Factors Influencing Parental Dental Anxiety and Dental Caries Experience among 3-5-Year-Old Children Attending Three Public Paediatric Dental Clinics in Nairobi, Kenya

Abstract Background There is a lack of evidence with regards to the association between both maternal and child dental anxiety and the mother’s perception of her child’s oral health-related quality of life (COHRQoL). The aim of this study was to investigate the association of maternal and child dental anxiety with COHRQoL and the effect of demographic factors as moderators in this relationship. In addition, the association between child’s dental caries experience and the COHRQoL was also assessed. Methods A cross-sectional study was conducted involving 1150, 5–6 year-old preschool children in Selangor, Malaysia. Mothers answered a questionnaire on socio-economic status, the Malay-Modified Dental Anxiety Scale to assess maternal dental anxiety, and the Malay-Early Childhood Oral Health Impact Scale to assess COHRQoL. Child's dental anxiety was assessed using the Malay-Modified Child Dental Anxiety Scale via a face-to-face interview prior to oral examination to assess dental caries. Data were analysed using structural equation modelling to assess the relationship between maternal and child dental anxiety and COHRQoL. Results Overall, complete data on 842 mother–child dyads were analysed. The mean scores of total ECOHIS, the child impacts section (CIS), and the family impacts section (FIS) were 17.7 (SD = 4.9), 12.6 (SD = 3.7), and 5.1 (SD = 1.9), respectively. The mean dental anxiety scores for mothers and children were 11.8 (SD = 4.5) and 16.9 (SD = 4.3), respectively. Maternal dental anxiety was associated with the CIS (b = 0.08, p < 0.001), the FIS (b = 0.01, p = 0.001), and the total ECOHIS (b = 0.14, p < 0.001). Maternal education level, income, urban/rural location, and kindergarten type were moderators to the relationship. In addition, there was also a significant relationship between child’s dental caries experience and COHRQoL (p < 0.001). Conclusions Maternal dental anxiety and child’s dental caries experience have significantly impacted the COHRQoL, the CIS, and the FIS domains. Demographic factors such as maternal education, income, urban/rural location, and kindergarten type acted as moderators that can strengthen or weaken the relationship between maternal dental anxiety and COHRQoL of 5–6-year-old preschool children.

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The social status associated with dental experience among Brazilian children

Ciência & Saúde Coletiva ◽

10.1590/1413-812320202510.32312018 ◽

2020 ◽

Vol 25 (10) ◽

pp. 3913-3919

Author(s):

Kamila Azoubel Barreto ◽

Viviane Colares

Keyword(s):

Public Schools ◽

Dental Caries ◽

Social Status ◽

Private Schools ◽

Dental Anxiety ◽

Cross Sectional Study ◽

Caries Experience ◽

Cross Sectional ◽

Public And Private ◽

Brazilian Children

Abstract Dentists should be alert not only to clinical variables, but also to socioeconomic, psychological and cultural factors, which have all been associated with the experience of dental caries. The aim of this study of was to assess social status and dental experience among Brazilian children. A cross-sectional study was conducted involving 1367 male and female children aged six and seven years enrolled at public and private schools in the city of Recife (Brazil) in 2013. The children at tending public schools were socioeconomically less privileged than those attending private schools. Data were collected through interviews and intraoral examinations. Caries experience was high (53.3%) in the overall sample, but less privileged children had larger percentages of decayed teeth and teeth that required extraction (p < 0.001). Children from less privileged social class had a greater chance of having a low (OR = 1.77 [95%CI 1.33 - 2.35]), moderate (OR = 4.41 [95%CI: 3.18 - 6,14]) and high (OR = 9.55 [95%CI 6.01 - 15.16]) caries experience. They also had a greater chance of never visiting a dentist (OR= 2.90 [95% CI 2.25 - 3.74]) and had dental anxiety (OR = 1.70 [95%CI 1.34-2, 16]). Socioeconomic status influences the dental caries experience, the visits to the dentist and the dental anxiety of the children analyzed.

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Relationship of dental anxiety with oral health behavior and dental caries experience in adolescents

Journal of Korean Academy of Oral Health ◽

10.11149/jkaoh.2015.39.1.17 ◽

2015 ◽

Vol 39 (1) ◽

pp. 17 ◽

Cited By ~ 2

Author(s):

Sun-Hwa Park ◽

Na-Gyung Lee ◽

Hyun-Jeong Ju ◽

Boo-Young Choi ◽

Hyo-Won Oh ◽

...

Keyword(s):

Oral Health ◽

Dental Caries ◽

Health Behavior ◽

Dental Anxiety ◽

Caries Experience ◽

Oral Health Behavior ◽

Relationship Of

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Prevalence And Distribution Of Dental Caries Experience According To GV Black Classification For Patient Attending To Dental School

Journal of Oral Health and Community Dentistry ◽

10.5005/johcd-9-2-60 ◽

2015 ◽

Vol 9 (2) ◽

pp. 60-63

Author(s):

RM Talabani ◽

A Al-Zahawi ◽

RO Ibrahim

Keyword(s):

Dental Caries ◽

Class Ii ◽

Occlusal Surface ◽

Class I ◽

Caries Experience ◽

Class Iii ◽

Dental Clinics ◽

Carious Lesions ◽

School Of Dentistry

ABSTRACT Objective The aim of our study was to evaluate the incidence of dental caries in relation to gender. GV Black classification was used. Method A sample of 1000 adult patient, 498 male and 502 female, were selected at random from patient attending to dental clinics of Conservative department at School of Dentistry, University of Sulaimani. Result According to GV Black classification of dental caries (7885) carious lesions were detected on various surfaces, class I buccal surface 387 (4.9 %), class I palatal surface 465 (5.8 %), class I occlusal surface 4836 (61.3%), class II mesio-occlusal (MO) 499 (6.3 %), class II disto-occlusal (DO) 594 (7.5 %), class II mesio-occlusal-distal (MOD) 215 (2.7 %), class III mesial 331 (4.1 %), class III distal 289 (3.6%), class IV 95 (1.2 %), class V 174 were (2.2 %). Conclusion The result of this study showed that Class I occlusal surface caries was more prevalent among other types of carious lesion according to GV Black classification.

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Multilevel Analysis of Dental Caries in Swedish Children and Adolescents in Relation to Socioeconomic Status

Caries Research ◽

10.1159/000489570 ◽

2018 ◽

Vol 53 (1) ◽

pp. 96-106 ◽

Cited By ~ 3

Author(s):

Ann-Catrin André Kramer ◽

Aldina Pivodic ◽

Magnus Hakeberg ◽

Anna-Lena Östberg

Keyword(s):

Dental Caries ◽

Children And Adolescents ◽

Parental Education ◽

Multilevel Models ◽

Caries Experience ◽

Older Children ◽

Age And Gender ◽

Small Areas ◽

Dental Clinics ◽

And Gender

The objective was to investigate the variability in dental caries experience in Swedish children and adolescents, at two different area levels: dental clinics and SAMS (small areas for market statistics), with respect to multiple individual socioeconomic factors (SES). Records of manifest caries using the DMFT indices (decayed, missing, filled teeth, dependent variables) were collected from electronic dental records for 300,988 individuals aged 3–19 years (97.3% coverage) from the Region Västra Götaland, Sweden. SES data were obtained from official registers and covered ethnicity, wealth, parental education, and employment. The SES variables were used as an independent aggregated variable – an in dex – categorized in deciles. Age and gender were independently included in the multilevel models. Two-level logistic regression analyses explored the probability of a dental caries experience and the variability (intracluster correlation) within dental clinic areas and SAMS, respectively. The most deprived (10th decile, SAMS level) 3- to 6-year-old children had an OR of 5.00 (95% CI 4.61–5.43) for dental caries experience (deft), compared with children in the 1st to 5th deciles. For older children and adolescents (≥7 years), the corresponding OR (DFT) was 2.25 (95% CI 2.15–2.35). Small geographical areas explained more of the variance in caries experience compared with the more aggregated level dental clinics. SES was more strongly related to the risk of dental caries experience than age and gender. In conclusion, the associations between SES and dental caries experience in Swedish children and adolescents were strong in the study and strongest in young children at a low level.

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Does non-institutionalized elders have a better oral health status compared to institutionalized ones? A systematic review and meta-analysis

Ciência & Saúde Coletiva ◽

10.1590/1413-81232020256.18252018 ◽

2020 ◽

Vol 25 (6) ◽

pp. 2177-2192 ◽

Cited By ~ 3

Author(s):

Ilky Pollansky Silva e Farias ◽

Simone Alves de Sousa ◽

Leopoldina de Fátima Dantas de Almeida ◽

Bianca Marques Santiago ◽

Antonio Carlos Pereira ◽

...

Keyword(s):

Systematic Review ◽

Health Status ◽

Oral Health ◽

Dental Caries ◽

Meta Analysis ◽

Oral Health Status ◽

Cochrane Library ◽

Caries Experience ◽

Institutionalized Elderly ◽

Periodontal Status

Abstract This systematic review compared the oral health status between institutionalized and non-institutionalized elders. The following electronic databases were searched: PubMed (Medline), Scopus, Web of Science, Lilacs and Cochrane Library, in a comprehensive and unrestricted manner. Electronic searches retrieved 1687 articles, which were analyzed with regards to respective eligibility criteria. After reading titles and abstracts, five studies were included and analyzed with respect their methodological quality. Oral status of institutionalized and non-institutionalized elderly was compared through meta-analysis. Included articles involved a cross-sectional design, which investigated 1936 individuals aged 60 years and over, being 999 Institutionalized and 937 non-institutionalized elders. Studies have investigated the prevalence of edentulous individuals, the dental caries experience and the periodontal status. Meta-analysis revealed that institutionalized elderly have greater prevalence of edentulous (OR = 2.28, 95%CI = 1.68-3.07) and higher number of decayed teeth (MD = 0.88, 95%CI = 0.71-1.05) and missed teeth (MD = 4.58, 95%CI = 1.89-7.27). Poor periodontal status did not differ significantly between groups. Compared to non-institutionalized, institutionalized elders have worse dental caries experience.

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Free Sugars Intake among Chinese Adolescents and Its Association with Dental Caries: A Cross-Sectional Study

Nutrients ◽

10.3390/nu13030765 ◽

2021 ◽

Vol 13 (3) ◽

pp. 765

Author(s):

Qiping Yang ◽

Yue Xi ◽

Hanmei Liu ◽

Jing Luo ◽

Yufeng Ouyang ◽

...

Keyword(s):

Oral Health ◽

Dental Caries ◽

Cross Sectional Study ◽

Chinese Adolescents ◽

Food Sources ◽

Caries Experience ◽

Sectional Study ◽

Cross Sectional ◽

Free Sugars ◽

Targeted Interventions

This study aims to estimate the free sugars intake, identify the primary food sources of free sugars, and explore the relationship between free sugars intake and dental caries among Chinese adolescents. This cross-sectional study included 1517 middle-school students aged 12–14 years in Changsha city, China. Adolescents completed a 12-item Food Frequency Questionnaire (FFQ) and oral health assessment. The students’ dental caries experience was available as DMFT score (number of decayed, missing, and filled permanent teeth). Statistical analyses included the Mann–Whitney test, Kruskal–Wallis test, Chi-square test, and binary logistic regression model. The average intake of free sugars was 53.1 g/d in adolescents, and 43.2% of the students consumed more than 50 g of free sugars daily. The primary contributor to free sugars was sugar-sweetened beverages (SSBs). Age, boarders, and high family income were risk factors for excessive free sugars intake (p < 0.05), and increased free sugars intake was a risk factor for dental caries (odds ratio, OR = 1.446, 95% confidence interval: 1.138–1.839). Both the free sugars intake and dental caries prevalence in Chinese adolescents were high. Targeted interventions are urgently needed to address the excessive consumption of free sugars and improve Chinese adolescents’ oral health.

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

BMC Oral Health ◽

10.1186/s12903-021-01690-1 ◽

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.

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