Clinical Consequences of Untreated Dental Caries, Individual Characteristics, and Environmental Factors on Self-Reported Oral Health Measures in Adolescents: A Follow-Up Prevalence Study

2020 ◽  
Vol 54 (2) ◽  
pp. 176-184
Author(s):  
Michele Pagliarini Silva ◽  
Mario Vianna Vettore ◽  
Maria Augusta Bessa Rebelo ◽  
Janete Maria Rebelo Vieira ◽  
Ana Paula Corrêa de Queiroz Herkrath ◽  
...  

Background/Aims: This study evaluated the relationships of clinical consequences of untreated dental caries, individual characteristics, and environmental factors on self-reported oral health measures in adolescents. Methods: A follow-up prevalence study was conducted involving 406 twelve-year-old adolescents selected from public schools in the eastern area of the city of Manaus, Brazil. Baseline data included clinical consequences of untreated caries (PUFA/pufa index), DMFT, sociodemographic characteristics (sex, parental schooling, and family income), psychosocial factors (sense of coherence [SOC-13 scale], oral health beliefs and self-esteem [Rosenberg Self-Esteem Scale]), and social support (SSA questionnaire). Oral health-related quality of life (OHRQoL [CPQ11–14]) and self-rated oral health were assessed at the 6-month follow-up. Structural equation modelling was used to explore the relationships between variables according to the Wilson and Cleary model. Results: The prevalence of PUFA/pufa was 17.8% and mean DMFT was 1.5. The number of teeth with clinical consequences of untreated caries predicted poor self-rated oral health at the 6-month follow-up. Low parental schooling predicted low family income and clinical consequences of untreated dental caries. Psychosocial factors predicted OHRQoL directly and self-rated oral health indirectly. OHRQoL was linked to self-rated oral health. Clinical consequences of untreated dental caries mediated the relationship of parental schooling with OHRQoL and self-rated oral health. OHRQoL mediated the relationship of psychosocial factors and sex with self-rated oral health. Clinical consequences of untreated dental caries was associated with adolescents’ self-rated oral health. Furthermore, the former was an important mediator on the link between low parental education and adolescents’ self-reported oral health measures. Conclusions: Socioeconomic status, psychosocial factors, and social support were related to OHRQoL and self-rated oral health via direct and indirect pathways.

2015 ◽  
Vol 25 (1) ◽  
pp. 193-199 ◽  
Author(s):  
Isabella Mota-Veloso ◽  
Maria Eliza C. Soares ◽  
Bruna Mota Alencar ◽  
Leandro Silva Marques ◽  
Maria Letícia Ramos-Jorge ◽  
...  

2009 ◽  
Vol 12 (3) ◽  
pp. 313-324 ◽  
Author(s):  
João Luiz Bastos ◽  
José Leopoldo Ferreira Antunes ◽  
Antonio Carlos Frias ◽  
Maria da Luz Rosário de Souza ◽  
Karen Glazer Peres ◽  
...  

This study assessed oral health outcomes (perceived dental treatment need, untreated dental caries, gingival bleeding, periodontal pockets, and pain in teeth and gums), in relation to color/race inequalities among adolescents in each Brazilian region. The database included dental examination and interview of 16,833 15-19-year-old adolescents, surveyed by the Brazilian health authority, from May 2002 to October 2003, in accordance with international diagnostic criteria standardized by the World Health Organization. Prevalence ratios estimated by Poisson regression, and controlled by socioeconomic status and access to fluoridated piped water, assessed oral health differentials among color/race groups and country's regions. Except for periodontal pockets, prevalence figures were higher in the North and Northeast: perceived dental treatment needs, untreated dental caries, gingival bleeding at probing and pain in teeth and gums varied between 80-83%, 75-76%, 38-43%, and 17-18%, respectively, in these regions. Adolescents living in the Southeast - the richest Brazilian region - presented a better general profile of oral health than their counterparts living in the remaining regions; they had a lower prevalence of untreated dental caries (54%) and unfavorable gingival status (29%). However, the Southeast presented color/race inequalities in all oral health outcomes, with a poorer profile systematically affecting browns or blacks, depending on the oral health condition under consideration. These results reinforce the need for expanding the amplitude of health initiatives aimed at adolescent oral health. Socially appropriate health programs should concurrently aim at the reduction of levels of oral disease and its inequalities.


2020 ◽  
Vol 14 (3) ◽  
pp. 86-87
Author(s):  
Sadhu Vishnu Priya ◽  
Mocherla Monica ◽  
Tenali Vinila ◽  
Vanga Divya ◽  
Gone Hariprasad ◽  
...  

UNICIÊNCIAS ◽  
2018 ◽  
Vol 22 (2) ◽  
pp. 92
Author(s):  
Karina Semencio Avelino ◽  
Ilma Carla de Souza Porcelli ◽  
Valéria Campos Mariano Francelino ◽  
Ermelinda Matsuura ◽  
Nathalia Maciel Corsi ◽  
...  

A cárie precoce repercute, negativamente, na vida da criança. Este estudo avaliou o nível de conhecimento, práticas maternas e o padrão de saúde bucal de crianças assistidas pela rede pública de saúde de um município do Sul do Brasil. Foram analisados 279 prontuários de crianças que estavam sendo atendidas na clínica de bebê de uma Unidade Básica de Saúde. O conhecimento, as práticas nos cuidados com a saúde bucal infantil e o perfil sócio demográfico das famílias foram identificados em entrevistas realizadas com as mães no início do atendimento. Verificou-se os procedimentos clínicos-preventivos realizados, número de consultas e faltas e se avaliou a condição de saúde bucal da criança na última consulta. Foram aplicados os testes Mann-Whitney e Kruskal-Wallis, fixando-se o nível de significância em 5%. As mães apresentaram um conhecimento razoável, porém suas práticas, principalmente, com cuidados alimentares das crianças eram precárias. Procedimentos preventivos predominaram na atenção odontológica oferecida, contudo, 20,8% das crianças desenvolveram cárie dentária, sendo o índice ceo-d médio igual a 0,53 (DP=1,35). A maior severidade de cárie se associou à maior idade da criança (<0,001) e da mãe (p=0,006), menor renda familiar (0.036), maior tempo de tratamento (<0,001) e maior número de faltas às consultas (<0,001). A atenção odontológica é importante a partir do primeiro ano de vida, assim como as ações em saúde bucal, com atividades educativas direcionadas aos programas pré-natais, além do desenvolvimento de estratégias para aumentar a adesão das mães/ crianças aos programas promocionais em saúde bucal que são oferecidos pela rede pública de saúde. Palavras-chave: Criança. Saúde Bucal. Mães. Cárie Dentária. Conhecimento. AbstractEarly caries has a negative impact on the child's life. This study evaluated the level of knowledge, maternal practices and oral health pattern of children assisted by the public health network of a municipality in the south of Brazil. Information was analyzed from 279 medical records of children treated at the baby clinic of a Basic-Health-Unit. The knowledge, practices in care of children's oral health and sociodemographic profile of families were identified in interviews with mothers at the beginning of care. The clinical-preventive procedures performed, number of consultations, absences were checked and the child's oral health condition was evaluated at the last visit. The Mann-Whitney and Kruskal-Wallis tests were applied, setting the level of significance at 5%. The mothers presented a reasonable level of knowledge, however, their practices,particularly those about care related to feeding their children were precarious. Preventive procedures predominated the offered dental care, however, 20.8% of the children developed dental caries - mean dmf-t index 0.53 (SD = 1.35). The highest level of caries severity was associated with the highest age of both the child (<0.001) and mother (p = 0.006), lower family income (0.036), longer treatment time (<0.001) and higher number absences to the appointments. Dental care is important from the first year of life onwards, as well as oral health actions, with educational activities directed towards prenatal programs and the development of strategies to increase the adherence of mothers /children to the promotional programs offered by the public health network. Keywords: Child. Oral health. Mothers. Dental Caries. Knowledge. 


2014 ◽  
Vol 12 (1) ◽  
pp. 6-10 ◽  
Author(s):  
Letícia Vargas Freire Martins Lemos ◽  
Silvio Issáo Myaki ◽  
Luiz Reynaldo de Figueiredo Walter ◽  
Angela Cristina Cilense Zuanon

Objective : To analyze the interference of age in the entrance into a public dental care program for infants as well as family behavioral aspects about tooth decay experience in children 0 to 4 years old. Methods : Cross-sectional study involving 465 children who were divided into 3 groups: infants whose mothers joined the program during pregnancy (n=50); infants enrolled in the program during the first year of life (n=230); and infants enrolled in the program between 13 and 18 months old (n=185). The χ2 and Kruskal-Walis tests (95% confidence interval) were used to assess the relationship among variables. Results : There was an association between the age of entrance in the programs and dental caries (p<0.001). A lower prevalence was seen in infants whose mothers joined the program during pregnancy, and among those infants enrolled in the program during the first year of life. The same low prevalence occurred in relation to mothers’ commitment to attend follow-up visits with their infants, cariogenic diet, nighttime oral care, duration of night feeding and parents’ educational level (p<0.001). Unfavorable socioeconomic conditions (p>0.05) and daily oral care (p=0.214) were common variables in the groups with 99% of occurrence. Commitment to attend follow-up visits, nighttime oral care and parents’ educational level (p>0.05) were considered protective factors for dental caries. Cariogenic diet and night feeding were determinant factors to the appearance of dental caries. Conclusion : To promote children oral health it is essential to enroll children in oral health programs and adopt healthy habits as early as possible, besides the adherence of the child to their parents’ advice.


2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Katrin Grund ◽  
Inka Goddon ◽  
Ina M. Schüler ◽  
Thomas Lehmann ◽  
Roswitha Heinrich-Weltzien

Author(s):  
Ameera Ibrahim Amer ◽  
Walaa Yahia Alsehaim ◽  
Wissam Hussain Alabdalaal ◽  
Ohood Mohammad Alsemran ◽  
Osama Mohammad Mansori ◽  
...  

Oral diseases are highly prevalent across the different countries globally, indicating that these conditions represent a significant challenge to the healthcare authorities. Moreover, like untreated dental caries, chronic diseases were linked with poor school performance and deteriorated quality of life. This current literature review aims to discuss the effect of untreated dental caries on school performance and social life. Our findings indicate the strong association between having untreated dental caries and reduced performance at school. We also found that these children usually suffer from deteriorated aspects of social life, being more prone to verbal bullying than other children without dental caries. Different factors were reported to affect the correlation between untreated dental caries and performance at school. For instance, socioeconomic status has a significant role in this association. Evidence also indicates the vital role of gender, family income, and parental education. These findings indicate the urgent need to draw proper interventional plans to reduce the risk of dental caries. Besides, healthcare authorities should plan for screening programs to detect children with untreated dental caries and provide adequate management of these conditions to enhance the quality of life and educational aspects. However, the findings are not consistent among the different investigations in the literature. Therefore, future studies are needed to validate the current evidence and enhance the outcomes.


Author(s):  
Ana Beatriz Silva Lopes ◽  
Maria Letícia Ramos‐Jorge ◽  
Gabrielly Fernandes Machado ◽  
Raquel Gonçalves Vieira‐Andrade ◽  
Joana Ramos‐Jorge ◽  
...  

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