Assessment of dental caries predictors in 6-year-old school children - results from 5-year retrospective cohort study

Masood, Mohd; Yusof, Norashikin; Hassan, Mohamed Ibrahim Abu; Jaafar, Nasruddin

doi:10.1186/1471-2458-12-989

Cited by 41 publications

(41 citation statements)

References 13 publications

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“…Epidemiological studies indicate that prevalence of ECC is quite high in pre-school (2-5 years) children and this tended to increase with age [4,8,9]. Prevalences of ECC were found to be 27-44 % in India, 32-36 % in Brazil, 40 % in Malaysia and 48-94 % in Mexico [2,[10][11][12][13][14][15]. In Turkey, the prevalences were reported to be between 17.3-69.8 % [3,4,16,17].…”

Section: Discussionmentioning

confidence: 99%

Early Childhood Caries with the Perspective of Pediatrician

Bucak¹

2016

Ann Clin Anal Med

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ÖzetAmaç: Erken süt çocuğu diş çürüğü 24-72 ay çocuklarda en az bir ya da daha fazla diş çürüğü, süt dişlerinde kayıp ya da dolgu olması olarak tanımlanmak-tadır. Etyolojik faktörlerin değişim göstermesi nedeniyle erken süt çocuğu diş çürüklerinin prevalansı tüm dünyada farklılık göstermektedir. Bu çalışmanın amacı Türkiye'nin güneydoğu Anadolu bölgesinde erken süt çocuğu diş çürü-ğü prevalansını ve etyolojik faktörlerini belirlemek ve pediatrist bakışı açısı ile değerlendirmektir. Gereç ve Yöntem: Pediatri polikliniğimize herhangi bir şi-kayetle başvuran, yaşları 24-72 ay arasında değişen olgular çalışmaya dahil edildi. Diş çürüğü olanlar ve olmayan değerlendirildi ve yetkili kişi tarafından ailelere bir anket doğrultusunda sorular soruldu. Bu anket; anne sütü, vitamin D kullanımı, multivitamin kullanımı, demir desteği, biberon ve emzik kullanı-mı, yoğurt tüketimi, asitli içekler, aynı doğrultuda diş fırçalama alışkanlıkla-rı, diş hekimi tarafından kontrolü, ebeveynlerin sigara kullanımını içermekte idi. Bulgular: Çalışmaya 553 hasta dahil edildi. Erken süt çocuğu diş çürüğü % 33,1 olarak tespit edildi. Bu çalışmanın sonucunda; emzik kullanımı, multivitamin desteği ve asitli içeceklerin erken süt çocuğu diş çürüğüne anlamlı derecede katkıda bulunmakta olduğu belirlendi. Tartışma: Çocukluk yaş grubunda biz emzik kullanımından, gereksiz multivitamin desteğinden, asidik içecek-lerden kaçınılması gerektiğini ya da bu gıdaların verilmesinden sonra dişlerin fırçalanmasını öneriyoruz. Anahtar KelimelerErken Süt Çocuğu Diş Çürüğü; Multivitamin; Emzik Abstract Aim: Early childhood caries are characterized by the presence of at least one or more decayed, missing or filled teeth surfaces in any primary tooth of a child 24-72 months of age. The prevalance of early childhood caries is variable among the world because of wide range of contributing aetiological factors. Aim of this study to determine the prevalance and aetiologic factors of early childhood caries, in South East Anatolia Region of Turkey and evaluated as a pediatrician view. Material and Method: Patients admitted to pediatric polyclinics for any reason, aging between 24 to 72 months, were enrolled in this study. The children who had dental caries and who had not were examined by a dentist. Families were requested to voluntarily answer questions asked by our staff who follow a questionnaire. This questionnaire contains breastfeeding, usage of vitamin D, multivitamin formulations, iron supplements, baby bottle and pacifier, as well as consumpion of yogurt, acidic drinks, in addition to health habits of brushing teeth, check up by the dentist, cigarette usage of parents (mother, father or both). Results: 553 patients were included the study. Early childhood caries was determined to be 33,1 %. As a result of this study, we found that pacifier usage, multiviamin supplements and acidic drinks were significantly contributing to early childhood caries. Discussion: We advise refrainment from pacifier usage and unnecesary consumption of multivitamin supplemantation, aci...

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Section: Discussionmentioning

confidence: 99%

Early Childhood Caries with the Perspective of Pediatrician

Bucak¹

2016

Ann Clin Anal Med

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“…In broader scenarios, clustering can be seen in any setting, for example, in social settings (e.g., individuals → families → neighborhoods) or in geographical settings (e.g., wards → cities → counties → countries). In addition, in longitudinal studies or clinical trials, clustering appears due to aggregates of individuals or repeated measurement of the same subject (Masood, Yusof, et al 2012a, 2012bFleming et al 2013). However, in dental research, a special type of natural clustering is encountered, where surfaces are clustered within teeth and teeth clustered within individuals.…”

Section: Introductionmentioning

confidence: 99%

The Clustering Effects of Surfaces within the Tooth and Teeth within Individuals

Masood

Newton

2014

J Dent Res

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The objectives of this study were 1) to provide an estimate of the value of the intraclass correlation coefficient (ICC) for dental caries data at tooth and surface level, 2) to provide an estimate of the design effect (DE) to be used in the determination of sample size estimates for future dental surveys, and 3) to explore the usefulness of multilevel modeling of cross-sectional survey data by comparing the model estimates derived from multilevel and single-level models. Using data from the United Kingdom Adult Dental Health Survey 2009, the ICC and DE were calculated for surfaces within a tooth, teeth within the individual, and surfaces within the individual. Simple and multilevel logistic regression analysis was performed with the outcome variables carious tooth or surface. ICC estimated that 10% of the variance in surface caries is attributable to the individual level and 30% of the variance in surfaces caries is attributable to variation between teeth within individuals. When comparing multilevel with simple logistic models, β values were 4 to 5 times lower and the standard error 2 to 3 times lower in multilevel models. All the fit indices showed multilevel models were a better fit than simple models. The DE was 1.4 for the clustering of carious surfaces within teeth, 6.0 for carious teeth within an individual, and 38.0 for carious surfaces within the individual. The ICC for dental caries data was 0.21 (95% confidence interval [CI], 0.204-0.220) at the tooth level and 0.30 (95% CI, 0.284-0.305) at the surface level. The DE used for sample size calculation for future dental surveys will vary on the level of clustering, which is important in the analysis-the DE is greatest when exploring the clustering of surfaces within individuals. Failure to consider the effect of clustering on the design and analysis of epidemiological trials leads to an overestimation of the impact of interventions and the importance of risk factors in predicting caries outcome.

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“…Over the past few decades, in most industrialized countries the prevalence of dental caries has varied [Petersen, 2003;Marthaler, 2004]. Studies on the etiology of dental caries have shown that small population groups maintain a high prevalence of this disease [Ueda et al, 2004;Masood et al, 2012], and others reported that the disparity of disease may be related to a more intense exposure to risk factors (gender, educational level of mothers, SES, oral hygiene habits, fluoride history, dental fluorosis, access to oral health services, sugar consumption, diet habits, area of residence) and to social deprivation [Patrick et al, 2006;Sabbah et al, 2009].…”

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confidence: 99%

Italian Deprivation Index and Dental Caries in 12-Year-Old Children: A Multilevel Bayesian Analysis

Matranga¹,

Campus²,

Castiglia

et al. 2014

Caries Res

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Evidence from the literature has shown that people with a lower socioeconomic status enjoy less good health than people with a higher socioeconomic status. The Italian deprivation index (DI) was used with the aim to evaluate the association between the DMFT index and risk factors for dental caries, including city population and DI. The study included 4,305 12-year-old children living in 38 cities classified by demographic size as small, midsize and large. Zero-inflated negative binomial multilevel regression models were used to assess risk factors for DMFT and to address excess of zero DMFT and overdispersion through a Bayesian approach. The difference in the average level of DMFT among children living in cities with different DI quintile was not statistically significant (p = 0.578). The DI and ln(population), included as city-level fixed effects in the two-level variance components model, were not statistically significant. Consuming sweet drinks on average increased the mean DMFT of a susceptible child, while having a highly educated mother reduced it. Unobserved heterogeneity among cities was detected for the probability to be non-susceptible to caries (city-level variance = 0.26 with 95% credibility interval 0.09-0.57), while no territorial effect was found for the mean DMFT of the susceptible children. Our results suggest that the DI and city population did not play a role in explaining between-city variability. Interventions against social deprivation can be influential on the perception of oral health in Italian 12-year-old children to the extent that they can also affect individual level factors.

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Assessment of dental caries predictors in 6-year-old school children - results from 5-year retrospective cohort study

Cited by 41 publications

References 13 publications

Early Childhood Caries with the Perspective of Pediatrician

Early Childhood Caries with the Perspective of Pediatrician

The Clustering Effects of Surfaces within the Tooth and Teeth within Individuals

Italian Deprivation Index and Dental Caries in 12-Year-Old Children: A Multilevel Bayesian Analysis

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