Assessing consequences of untreated carious lesions using pufa index among 5-6 years old school children in an urban Indian population

Mehta, Abhishek; Bhalla, Sumati

doi:10.4103/0970-9290.135906

Cited by 22 publications

(25 citation statements)

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“…Shahbong et al reported 88.5% caries prevalence and 37.7% PUFA prevalence in 12-14 year old orphanage children in India [14]. Mehta et al found 69.5% dmft and 38.6% pufa prevalence in 5-6 years old Indian children [23], whereas in our sample 3.9% dmft prevalence and 4.5% pufa prevalence was seen in 4-5 year-old children. On the other hand, higher dmft prevalence (91.3%) and pufa prevalence (95.4%) was seen in 6-12 year-old children in our study as compared to study reports by Thekiso et al of 46% dmft and 41% pufa prevalence in 6-8 year-old children in South Africa [25].…”

Section: Discussioncontrasting

confidence: 63%

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Clinical consequences of untreated dental caries assessed using PUFA index and its covariates in children residing in orphanages of Pakistan

et al. 2017

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BackgroundThe purpose of this study was to determine the prevalence and clinical effects of untreated dental caries in Pakistani children residing in orphanages using the DMFT and PUFA index; association of decay and untreated dental caries with demographics including type of orphanage; behavioural and dental visiting pattern; and association of dental pain experience and type of orphanage with dental visiting.MethodsA cross-sectional survey was conducted on a total of 753 orphan children belonging to 4-17 years of age group residing in twin cities of Rawalpindi and Islamabad, Pakistan. Clinical examination of children was performed using the DMFT and PUFA index for the assessment of dental caries and untreated decay, followed by questionnaire enquiring about eating and oral hygiene habits, dental visiting pattern and dental pain and swelling experience. Association between dental decay, child’s dental visiting and pain as a consequence of untreated decay was carried out using chi square test and logistic regression analysis.ResultsThe overall caries prevalence was 34.8% and overall prevalence of PUFA/pufa was 15.9%. The mean score of DMFT and dmft was 1.18 (SD 0.39) and 1.04 (SD 0.23), and mean PUFA was 1.18 (SD 0.57) and mean pufa score 1.14 (SD 0.35). Untreated caries ratio was found to be 49.1% indicating half the decay had progressed to involve the pulp. No significant association of gender was found with DMFT, dmft, PUFA and pufa (p > 0.05), however, when analysed individually, the ‘D’ component of DMFT was significantly associated with male gender (p = 0.05). Furthermore, no significant association of DMFT/dmft or PUFA/pufa in either dentition was found with behavioural characteristics such as dietary and oral hygiene habits. Also, 66.2% children who experienced pain had not been to the dentist in the past year (p = 0.013) and 52.6% children who mentioned experiencing pain at night had not been to the dentist in the past year (p = 0.009). Children with decay were more likely to have visited the dentist (OR 3.3, 95% CI 1.42-7.6, p = 0.006). However, children who reported to have experienced pain were less likely to have visited the dentist in the past year (OR 0.53, 95% CI 0.32-0.88, p = 0.014).ConclusionsModerate levels of decay were found in the sample with ‘d’ component majorly responsible for the cumulative DMFT index. However, alarmingly almost half of the decay component (49.1%) had progressed to involve the pulp. Experiencing pain in teeth prompted dental visits. Initiation of preventive services for children residing in orphanages in Pakistan would help greatly towards reducing the burden of untreated decay.Electronic supplementary materialThe online version of this article (doi:10.1186/s12903-017-0399-9) contains supplementary material, which is available to authorized users.

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Section: Discussioncontrasting

confidence: 63%

“…Teeth that fulfil the PUFA diagnostic standard are scored and estimated cumulatively. Data collected through this index can have impact on decision taken by dental practitioners and decision makers, which cannot be obtained by DMFT index alone [23]. …”

Section: Introductionmentioning

confidence: 99%

Clinical consequences of untreated dental caries assessed using PUFA index and its covariates in children residing in orphanages of Pakistan

et al. 2017

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“…If it is compared to the research in 2007, childhood dental caries prevalence in West Jakarta had increased from 53% and mean value of def-t 2.51 [9].…”

Section: Discussionmentioning

confidence: 99%

“…The high cost, limited public access to dental care and the difficulty of treating dental caries in children that lack of cooperative behavior becomes the reasons of why management of childhood dental caries is still not adequate, and it needs the amount of time and serious, complex attention in treating it [9]. Besides, deciduous teeth are more susceptible to dental caries due to the structure and morphology which are different from the permanent teeth.…”

Section: Introductionmentioning

confidence: 99%

“…Antibacterial properties on both of these materials work to inhibit the formation of biofilms by disrupting the enzyme activity of glucosyltransferase (GTF), which plays a role in the activity of glucan in the process of adhesion/bonding to the surface of the tooth for sucrose depending organisms [9,10,12]. GTF simplify the formation of the glucan alpha bond from sucrose which significantly will make the polysaccharides matrix.…”

Section: Comparison Of Effectiveness Between Sdf and Propolis Fluoridmentioning

confidence: 99%

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The Effectiveness of Propolis Fluoride Application in Inhibiting Dental Caries Activity in School Children Age 6-9 Years Old

et al. 2018

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Objective: To obtain the effectiveness of propolis fluoride application in inhibiting dental caries activity. Methods:The study was included 170 children aged 6-9 years old with active dentinal carries surface was 532 tooth surfaces, all of 532 tooth surface will applicate use propolis fluoride in school children at primary school SD Kukusan. Evaluation of the amount of dentinal caries lesion that has been arrested was conducted after 1 month, 2 months, and 4 months after topical application. Results:After propolis fluoride applicated shows, that the activated process caries of dentinal caries lesion after 1 month was found in 104 tooth surfaces, 2 months were 115 tooth surfaces, and after 4 months evaluated were found significant increase to be 226 tooth surfaces on dentinal caries activated from 2 nd to 4 th month after application propolis fluoride (p<0.01). The percentages of arrested caries in, respectively, for 1 st month after the application is 99.80%, 2 nd month application is 78.32%, and in the 4 th month is 57.52% while the score plaque of school children was decline significantly until 36.5% (p<0.05) after 4 months intervention by tooth brushing every week at school. Conclusion:The application of propolis fluoride is effective in inhibiting dentinal caries lesion activity, has the advantage of making no black discoloration to the teeth.

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Prevalence of Early Childhood Caries in India – A Systematic Review

et al. 2018

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Assessing consequences of untreated carious lesions using pufa index among 5-6 years old school children in an urban Indian population

Cited by 22 publications

References 10 publications

Clinical consequences of untreated dental caries assessed using PUFA index and its covariates in children residing in orphanages of Pakistan

Clinical consequences of untreated dental caries assessed using PUFA index and its covariates in children residing in orphanages of Pakistan

The Effectiveness of Propolis Fluoride Application in Inhibiting Dental Caries Activity in School Children Age 6-9 Years Old

Prevalence of Early Childhood Caries in India – A Systematic Review

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