National and Subnational Trend of Dental Caries of Permanent Teeth in Iran, 1990–2017

Shoaee, Shervan; Masinaei, Masoud; Moghaddam, Sahar Saeedi; Sofi‐Mahmudi, Ahmad; Hessari, Hossein; Shamsoddin, Erfan; Heydari, Mohammad-Hossein; Larijani, Bagher; Fakhrzadeh, Hossein; Farzadfar, Farshad

doi:10.1016/j.identj.2023.07.012

Cited by 9 publications

(2 citation statements)

References 42 publications

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“…Oral health care is mainly private in Iran, especially in urban areas (80% private), and in rural areas, 70% of oral health care, mainly essential oral services, is delivered by the public sector ( 45 ). Although it is estimated that nearly 90% of Iranians have social insurance coverage ( 46 ), insurance funds for oral health care are limited.…”

Section: Discussionmentioning

confidence: 99%

Dental Caries among the Elderly in Iran: A Meta-analysis

Shoaee,

Sharifi,

Ghavidel-Parsa

et al. 2024

MJIRI

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Background The prevalence of dental caries among the elderly is high worldwide, and dental caries cause the major burden of oral diseases. This meta-analysis aimed to determine the dental caries experience among the elderly in Iran. Methods A systematic review of the published and grey literature on Iranians aged 65 years or older was performed. Six international and local databases provided the most comprehensive population-based studies. National oral health surveys and national disease and health surveys were considered other primary data sources. The quality of remained studies was assessed by a modified tool designed based on the STROBE statement checklist to evaluate the cross-sectional studies. R Version 3.6.0 was used for statistical analysis. Heterogeneity was assessed using Cochran’s Q and F statistics. Subgroup analysis was performed to detect the source of heterogeneity. Funnel plots and Egger’s regression intercept test were used to assess publication bias and selective reporting. Results Overall, 3099 sources were found. After excluding ineligible studies, 46 data points with 10411 people ≥65 years were included in the meta-analysis. The mean pooled decayed, missing, and filled teeth (DMFT) among older people was 26.84 (range, 26.41-27.28). The DMFT was 26.78 (range, 26.12-27.43) in women and 26.91 (range, 26.32-27.50) in men. The mean number of decayed teeth was 1.48 (range, 1.32-1.65). The mean pooled missing teeth was 24.83 (range, 24.20-25.46), and the mean pooled filled teeth was 0.14 (range, 0.12-0.17). The majority (92%) of the DMFT was related to missing teeth. Conclusion Iranian elderly have almost 5 sound teeth in their mouth on average. The Iranian oral health policymakers should address this considerable burden of dental caries in designing and implementing better oral health policies for the population, especially older Iranian adults.

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Section: Discussionmentioning

confidence: 99%

Dental Caries among the Elderly in Iran: A Meta-analysis

Shoaee,

Sharifi,

Ghavidel-Parsa

et al. 2024

MJIRI

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“…Inadequate oral health can exert detrimental effects on overall well‐being and is associated with systemic conditions, including diabetes, cardiovascular diseases, malignancies, obesity, and pulmonary conditions (Ahmad & Haque, 2021; De Angelis et al, 2018; Baldomero et al, 2019; Corbella et al, 2018; Deshpande & Amrutiya, 2017; Shoaee et al, 2023; Shoaee, Saeedi Moghaddam, et al 2022; Sofi‐Mahmudi et al, 2021). An increasing number of more than 3.5 billion individuals are grappling with oral health‐related issues.…”

Section: Introductionmentioning

confidence: 99%

Development and initial validation of the Comprehensive Geriatric Oral Health Assessment Tool

Shoaee,

Heydari,

Hessari

et al. 2023

Clinical & Exp Dental Res

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ObjectivesImproving the oral health of the elderly is crucial to improving their general health and quality of life. To reach this goal, it is necessary to start with a comprehensive oral health assessment and a detailed treatment plan. The aim of this study was, therefore, to develop a comprehensive Oral Health Assessment Tool for the geriatric population.Material and MethodsFollowing a panel of experts' consultation, a clinical form and a self‐assessment questionnaire were developed, encompassing eight domains: dental caries, periodontal diseases, partial and complete edentulism, oral soft tissue lesions, occlusion, xerostomia, temporomandibular joints, and oral or oral prostheses hygiene. Subsequently, a pilot study was conducted to appraise the clinical form and questionnaire involving 84 residents of an Iranian nursing home. After securing ethics approval, both the qualitative and quantitative aspects of the self‐assessment questions' validity and reliability were assessed, and specificity and sensitivity were calculated.ResultsThe mean age of the participants was 69.8 (±4.1) years, and 86% had less than 12 years of education. The questions regarding the number of remaining teeth and the number of decayed teeth had the highest sensitivity (97% and 88%), respectively. Questions regarding the presence of periodontitis and gingivitis had the highest specificity (both 100%).ConclusionsA Comprehensive Geriatric Oral Health Assessment Tool has been developed and its validity and reliability evaluated in a pilot study. It should now be further evaluated in larger studies.

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Molecular and Microbial Detections of Streptococcus mutans and Lactobacilli in Dental Caries: An Experimental Study on Iranian Children Aged 5–9

Danaei,

Mollaali,

Fakharmohialdini

et al. 2024

Clinical & Exp Dental Res

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ObjectivesLactobacilli and Streptococcus mutans are stigmatized as cariogenic bacteria, but few studies have simultaneously examined the quantitative and qualitative aspects of lactobacilli and S. mutans in childhood dental caries. Therefore, this study aimed to detect the presence of S. mutans and lactobacilli in dental caries using Snyder's test, colony counting, and PCR in the primary teeth of Iranian children with dental caries.Material and MethodsA cross‐sectional study was conducted in Kerman, Iran, from March to Jun 2024. After dental examinations, 120 eligible children aged 5–9 were chosen using simple random sampling and classified into four groups based on their decayed, missing, and filled (primary) teeth (dmft) index: Group 1 (dmft = 0), Group 2 (dmft = 4–6), Group 3 (dmft = 7–9), and Group 4 (dmft = 10–13). The salivary levels of lactobacilli and S. mutans were calculated using colony counting (CFU/ml). Moreover, Snyder's test was applied to evaluate caries activity. PCR was also performed for molecular detection of lactobacilli (16S rRNA gene) and S. mutans (gftB gene). Lastly, the association between bacterial counting, molecular findings, and Snyder's test was estimated through statistical methods using SPSS 27.ResultsSignificant differences were found between the age and the PCR results of lactobacilli and S. mutans among all dmft Groups (p < 0.05). Moreover, positive significant correlations were observed between the counts of lactobacilli and S. mutans in dmft Group 1 compared to other dmft Groups (p < 0.05). Furthermore, the counts of these two bacteria differed significantly in Snyder's test (p < 0.05). However, Snyder's test differed significantly from the S. mutans PCR (p < 0.05), but not from the lactobacilli PCR (p > 0.05).ConclusionsThe results of the study could potentially be considered a promising and cost‐effective screening program to identify children who are susceptible to dental caries.

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National and Subnational Trend of Dental Caries of Permanent Teeth in Iran, 1990–2017

Cited by 9 publications

References 42 publications

Dental Caries among the Elderly in Iran: A Meta-analysis

Dental Caries among the Elderly in Iran: A Meta-analysis

Development and initial validation of the Comprehensive Geriatric Oral Health Assessment Tool

Molecular and Microbial Detections of Streptococcus mutans and Lactobacilli in Dental Caries: An Experimental Study on Iranian Children Aged 5–9

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