Examining caries aetiology in adolescence with structural equation modelling

Curtis, Alexandra; Cavanaugh, Joseph E.; Levy, Steven M.; VanBuren, John M.; Marshall, Teresa A.; Warren, John J.

doi:10.1111/cdoe.12359

Cited by 10 publications

(8 citation statements)

References 26 publications

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“…However, this moment of transition in life also provokes important behavioral changes toward autonomy and independence. 30 The use of fluorides in regular toothbrushing at home and mouth rinsing in professional offices are determinants of protection against dental caries for children and adolescents 31 . Adolescents tend to stop following their parents advice and assume behavior related to social determinants of caries experience, such as the consumption of sugary beverages, 32 visiting the dentist only when experiencing pain, and disregarding regular check-ups or prevention sessions.…”

Section: Discussionmentioning

confidence: 99%

Dental caries spectrum profile in Brazilian public school children and adolescents

et al. 2021

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Dental caries remains a major public health problem, with a higher prevalence among in adolescence. The present study aimed to assess the dental caries spectrum profile in children and adolescents in Brazilian public schools. A cross-sectional study was performed in two public schools in Brazil to examine the permanent teeth of children and adolescents. The dental caries were assessed by applying the Caries Assessment Spectrum and Treatment (CAST) instrument, and the results were distributed as per disease status (healthy/codes 0-2; pre-morbidity/code 3; morbidity/code 4-5; severe morbidity/codes 6-7; mortality/code 8) and by severity as per the CAST-F1 formula (no severity, mild, moderate, and severe). The CAST data were described by age groups (8-9 y, 10-11 y, 12-13 y, 14-15 y, 16-17 y, and 18-19 y). The Kruskal-Wallis test was used to investigate differences in CAST prevalence and severity among the groups (p < 0.05). Total 598 students were enrolled. Most of the subjects were male (53.34%) and belonged to the age group of 12-13 y (34.95%). The variables CAST 0/1 (p = 0.024), CAST (p = 0.024), and CAST-F1 (p = 0.029) showed significant differences among age groups, and the post hoc test showed the differences in these variables as per the age groups of 14-15 y and 16-17 y (CAST 0/1, p = 0.047; CAST, p = 0.047; CAST-F1, p = 0.033). The dental caries spectrum increased from 8 to 19 y with a peak in the prevalence and severity in the middle of adolescence.

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Section: Discussionmentioning

confidence: 99%

Dental caries spectrum profile in Brazilian public school children and adolescents

et al. 2021

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“…The aetiology of dental caries is multi‐factorial, involving complex interactions between the commensal oral microbiome and associated risk or protective factors, such as diet, behaviour, oral hygiene, genetics, host‐susceptibility characteristics and socio‐demographic factors . Demarcated hypomineralized lesions of enamel (DHL) are developmental qualitative defects of tooth enamel, clinically characterized by well‐defined areas of hypomineralization.…”

Section: Introductionmentioning

confidence: 99%

Carious lesion severity and demarcated hypomineralized lesions of tooth enamel in schoolchildren from Melbourne, Australia

Gambetta-Tessini

Mariño

Ghanim

et al. 2018

Australian Dental Journal

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“…As children get older and transition to the adolescent stages, their oral health knowledge, attitude and practices tends to be low [13]. In addition they often opt for sugary snacks and sugar sweetened beverages which contribute to dental caries [27]. Our results further demonstrated that as age interacted with fidelity, it significantly reduced the relative risk by 48%, from (2.14) to (0.52).…”

Section: Plos Onementioning

confidence: 53%

Implementation fidelity of school oral health programs at a District in South Africa

2020

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Background It is important that components contributing to success of a program are well understood to ensure better outcomes and strengthen interventions. Hence the purpose of the study was to assess the level of fidelity achieved by school oral health programs in our study district and to determine elements of fidelity that predict the risk of dental decay. Methods A cross-sectional study design was utilised. A multistage sampling technique was employed to randomly select 10 schools, two grades in each school were selected and all pupils in the selected grades were included in an oral health examination. Ten oral hygienists were observed and interviewed as they carried out the activities of the program and records were reviewed. Data collection tools included an oral health examination form, and an implementation fidelity checklist. Results The average level of fidelity obtained was 40% and it was shown to be inversely correlated with levels of decay, as decay was predicted to decrease with increasing levels of fidelity. The fidelity elements that were found to directly predict the outcome of decay included duration (IRR, 0.49; p = 0.02) coverage (IRR, 0.54; p = 008), content (IRR, 1.36; p = 0.03) and age (IRR, 2.14; p = 0.00). Moderating factors of fidelity which indirectly influenced the outcome of decay included facilitation strategy, duration and age. These were predicted to reduce the risk of decay by 92%, 83% and 48% respectively. Conclusion The school oral health programs exhibited high levels of pupil coverage, however, the content of the programs offered was low (28%). Coverage was high in the context of lack of dental assistance and time. Multi-sectoral participation is therefore necessary to re-organise the program for improving implementation fidelity and bringing about quality implementation.

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Examining caries aetiology in adolescence with structural equation modelling

Cited by 10 publications

References 26 publications

Dental caries spectrum profile in Brazilian public school children and adolescents

Dental caries spectrum profile in Brazilian public school children and adolescents

Carious lesion severity and demarcated hypomineralized lesions of tooth enamel in schoolchildren from Melbourne, Australia

Implementation fidelity of school oral health programs at a District in South Africa

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