Dental caries and gingivitis in schoolchildren from the municipality of Porto Alegre, Brazil in 1975 and 1996

Maltz, Marisa; Schoenardie, Adriana B; Carvalho, Joana Christina

doi:10.1007/s007840100122

Cited by 14 publications

(6 citation statements)

References 16 publications

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“…This was different from the study by Julihn et al 27 , who found a strong association between GBI and prevalence of dental caries (p = 0.003; OR 2.1). However, most studies show that there is a weak relationship between GBI and dental caries [26][27][28][29] , the same result found in this study, which can be justified by the low GBI found in the population as a whole (mean of 0.034 per individual).…”

Section: Discussionsupporting

confidence: 86%

CAST instrument in epidemiological surveys: Results presentation in comparison to the WHO criteria

Maciel

Ribeiro

Júnior

et al. 2019

Ciênc. saúde coletiva

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Resumo O CAST (Caries Assessment Spectrum and Treatment) é um instrumento desenvolvido para a detecção de cárie a ser utilizado em levantamentos epidemiológicos. Foi validado e tem se mostrado efetivo, fornecendo um diagnóstico mais preciso do estado de saúde bucal do que o critério OMS, recomendado pela Organização Mundial da Saúde. O objetivo deste artigo é comparar a apresentação dos resultados de cárie dentária utilizando o instrumento CAST e o critério OMS, numa mesma população. Foram avaliados por dois examinadores treinados na utilização do instrumento CAST 680 escolares de 6 a 8 anos do Distrito Federal, Brasil. A avaliação constou do índice de placa visível (IPV) e do índice de sangramento gengival (ISG). Os escores CAST dente foram convertidos em componentes ceo/CPO e calculados os ceod/CPOD. Os pais responderam a um questionário sociodemográfico. A idade média foi 7,45 anos (± 0,91). A prevalência de cárie na dentição decídua foi de 65,44% e 61,61%, considerando o CAST e o critério da OMS, respectivamente; na dentição permanente: 38,19% e 10,2%, respectivamente. A média do ceod foi de 2.4 (± 2.7) e a média do CPOD 0.16 (± 0.53). o IPV foi associado a maiores CAST máximos p < 0,005. O instrumento CAST demonstrou maior sensibilidade em identificar a presença e gravidade de lesões cariosas quando comparado ao critério OMS.

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Section: Discussionsupporting

confidence: 86%

CAST instrument in epidemiological surveys: Results presentation in comparison to the WHO criteria

Maciel

Ribeiro

Júnior

et al. 2019

Ciênc. saúde coletiva

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“…The lower mean tooth loss in the present study compared to the 1986 survey may partly be attributed to differences in study design and population characteristics between the two studies [25]. In addition, it has been shown that the urban population in southern Brazil has had a significant decline in caries experience during the past two decades [35], and this may have contributed to a decline in mean tooth loss between 1986 and 2001.…”

Section: Discussionmentioning

confidence: 61%

Tooth loss and associated risk indicators in an adult urban population from south Brazil

Susin

Oppermann

Haugejorden

et al. 2005

Acta Odontologica Scandinavica

126

102

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The aim of the present study was to assess the prevalence, extent, and risk indicators of tooth loss in a representative adult, urban population in the Brazilian state of Rio Grande do Sul. A sample of 974 subjects (ages 30 to 103 years, mean 48.7, SD 13.4) representative of the metropolitan area of Porto Alegre, Brazil was selected by a multi-stage probability cluster sampling strategy. In all, 94% of the subjects had experienced tooth loss. The mean tooth loss was 11.2 teeth, and varied between 5.5 and 20.2 teeth in the 30-39 and 60 + years age groups, respectively. The multivariable analysis, adjusted for age, showed that subjects who had lost 7-13 or > or = 14 teeth were more likely to be females (odds ratio (OR) = 1.4, 2.4), of low (OR = 2.8, 5.1) or middle socio-economic status (OR = 2.3, 3.4), and heavy smokers (OR= 2.0, 2.3) than those with 6 or fewer missing teeth. Furthermore, loss of > or = 14 teeth was associated with presence of > 50% teeth with attachment loss > or = 5 mm (OR= 5.7), and loss of 7-13 teeth was associated with presence of > 50% teeth with attachment loss > or = 5 mm (OR = 2.4) and having 15-30% or > 30% decayed-filled teeth (OR = 2.7 and 4.1). In conclusion, tooth loss is highly prevalent in this urban Brazilian population. Gender, socio-economic status, cigarette smoking, caries experience, and attachment loss are important risk indicators. A reduction in the population's tooth loss may be achieved by the implementation of community programs for the prevention and treatment of dental caries and periodontal diseases.

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“…Fluoride availability seems to have played a major role in the marked decline of caries prevalence in some countries [ 3 ], even without access to better dental services or improved oral hygiene habits [ 48 ]. By 1960, 70 % of PR communities received fluoridated drinking water [ 49 ] and while this service was interrupted in the late 80s due to budget constraints [ 50 ], fluoridation was then government mandated in 1988 [ 51 ].…”

Section: Discussionmentioning

confidence: 99%

Persistent oral health disparity in 12-year-old Hispanics: a cross-sectional study

et al. 2016

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BackgroundDental caries is the most prevalent chronic illness worldwide. In the US dental caries has been described as a “silent epidemic”, affecting 58.2 % of 12–15 year-olds, particularly in minority and immigrant groups. Caries is associated with complex yet preventable biological and behavioral factors such as dental plaque and diet, as well as social determinants of health. In developed nations, a higher risk caries has been associated with populations of low socio-economic status (SES), especially in areas with greater income disparity. An island-wide study conducted in Puerto Rico in 1997 revealed a high prevalence of dental caries in 12-year-olds and a significant health disparity between children attending private and public schools. The purpose of the present study was twofold: 1) to estimate caries levels of 12-year-old school Puerto Ricans in 2011; and 2) compare results to data obtained in 1997 to explore any possible change in caries outcomes after a government health insurance (GHI) reform was implemented.MethodsIn this cross-sectional study, a probability sample of 133 out of 1,843 schools was selected proportional to enrollment size, and stratified by 1997 GHI regions, school type, and gender. Calibrated examiners conducted oral soft tissue and caries examinations. Dental caries prevalence was estimated. Mean Decayed Missing Filled Tooth/Surface (DMFT/S) indices and mean Significant Caries Index (SiC) were calculated and compared retrospectively to data obtained in 1997.ResultsThe final sample included 1,587 school-enrolled children. About 53 % of participants were female and 77 % attended public schools. Between 1997 and 2011, reductions were observed in caries prevalence (81 to 69 %), mean DMFT scores (3.8 to 2.5), mean DMFS scores (6.5 to 3.9), and mean SiC index (7.3 to 5.6) in both private and public schools, with a more prominent decrease in private schools. Between 1997 and 2011, overall the filled component increased (50 to 67 %), while decayed and missing component decreased (42 to 30 %) and (8 to 3 %), respectively.ConclusionsAmong 12-year-old schoolchildren in Puerto Rico between 1997 and 2011, caries prevalence, extent, and severity decreased as well as the DMFT missing component, while the filled component increased. Dental caries prevalence was high and the health disparity persists between children enrolled in public and private schools after more than a decade of the GHI implementation. The relationship between GHI implementation and other potentially relevant co-factors for caries warrants further research, as does the seemingly entrenched disparity across groups.

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Dental caries and gingivitis in schoolchildren from the municipality of Porto Alegre, Brazil in 1975 and 1996

Cited by 14 publications

References 16 publications

CAST instrument in epidemiological surveys: Results presentation in comparison to the WHO criteria

CAST instrument in epidemiological surveys: Results presentation in comparison to the WHO criteria

Tooth loss and associated risk indicators in an adult urban population from south Brazil

Persistent oral health disparity in 12-year-old Hispanics: a cross-sectional study

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