Abstract
Objectives Caries remains a problem in high-risk groups aggravated by socioeconomic inequalities. The study aimed to investigate (1) oral health practices associated with caries in the 1st permanent molars in Saudi male teenagers and (2) the impact of socioeconomic position (SEP) on caries control using these practices. Methods A cross-sectional study targeted 1137 male teenagers in intermediate schools in Khobar and Dammam, Saudi Arabia, in 2016. Caries was examined using the World Health Organization criteria and plaque was assessed using the plaque index of Loe and Silness. A questionnaire assessed SEP (parental education, employment, and home ownership) and oral health practices (using fluoridated toothpaste twice daily, regular dental visits for check-ups, and avoiding daily sugary snacks). Regression models analysed the association of these factors with caries presence and the mean number of decayed 1st permanent molars. Stratification was used to assess differences between SEP levels. Results The response rate was 81.7%. Caries prevalence and mean (SD) number of decayed 1st permanent molars were 50.4% and 1.08 (1.31). The use of fluoride toothpaste was associated with lower odds of caries and fewer decayed molars (OR = 0.50 and regression coefficient = −0.35). Differences in the relationship between caries and toothpaste were observed by SEP levels with stronger associations in less advantaged groups. Conclusions Brushing twice daily using fluoride toothpaste was associated with less caries in Saudi male teenagers with stronger association observed in groups with lower SEP. The use of fluoride toothpaste helps in reducing health inequalities associated with SEP.
Highlights
Caries remains a problem in high-risk groups aggravated by socioeconomic inequalities. e study aimed to investigate (1) oral health practices associated with caries in the 1st permanent molars in Saudi male teenagers and (2) the impact of socioeconomic position (SEP) on caries control using these practices
E aims of the present study were (1) to assess oral health practices associated with caries in the 1st permanent molars in male teenagers in Saudi intermediate schools and (2) to assess the impact of SEP inequalities on caries control using oral health practices adopted by the individual
Our study showed that brushing with fluoridated toothpaste was significantly associated with lower odds of caries in the 1st permanent molars of Saudi male teenagers after adjusting for the effect of SEP, other oral health practices, and plaque
Summary
Caries remains a problem in high-risk groups aggravated by socioeconomic inequalities. e study aimed to investigate (1) oral health practices associated with caries in the 1st permanent molars in Saudi male teenagers and (2) the impact of socioeconomic position (SEP) on caries control using these practices. E study aimed to investigate (1) oral health practices associated with caries in the 1st permanent molars in Saudi male teenagers and (2) the impact of socioeconomic position (SEP) on caries control using these practices. Al-Samadani and Ahmad recorded caries in all four 1st permanent molars in 6% of 9–12-year-old children in Jeddah, Saudi Arabia [1] Oral health practices such as using fluoridated toothpaste, consuming sugary snacks, and visiting dentists for routine dental check-ups were reported to influence caries prevalence in children [8, 9]. E aims of the present study were (1) to assess oral health practices associated with caries in the 1st permanent molars in male teenagers in Saudi intermediate schools and (2) to assess the impact of SEP inequalities on caries control using oral health practices adopted by the individual. (2) Second set: e outcome was caries in the 1st permanent molar (prevalence and severity) and the independent variables were factors with a significant association in the first set stratified by SES levels to assess caries inequalities
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