Inequalities in the distribution of dental caries among 12-year-old Brazilian schoolchildren

Piovesan, Chaiana; Mendes, Fausto Medeiros; Antunes, José Leopoldo Ferreira; Ardenghi, Thiago Machado

doi:10.1590/s1806-83242011000100012

Cited by 69 publications

(77 citation statements)

References 17 publications

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“…As a result, the family income may be an indirect factor for susceptibility to caries 20 . Thus, in spite of socioeconomic factors considered as predictors of caries distribution in schoolchildren [20][21] , in similar studies an association was found between socioeconomic factors and dental caries [22][23] , and such data were not found in the present study. A possible explanation is the fact that, in the present study, there were not many individuals with very low income and the dichotomized income data showed values higher than those of other studies [22][23] .…”

Section: Discussioncontrasting

confidence: 88%

Dental caries trends among preschool children in Indaiatuba, SP, Brazil

Amaral¹,

Batista²,

Meirelles³

et al. 2014

Braz. J. Oral Sci.

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Aim: To evaluate caries experience and associated factors in 5-year-old preschool children in the city of Indaiatuba, SP, Brazil. Methods: This was a cross-sectional, representative study, conducted from an epidemiological oral health survey (2010) with 303 children. The sample was established by the systematic probabilistic method, in public and private schools, in accordance with WHO criteria. The sample was checked for caries experience (dmft) by four trained and calibrated dentists, reaching acceptable levels of agreement for data collection. Parents or guardians answered questions related to their education and monthly income, and the children answered questions related to dental care and pain. Descriptive and bivariate analyses of independent variables were performed. Variables with p<0.20 were included in the model (Poisson regression analysis). Results: The sample consisted of 151 boys and 152 girls, with a mean dmft of 1.46. The reasons for visiting a dentist due to pain or need for treatment were associated with dmft > 0 (PR=3.76, 95%CI=2.06-6.84) after adjustment of the regression model. Conclusions: Among the preschool children of this study, pain or need for treatment due to caries disease in the primary dentition and the reason to visit the dentist due pain emphasizing the importance of the professional not only in curative actions, but as a health promoter at the first contact with the child.

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Section: Discussioncontrasting

confidence: 88%

Dental caries trends among preschool children in Indaiatuba, SP, Brazil

Amaral¹,

Batista²,

Meirelles³

et al. 2014

Braz. J. Oral Sci.

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“…Previous studies conducted in non-indigenous children have found associations between socioeconomic characteristics and dental caries experience (16,22,23,26). The present results are in contrast with these investigations, as neither household monthly income nor mother's schooling was associated with the outcome.…”

Section: Discussioncontrasting

confidence: 99%

Dental caries experience among indigenous children and adolescents

Gonçalves¹,

Cavalcanti²,

Firmino

et al. 2015

J Oral Sci

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Investigations into the oral health status of indigenous populations are scarce. The aim of this study was to evaluate caries experience and associated factors among 342 indigenous children and adolescents aged 5-15 years of the Xukuru community in the municipality of Pesqueira, Brazil. A cross-sectional census study was carried out using the criteria of the World Health Organization to determine caries experience. Examinations were performed by two calibrated dentists and a questionnaire was administered to parents/caregivers addressing socio-demographic data, diet and oral hygiene habits. Logistic regression analysis were performed, with dmft and DMFT as the dependent variables (P < 0.05). Caries experience (dmft/DMFT) was high in both the primary and permanent dentition (75.6% and 62.9%, respectively). Mean dmft and DMFT indices were 3.11 and 2.21, respectively. Caries experience in the primary dentition was associated with children residing in villages far from urban areas (P = 0.016), while caries in the permanent dentition was associated with older children (P < 0.001) and with children from villages at an intermediate distance and far from urban areas (P < 0.001). The indigenous subjects exhibited a high degree of caries experience, which was associated with age and group of villages. Public policies are needed to improve the oral health status of this population. (J Oral Sci 57, 123-129, 2015)

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“…2 The highest concentration of caries was found to be more prevalent in 12-year-old children from less socially privileged families. 13 Clinical, economic and psychosocial factors, as well as the using of dental services, were variables strongly associated with the occurrence of caries. 14 The prevalence of caries, therefore, reflects an association between determinant factors of a biological and socioeconomic nature.…”

Section: Discussionmentioning

confidence: 99%

Conditional factors for untreated caries in 12-year-old children in the city of Sao Paulo

Lopes¹,

Domingues²,

Junqueira³

et al. 2013

Braz. oral res.

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The aim of the study was to analyze what sociodemographic and economic variables were associated with the presence of untreated caries in 12-year-old children in the city of São Paulo. This cross-sectional study had a complex sample design. It was based on secondary data generated by the Levantamento epidemiológico em saúde bucal (Epidemiological Oral Health Survey) in the city of São Paulo, conducted in 2008, whose sample comprised 4,246 12-year-old children from the public and private schools of all the administrative districts of the city. A questionnaire was applied and an epidemiological exam was performed in accordance with the World Health Organization's (WHO) recommendations. The variables of interest were categorized into a dependent variable of untreated dental caries (carious component of the DMFT index that corresponds to carious, missing and filled teeth) and independent variables related to the socioeconomic and demographic conditions of the children and their families, and to their access to dental services. The EPI-INFO 06 and STATA 10 programs were used for the analysis; the prevalence ratio and a confidence interval of 95% were applied to the population parameters. The Poisson regression model was used, adjusted for sampling of the complex type. Caries was associated with ethnicity (higher rate in black people, p = 0.042), attending public school (p = 0.000), lower average family income (p = 0.002), overcrowded dwellings (p = 0.000) and presence of pain (p = 0.000). Caries is a multifactorial disease influenced by social health determinants that intensify its risk.

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Inequalities in the distribution of dental caries among 12-year-old Brazilian schoolchildren

Cited by 69 publications

References 17 publications

Dental caries trends among preschool children in Indaiatuba, SP, Brazil

Dental caries trends among preschool children in Indaiatuba, SP, Brazil

Dental caries experience among indigenous children and adolescents

Conditional factors for untreated caries in 12-year-old children in the city of Sao Paulo

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