Dental caries experience and associated factors in 12-year-old-children: a population based-study

Author(s)

Arella Cristina Muniz BRITO ^[1] ; Isis Morais BEZERRA ^[2] ; Denise de Fátima Barros CAVALCANTE ^[3] ; Antônio Carlos PEREIRA ^[4] ; Vladen VIEIRA ^[5] ; Maria Fernanda MONTEZUMA ^[6] ; Edson Hilan Gomes de LUCENA ^[7] ; Yuri Wanderley CAVALCANTI ^[8] ; Leopoldina de Fátima Dantas de ALMEIDA ^[9]

Affiliation

^[1] Universidade Federal da Paraíba. Postgraduate Program in Dentistry - Brasil

^[2] Universidade Federal da Paraíba. Postgraduate Program in Dentistry - Brasil

^[3] Universidade Estadual de Campinas. Piracicaba Dental School. Department of Social Dentistry - Brasil

^[4] Universidade Estadual de Campinas. Piracicaba Dental School. Department of Social Dentistry - Brasil

^[5] Private Orthodontics Office - Brasil

^[6] Private Orthodontics Office - Brasil

^[7] Universidade Federal da Paraíba. Clinical and Social Dentistry Department - Brasil

^[8] Universidade Federal da Paraíba. Clinical and Social Dentistry Department - Brasil

^[9] Universidade Federal da Paraíba. Clinical and Social Dentistry Department - Brasil

• Document type: Journal article
• Source: Brazilian Oral Research; v. 34, 2020-02-07.

Abstract

Abstract Relevant public policies in oral health have been implemented in Brazil since 2004. Changes in the epidemiological status of dental caries are expected, mainly in the child population. This study aimed to assess the dental caries experience and associated factors among 12-year-old children in the state of São Paulo, Brazil. A cross-sectional population-based study was conducted with data obtained from 415 cities, including a total of 26,325 schoolchildren who were included by the double-stage cluster technique, by lot and by systematic sampling. The statistical model included data from the São Paulo Oral Health Survey (SBSP 2015), the Human Development Index (HDI) and the Social Vulnerability Index (SVI). A theoretical-conceptual model categorized the variables into three blocks, namely, contextual (HDI, SVI, region of residence and fluoridation of water), individual (sex and ethnicity) and periodontal conditions (gingival bleeding, dental calculus and the presence of periodontal pockets), for association with the experience of caries (DMFT). Statistically significant associations were verified by hierarchical multivariate logistic (L) and Poisson (P) regression analyses (p < 0.05). The results showed that 57.7% of 12-year-old children had caries experience. Factors that determined a greater prevalence of dental caries in both models were nonwhite ethnicity (ORL = 1.113, ORP = 1.154) and the presence of gingival bleeding (ORL = 1.204, ORP = 1.255). Male children (ORL = 0.920 ORP = 0.859) and higher HDI (ORL = 0.022), ORP = 0.040) were associated with a lower prevalence of dental caries experience. Water fluoridation was associated with a lower DMFT index (ORP = 0.766). Dental caries experience is still associated with social inequalities at different levels. Policymakers should direct interventions towards reducing inequalities and the prevalence of dental caries among 12-year-old children. (AU)

• FAPESP's process: 14/50109-1 - Oral Health Survey in São Paulo State, Brazil
• Grantee: Antonio Carlos Pereira
• Support Opportunities: Research Grants - Research in Public Policies for the National Health Care System (PP-SUS)