scholarly journals Passive Smoking and Pediatric Dental Caries

2021 ◽  
Vol 39 (1) ◽  
pp. 1-13
Author(s):  
Sirajam Munira ◽  
Md Ziaul Islam ◽  
Md Towfiq Sekander ◽  
Badrul Alam

Background: Dental caries is a chronic dental disorder of children and it can result in substantial morbidity due to pain, dysfunction, poor appearance, and problems of speech development. The study was conducted to assess the association between passive smoking and pediatric dental caries. Methods: The cross-sectional study was conducted among 92 school children aged 5-10 years. Data on exposure to passive smoking at both indoor and outdoor were obtained through face to face interview of the parents with the help of semi-structured questionnaire and checklist. Dental caries was diagnosed by clinical examination and passive smoking exposure was assessed by estimated urinary cotinine level. Results: The study revealed that 58.70% children were male and 41% were female respectively. The mean age of the children was 7.20 years. It was found that 59.8% father of the studied children were smoker where 68.5% children reported that some of their family members were indoor smokers. Of all the children, 62% had dental caries and 85.5% of the children had dental caries who were exposed to passive smoking and had significant association between exposure to passive smoking and dental caries (p<0.001). Dental caries was common among children aged 5-6years who were exposed to passive smok ing. The mean urinary cotinine level was 27.81 ng/ml and maximum children (65.2%) had urinary cotinine level more than 10ng/ml who was exposed to passive smoking. The study found significant positive correlation between urinary cotinine concentrations and the duration of exposure to passive smoking (i=0.692, p<0.001). Conclusion: This study suggests reduction of exposure to passive smoking may be an effective measure for prevention of pediatric dental caries. JOPSOM 2020; 39(1): 1-13

Author(s):  
Lisa Zumpe ◽  
Tobias Bensel ◽  
Andreas Wienke ◽  
Matilda Mtaya-Mlangwa ◽  
Jeremias Hey

There has been no research on the prevalence of and factors associated with dental caries in rural southwestern Tanzania among schoolchildren. Determining the prevalence of and factors associated with dental caries will help to assess the need for dental intervention and prophylactic measures among children in the region. In February 2020, a cross-sectional study was conducted in the Wanging’ombe District of the Ilembula Ward. The data were collected through clinical examinations and personal interviews at two primary schools. Univariable and multivariable logistic regression analyses were performed to identify potential risk indicators for caries. The study included 319 students aged 11–12 years (average 11.92 ± 0.27 years). The mean Decayed, Missing and Filled Teeth index was 0.24 ± 0.68, and the mean Specific affected Caries Index was 1.66 ± 0.9. The greatest influences on the caries risk were poor oral hygiene (OR 8.05, 95% CI 0.49–133.23), low tooth brushing frequency (OR 3.03, 95% CI 1.26–7.26) and low level of education in parents (OR 2.63, 95% CI 0.99–6.98). Dental caries was low among students in rural areas in the Wanging’ombe District.


2021 ◽  
Vol 10 (1) ◽  
pp. e32810111226
Author(s):  
Gabriela Bohrer Bolsson ◽  
Jessica Klöckner Knorst ◽  
Marília Cunha Maroneze ◽  
Maísa Casarin ◽  
Patrícia Pasquali Dotto ◽  
...  

Objective: To assess factors associated with the average number of dental caries in pregnant women. Method: Basic research design: This cross-sectional study was performed between January 2017 and December 2018 in Santa Maria, Brazil. Clinical setting and participants: Multistage random sampling resulted in the recruitment of 256 pregnant women from public health centers across the city. Clinical exams and semi-structured questionnaires including demographic, socioeconomic and behavioral questions were performed by trained interviewers. Main outcome measure: The experience of dental caries was evaluated through the mean value of the Decay, Missing, and Filled Surface Index (DMFS) by 4 trained and calibrated examiners. Multilevel Poisson regression models were used to evaluate the influence of different variables on the average number of dental caries. Rate ratio (RR) and respective 95% confidence intervals were calculated (CI 95%). Results: The prevalence of untreated dental caries was 62.7% in the sample, while the mean DMFS index was 10.27 (± 10.92). Women who smoked during pregnancy had a higher mean DMFS (RR 1.41; 95% CI 1.25-1.57). Furthermore, pregnant women who had poor self-ratings of oral health had a higher average DMFS (RR 1.21; 95% CI 1.10-1.32). Conclusions: The results showed that older age, ethnicity, fewer years in education and the presence of dental plaque resulted in higher means of DMFS.


Author(s):  
Azlan Jaafar ◽  
Normaliza Ab Malik ◽  
Aws Hashim Ali Al-Kadhim

Oral health literacy is the ability of an individual in making an appropriate decision to achieve optimum oral health. This study aimed to assess the oral health literacy and oral health status of undergraduate university students. This is a cross sectional study conducted among students from various faculties in USIM. A written consent was obtained before the administration of OHLI-M questionnaire via Google form. Oral examination was conducted after completing the questionnaire. A descriptive data analysis was performed to determine the adequacy of oral health literacy and oral health status among the students. A total of 280 students participated in this study. The mean age was 22 years old (SD=1.17) with the majority of them being female (82.1%) and coming from urban residences (57.1%). The prevalence of dental caries and periodontal disease was 58.9% (95% CI= 53.2 to 64.6) and 13.2% (95% CI= 9.6 to 17.1) respectively. Students with adequate oral health literacy had better oral health status. Those with inadequate oral health literacy had a high percentage of dental caries.


BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e047645
Author(s):  
Luyan Lv ◽  
Shixian Wu ◽  
Yungui Yang ◽  
Xiongli Yue

ObjectiveThe deleterious effects of smoking on atherosclerosis were well known; however, the interaction among ageing, smoking and atherosclerosis remains unclear. This study tested the hypothesis that the association between age and vascular calcification, a critical mark of atherosclerosis, was modified by smoking.DesignCross-sectional study.SettingA nationally representative sample, the National Health and Nutrition Examination Surveys 2013–2014.ParticipantsThis study included 3140 adults aged 40–80 years with eligible data for abdominal aortic calcification (AAC). Active and passive smoking exposure was identified through self-reports and tobacco metabolites (serum cotinine and urinary 4-methylnitrosamino-3-pyridyl-1-butanol).Primary outcome measuresAAC score was determined using dual-energy X-ray absorptiometry (DXA) scans. OR was estimated using the logistic regression method to assess the association between age and the presence of severe or subclinical AAC stratified by smoking exposure. The survey-weighted Wald test was used to evaluate potential interactions.ResultsAAC was positively associated with age in the general population. After adjustment for age, sex, race/ethnicity and other cardiovascular risk factors, age was significantly associated with the odds of severe AAC (OR for each 5-year increase in age: 1.66, 95% CI 1.48 to 1.87, p<0.001). As expected, the association between age and vascular calcification was especially stronger in smokers than in never smokers (p value for interaction ≤0.014). According to spline fitting, the progression of vascular calcification was significantly increased after 45 years in smokers compared with that after 60 years in never smokers. Quitting smoking may compromise the deleteriousness of the vascellum especially in younger adults. However, the difference in age-related calcification among never smokers with or without secondhand smoke exposure was minor, regardless of the definition by self-report, serum cotinine, or urinary 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol.ConclusionsSmoking significantly accelerated the progression of age-related subclinical atherosclerosis. Early smoking cessation should be encouraged among young smokers. The effect of passive smoking exposure on arteriosclerosis should be assessed further.


2017 ◽  
Vol 24 (12) ◽  
pp. 1894-1898
Author(s):  
Shahid Ali Mirani ◽  
Syed Yousif Ali Shah ◽  
Muhammad Ameen Sahito

Objectives: This study was carried out to evaluate the dental students’perception about condition of their gums and teeth and prevalence of dental caries. StudyDesign: Descriptive cross sectional study. Setting: Liaquat University of Medical and HealthSciences. Period: July 2011 to December 2011. Material and Method: The sample size was200 students comprising of both male and female. Clinical Oral examination was performedwith the help of mouth mirror and explorer in dental chair. The perception of dental studentsabout condition of their gums and teeth was obtained through questionnaire. Results: Theresults revealed that 25 % of students in present study had dental decay. The mean DMFT scorewas 0.625. Moreover, the mean DMFT score for male and female students was 0.658 and 0.576respectively. The results about distribution of DMFT components indicated that the decayed(D) teeth were in greatest number followed by filled (F) and missed (M) teeth. Conclusion:There was statistically no significant association between dental caries and gender. Moreover,prevalence of dental caries was significantly different between those who perceived their gumsand teeth condition excellent and good compared to the students who perceived their gumsand teeth condition as poor.


2020 ◽  
Author(s):  
Vicent Bankanie ◽  
Anne Outwater ◽  
Li Wang ◽  
Li Yinglan

Abstract Background: Implementation of evidence-based guidelines (EBGs) related to VAP is an effective measure for the prevention of ventilator-associated pneumonia (VAP). While low knowledge regarding the EBGs related to VAP prevention among ICU nurses is still a major concern among nurses in ICUs globally, the situation in Tanzania is scarcely known. This study aimed to assess the ICU nurses’ knowledge, compliance, and barriers toward evidence-based guidelines for the prevention of VAP in Tanzania.Methods: A cross-sectional study, involving ICU nurses of major hospitals in Tanzania, was conducted. A structured questionnaire was administered among 116 ICU. Data analysis included descriptive statistics and independent t-test.Results: The mean knowledge score was 38.6% which is lower than the lowest ever reported knowledge score for EBGs for VAP prevention. Nurses with a degree or higher level of nursing education performed significantly better than the nurses with a diploma or lower level of nursing education(p=0.004). The mean self-reported adherence score for EBGs for the prevention of VAP was 60.8%. The main barriers to the implementation of EBGs for VAP prevention were lack of skills (96.6%), lack of adequate staff (95.5%), and lack of knowledge (79.3%).Conclusion: Considering the severity and impact of VAP, and the higher risks of HAIs in resource-limited countries like Tanzania, the lower level of knowledge and compliance implies the need for on-going educational interventions and evaluation of the implementation of the EBGs for VAP prevention by considering the local context.


Medicina ◽  
2009 ◽  
Vol 45 (11) ◽  
pp. 887
Author(s):  
Kristina Saldūnaitė ◽  
Alina Pūrienė ◽  
Simona Milčiuvienė ◽  
Vilma Brukienė ◽  
Jelena Kutkauskienė

Objective. The present study aimed to assess dental status in 7–12-year-old Lithuanian children and to evaluate the extent and the efficiency of the Pit and Fissure Sealing in Permanent Molars program. Material and methods. This cross-sectional study was performed between September 2007 and May 2008. Children, aged 7–12 years, from secondary schools in five biggest cities of Lithuania were invited for the examination using a cluster random sampling method. The data for the present study were collected following the general principles for basic oral health surveys of the World Health Organization. Results. The prevalence of dental caries was 85.5%, 88.9%, and 70.6% in 7–8-, 9–10-, and 12-year olds, respectively. The prevalence of dental caries in permanent molars increased with age and became as high as 57.7% in 12-year-old children. The data showed that the mean number of sealed teeth depends on the county and ranged from 0.83 (1.31) to 1.45 (1.85) in 7–8-year olds, from 0.95 (1.29) to 2.54 (1.15) in 9–10-year olds, and from 0.26 to 2.13 (1.15) in 12-year olds. Conclusions. The prevalence and incidence of dental caries in 7–12-year-old Lithuanian children are high. Only half of all examined children have at least one sealed molar. The financial resources allocated for the Pit and Fissure Sealing in Permanent Molars program were used insufficiently; therefore, there is a need for systematic measures in order to improve the efficacy of the aforementioned program.


2021 ◽  
pp. 5-8
Author(s):  
Nimmy S Mukundan ◽  
Prasanth Balan ◽  
Jayasree S

Background: Individuals with intellectual developmental disorder (IDD) suffers from poor oral health due to impaired physical coordination and cognitive skills. However, their dental caries status is mostly underreported particularly in low-income countries. Therefore, this study aimed to assess the dental caries status of individuals with IDD as compared to age and gender matched healthy individuals in India. Methodology: In this comparative cross-sectional study, dental caries status of 266 individuals with IDDs aged 13-35 years and 266 age and gender-matched healthy individuals were assessed using the DMFT index. Statistical analysis was done using descriptive statistics, Wilcoxon signed ranks test, Kruskal Wallis Test and Mann Whitney test. Results: Of the 266 individuals with IDD, IDD associated with autism (n=40, 15%) was the most common type of disability. 10.9% of the case and 30.5% of controls were caries-free. The mean number of decayed tooth and the DMFT score (DT= 4.16±4.17 vs 0.65±0.90; DMFT= 4.56±4.55 vs 1.41±1.42); P Value=0.00) were signicantly higher among disabled compared to their healthy controls. Whereas the mean number of the lled tooth (0.18±0.81 vs 0.68±1.1; Pvalue=0.00) was signicantly lower. DT and DMFT increased signicantly with the severity of disability (P value<0.05). Conclusion:Individuals with IDD had a highercaries experience and considerably lower lled tooth ratecompared to healthy individuals. Uplifting the priority given to oral health by oral health education programs and implementing strategies to improve access to dental services will help to address many of the challenges faced by these lessfortunate individuals.


2015 ◽  
Vol 4 (1) ◽  
Author(s):  
J. Baby John ◽  
Sharath Asokan ◽  
Aswanth KP ◽  
P.R. Geetha Priya ◽  
A.K. Shanmugaavel

<em>Background</em>. The study was planned to assess the prevalence of dental caries among tribal, suburban and urban children of Tiruchengode and Erode of Tamil Nadu state, India. The objective of the study was to assess the association of dental caries with family background, dental service availability, transportation and knowledge on preventive dental measures among these three groups.<br /> <em>Design and methods</em>. Cross-sectional study. A total of 1028 school children in the age range of 9-12 years from various government schools located in Palamalai and Kolli Hills (tribal), Tiruchengode (suburban) and Erode (urban), Tamil Nadu, were included in the study. Decayed, filled, and missing teeth (DMFT), decayed and filled teeth (dft) and Significant Caries Index were recorded. A specially prepared questionnaire was used to record all the data regarding oral hygiene practices, socioeconomic background, dental treatment availability, parent’s education level were used for the study. ANOVA t-test and post hoc test were used for comparing quantitative variables between the 3 subgroups. <br /><em>Results</em>. The tribal school children had 89.3% caries prevalence, where as it was 77% in suburban and 55% in urban school children. The mean DMFT score among tribal, suburban and urban school children were statistically significant different (P=0.001) between the three groups. There was a highly significant difference (P=0.001) in the mean DMFT score based on brushing frequency. There was a statistically significant difference (P=0.018) in the mean DMFT scores in the urban group based on the mothers education status. There were no statistically significant differences in the mean DMFT scores based on the presence or absence of television in their house and the parents’ income. <br /><em>Conclusions</em>. Oral hygiene practices, dietary habits and access to dental care services played an important role in prevalence of dental caries. It was observed that the socioeconomic status, parents’ educational status and mass media influenced the oral health of these children but without a significant contribution.


2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Mansoureh Bijani ◽  
Amrollah Mostafazadeh ◽  
Mina Motallebnejad ◽  
Ali Bijani ◽  
Roghiyeh Pourbagher ◽  
...  

Aim and Background. Early childhood caries (ECC) is a common type of dental caries affecting children. As dental caries is a bacterial infectious disease, the host immune system parameters including soluble human leukocyte antigen-G (sHLA-G) are essential factors in estimating dental caries. The study aimed to investigate and compare the concentration of sHLA-G in the saliva of children with or without dental caries. Methods and Materials. This analytic cross-sectional study was carried out on 83 healthy children aged 3 to 5 years of both genders, who were divided into three groups based on decayed dental surfaces (ds): group 1, caries-free children (CF, n = 29); group 2, children with 1 ≤ ds ≤ 3, 1 ≤ ds ≤ 4, and 1 ≤ ds ≤ 5 for age 3, 4, and 5 years, respectively (ECC, n = 20); and group 3, children with ds ≥ 4, ds ≥ 5, and ds ≥ 6 for age 3, 4, and 5 years, respectively (S-ECC, n = 34). The unstimulated saliva samples were collected, and the salivary sHLA-G concentration was measured by the ELISA kit. The SPSS Statistics v17.0 software and Mann–Whitney, Kruskal–Wallis, chi-square, and Spearman’s rank correlation tests were used for statistical analysis. The level of significance was considered at p<0.05. Results. The mean concentrations of salivary sHLA-G in CF, ECC, and S-ECC groups were 3.18 ± 2.28, 5.64 ± 5.51, and 6.21 ± 6.03 ng/l, respectively (p=0.047), and the mean salivary sHLA-G level was comparatively higher in children with dental caries than that of the CF group (p=0.02), but there is no significant difference between ECC and S-ECC groups (p>0.05). Spearman’s rank correlation test showed a weak positive correlation (p=0.039, r = 0.22), between the level of salivary sHLA-G and dental caries. Conclusion. The present study provides some preliminary evidences on relationship between sHLA-G and dental caries in children.


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