Association between dental pain and caries: a multilevel analysis to evaluate the influence of contextual and individual factors in 34 843 adults

Medina, C.M. Ardila; Agudelo‐Suárez, Andrés A.

doi:10.1111/jicd.12168

Cited by 16 publications

(17 citation statements)

References 40 publications

(84 reference statements)

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“…The presence of a fluoridated water supply was expected to be associated with dental pain since its preventive role on dental caries and its consequences is widely acknowledged (Bastos et al, ). These results conflict with a previous study carried out in Colombia (Ardila & Agudelo‐Suárez, ), which also included data of the capital cities from a national survey and showed an association between dental pain, gross domestic product and HDI. Different results would be expected with the inclusion of inner cities, as revealed in a previous study on dental pain among preschool children from a national oral health survey in Brazil (Ferreira‐Júnior et al, ).…”

Section: Discussioncontrasting

confidence: 99%

“…The role of oral health behaviours has been shown in previous studies. These results are plausible, since they are risk factors for caries, which in turn is the main cause of dental pain among children, adolescents (Boeira et al, ; Peres et al, ) and other populations groups (Ardila & Agudelo‐Suárez, ; Ferreira‐Júnior et al, ; Santiago et al, ). Furthermore, we have included data on the cities’ caries prevalence at age 12 in 2010, which remained associated with dental pain in the final multilevel model and may be an indicator of past caries experience.…”

Section: Discussionmentioning

confidence: 98%

“…A few studies on dental pain have included contextual variables in the analysis, regarding city, state or region levels (Ardila & Agudelo‐Suárez, , ; Ferreira‐Júnior, Freire, Moreira, & Costa, ; Peres, Iser, Peres, Malta, & Antunes, ; Peres et al, ; Santiago et al, ). Evidence using this approach on adolescent students is scarce and limited to a single capital city (Peres et al, ).…”

Section: Introductionmentioning

confidence: 99%

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Individual and contextual determinants of dental pain in adolescents: Evidence from a national survey

et al. 2019

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Objective To investigate the prevalence of dental pain among adolescent students and its association with individual, school and city variables, using a multilevel approach. Subjects and Methods Individual and school data were obtained from the National Adolescent School‐Based Health Survey (PeNSE) conducted in Brazil in 2015 in a sample of 34,776 students from 1,339 schools in the 27 Brazilian capital cities. Secondary data on socioeconomic, structural and health indicators of the cities were obtained from public databases. The outcome was the prevalence of dental pain in the last six months (yes/no). Independent variables, consisting of potential social and behavioural determinants of dental pain, were structured in three levels: individual, school and city. Multilevel logistic regression was performed. Results Prevalence of dental pain was 21.8% (95% CI = 21.0–22.7). Unadjusted analysis showed significant associations between the outcome and most of the factors in the individual and in the contextual levels. In the final adjusted model, adolescents who reported unfavourable health‐related behaviours, adverse socioeconomic or psychosocial characteristics, as well as those attending public schools and living in cities with high caries prevalence (DMFT) at age 12, were more likely to report dental pain. Conclusions Prevalence of dental pain was high and associated with adverse individual and contextual factors in the school and city levels.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

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Individual and contextual determinants of dental pain in adolescents: Evidence from a national survey

et al. 2019

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“…A MEDLINE search for “toothache” OR “dental pain” AND “prevalence” AND “adults” revealed few population‐based studies of dental pain among adults; with prevalence ranging between 10% in Colombia and 78.9% in South Africa . In addition to the effect of dental pain at an individual level, its impact on overall society is not negligible.…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic gradients in toothache experience among Australian adults: A time trend analysis from 1994 to 2013

Peres

Luzzi

Harford

et al. 2019

Comm Dent Oral Epid

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Objectives To identify time trend pattern in toothache and to estimate whether toothache prevalence differs by socioeconomic position and residential location over time. Methods Data from nine successive National Dental Telephone Interview Surveys (NDTIS) from 1994 (n = 6907) to 2013 (n = 6778) performed in Australia among individuals aged 15 years or over were used. The dependent variable was toothache reported very often, often or sometimes during the previous 12 months. Independent variables were age group, household income (tertiles), insurance/cardholder status and geographical remoteness. Prais‐Winsten analyses were performed, and the average annual percentage change (AAPC) for toothache prevalence was estimated. Results Toothache affected slightly more than 10% of the overall population in 1994 (11.6%) and 1995 (11.4%), reaching approximately one‐sixth (16.2%) of individuals in 2013. Overall, there was a significant increase in toothache prevalence over time (AAPC = 2.0% [95% CI 0.7;1.34]) and in those aged 25‐44 (AAPC 2.1% [95% CI 0.6;3.6]) and 45‐64 (AAPC 3.4% [95% CI 1.5;5.3]) years and markedly among those in the lowest income group (AAPC 3.4% [95% CI 0.1;6.7]). All geographic locations except for remote/very remote areas had upward toothache prevalence over time. Insured status was not associated with increased toothache prevalence during the investigated period. Conclusions Toothache prevalence increased from 1994 to 2013 in Australian adults particularly among the lowest socioeconomic group.

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“…Em Lages, pesquisa realizada por Kuhnen et al 14 , em cidade catarinense de mesmo porte populacional que Rio Grande-RS, também encontrou que quanto maior a idade, menor a prevalência de relato de dor dentária nos últimos seis meses 14 . Além disso, na literatura internacional, essa associação inversa entre idade e relato de dor dentária também pode ser observada 8,12,15 . Provavelmente, isso pode ser explicado pelo fato de que indivíduos com idades mais avançadas sofrem com a herança de modelo odontológico curativo-mutilador 16 , em que se observam altas prevalências de edentulismo e perdas dentárias importantes 17 ; por conseguinte, os idosos relatam menos dor dentária devido à ausência de dentes.…”

Section: Resultadounclassified

Prevalência e fatores associados a dor dentária - estudo de base populacional com adultos e idosos do sul do Brasil

Echeverria

Dumith

Silva

2020

Rev. odontol. UNESP

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Resumo Introdução A dor dentária, ou odontalgia, é definida como uma dor de origem orofacial, que ocorre como consequência dos problemas que afetam os dentes e as estruturas de suporte. Objetivo O objetivo do presente estudo foi analisar os fatores associados à dor dentária em indivíduos com 18 anos ou mais de idade, no município de Rio Grande-RS, ao sul do Brasil. Material e método Estudo transversal de base populacional. Foram entrevistados, no domicílio, 1.099 indivíduos, por meio de um questionário com questões fechadas. Foram obtidas informações demográficas, socioeconômicas e relativas a hábitos e comportamentos de saúde geral e bucal. O relato de dor dentária nos seis meses anteriores ao inquérito foi o desfecho do estudo. As análises foram baseadas em regressão de Poisson. Resultado A prevalência de dor dentária foi de 18,0% (IC95% 15,6; 20,4). Ao se analisar por faixa etária, a prevalência de dor dentária foi de 23,9% (IC95% 20,3; 27,4), 14,0% (IC95% 10,6; 17,5) e 10,4% (IC95% 5,8; 15,0), considerando a população adulta de 20 a 39 anos e de 40 a 59 anos, e a população idosa, acima de 60 anos, respectivamente. Maiores prevalências de dor origem dentária foram em indivíduos solteiros (RP=1,50; IC95% 1,11; 2,03), com menor escolaridade (menos de oito anos de estudo) (RP=1,62; IC95% 1,16; 2,27) e com o hábito de ranger os dentes (RP=1,67; IC95% 1,18; 2,38). Já os idosos apresentaram menores prevalências de dor origem dentária, quando comparados aos indivíduos adultos (RP=0,50; IC95% 0,32; 0,80). Conclusão Maior atenção deve ser dada aos solteiros, menos escolarizados, que rangem os dentes, e aos adultos jovens.

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Association between dental pain and caries: a multilevel analysis to evaluate the influence of contextual and individual factors in 34 843 adults

Abstract: Dental pain associated strongly with caries and other individual factors were also significant, however, contextual factors, specifically low GDP and HDI affect dental pain significantly.

Cited by 16 publications

References 40 publications

Individual and contextual determinants of dental pain in adolescents: Evidence from a national survey

Individual and contextual determinants of dental pain in adolescents: Evidence from a national survey

Socioeconomic gradients in toothache experience among Australian adults: A time trend analysis from 1994 to 2013

Prevalência e fatores associados a dor dentária - estudo de base populacional com adultos e idosos do sul do Brasil

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