Oral diseases and socio-economic status (SES)

Hobdell, Martin; Oliveira, Erica R.; Bautista, Roxanna; Myburgh, Neil; Lalloo, Ratilal; Narendran, Siddharth; Johnson, Newell W.

doi:10.1038/sj.bdj.4809882

Cited by 166 publications

(145 citation statements)

References 23 publications

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“…In addition to causing pain and discomfort, tooth decay can expose a tooth to further infection, and several clinical studies have reported a positive correlation with an increased mortality risk in individuals with poor oral health (Jansson, Lavstedt, & Frithiof, 2002; Kim, Baker, Davarian, & Crimmings, 2013). A significant relationship has also been demonstrated between poor oral health and low socioeconomic status in numerous modern studies across the world (Chandra Shekar & Reddy, 2011; Dye & Thornton‐Evans, 2010; Hobdell et al, 2003; Park, Han, Park, & Ko, 2016; Paula et al, 2012). It is clear from the current study that the poor in mid‐nineteenth‐century Ireland also suffered from oral health problems.…”

Section: Discussionmentioning

confidence: 97%

Dental markers of poverty: Biocultural deliberations on oral health of the poor in mid‐nineteenth‐century Ireland

Geber

Murphy²

2018

American J Phys Anthropol

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ObjectivesDespite subsisting on a low‐cariogenic diet comprising virtually nothing more than potatoes and dairy products, poor oral health affected the quality of life for the poor of nineteenth‐century Ireland. This study investigates potential biocultural reasons that may explain why this was the case.Material and MethodsA total of 6,860 teeth and 9,889 alveoli from 363 permanent dentitions from the skeletal remains of impoverished adult Irish males and females who died between 1847 and 1851 in the Kilkenny Union Workhouse were examined for evidence of dental caries, periodontal disease and ante‐mortem tooth loss. Caries rates were quantified and assessed by crude prevalence, frequencies, corrected caries rates and a t‐health index, and evaluated by sex and age groups.ResultsA higher rate of caries was present among 18–25‐year‐old males than females, while the opposite relationship was evident for older age groups. The prevalence rates of periodontal disease and ante‐mortem tooth loss increased with age. When assessed by corrected caries rates, tooth decay is observed at a lower rate compared to contemporaneous lower to upper‐class population samples from London.DiscussionDespite being low cariogenic foods, the potato starch and milk lactose of a nineteenth‐century Irish laborer's diet would have lowered oral pH‐values thereby increasing the risk of bacterial fermentation in dental plaque resulting in caries. Nutritional features alone cannot explain the high rates of dental caries observed in the Kilkenny workhouse population sample, however, and lifestyle factors, particularly habitual clay‐pipe smoking, is considered a significant cause of poor oral health.

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Section: Discussionmentioning

confidence: 97%

Dental markers of poverty: Biocultural deliberations on oral health of the poor in mid‐nineteenth‐century Ireland

Geber

Murphy²

2018

American J Phys Anthropol

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“…Also, caries frequencies depend on the economy of the society. 26 Low caries frequencies are found in fishing, hunting and gathering communities (0.0-5.3%), while high caries frequencies are recorded in agricultural communities (2.3-26.5%). Intermediate frequencies (0.44-10.3%) are recorded in mixed communities that lived from hunting, as well as agriculture.…”

Section: Discussionmentioning

confidence: 99%

The frequency and distribution of caries in the mediaeval population of Bijelo Brdo in Croatia (10th–11th century)

Vodanović

Brkić

Šlaus

et al. 2005

Archives of Oral Biology

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Summary Reconstruction of the life of ancient peoples can be accomplished by studying their dental remains. The further we go into the past, the greater the importance of dental remains for answering a wide spectre of questions related to the life of a particular community. The dental system is a valuable source of information on the type of food, illnesses, and social stratification within a community.The purpose of this paper was to determine the frequency, distribution, and characteristics of dental caries in the mediaeval population of Bijelo Brdo in Croatia.The analysed sample consisted of the dental remains of 85 individuals with the total of 1064 teeth. The majority (979 or 92.0%) of the teeth belonged to the permanent dentition, and this data set was analysed in this report. The frequency of antemortem tooth loss in the sample was 6.7%, the frequency of caries -9.5%. The most frequent recorded caries were interproximal (3.9%), followed by occlusal (2.9%), and buccal/lingual (1.3%).This research showed that the frequency and distribution of dental caries in the early mediaeval population from Bijelo Brdo is very similar to that of other European populations of the same socio-economic status during the same historic period. Chronological changes in the localisation of caries in populations that inhabited continental Croatia during the mediaeval period indicate a gradual reduction of interproximal caries and an increase of occlusal, buccal, and lingual lesions. These data suggest a change of diet with softer foods becoming more available in the younger time periods. #

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“…This index mathematically links the clinical and aesthetic components to achieve a single score (from 13 to 230), which combines the physical and aesthetic aspects of occlusion, 22 allowing for its classification into: normal or mild (13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25), definite (26)(27)(28)(29)(30), severe (31-35), and very severe or handicapping malocclusion (36-230).…”

Section: Data Collectionmentioning

confidence: 99%

“…15,16 Therefore, the role played by individual and contextual socioeconomic determinants in dental occlusion status remains unclear. As there is inequality in dental caries and adverse periodontal conditions, 17,18 socially disadvantaged adolescents were assumed to have a higher prevalence of malocclusion than their more affluent counterparts.…”

Section: Introductionmentioning

confidence: 99%

Individual and contextual determinants of malocclusion in 12-year-old schoolchildren in a Brazilian city

et al. 2015

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The aim of this study was to describe malocclusion prevalence and its association with individual and contextual factors among Brazilian 12-year-old schoolchildren. This cross-sectional study included data from an oral health survey carried out in Goiânia, Brazil (n = 2,075), and data from the files of the local health authority. The data were collected through oral clinical examinations. The Dental Aesthetic Index (DAI) was used to assess occlusion. The presence of malocclusion (DAI > 25) was used as the dependent variable. The individual independent variables consisted of adolescents' sex and race and their mothers' level of schooling. The clinical variables were caries experience and presence of adverse periodontal condition (calculus and/or gingival bleeding). The contextual variables included type of school and the location of schools in the city's health districts. The Rao-Scott test and multilevel logistic regression were performed. The prevalence of malocclusion was 40.1%. In the final model, significantly higher rates of malocclusion were found among those who attended schools located in less affluent health districts and whose mothers had fewer years of education. Rates were also higher among those presenting calculus and/or gingival bleeding. Malocclusion demonstrated a high prevalence rate and the inequalities in its distribution were determined by individual and contextual factors.

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Oral diseases and socio-economic status (SES)

Cited by 166 publications

References 23 publications

Dental markers of poverty: Biocultural deliberations on oral health of the poor in mid‐nineteenth‐century Ireland

Dental markers of poverty: Biocultural deliberations on oral health of the poor in mid‐nineteenth‐century Ireland

The frequency and distribution of caries in the mediaeval population of Bijelo Brdo in Croatia (10th–11th century)

Individual and contextual determinants of malocclusion in 12-year-old schoolchildren in a Brazilian city

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