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

Elías-Boneta, Augusto R; Toro, Milagros J; Rivas‐Tumanyan, Sona; Murillo, Margarita; Orraca, Luis; Encarnación, Angeliz; Cernigliaro, Dana; Toro-Vizcarrondo, Carlos; Psoter, Walter J.

doi:10.1186/s12903-016-0162-7

Cited by 12 publications

(16 citation statements)

References 36 publications

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“…Em outra investigação 15 1500 crianças selecionadas aleatoriamente em diferentes regiões com flúor in natura. Verificou-se uma prevalência de fluorose em 74,9% das crianças e 56,5% de cárie dentária.…”

Section: Discussionunclassified

Perfil de saúde bucal em escolares residentes em uma região endêmica de fluorose dental

Souza¹,

Junior²,

Barbosa³

et al. 2018

REFACS

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Este estudo teve como objetivo avaliar a saúde oral de escolares que vivem em área endêmica de fluorose dental. A região apresenta em sua água de consumo humano uma concentração de 5,16 mg/L de flúor. Esta é uma pesquisa do tipo observacional, transversal, de campo, realizada no município de São João do Rio do Peixe (PB) no ano de 2016. Dois examinadores treinados realizaram o exame clínico em escolares de 6 a 8 anos. Foram utilizados os índices de CPO-d, índice periodontal (PSR) e índice de Dean para avaliação de cárie dentária, saúde periodontal e grau de fluorose, respectivamente. Foram analisados 13 alunos com idades entre 6 e 8 anos. Os índices CPO-d e Ceo-d apresentaram valores médios de 1,0 (DP=1) e 2,6 (DP=3,5) respectivamente. Com relação aos dentes permanentes viu-se que 38,5% dos voluntários apresentaram índice CPO-d 0, enquanto 7,7% apresentavam pelos menos três elementos dentários afetados de alguma forma pela doença cárie. Com relação ao Ceo-d, 30,8% apresentaram pelo menos 4 elementos acometidos pela doença. O diagnóstico de fluorose pelo índice TF mostrou que todos os voluntários apresentaram certo grau de fluorose. Conclui-se que as crianças residentes na região da Vila do Brejo apresentam cárie ativa, fluorose dentária em graus acima de 2 (índice TF) e presença de sangramento gengival.

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Section: Discussionunclassified

Perfil de saúde bucal em escolares residentes em uma região endêmica de fluorose dental

Souza¹,

Junior²,

Barbosa³

et al. 2018

REFACS

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“…A probabilistic stratified sample of children from 133 schools, stratified by gender, was used from the different regions of Puerto Rico as published previously [Elias-Boneta et al, 2016]. From this sample, a representative and subset sample completed a 24-h dietary recall.…”

Section: Methodsmentioning

confidence: 99%

“…Epidemiology and oral disease prevention program, 1991] by two trained and calibrated dentists and conducted in two mobile examination units, as previously described [Elias-Boneta et al, 2016]. For the present analysis, we used the decayed component (DT) of the Decayed, Missing, Filled Tooth index, which detects the teeth with present and past caries experience at the time of the examination.…”

Section: Methodsmentioning

confidence: 99%

“…All analyses accounted for sampling methods (sample was stratified by GHI regions and clustered within schools), using weights inversely proportional to the probability of selection, adjusted for non-response, and later normalized, as previously described [Elias-Boneta et al, 2016]. Descriptive statistics were used to describe the distribution of the study variables.…”

Section: Methodsmentioning

confidence: 99%

“…In the United States (US), 58% of adolescents 12–15 years have caries in their permanent teeth [Dye et al, 2015]. In Puerto Rico (PR), this prevalence is higher, 61% among 12-year olds [Elias-Boneta et al, 2016], which may be attributed to several factors, such as the lack of a fluoridation program [Elias-Boneta et al, 2016], dietary patterns, among others. Dental caries can have important clinical complications depending on its severity and whether or not they are treated early [Konig and Navia, 1995].…”

Section: Introductionmentioning

confidence: 99%

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Association between Type, Amount, and Pattern of Carbohydrate Consumption with Dental Caries in 12-Year-Olds in Puerto Rico

et al. 2016

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Objective: To identify the types, food sources, and pattern of carbohydrates that significantly contribute to dental caries in Puerto Rican children. Methods: As part of an island-wide cross-sectional oral health study in 1,587 twelve-year-olds, diet intake was assessed in a representative subset (n = 801) with a 24-hour dietary recall. Carbohydrate intake was quantified using a computer-based diet analysis program. Caries was assessed using the National Institute of Dental and Craniofacial Research diagnostic criteria. Odds ratios were used to associate carbohydrate intake quartiles with caries, after controlling for important confounders. Results: A total of 723 subjects had complete data. Most were females (54%) and attended public schools (77%). The caries prevalence was 33%. The highest quartile intake for the following sugars significantly increased the odds of caries compared to the lowest quartile: total carbohydrates (OR = 1.93, 95% CI = 1.08-3.46), total sugars (OR = 1.88, 95% CI = 1.01-351), sucrose (OR = 2.05, 95% CI = 1.13-3.70), fructose (OR = 1.95, 95% CI = 1.05-3.62), and inositol (OR = 2.52, 95% CI = 1.38-4.63). The main food sources of these sugars were juices, including natural juices with no added sugars, and sweetened beverages. The odds of caries also increased significantly in children whose 10% of total energy intake was from total sugars (OR = 3.76, 95% CI = 1.03-13.7). Conclusion: After adjusting for important caries risk factors, total carbohydrates, total sugars, ≥10% kilocaloric energy from total sugars, and sucrose, fructose, and inositol intake significantly increased caries risk. Our findings can help raise awareness about the potential caries risk from the main sources of these sugars, natural fruit juices and sweetened beverages, which are consumed in great quantities in many societies.

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Socioecological determinants of child oral health—A scoping review

SONG

et al. 2022

Comm Dent Oral Epid

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ObjectivesChild oral health is a result of interactions between multilevel influences within a complex system. Understanding those interactions informs conceptualizing a socioecological framework of important influences on oral health. This paper aimed to present a scoping review on the determinants of dental caries and their interactions in childhood and adolescence.MethodsThe two review questions were as follows: Which factors are determinants of child dental caries? and, How do determinants interact within and across socioecological levels? The three main electronic databases for biomedical records, PubMed, Web of Science and Scopus were searched, followed by reference check. The search and screening/selection procedures followed an a priori strategy and inclusion/exclusion criteria were specified in advance. The main components of the strategy were participants, concept and context. Following the final selection, eligible studies were assessed with quality appraisal tools for the risk of methodologic biases. Determinants reported in the included studies were then assigned to the micro‐, meso‐, exo‐ or macro‐systems levels in a socioecological framework. Interactions between determinants were also identified and reported.ResultsA total of 100 studies were included after removal of duplicates, screening on the title/abstracts and full‐text assessment among 3313 records initially identified. A higher number of studies included were cross‐sectional studies published in recent years. The majority of determinants found to influence child dental health were assigned to microsystem level within the framework. However, determinants were found at all levels and interactions were reported within and between socioecological levels. Determinants identified in the scoping review represent factors at different socioecological levels that influence child oral health.ConclusionApplication of a socioecological model through a complex systems approach should lead to valid and robust progress towards practical solutions for better child oral health globally.

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

Cited by 12 publications

References 36 publications

Perfil de saúde bucal em escolares residentes em uma região endêmica de fluorose dental

Perfil de saúde bucal em escolares residentes em uma região endêmica de fluorose dental

Association between Type, Amount, and Pattern of Carbohydrate Consumption with Dental Caries in 12-Year-Olds in Puerto Rico

Socioecological determinants of child oral health—A scoping review

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