ 5. Additionally, there was little evidence of radiographic progression (at 12 mo = 1%, 24 mo = 3%, and 44 mo = 9%). Sealant retention rates were excellent at 12 mo = 89%, 24 mo = 78%, and 44 mo = 70%. The small risk of sealant repair increased significantly as baseline ICDAS, DIAGNOdent, and QLF values increased. However, regardless of lesion severity, sealants were 100% effective at 12 mo and 98% effective over 44 mo in managing occlusal surfaces at ICDAS 0-4 ( i.e., only 4 of 228 teeth progressed to ICDAS ≥ 5 associated with sealants in need of repair and none to halfway or more through the dentin, radiographically). This study suggests that occlusal surfaces without frank cavitation (ICDAS 0-4) that are sealed with a clear sealant can be monitored with ICDAS, QLF, or DIAGNOdent, which may aid in predicting the need for sealant repair.

scholarly journals Caries severity and socioeconomic inequalities in a nationwide setting: data from the Italian National pathfinder in 12-years children

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Guglielmo Campus ◽  
Fabio Cocco ◽  
Laura Strohmenger ◽  
Maria Grazia Cagetti
Keyword(s):  
Oral Health ◽  
Unemployment Rate ◽  
Gini Index ◽  
Negative Binomial ◽  
Smoking Habit ◽  
Socioeconomic Inequalities ◽  
Assessment System ◽  
Caries Detection ◽  
Per Capita ◽  
Cavitated Lesions

Abstract This study presents the result of the second National pathfinder conducted in Italy on children’s oral health, reporting the prevalence and severity of caries in 12-year old children and describing the caries figure related to the socioeconomic inequalities, both at individual level and macroeconomic level. The two-digit codes related to ICDAS (International Caries Detection and Assessment System) for each tooth and the gingival bleeding score were recorded at school on 7,064 children (48.97% males and 51.03% females). The Gross National Product (GNP) per capita, the Gini Index and Unemployment rate in each Italian section, parents’ educational levels, working status, smoking habit and their ethnic background were recorded. Zero-inflated-negative-binomial (ZINB) models were run, using caries-free teeth, teeth with enamel lesions, cavitated lesions and restorations as functions of socioeconomic explanatory variables, to evaluate the effects of justifiable economic factors of geographical distribution. The mean number of enamel lesions, cavitated lesions and filled per teeth were statistically significant (p < 0.01) dissimilar among the Italian section. GNP per capita, Gini Index and Unemployment rate were significantly correlated to ICDAS scores and filled teeth. Important differences in ICDAS score values remain among children from different socioeconomic backgrounds. Efforts should be made to improve awareness and knowledge regarding oral health practice and to implement preventive programs and access to dental services in Southern Italy where the disease is still unresolved.

scholarly journals Excessive Weight Gain and Dental Caries Experience among Children Affected by ADHD

2020 ◽  
Vol 17 (16) ◽  
pp. 5870
Author(s):  
Elzbieta Paszynska ◽  
Monika Dmitrzak-Węglarz ◽  
Aleksandra Perczak ◽  
Maria Gawriolek ◽  
Tomasz Hanć ◽  
...  
Keyword(s):  
Body Weight ◽  
Dental Caries ◽  
Assessment System ◽  
Caries Detection ◽  
Caries Experience ◽  
Adhd Group ◽  
Sugar Consumption ◽  
Hip Circumference ◽  
Physical Measurements ◽  
Adhd Children

In recent years, attention has been paid to the co-occurrence of attention deficit hyperactivity disorder (ADHD) and obesity, but results in relation to dental caries outcomes differ. The study was conducted to determine obesity/overweight and dental caries in children suffering from ADHD and to draw comparisons with non-ADHD children. A total of 119 children under 11 years old (8.2 ± 1.2) were enrolled into a cross-sectional study: those with confirmed ADHD (n = 39), and healthy controls (n = 80). The behavioral evaluation included a parent interview directed at sweetened food/drink habits. The clinical evaluation included physical measurements (height, waist, hip circumference, body weight, body mass index (BMI), and dental examination (International Caries Detection and Assessment System—ICDAS). Results showed a higher prevalence of abnormal body weight, hip circumference, and BMI, and a higher frequency of caries (84.6%) in the ADHD group. Significant caries differences for primary (ICDAS 0, 1, 2, 5, 6 scores) and permanent teeth (ICDAS 1, 3 scores) were recorded. The questionnaire pinpointed interplays between sugar consumption and tooth decay, especially for primary dentition. It can be concluded that the consumption of sweetened foods/drinks among ADHD children may lead to an increased rate of overweight, but may also affect oral health. Limiting sugar consumption might be one of the important elements in prevention programmes against dental caries and overweight/obesity.

Development of a Fluorescence-Based Caries Scoring System for an Intraoral Scanner: An in vitro Study

2020 ◽  
Vol 54 (4) ◽  
pp. 324-335
Author(s):  
Stavroula Michou ◽  
Ana Raquel Benetti ◽  
Christoph Vannahme ◽  
Pétur Gordon Hermannsson ◽  
Azam Bakhshandeh ◽  
...  
Keyword(s):  
Scoring System ◽  
State Of The Art ◽  
Assessment System ◽  
Detection Methods ◽  
Caries Detection ◽  
Fluorescence Signal ◽  
Radiographic Assessment ◽  
Intraoral Scanner ◽  
Posterior Teeth ◽  
Occlusal Surfaces

<b><i>Objectives:</i></b> To develop an automated fluorescence-based caries scoring system for an intraoral scanner and to<i></i>test the performance of the system compared to state-of-the-art methods. <b><i>Methods:</i></b> Seventy-three permanent posterior teeth were scanned with a three-dimensional (3D) intraoral scanner prototype which emitted light at 415 nm. An overlay representing the fluorescence signal from the tissue was mapped onto 3D models of the teeth. Multiple examination sites (<i>n</i> = 139) on the occlusal surfaces were chosen, and their red and green fluorescence signal components were extracted. These components were used to calculate 4 mathematical functions upon which a caries scoring system for the scanner prototype could be based. Visual-tactile (International Caries Detection and Assessment System, ICDAS), radiographic (ICDAS), and histological assessments were conducted on the same examination sites. <b><i>Results:</i></b> Most index tests showed significant correlation with histology. The strongest correlation was observed for the visual-tactile examination (<i>r</i><sub>s</sub> = 0.80) followed by the scanner supported by the caries classification function that quantifies the overall fluorescence compared to sound surfaces (<i>r</i><sub>s</sub> = 0.78). Additionally, this function resulted in the highest intra-examiner reliability (κ = 0.964), and the highest sum of sensitivity (SE) and specificity (SP) (sum SE-SP: 1.60–1.84) at the 2 histological levels where the comparison with visual-tactile assessment was possible (κ = 0.886, sum SE-SP = 1.57–1.81) and at the 3 out of 4 histological levels where the comparison with radiographic assessment was possible (κ = 0.911, sum SE-SP = 1.37–1.78); the only exception was for the lesions in the outer third of dentin, where the radiographic assessment showed the highest sum SE-SP (1.78). <b><i>Conclusion:</i></b> A fluorescence-based caries scoring system was developed for the intraoral scanner showing promising performance compared to state-of-the-art caries detection methods. The intraoral scanner accompanied by an automated caries scoring system may improve objective caries detection and increase the efficiency and effectiveness of oral examinations. Furthermore, this device has the potential to support reliable monitoring of early caries lesions.

scholarly journals Impact of Different Illumination Conditions on Visual Caries Detection with ICDAS

2015 ◽  
Vol 49 (6) ◽  
pp. 633-636 ◽  
Author(s):  
Klaus W. Neuhaus ◽  
Edi Jasarevic ◽  
Adrian Lussi
Keyword(s):  
Gold Standard ◽  
Area Under The Curve ◽  
Assessment System ◽  
Caries Detection ◽  
Lower Sensitivity ◽  
Pooled Data ◽  
Standard Operation ◽  
Occlusal Surfaces ◽  
Additional Illumination ◽  
Permanent Molars

The aim of this study was to test the influence of different degrees of additional illumination on visual caries detection using the International Caries Detection and Assessment System (ICDAS). Two calibrated examiners assessed 139 occlusal surfaces of extracted permanent molars using a standard operation lamp with or without an additional headlamp providing three default brightness intensities. Histology served as the gold standard. Pooled data showed no differences in sensitivities. Specificities were not influenced by additional light. The area under the curve for the Marthaler classification D3 threshold was significantly lower when an additional strong headlamp was used (0.59 compared to 0.69-0.72 when reduced illumination intensities were used). One of the two examiners also had a significantly lower sensitivity for the D1 threshold when an additional headlamp was used. The use of additional white light led to a reduced detection of dentine lesions.

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