The Oral Health of Children with Clefts of the Lip, Palate, or Both

2001 ◽  
Vol 38 (5) ◽  
pp. 525-528 ◽  
Author(s):  
J. R. Chapple ◽  
J. H. Nunn
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
National Survey ◽  
Primary Teeth ◽  
Dental Health ◽  
Oral Disease ◽  
Permanent Teeth ◽  
Developmental Defects ◽  
Aggressive Approach ◽  
Developmental Defects Of Enamel

Objective: The purpose of this study was to assess the prevalence of dental caries, developmental defects of enamel, and related factors in children with clefts. Design: This cross-sectional prevalence study used standard dental indices for assessment. Setting: Children underwent a dental examination under standard conditions of seating and lighting in the outpatient department of a dental hospital as part of an ongoing audit to monitor clinical outcomes. Participants: Ninety-one children aged 4, 8, and 12 years were included in the study. Outcome Measurements Dental caries were assessed by use of the decayed, missing, and filled index for primary teeth (dmft); Decayed, Missing, and Filled index for permanent teeth (DMFT) according to the criteria as used in the national survey of children's dental health in the United Kingdom (O'Brien, 1994). Developmental defects were assessed using the modified Developmental Defects of Enamel Index (Clarkson and O'Mullane, 1989). Dental erosion was assessed using the criteria derived for the national survey of children's dental health (O'Brien, 1994). Results: Caries prevalence increased with age; 63% of patients at 4 years and 34% at 12 years were caries free. The mean dmft for the 4-year-olds was 1.3 with a mean DMFT for the 12-year-olds of 1.8. All the 4-year-olds had evidence of erosion of enamel in the primary teeth (incisors and first molars) and 56% of the 12-year-olds had erosion of permanent teeth (incisors and first permanent molars). Developmental defects of enamel became more prevalent with age, with at least one opacity in 56% of 4-year-olds and 100% of 12-year-olds. Hypoplasia was not found in the primary dentition but affected permanent teeth in 38% of 8-year-olds and 23% of the 12-year-olds. Conclusion: This study has shown that dental disease is prevalent in these patients. These assessments not only provide a baseline on oral health parameters in young people with clefts but underline the need for a more aggressive approach to prevention of oral disease to optimize clinical outcome.

Does Caries in Primary Teeth Predict Enamel Defects in Permanent Teeth? A Longitudinal Study

2005 ◽  
Vol 84 (3) ◽  
pp. 260-264 ◽  
Author(s):  
J.M. Broadbent ◽  
W.M. Thomson ◽  
S.M. Williams
Keyword(s):  
Dental Caries ◽  
Primary Teeth ◽  
Economic Status ◽  
Permanent Teeth ◽  
Primary Tooth ◽  
Water Fluoridation ◽  
Developmental Defects ◽  
Health And Development ◽  
Maxillary Incisors ◽  
Developmental Defects Of Enamel

The notion that caries in primary teeth causes developmental defects of enamel in permanent teeth has been recently revived. The research objective was to test this hypothesis through analysis of data from the Dunedin Multidisciplinary Health and Development Study, a longstanding prospective cohort study. The maxillary incisors of 663 children were assessed for existing restorations and dental caries at age five and for developmental defects of enamel at age nine. Where a primary tooth had been carious, the permanent successor was more likely to have a demarcated opacity after adjustment for gender, family socio-economic status, years of exposure to water fluoridation, trauma to primary teeth, and early loss of primary teeth (unadjusted OR = 2.3, 95% CI 1.3, 4.1; adjusted OR = 2.2, 95% CI 1.1, 4.3). These findings support a time-ordered association between dental caries in primary maxillary incisors and demarcated opacities in their permanent successors.

Risk of Dental Caries in Primary Teeth with Developmental Defects of Enamel: A Longitudinal Study with a Multilevel Approach

2019 ◽  
Vol 53 (6) ◽  
pp. 667-674
Author(s):  
Suzane Paixão-Gonçalves ◽  
Patrícia Corrêa-Faria ◽  
Fernanda Morais Ferreira ◽  
Maria Letícia Ramos-Jorge ◽  
Saul Martins Paiva ◽  
...  
Keyword(s):  
Dental Caries ◽  
Primary Teeth ◽  
Primary Dentition ◽  
Enamel Hypoplasia ◽  
Developmental Defects ◽  
Posterior Teeth ◽  
Multilevel Approach ◽  
Two Stages ◽  
Developmental Defects Of Enamel

The risk of dental caries seems to be greater in the presence of developmental defects of enamel (DDE). The aim was to determine whether the presence of DDE in the primary teeth of preschool children increases the risk of dental caries in the primary dentition after a period of approximately 2 years. This study was conducted in two stages: baseline (T0) and follow-up (T1). At T0, examinations were conducted for the diagnosis of enamel defects using the DDE index (FDI, 1992), dental caries, and oral hygiene. The participants were allocated to two groups according to the presence (affected) or absence (unaffected) of DDE. At the second evaluation (T1), examinations were performed for the diagnosis of dental caries. Poisson regression analysis with a multilevel approach was used to determine the association between DDE and dental caries. The two levels of the analysis were tooth and child. Among the 339 children (113 affected and 226 unaffected) examined at baseline (T0), 325 were re-examined at follow-up (T1). According to the multilevel analysis, teeth with enamel hypoplasia had a greater risk of having dental caries (RR: 1.99; 95% CI: 1.19–3.33). The risk of caries was greater on posterior teeth (RR: 2.59; 95% CI: 2.18–3.07) and maxillary teeth (RR: 1.48; 95% CI: 1.26–1.75) that had DDE at T0. On the child level, dental caries at T1 was associated with having dental caries at T0 (RR: 1.38; 95% CI: 1.32–1.46). In conclusion, enamel hypoplasia and previous dental caries are risk factors for carious lesions in the primary dentition.

scholarly journals Efficiency of dental health care in Federation of Bosnia and Herzegovina

2013 ◽  
Vol 3 (2) ◽  
pp. 145-150 ◽  
Author(s):  
Šejla Cilović Lagarija ◽  
Mediha Selimović-Dragaš
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Bosnia And Herzegovina ◽  
Primary Teeth ◽  
Dental Health ◽  
Oral Health Status ◽  
Permanent Teeth ◽  
Public Health Issue ◽  
Oral Diseases ◽  
Dental Health Care

Introduction: Despite the great improvements in the oral health status of the population across the world, oral diseases remains a major public health issue connected with a lost of numerous school days for childrenand absenteeism from work in adults. This effect is particularly evident in low and middle income countries as Bosnia and Herzegovina. This retrospective study presents the effi ciency of dental health carein Federation of Bosnia and Herzegovina measured by number of visits and performed dental treatments during the time period of six years, from 2005-2011.Methods: Data were collected by evaluation of the results obtained by forms which are mandatory to be completed by dentists.Results: The number of graduated dentists from 2007 to 2011 decreased from 108 in 2007 to 68 in 2011. In the same time, number of dentists employed in public sector slightly increased from 529 in 2005 to587 in 2011. Number of extracted permanent teeth decreased from the 412 extracted permanent teeth per dentist in 2005 to 364 in 2011. Small number of fi lled primary teeth comparing to large number ofextracted primary teeth showed negligence in their treatment.Conclusion: Having in mind that improving oral health in developing countries is a very challenging objective we can conclude that dental health care system in Federation of Bosnia and Herzegovina need to bereform in order to improve oral health in general, particularly in children population.

scholarly journals 3D Dentobox (Dental Explosion Box 3D) as education media for children caries prevention

2017 ◽  
Vol 29 (2) ◽  
Author(s):  
Siti Rusdiana Puspa Dewi ◽  
Deratih Putri Utami AF ◽  
Indah Octantia ◽  
Nurul Ifadah
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
Dental Health ◽  
Three Dimensional ◽  
Caries Prevention ◽  
Oral Disease ◽  
Control Group ◽  
Research Subjects ◽  
Control Group Design ◽  
Level Of Knowledge

Introduction: The most common dental and oral health problem in the world is dental caries. In Indonesia, as many as 89% of children under 12 years old suffered from dental and oral disease. Lack of dental knowledge and awareness can be overcome by conducting intensive dental and health education to the community. 3D Dentobox is a simple three-dimensional game designed to deliver dental and oral health messages, including dental hygiene, ways to overcome dental health problems and some dental games. 3D Dentobox is an educational media prevention of caries in children. Methods: The method used was Quasi experiment with the type of pretest and posttest control group design. The sample of this study was 30 children aged 9-12 years old. The research subjects filled out a questionnaire containing information on the level of knowledge, attitudes, and actions in caries prevention efforts followed by outreaching to the media and 3D props Dentobox and was given back the same questionnaire to be filled. Data were collected and evaluated using Guttman scale and was analyzed by paired T test. Results: The results showed that the average level of knowledge, changing attitudes, and actions before and after use 3D Dentobox increased significantly (p<0.05). Conclusion: 3D Dentobox can be used as a media of education to prevent dental caries in children.

scholarly journals Who Needs More than 1,000 ppm? The Epidemiology of High-Risk Populations

2016 ◽  
Vol 50 (Suppl. 1) ◽  
pp. 1-8 ◽  
Author(s):  
Ana Karina Mascarenhas
Keyword(s):  
Oral Health ◽  
High Risk ◽  
Dental Caries ◽  
Low Socioeconomic Status ◽  
Well Being ◽  
Oral Disease ◽  
Permanent Teeth ◽  
Oral Diseases ◽  
Untreated Caries ◽  
High Risk Populations

Good oral health is necessary to overall health and well-being. Most oral diseases, and in particular dental caries, are entirely preventable. However, in 2010, 3.9 billion people were globally affected by oral conditions, and the global prevalence of untreated caries in permanent teeth was 35.3%. The contemporary thinking is that dental caries starts as an infectious disease which then becomes a chronic disease. Public health measures and other caries-preventive approaches have resulted in dramatic reductions in dental caries across populations. However, in a given population, not all individuals have experienced these successes uniformly. High-risk populations, defined as those with a ‘higher-than-expected risk', exist for most diseases and conditions including caries. The global scientific literature suggests that these are the following: (1) minorities, (2) individuals with low-socioeconomic status and (3) other vulnerable populations such as the very young and elderly who continue to battle with oral health disparities by experiencing higher oral disease levels including dental caries. As the science and resources exist to prevent caries, it is essential to identify and target these high-risk individuals and populations.

scholarly journals Oro-Dental Health and Primary Nephrotic Syndrome among Vietnamese Children

Children ◽  
2021 ◽  
Vol 8 (6) ◽  
pp. 494
Author(s):  
Hang Minh Luong ◽  
Tra Thu Nguyen ◽  
Huy-Thinh Tran ◽  
Phung Thi Tran ◽  
Phuong-Nga Nguyen ◽  
...  
Keyword(s):  
Nephrotic Syndrome ◽  
Dental Caries ◽  
Dental Health ◽  
Oral Care ◽  
Oral Health Status ◽  
Developmental Defects ◽  
Primary Nephrotic Syndrome ◽  
And Gender ◽  
Developmental Defects Of Enamel ◽  
Care Behavior

Primary nephrotic syndrome (PNS) is common in children, affecting the soft and hard tissues of the oral cavity. This study aimed to investigate the percentage of dental caries, gingivitis, hypertrophic gingivitis, and developmental defects of enamel (DDE) in children with PNS. The association of PNS with these diseases and oral care behavior was also assessed. A total of 407 children with PNS and 407 age- and gender-matched controls were recruited. PNS was diagnosed based on blood and urinary tests. The Simplified Oral Hygiene Index (OHI-S), the Gingival Index (GI), the Gingival Overgrowth Index (GOI), the Decayed, Missing, and Filled Teeth Index (dmft/DMFT), and DDE were collected. The PNS patients showed significantly higher scores of OHI-S, GI, and dmft, and higher proportions of dental caries and DDE than those of the controls (p < 0.001). It is necessary to establish a periodic dental protocol for PNS patients to improve their oral health status.

scholarly journals Knowledge, Awareness and Perception Regarding Importance of Primary Teeth among Parents Visiting Dental OPD, BPKIHS, Dharan, Nepal

2019 ◽  
Vol 3 (3) ◽  
pp. 570-575
Author(s):  
Mamta Dali ◽  
Bandana Koirala ◽  
Sneha Shrestha
Keyword(s):  
Dental Caries ◽  
Primary Teeth ◽  
Health Knowledge ◽  
Dental Health ◽  
Permanent Teeth ◽  
Positive Attitudes ◽  
Pediatric Dentist ◽  
Appropriate Treatment ◽  
Untreated Caries ◽  
The Right

Introduction: Oral health knowledge and awareness among parents is an integral component of preventing dental caries among children. Objective: The purpose of this paper is to assess the parent's knowledge, awareness and perception regarding the care of primary teeth attending the Dental OPD, BPKIHS, Dharan, Nepal. Methodology: A questionnaire based survey was conducted among 200 parents in randomly selected manner. Results: The data was analyzed using SPSS software version 12.0. Only 54% of the parents were aware of the importance of primary teeth in children and 82% understood that untreated caries in primary dentition can have effects on general health of children. Approx 82% parents were aware of pediatric dentist and majority felt that they are the right person to contact when dental problems occur in children. Surprisingly only 57% of parents were aware of the preventive role of fluorinated tooth in dental caries. A majority of parents assume that filling is the appropriate treatment option for caries in children rather than extraction and 40.5% felt that premature primary teeth extraction will results in malalignment of permanent teeth. A very negative response was obtained regarding routine dental visit to pediatric dentist. Majority (61%) visited only when dental problems occurred whereas 12-16% answered they visit in every 6 months or once in a year. Conclusions: We concluded that knowledge, awareness and perception of parents regarding importance of primary teeth were inadequate. There is an immediate need to cultivate and reinforce positive attitudes among parents and substantially raise their dental awareness through child dental health oriented programs.

scholarly journals Prevalence and factors contributing to dental caries in 12–15-year-old school adolescents in northeast China

BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e044758
Author(s):  
Jian Li ◽  
Kaiqiang Zhang ◽  
Zhenfu Lu
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
Northeast China ◽  
Dental Health ◽  
Age Groups ◽  
Liaoning Province ◽  
Permanent Teeth ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Mean

ObjectivesThe present study investigated the prevalence and factors contributing to dental caries in 12–15-year-old adolescents in northeast China to provide information for dental caries promotion programmes.Design, setting and participantsA cross-sectional survey including caries examination and questionnaire was performed in Liaoning province, China. 3731 12–15-year-old school adolescents participated in the survey. School adolescents were randomly selected and received a clinical oral examination and completed questionnaires that assessed their oral health-related behaviours and attitudes.ResultsOverall, 3731 12–15-year-old school adolescents participated in the survey. The prevalence of dental caries in these adolescents was 53.65%, and the mean number of decayed–missing–filled teeth (DMFT) in the adolescents was 1.64±2.38 in northeast China, which was higher than the mean in China as a whole. A remarkable difference in DMFTwas exhibited between age groups, region and gender (p<0.05). Logistic regression analysis showed that age, region, gender and father’ education were related to the occurrence of caries in these adolescents.ConclusionThe 12–15-year-old school adolescents assessed exhibited a high prevalence of dental caries and low awareness of oral health. It is critical to protect permanent teeth, and oral and dental health education and promotion should be more comprehensively integrated into school courses for these adolescents.

scholarly journals Dental Caries and Oral Health Behavior Assessment Among Portuguese Adolescents

2019 ◽  
Author(s):  
Nélio Jorge Veiga ◽  
Maria Helena de Cecchi ◽  
Johnny Martins ◽  
Inara Pereira da Cunha ◽  
Marcelo de Castro Meneghim
Keyword(s):  
Public Schools ◽  
Oral Health ◽  
Dental Caries ◽  
Total Sample ◽  
Oral Disease ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Oral Health Promotion ◽  
Cross Sectional ◽  
Portuguese Adolescents

AbstractIntroductionIt is during the school phase that children and adolescents consolidate healthy behaviors, which will contribute to the decrease of diseases, especially in the reduction of dental caries. The main objective of the present study was to assess the decayed, missing and filled deciduous and permanent teeth index and oral health behaviors among Portuguese adolescents.Materials and methodsAn observational cross-sectional study was designed including a sample of 694 adolescents between the ages of 12 and 18 years old from five public schools in the Viseu and Guarda districts, Portugal. After a self-administered questionnaire was filled out by the participants, a clinical examination was carried out in order to assess oral status and dental caries identification. A descriptive analysis of the variables was performed using the Chi-square, Mann-Whitney and Kruskal-Wallis tests (p<0.05).ResultsThe decayed, missing and filled permanent teeth index was 2.91±2.9 and the decayed, missing and filled deciduous teeth index was 1.10±1.4. Of the total sample, 73% consumed sugary food on a daily basis, 54.7% drank bottled water, 50.1% considered oral health good, 70.8% did not report pain in the last 12 months, but noticed gingival bleeding (51.5%). Most adolescents (79.4%) brushed their teeth daily and 60% did not use dental floss. Of the total sample, 96.4% had a dental appointment in the last 12 months, being 46.4% due to prevention treatments. The high decayed, missing and filled deciduous teeth index was associated with low maternal scholarship, male gender and living in a rural residence area (p<0.05). Adolescents who brush their teeth daily presented a good perception about their oral health (p<0.001).ConclusionsPortuguese adolescents presented a low decayed, missing and filled deciduous and permanent teeth index index. The decayed, missing and filled deciduous teeth index was associated with sociodemographic factors. Oral hygiene habits were associated with self-perception of oral health. It is suggested that oral health promotion and prevention programs should be improved in schools in order to reduce the risks of oral disease development.

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