Contextual and individual factors associated with dental pain in adolescents from Southeastern Brazil

Macedo, Thaís de Faria Fonseca; Abreu, Mauro Henrique Nogueira Guimarães de; Martins, Renata de Castro; Matta-Machado, Antônio Thomaz Gonzaga da; Pinto, Rafaela da Silveira; Castilho, Lia Silva de; Vargas‐Ferreira, Fabiana

doi:10.1590/1807-3107bor-2021.vol35.0111

Cited by 5 publications

(4 citation statements)

References 23 publications

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“…Epidemiological research has yielded similar results [35]; in a similar fashion, the present ecological analysis failed to support the hypothesis that the prevalence of dental pain in elementary-and middle-school children at the national level was associated with socioeconomic indicators. Several studies exploring contextual socioeconomic variables are consistent with the present findings; for example, Macedo et al [36] reported that dental pain was unrelated to the Human Development Index (HDI), the Gini coefficient, the illiteracy rate, unemployment, those households earning between 25% and 50% of the Brazilian monthly minimum wage, primary care coverage, dental coverage and supervised tooth brushing. However, at the individual level, low income was clearly associated with dental pain.…”

Section: Discussionsupporting

confidence: 90%

Self-reported dental pain in Mexican schoolchildren: a national ecological study

2024

JOCPD

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The objective of this study was to quantify the prevalence of and identify the factors associated with dental pain among elementary-and middle-school students in Mexico. An ecological study was carried out with data from the 2008 National School-based Student-Health Survey. Information on dental pain from schoolchildren (aged 5 to 16 years) was collected from public schools across the 32 states of Mexico. In the original study, a questionnaire was used to explore various factors that affect the oral and dental health status of schoolchildren. The outcome variable was the prevalence rate (for dental pain) reported at state level. Various contextual socioeconomic variables were included, in addition to dental caries. Analyses were performed using Stata software. 52.9% of interviewees were girls; 26.9% of male and female schoolchildren in Mexico experienced gum or dental pain during the period analyzed (95% Confidence Interval = 26.02, 27.77%); according to the Spearman correlation results, self-reported dental pain was unrelated (p > 0.05) to the socioeconomic and sociodemographic variables that make up the Gross Domestic Product (GDP) and the Human Development (HDI), as well as the marginalization and the Gini indices. However, the estimated percentages of selfreported dental pain and caries were positively correlated in the elementary-(r = 0.8958, p < 0.0001), middle-school (r = 0.8958, p < 0.0001) and total populations (r = 0.8542, p < 0.0001). Prevalence of self-reported dental pain was 28%, or about one in three, of the Mexican children and adolescents in the study sample. The state-level sociodemographic and socioeconomic risk indicators were not associated with the prevalence of dental pain. Self-reported caries was positively correlated with self-reported dental pain.

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Section: Discussionsupporting

confidence: 90%

Self-reported dental pain in Mexican schoolchildren: a national ecological study

2024

JOCPD

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“…A previous systematic review presented occurrences of dental pain from 1.33% to 87.8% among individuals of similar age groups, reinforcing that the prevalence tends to vary according to the different methodologies used in the data gathering [53]. When comparing with another study with a similar age group and methodology developed in Brazil, our study showed a signi cantly higher prevalence of dental pain, and these differences can be explained due to the subjective nature of the variable and by the report by the parents or guardians [54].…”

Section: Discussionsupporting

confidence: 62%

Impact of the use of dental services on dental pain according to adolescents’ skin colour: a 10-year cohort

Rauber

Knorst

Noronha

et al. 2022

Preprint

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Objective: Evaluate the association of the interaction between the use of dental services and the skin colour on the occurrence of dental pain over time. Matherial and methods: This study is a cohort with 10 years of follow-up, started in 2010 with a sample of 639 preschool children (1-5 years old). The use of dental services, race and the presence of dental pain were self- reported by the individuals according to predefined criteria Multilevel logistic regression analysis was performed to assess the interaction between skin colour and use of dental services in the occurrence of dental pain over time. Results: About 449 and 429 were reassessed in 2017 and 2020, respectively. The occurrence of toothache across the cohort was 60.7%. Caucasian individuals who used dental services throughout the cohort had a 51% lower chance of having a toothache than those who used dental services but were non-white (OR 0.49; 95% IC 0.27- 0.90). Conclusion: there was a racial inequity in the occurrence of toothache among individuals who managed to make use of dental services throughout the follow-ups. Clinical relevance: The differences found should serve as a warning to the way how individuals with different characteristics are treated and must be used to combat this inequity. Individuals should receive resolute and personalized treatments according to their clinical condition and not according to their socioeconomic characteristics.

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“…A previous systematic review presented occurrences of dental pain from 1.33 to 87.8% among individuals of similar age groups, reinforcing that the prevalence tends to vary according to the different methodologies used in the data gathering [ 54 ]. When comparing with another study with a similar age group and methodology developed in Brazil, our study showed a significantly higher prevalence of dental pain, and these differences can be explained due to the subjective nature of the variable and by the report by the parents or guardians [ 55 ].…”

Section: Discussionmentioning

confidence: 63%

Impact of the use of dental services on dental pain according to adolescents’ skin colour: a 10-year cohort

et al. 2023

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Objective Evaluate the association of the interaction between the use of dental services and the skin colour on the occurrence of dental pain over time. Material and methods This study is a cohort with 10 years of follow-up, started in 2010 with a sample of 639 preschool children (1–5 years old). The use of dental services, race and the presence of dental pain were self-reported by the individuals according to predefined criteria. Multilevel logistic regression analysis was performed to assess the interaction between skin colour and use of dental services in the occurrence of dental pain over time. Results About 449 and 429 were reassessed in 2017 and 2020, respectively. The occurrence of dental pain across the cohort was 60.7%. Caucasian individuals who used dental services throughout the cohort had a 51% lower chance of having a dental pain than those who used dental services but were non-white ( OR 0.49; 95% IC 0.27–0.90). Conclusion There was a racial inequity in the occurrence of dental pain among individuals who managed to make use of dental services throughout the follow-ups. Clinical relevance The differences found should serve as a warning to the way how individuals with different characteristics are treated and must be used to combat this inequity. Individuals should receive resolute and personalized treatments according to their clinical condition and not according to their socioeconomic characteristics.

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Contextual and individual factors associated with dental pain in adolescents from Southeastern Brazil

Cited by 5 publications

References 23 publications

Self-reported dental pain in Mexican schoolchildren: a national ecological study

Self-reported dental pain in Mexican schoolchildren: a national ecological study

Impact of the use of dental services on dental pain according to adolescents’ skin colour: a 10-year cohort

Impact of the use of dental services on dental pain according to adolescents’ skin colour: a 10-year cohort

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