Log in to MyKarger to check if you already have access to this content.

Buy FullText & PDF Unlimited re-access via MyKarger Unrestricted printing, no saving restrictions for personal use read more

CHF 38.00 *
EUR 35.00 *
USD 39.00 *

Select

KAB

Buy a Karger Article Bundle (KAB) and profit from a discount!

If you would like to redeem your KAB credit, please log in.

Save over 20% compared to the individual article price.

Learn more

Access via DeepDyve Unlimited fulltext viewing Of this article Organize, annotate And mark up articles Printing And downloading restrictions apply

Select

Subscribe Access to all articles of the subscribed year(s) guaranteed for 5 years Unlimited re-access via Subscriber Login or MyKarger Unrestricted printing, no saving restrictions for personal use read more

Subcription rates

Select

* The final prices may differ from the prices shown due to specifics of VAT rules.

Article / Publication Details

First-Page Preview

Received: August 06, 2021
Accepted: April 09, 2022
Published online: July 07, 2022

Number of Print Pages: 8
Number of Figures: 1
Number of Tables: 4

ISSN: 0008-6568 (Print)
eISSN: 1421-976X (Online)

For additional information: https://www.karger.com/CRE

Abstract

This study aimed to assess the impact of determinants of the individual and contextual level on the untreated dental caries during adolescence. A cohort study was started in 2012 with a random sample of 1,134 12-year-old adolescents in the city of Santa Maria, RS, Brazil. The adolescents were clinically evaluated by calibrated dentists and investigated variables: contextual, demographic, socioeconomic factors, dental service use, toothache, and subjective variables. After 2 years (T2) and 6 years (T3), the same adolescents were reevaluated (retention rate of 67.9% and 67.8%, respectively). Untreated dental caries (component “D” of the DMFT index) was the outcome and was collected at all three times. Multilevel Poisson regression analyses considered repeated measures (level 1 – times), nested to adolescents (level 2), were used to assess the association between predictors (baseline) and untreated dental caries. High neighborhood’s mean income was associated with the lowest risk of dental caries. Low household income (incidence rate ratio [IRR] 1.57; confidence interval 95% [CI]: 1.35–1.82), low mother education (IRR 1.19; 95% CI: 1.03–1.38), toothache (IRR 1.73; 95% CI: 1.47–2.03), and poor self-perception of oral health (IRR 1.19; 95% CI: 1.07–1.32) were risk factors for untreated dental caries. In conclusion, our results showed that socioeconomic disadvantages and oral conditions in early adolescence are risk factors for untreated caries among adolescents.

© 2022 S. Karger AG, Basel

References Ainamo J, Bay I. Problems and proposals for recording gingivitis and plaque. Int Dent J. 1975;25(4):229–35. Beyers JM, Bates JE, Pettit GS, Dodge KA. Neighborhood structure, parenting processes, and the development of youths’ externalizing behaviors: a multilevel analysis. Am J Community Psychol. 2003 Mar;31(1):35–53. Brazilian Institute of Geography and Statistics (IBGE) . Resident population by sex, household situation and color or race. Preliminary Results of the Universe. 2010. Diez Roux AV. Investigating neighborhood and area effects on health. Am J Public Health. 2001 Nov;91(11):1783–9. Eid SA, Khattab NM, Elheeny AA. Untreated dental caries prevalence and impact on the quality of life among 11–14-year-old Egyptian schoolchildren: a cross-sectional study. BMC Oral Health. 2020 Dec;20(1):83. Engelmann JL, Tomazoni F, Oliveira MD, Ardenghi TM. Association between dental caries and socioeconomic factors in schoolchildren-a multilevel analysis. Braz Dent J. 2016 Feb;27(1):72–8. Elamin A, Garemo M, Mulder A. Determinants of dental caries in children in the Middle East and North Africa region: a systematic review based on literature published from 2000 to 2019. BMC Oral Health. 2021 Dec;21(1):1–30. Feldens CA, Ardenghi TM, Dullius AI, Vargas-Ferreira F, Hernandez PA, Kramer PF. Clarifying the impact of untreated and treated dental caries on oral health-related quality of life among adolescents. Caries Res. 2016;50(4):414–21. Goursand D, Paiva SM, Zarzar PM, Ramos-Jorge ML, Cornacchia GM, Pordeus IA, et al. Cross-cultural adaptation of the child perceptions questionnaire 11–14 (CPQ 11–14) for the Brazilian Portuguese language. Health Qual Life Outcomes. 2008;6:2. Guedes RS, Piovesan C, Antunes JL, Mendes FM, Ardenghi TM. Assessing individual and neighborhood social factors in child oral health-related quality of life: a multilevel analysis. Qual Life Res. 2014 Nov;23(9):2521–30. Hox JJ, Moerbeek M, Van de Schoot R. Multilevel analysis: techniques and applications. Routledge; 2017. Knorst JK, Menegazzo GR, Emmanuelli B, Mendes FM, Ardenghi TM. Effect of neighborhood and individual social capital in early childhood on oral health-related quality of life: a 7-year cohort study. Qual Life Res. 2019 Jul 15;28(7):1773–82. Lima J, Caughy M, Nettles SM, O’Campo PJ. Effects of cumulative risk on behavioral and psychological well-being in first grade: Moderation by neighborhood context. Soc Sci Med. 2010 Oct 1;71(8):1447–54. Machry RV, Knorst JK, Tomazoni F, Ardenghi TM. School environment and individual factors influence oral health related quality of life in Brazilian children. Braz Oral Res. 2018;32:e63. Moore S, Kawachi I. Twenty years of social capital and health research: a glossary. J Epidemiol Community Health. 2017 May 1;71(5):513–7. Nowak AJ, Casamassimo PS, Townsend J, Wells M. Dental causes of paediatric pain. Lancet Child Adolesc Health. 2021 Jan;5(1):e2. Nunes AM, da Silva AA, Alves CM, Hugo FN, Ribeiro CC. Factors underlying the polarization of early childhood caries within a high-risk population. BMC Public Health. 2014 Dec;14(1):1–9. Patton GC, Sawyer SM, Santelli JS, Ross DA, Afifi R, Allen NB, et al. Our future: a Lancet commission on adolescent health and wellbeing. Lancet. 2016 Jun 11;387(10036):2423–78. Pentapati KC, Yeturu SK, Siddiq H. Global and regional estimates of dental pain among children and adolescents: systematic review and meta-analysis. Eur Arch Paediatr Dent. 2020 Jun 16:1–12. Piovesan C, Mendes FM, Antunes JL, Ardenghi TM. Inequalities in the distribution of dental caries among 12-year-old Brazilian schoolchildren. Braz Oral Res. 2011 Feb;25(1):69–75. Peres MA, Macpherson LM, Weyant RJ, Daly B, Venturelli R, Mathur MR, et al. Oral diseases: a global public health challenge. Lancet. 2019 Jul 20;394(10194):249–60. Petersen PE, Baez RJ, Ogawa H. Global application of oral disease prevention and health promotion as measured 10 years after the 2007 World Health Assembly statement on oral health. Community Dent Oral Epidemiol. 2020 Aug;48(4):338–48. Priesnitz MC, Celeste RK, Pereira MJ, Pires CA, Feldens CA, Kramer PF. Neighbourhood determinants of caries experience in preschool children: a multilevel study. Caries Res. 2016;50(5):455–61. Reyes LT, Knorst JK, Ortiz FR, Mendes FM, Ardenghi TM. Pathways influencing dental caries increment among children: a cohort study. Int J Paediatr Dent. 2021 May;31(3):422–32. Sallis JF, Saelens BE, Frank LD, Conway TL, Slymen DJ, Cain KL, et al. Neighborhood built environment and income: examining multiple health outcomes. Soc Sci Med. 2009 Apr 1;68(7):1285–93. Sfreddo CS, Moreira CHC, Nicolau B, Ortiz FR, Ardenghi TM. Socioeconomic inequalities in oral health-related quality of life in adolescents: a cohort study. Qual Life Res. 2019;28(9):2491–2500. Tomazoni F, Vettore MV, Zanatta FB, Tuchtenhagen S, Moreira CHC, Ardenghi TM. The associations of socioeconomic status and social capital with gingival bleeding among schoolchildren. J Public Health Dent. 2017;77(1):21–9. Tomazoni F, Zanatta FB, Tuchtenhagen S, da Rosa GN, Del Fabro JP, Ardenghi TM. Association of gingivitis with child oral health–related quality of life. J Periodonto. 2014;85(11):1557–65. Vernazza CR, Birch S, Pitts NB. Reorienting oral health services to prevention: economic perspectives. J Dent Res. 2021;100(6):576–82. Victora CG, Huttly SR, Fuchs SC, Olinto MT. The role of conceptual frameworks in epidemiological analysis: a hierarchical approach. Int J Epidemiol. 1997;26(1):224–7. Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. Ann Intern Med. 2007;147(8):573–7. World Health Organization. Oral health surveys: basic methods. Seoul: Komoonsa. 1997; Vol. 21. p. 8. World Health Organization. Oral health surveys: basic methods. 5th ed. Monts, France: World Health Organization; 2013; p. 42–56. Available from: https://apps.who.int/iris/bitstream/handle/10665/97035/9789241548649_eng.pdf?sequence=1&isAllowed=y. Article / Publication Details

First-Page Preview

Received: August 06, 2021
Accepted: April 09, 2022
Published online: July 07, 2022

Number of Print Pages: 8
Number of Figures: 1
Number of Tables: 4

ISSN: 0008-6568 (Print)
eISSN: 1421-976X (Online)

For additional information: https://www.karger.com/CRE

Copyright / Drug Dosage / Disclaimer Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.