Incidence of Dental Caries and Associated Factors in the School Period in a Municipality in Southern Brazil

Andréia Clara Nazário; Jefferson Traebert; Eliane Traebert

Authors

Andréia Clara Nazário
Jefferson Traebert
Eliane Traebert

Keywords:

Dental Caries, Incidence, Schools, Age Groups

Abstract

Objective: To estimate the incidence of dental caries and associated factors in the school period from six/seven to ten years of age. Material and Methods: A longitudinal study involving 168 children was followed up between 2015 and 2019 in the municipality of Palhoça, Brazil. The dependent variable was the caries incidence rate in the mixed dentition. The independent variables included information regarding demographic and socioeconomic status. Multivariate analyzes were carried out using Poisson Regression with a robust estimator. Variables with p <0.20 in the bivariate analysis were included in the adjusted model. Relative risks were estimated, as well as 95% confidence intervals. Results: Of 168 followed schoolchildren, 32 developed the disease, providing an incidence rate of 19.0%. Female children had a 10% higher risk [RR = 1.10 (95% CI 1.03; 1.18)] of developing caries than males. Also, children born from fathers with ≤ 8 years of schooling at baseline had a 9% higher risk [RR = 1.09 (95% CI 1.01; 1.16)] of developing dental caries compared to fathers with higher education. Conclusion: The incidence of dental caries in a four-year period was 19.0%. Females and children born from fathers with a lower level of education showed higher incidence rates.

References

Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet 2016; 388(10053):1545-1602. https://doi.org/10.1016/S0140-6736(16)31678-6

Wellappuli N, Amarasena N. Influence of family structure on dental caries experience of preschool children in Sri Lanka. Caries Res 2012; 46(1):208-212. https://doi.org/10.1159/000337399

Ramos-Jorge J, Pordeus IA, Ramos-Jorge ML, Marques LS, Paiva SM. Impact of untreated dental caries on quality of life of preschool chidren: diferente stages and activity. Community Dent Oral Epidemiol 2014; 42(1):311-322. https://doi.org/10.1111/cdoe.12086

Ghazal T, Levy SM, Childers NK, Broffitt B, Cutter GR, Wiener HW, et al. Factors associated with early childhood caries incidence among high caries-risk children. Community Dent Oral Epidemiol 2015; 43(4):366-374. https://doi.org/10.1111/cdoe.12161

Eckert GJ, Jackson R, Fontan M. Sociodemographic variation of caries risk factors in toddlers and caregivers. Int J Dentistry 2010; 2010:593487. https://doi.org/10.1155/2010/593487

Piovesan C, Pádua MC, Ardenghi TM, Mendes FM, Bonini GC. Can type of school be used as an alternative indicator of socioeconomic status in dental caries studies? A cross-sectional study. BMC Med Res Methodol 2011; 11(1).37. https://doi.org/10.1186/1471-2288-11-37

Kassebaum N, Bernabé E, Dahiy AM, Bhandari B, Murray C, Marcenes W. Global burden of untreated caries: A systematic review and metaregression. J Dent 2015; 94(1):650-658. https://doi.org/10.1177/0022034515573272

Roncalli AG, Peres KG. Perfis epidemiológicos de saúde bucal no Brasil e os modelos de vigilância. Cad Saude Publica 2012; 28(1):58-68. https://doi.org/10.1590/S0102-311X2012001300007 [In Portuguese].

Brasil. Ministério da Saúde. SB Brasil 2010: Pesquisa Nacional de Saúde Bucal: Resultados Principais. Brasília; 2012. [In Portuguese].

Boing AF, Bastos JL, Peres KG, Antunes JLF, Peres MA. Social determinants of health and dental caries in Brazil: a systematic review of the literature between 1999 and 2010. Rev Bras Epidemiol 2014; 17(1):102-115. https://doi.org/10.1590/1809-4503201400060009

Peres KG, Cascaes AM, Leão ATT, Côrtes MIS. Sociodemographic and clinical aspects of quality of life related to oral health in adolescents. Rev Saude Publica 2013; 47(Supl 3):1-9. https://doi.org/10.1590/S0034-8910.2013047004361

Ardenghi TM, Piovesan C, Antunes JLF. Inequalities in untreated dental caries prevalence in preschool children in Brazil. Rev Saude Publica 2013; ;47(Supl 3):1-8. https://doi.org/10.1590/S0034-8910.2013047004352

Brizon VC, Melo RR, Zarzar PM, Gomes VE, Oliveira ACB. Indicadores socioeconômicos associados à cárie dentária: Uma revisão crítica. Unimontes Cient 2014; 16(1):80-91. [In Portuguese].

Cangussú MC, Cabral MBBS, Mota MBBS, Mota ELA, Vianna MIP. Fatores de risco para a cárie dental em crianças na primeira infância, Salvador - BA. Rev Bras Saude Mater Infant 2016; 16(1):57-65. https://doi.org/10.1590/1806-93042016000100007 [In Portuguese].

Lopes-Gomes R, Ramos-Jorge ML, Fernandes IB, Vieira EM, Pordeus IA, Ramos-Jorge J. Untreated dental caries and visible plaque of mothers are not determinant for the incidence of caries in dentin among children: evidence from a 3-year prospective cohort study. Clin Oral Investig 2021; 25(9):5431-5439. https://doi.org/10.1007/s00784-021-03851-6

Emmanuelli B, Knorst JK, Menegazzo GR, Mendes FM, Ardenghi TM. The impact of early childhood factors on dental caries incidence in first permanent molars: A 7-year follow-up study. Caries Res 2021; 55(3):167-173. https://doi.org/10.1159/000515083

Martins LGT, Traebert E, Lunardelli AN, Lunardelli SE, Traebert J. The influence of the first thousand days of life on establishing determinant behaviors for dental caries in childhood. Pesq Bras Odontop Clin Integ 2021; 21:e0216. https://doi.org/10.1590/pboci.2021.133

Noro RLA, Roncalli AG, Mendes Junior FIR, Lima KC. Incidência de cárie dentária em adolescentes em município do Nordeste brasileiro, 2006. Cad Saude Publica 2009; 25(4):783-790. https://doi.org/10.1590/S0102-311X2009000400009 [In Portuguese].

Traebert J, Lunardelli SE, Martins LGT, Santos K, Nunes RD, Lunardelli AN, et al. Methodological description and preliminary results of a cohort study on the influence of the first 1,000 days of life on the children's future health. Acad Bras Cienc 2018; 90(3):3105-3114. https://doi.org/10.1590/0001-3765201820170937

Brasil. Ministério da Saúde. Coordenação de Saúde Bucal. Manual da Equipe de Campo. Ministério da Saúde: Brasília; 2009. [In Portuguese].

Baggio S, Abarca M, Bodenmann P, Gehri M, Madrid C. Early childhood caries in Switzerland: a marker of social inequalities. BMC Oral Health 2015; 15(1):82. https://doi.org/10.1186/s12903-015-0066-y

Folayan MO, Kolawole KA, Oziegbe EO, Oyedele T, Oshomoji OV, Chukwumah NM, et al. Prevalence and early childhood caries risk indicators in preschool children in suburban Nigeria. BMC Oral Health 2015; 15(1):72. https://doi.org/10.1186/s12903-015-0058-y

Ricks TL, Phipps KR, Bruerd B. The Indian health service early childhood caries collaborative: A five-year summary. Pediatr Dent 2015; 37(1):275-280.

Stephen A, Krishnan R, Ramesh M, Kumar VS. Prevalence of early childhood caries and its risk factors in 18-72 month old children in Salem, Tamil Nadu. J Int Soc Prev Community Dent 2015; 5(1):95-102. https://doi.org/10.4103/2231-0762.155731

Toutouni H, Nokhostin MR, Amaechi BT, Zafarmand AH. The prevalence of early childhood caries among 24 to 36 months old children of Iran: Using the novel ICDAS-II method. J Dent 2015; 16(1):362-370.

Kuriakose S, Prasannan M, Remya KC, Kurian J, Sreejith KR. Prevalence of early childhood caries among preschool children in Tivandrum and its association with various risk factors. Contemp Clin Dent 2015; 6(1):69-73. https://doi.org/10.4103/0976-237X.149295

Bortolo DP, Miotto MHMB, Barcellos LA. Prevalência de cárie dentária em escolares de 12 anos de uma escola pública de Vitória-ES. Rev Brasil Pesq Saúde 2009; 11(3):25-30. [In Portuguese].

Farghaly JG, Fachin LV, Otton R, Guaré RO, Leite MF. Efeito do gênero (masculino e feminino) sobre a cárie dentária e parâmetros salivares de crianças. Pesq Bras Odontoped Clin Integr 2013; 13(1):11-15. https://doi.org/10.4034/PBOCI.2013.131.02 [In Portuguese].

Fleissig Y, Reichenberg E, Redlich M, Zaks B, Deutsch O, Aframian DJ, et al. Comparative proteomic analysis of human oral fluids according to gender and age. Oral Dis 2010; 16(8):831-838. https://doi.org/10.1111/j.1601-0825.2010.01696.x

Peres MA, de Oliveira LM, Sheiham A, Peres KG, Barros FC, Hernandez PG, et al. Social and biological early life influences on severity of dental caries in children aged 6 years. Community Dent Oral Epidemiol 2005; 33(1):53-63. https://doi.org/10.1111/j.1600-0528.2004.00197.x

Huew R, Waterhouse PJ, Moynihan PJ, Maguire A. Prevalence and severity of dental caries in Libyan schoolchildren. Int Dent J 2011; 61(4):217-223. https://doi.org/10.1111/j.1875-595X.2011.00060.x

Piovesan C, Antunes JL, Guedes RS. Ardenghi TM. Impact of socioeconomic and clinical factors on child oral health-related quality of life (COHRQoL). Qual Life Res 2010; 19(4):1359-1366. https://doi.org/10.1007/s11136-010-9692-7

Meneghim MC, Kozlowski FC, Pereira AC, Ambrosano GMB, Meneghim ZMAP. Socioeconomic classification and the discussion related to prevalence of dental caries and dental fluorosis. Cien Saude Coletiva 2007; 12(2):523-529. https://doi.org/10.1590/S1413-81232007000200028

Barroso JD, Freire PA, Batista MIHM, Paulino MR, Araújo MSD, Carvalho AAT. Projeto SESC sorriso: prevalência de cárie em escolares. Odontol Clin Cient 2019; 18(1):35-40. https://doi.org/10.4034/RBCS.2010.14.02.0 [In Portuguese].

Deichsel M, Rojas G, Lüdecke K, Heinrich-Weltzien R. Early childhood caries and associated risk factors among infants in the German federal state of Brandenburg. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2012; 11(12):1504-1511. https://doi.org/10.1007/s00103-012-1537-9 [In German].

Branden SD, Broucke SD, Leroy R, Declerk D, Hoppenbrouwers K. Oral health and oral health-related behaviour in preschool children: evidence for a social gradient. Eur J Pediatr 2012; 1(1):231-237. https://doi.org/10.1007/s00431-012-1874-6

Cypriano S, Hugo FN, Sciamarelli MC, Torres LHN, Sousa MRL, Wada RS. Factors associated with the incidence of dental caries among schoolchildren living in a municipality with low prevalence of dental caries. Cienc Saude Coletiva 2011; 16(10):4095-4106. https://doi.org/10.1590/S1413-81232011001100015

Saldunaite K, Bendoraitien EA, Slabsinskiene E, Vasiliauskien I, Andruskeviciene V, Zubiene J. The role of parental education and socioeconomic status in dental caries prevention among Lithuanian children. Medicina 2014; 1(1):156-161. https://doi.org/10.1016/j.medici.2014.07.003

Corrêa-Faria P, Paixão-Gonçalves S, Paiva SM, Pordeus IA. Incidence of dental caries in primary dentition and risk factors: A longitudinal study. Braz Oral Res 2016; 30(1):e-59. https://doi.org/10.1590/1807-3107BOR-2016.vol30.0059