Difference In Caries Prevalence Research Articles

Relationship between body mass index and dental caries in children, and the influence of socio-economic status

To determine the association of body mass index (BMI) with dental caries in Indian schoolchildren, and to analyse the influence of socio-economic status (SES). The study population consisted of 11- to 14-year-old children from Medak District in Telangana State, India. The Indian Academy of Paediatrics 2015 growth charts were used to categorise children as underweight, overweight, normal or obese, based on their BMI. Data on the SES of the family were collected through questionnaires. Clinical examination for dental caries was performed by a single examiner. A total of 1,092 subjects returned questionnaires and were clinically examined (giving a response rate of 85%). There were no significant differences in caries prevalence and experience across the categories of BMI. However, caries prevalence and experience in overweight children were 24.8% and 0.69 ± 1.51, respectively, while the corresponding values in normal-weight children were 35% and 0.85 ± 1.50, respectively. Among children of high-SES families, overweight children had approximately 71% fewer caries than did those who were normal weight [incidence rate ratio (IRR) = 0.29; 95% CI: 0.11-0.78)]. BMI was not associated with dental caries prevalence and experience in this population. The association of BMI with dental caries varied across SES categories. In the high-SES category, overweight children experienced fewer caries than did normal-weight children.

Ethnic Disparities in Dental Caries among Six-Year-Old Children in the Netherlands

The aim of this study was to investigate potential differences in caries prevalence of children from ethnic minority groups compared to native Dutch children and the influence of socio-economic status (SES) and parent-reported oral health behaviour on this association. The study had a cross-sectional design, embedded in a population-based prospective multi-ethnic cohort study. 4,306 children with information on caries experience, belonging to 7 different ethnic groups, participated in this study. The decayed, missing, and filled teeth (dmft) index was assessed at the age of 6 and categorized in two ways for analysis: children without caries (dmft = 0) versus any caries experience (dmft >0) and children without caries (dmft = 0) versus children with mild caries (dmft = 1-3) or severe caries (dmft >3). Compared to native Dutch children, children with a Surinamese-Hindustani, Surinamese-Creole, Turkish, Moroccan, and Cape Verdean background had significantly higher odds for dental caries. Especially the Surinamese-Hindustani, Turkish, and Moroccan group had significantly higher odds for severe dental caries. Household income and educational level of the mother explained up to 43% of the association between ethnicity and dental caries, whereas parent-reported oral health behaviour did not mediate the association. Alarming disparities in caries prevalence between different ethnic (minority) groups exist, which cannot be fully explained by social inequalities. Public health strategies can apply this new knowledge and specifically focus on the reduction of ethnic disparities in oral health. More research is needed to explain the high caries prevalence among different ethnic minority groups.

Probiotic Compared with Standard Milk for High-caries Children

The aim of this study was to compare milk supplemented with probiotic lactobacilli with standard milk for the increment of caries in preschool children after 10 mo of intervention. The study was a triple-blind, placebo-controlled randomized trial. Participants were children aged 2 and 3 y (n = 261) attending 16 nursery schools in a metropolitan region in Chile. Nursery schools were randomly assigned to 2 parallel groups: children in the intervention group were given 150 mL of milk supplemented with Lactobacillus rhamnosus SP1 (107 CFU/mL), while children in the control group were given standard milk. Interventions took place on weekdays for 10 mo. Data were collected through a clinical examination of participants. The primary outcome measure was the increment of caries in preschool children. This was assessed using the International Caries Detection and Assessment System (ICDAS). The dropout rate was 21%. No differences in caries prevalence were detected between the groups at baseline (P = 0.68). After 10 mo of probiotic intake, the caries prevalence was 54.4% in the probiotic group and 65.8% in the control group. The percentage of new individuals who developed cavitated lesions (ICDAS 5-6) in the control group (24.3%) was significantly higher than that in the probiotic group (9.7%). The increment of dental caries showed an odds ratio of 0.35 (P < 0.05) in favor of the probiotic group. At the cavitated lesion level, the increment of new caries lesions within the groups showed 1.13 new lesions per child in the probiotic group compared with 1.75 lesions in the control group (P < 0.05). The probiotic group showed an increment of 0.58 ± 1.17 new lesions compared with 1.08 ± 1.70 new lesions observed in the control group. The difference in caries increment was significant at the cavitated lesion level (P < 0.01). In conclusion, the regular long-term intake of probiotic-supplemented milk may reduce caries development in high-caries preschool children (ClinicalTrials.gov: NCT01648075).

Caries Experience and Distribution by Tooth Surfaces in Primary Molars in the Pre-school Child Population of Lodz, Poland.

To evaluate caries experience in primary molars as well as the differences in caries prevalence and caries lesion location on individual tooth surfaces between first and second primary molars in pre-school children. A cross-sectional study was conducted on 307 children, aged 3 to 5 years, from randomly chosen kindergartens in Lodz, Poland. Caries experience was scored according to WHO recommendations. The caries intensity (dmft, dmfts) for first and second primary molars was calculated. In addition, the percentage of particular surfaces with caries was counted for each molar separately. The mean dmft for primary molars was 1.84 (dmfts=2.47) and dmft>0 was seen in 53.09% of the study subjects. While in the entire examined population dmft and dmfts for first and second molars did not differ significantly, in 5-year-old children, the left mandibular first molar was associated with a higher caries intensity than the left mandibular second molar (dmfts=0.465 vs 0.344, Z=-1.98, p=0.04). However, in 5-year-olds, higher caries occurrence was seen for occlusal surfaces of the tooth 85 than 84 (33.62% vs 20.68%, χ2=4.09, p=0.03). The distal surface was more frequently affected in first molars than in second molars in children aged 4 (85 vs 84, χ2=17.1, p<0.001; 75 vs 74, χ2=11.5, p=0.007, 55 vs 54; χ2=4.6, p=0.03) and 5 years (54 vs 55, χ2=20.09; 64 vs 65, χ2=16.75; 74 vs 75, χ2=21.6; 84 vs 85, χ2=31.07; all comparisons p<0.001). In contrast, the mesial surfaces of mandibular second molars demonstrated more caries than the homologous surfaces of first molars, both in 4-year-olds (85 vs 84, χ2=6.15, p=0.01) and 5-year-olds (75 vs 74, χ2=3.9, p=0.04). In 5-year-old children, caries of occlusal and mesial surfaces was more common in primary second molars. However, distal surfaces were affected more in first than second molars.

Caries-preventive effectiveness of fluoride varnish as adjunct to oral health promotion and supervised tooth brushing in preschool children: A double-blind randomized controlled trial

ObjectivesTo evaluate the effect of biannual fluoride varnish applications in preschool children as an adjunct to school-based oral health promotion and supervised tooth brushing with 1000ppm fluoride toothpaste. Methods424 preschool children, 2–5 year of age, from 10 different pre schools in Athens were invited to this double-blind randomized controlled trial and 328 children completed the 2-year programme. All children received oral health education with hygiene instructions twice yearly and attended supervised tooth brushing once daily. The test group was treated with fluoride varnish (0.9% diflurosilane) biannually while the control group had placebo applications. The primary endpoints were caries prevalence and increment; secondary outcomes were gingival health, mutans streptococci growth and salivary buffer capacity. ResultsThe groups were balanced at baseline and no significant differences in caries prevalence or increment were displayed between the groups after 1 and 2 years, respectively. There was a reduced number of new pre-cavitated enamel lesions during the second year of the study (p=0.05) but the decrease was not statistically significant. The secondary endpoints were unaffected by the varnish treatments. ConclusionsUnder the present conditions, biannual fluoride varnish applications in preschool children did not show significant caries-preventive benefits when provided as an adjunct to school-based supervised tooth brushing with 1000ppm fluoride toothpaste. Clinical significanceIn community based, caries prevention programmes, for high caries risk preschool children, a fluoride varnish may add little to caries prevention, when 1000ppm fluoride toothpaste is used daily.

Oral health status of students with and without disabilities in Erfurt, Germany

The aim of this study was to make a comparison of the oral health status of students with and without disabilities (Sw/D, Sw/oD) aged 6-18 years from the city of Erfurt. 328 students with mental retardation (MR), physical disability (PD) and hearing impairment (HI) were examined according to WHO standard (1997). The control group consisted of 400 age-matched Sw/oD. Data analysis was performed in age groups 6-12 and 13-18 years. Caries prevalence of 6- to 12-year-old Sw/D (68.7%) was significantly higher than in Sw/oD (57%) (p=0.019).The caries experience of Sw/D was 2.3 dmft/0.5 DMFT and 1.6 dmft/0.4 DMFT of Sw/oD. PD had a lower restorative index than other Sw/D (p ≥ 0.023). There was no difference in caries prevalence and caries experience among 13- to 18-year-old Sw/D (51%; 1.9 DMFT) and Sw/oD (59%; 2.1 DMFT). MR had a lower prevalence of fissure sealants and less sealed teeth (p ≤ 0.042) and their periodontal health was inferior compared to other Sw/D. Intensive preventive measures should be intensified to compensate for oral health inequalities, particularly in MR.

Approximal caries increment in adolescents in a low caries prevalence area in Sweden after a 3.5-year school-based fluoride varnish programme with Bifluorid 12 and Duraphat.

To evaluate approximal caries increment among 12- to 16-year-olds in a low caries prevalence area in Sweden after a 3.5-year school-based fluoride (F) varnish programme with Bifluorid 12 and Duraphat. The design was a RCT study with 1365 adolescents, divided into following four groups: Group 1 Bifluorid 12 two applications/year; Group 2 Duraphat two applications/year; Group 3 Bifluorid 12 four applications/year and Group 4 no F varnish at school. 1143 children (84%) completed the study. Approximal caries was registered on bitewing radiographs. There were no statistically significant differences in caries prevalence among the groups either at baseline or after 3.5years . The caries increment for Group 1 was 1.34±2.99 (mean±SD), 1.24±2.84 for Group 2, 1.07±2.66 for Group 3 and 1.25±2.75 for Group 4, with no statically significant differences either between Bifluorid 12 and Duraphat with the same frequency of F varnish applications or between the F groups and the control group. In an area with low caries prevalence in Sweden, the supplementary caries-preventive effect of school-based F varnish applications, to regular use of F toothpaste at home and to regular caries prevention given at the Public Dental Clinics, appears to be nonsignificant regarding approximal caries increment.

Effect of Fluoridated Sealants on Adjacent Tooth Surfaces

A double-blind randomized clinical trial was performed in 6- to 7-yr-old schoolchildren to evaluate, in a 30-mo period, whether the caries increment on the distal surface of the second primary molars adjacent to permanent first molars sealed with fluoride release compounds would be lower with respect to those adjacent to permanent first molars sealed with a nonfluoridated sealant. In sum, 2,776 subjects were enrolled and randomly divided into 3 groups receiving sealants on sound first molars: high-viscosity glass ionomer cement (GIC group); resin-based sealant with fluoride (fluoride-RB group); and a resin-based sealant without fluoride (RB group). Caries (D1 – D3 level) was recorded on the distal surface of the second primary molar, considered the unit of analysis including only sound surfaces at the baseline. At baseline, no differences in caries prevalence were recorded in the 3 groups regarding the considered surfaces. At follow-up, the prevalence of an affected unit of analysis was statistically lower (p = .03) in the GIC and fluoride-RB groups (p = .04). In the GIC group, fewer new caries were observed in the unit of analysis respect to the other 2 groups. Incidence rate ratios (IRRs) were 0.70 (95% confidence interval: 0.50, 0.68; p < .01) for GIC vs. RB and 0.79 (95% confidence interval: 0.53, 1.04; p = .005) for fluoride-RB vs. RB. Caries incidence was significantly associated with low socioeconomic status (IRR = 1.18; 95% confidence interval: 1.10, 1.42; p = .05). Dental sealant high-viscosity GIC and fluoride-RB demonstrated protection against dental caries, and there was evidence that these materials afforded additional protection for the tooth nearest to the sealed tooth (clinical trial registration NCT01588210).

The prevalence of dental caries in primary dentition in 4- to 5-year-old preschool children in northern palestine.

Aim. To determine the prevalence of dental caries among a representative sample of preschool children (4-5 years old) who were accompanied by their parents to the dental centre of the Arab American University in Jenin whether they come seeking dental treatment or as visitors with adult patients. Materials and Methods. 1376 children of both sexes were investigated by three calibrated and trained examiners for dental caries using the dmft index according to the WHO method. Results. 76% of the studied children have already experienced dental caries at the age of 4-5 years (1046 children). The mean dmft score was found to be 2.46 while the other 24% of children were caries-free. There was no significant difference in caries prevalence between boys and girls (77.2% versus 74.6%). Children of highly educated and college graduated mothers were found to have more fillings (restored teeth) in comparison to those who belong to mothers who did not finish their secondary (high school) education. Conclusion. The number of caries-free children in northern Palestine is still far from numbers found in developed countries. There is a real need to make improvements at the level of parents dental health education, application of preventive measures, and dietary habits among preschool children.

Zahngesundheit erster Molaren bei westfälischen Migranten und deutschen Schülern

The aim of this study was to assess the health status of the occlusal surface on the first molars of Westphalian students, of whom 41.0% were immigrants. The prevalence and retention of fissure sealants (FS) and caries experience was scored for 161 students aged 8 and 10 years. Logistic regression analysis was used to predict the influence of sex, ethnicity, and retention of FS on the occlusal caries risk of the first molars. There was no difference in caries prevalence and experience in 8-year-old German students and immigrants (5.6%/10.5%; 0.07 DMFT/0.21 DMFT), both parameters were significantly higher in 10-year-old immigrants than in German students (25.5%/9.5%; 0.55 DMFT/0.11 DMFT). The prevalence and number of molars with FS was not different between German students and immigrants at 8 years (39.1%, 1.28 FS; 33.8%, 0.94 FS) and at 10 years of age (47.4%, 1.68 FS; 39.4%, 1.17 FS). The occlusal caries risk of first molars without FS was significantly higher in 8-year-old immigrants than in German students (OR 4.62). FS should be used more frequently in daily dental practice. To improve the quality of FS, stricter implementation of guideline-based standards is required.

Early Childhood Caries Prevalence, Severity and Pattern in 3-6 Year Old Preschool Children of Mysore City, Karnataka

Objetivo: Determinar a prevalencia, severidade e caracteristicas da carie precoce na infância em Criancas de 3 a 6 Anos de idade de Mysore, India. Metodo: Dez pre-escolas, cinco publicas e cinco privadas foram aleatoriamente selecionadas de cinco diferentes areas da cidade de Mysore. Um total de 500 crianas e seus pais/responsaveis foram incluidas no estudo. A ocorrencia de carie precoce na infância foi diagnosticada com o uso dos criterios NIDCR. A existencia de carie dentaria foi feita com o uso dos indices ceo-d e ceo-s. Resultados: A prevalencia de carie precoce foi de 56,6% com um ceo-d e ceo-s medios de 2,20 e 2,97, respectivamente. Do total de criancas, 56% dos meninos e 57,1 % das meninas estavam afetadas. Nao se verificou diferenca na prevalencia de carie entre os estudantes da rede publica e privada. Cerca de 94,84% do total do ceo-d envolvia o componente cariado. O arco superior foi mais afetado (29,32%) do que o inferior (26,14%). As superficies oclusais foram as mais afetadas (46%) e as menos afetadas foram as superficies lisas (16%). Os molares inferiores foram os mais acometidos (39,42%) e os incisivos inferiores os menos afetados (1,84%). Conclusao: O aconselhamento oral deve ser iniciado aos seis meses quando da erupcao dos primeiros dentes deciduos.

Dental Caries Prevalence and Tooth Loss in Chilean Adult Population: First National Dental Examination Survey

The purpose of this study was to assess the prevalence of dental caries, tooth loss, and risk factors among adult population of Chile. Furthermore, age, gender, and behavioural specific differences in caries prevalence and tooth loss were examined. A national stratified multistage probabilistic sample design in two-age cohorts was applied to the Chilean population. A sample of 1553 adults, comprising 1088 individuals aged 35–44 and 465 senior individuals aged 65–74, were examined. The DMFT was evaluated following WHO recommendations using diagnostic criteria of caries lesions into dentin. The data were analyzed by univariate and multivariate models using logistic regression analyses. Results showed a mean DMFT of 15.06 in the 35–44-year-old group and of 21.57 in the 65–74 group. Factors related to tooth loss in the 35–44 group through univariate logistic regression were depression (OR 1.9 CI 95% 1.26–2.85), education level <12 years (OR 2.24 CI 95% 1.31–3.73), personal income (OR 1.51 CI 95% 1.04–2.19), and familiar income (OR 2.05 CI 95% 1.34–3.13), and through multivariate logistic regression in the same age group were depression (OR 1.93 CI 95% 1.24–3.0), education level <12 years (OR 1.94 CI 95% 1.2–3.14), and familiar income (OR 1.71 CI 95% 1.09–2.68). Factors related to tooth loss in the 65–74-year-old group through univariate logistic regression were education level <12 years (OR 2.54 CI 95% 1.3–4.96) and personal income (OR 1.66 CI 95% 1.05–2.63), and for multivariate logistic regression in the same age group, it was education level <12 years (OR 2.51 CI 95% 1.21–5.18). In conclusion, adult population in Chile showed a high prevalence of dental caries and tooth loss, as age, education level, personal and familiar incomes, and depression are being the main risk factors.

Variability in dental caries prevalence between male and female foragers from the Late/Final Jomon period: Implications for dietary behavior and reproductive ecology

This study documents sex differences in dental caries prevalence among Late to Final Jomon period (4000 through 2300 BP) foragers from Japan and interprets the results within behavioral, dietary, and reproductive context. The presence/absence of carious lesions was recorded from ∼1600 Late/Final Jomon period teeth. Frequencies and mean numbers of carious teeth were compared between males and females according to age, tooth group, and region using Fisher's exact and t tests. Significantly greater frequencies of carious molar teeth were observed in females compared to males in each age group. Few differences were observed between older and younger females as well as between females from high and low density regions. Significantly greater prevalence of cariogenic molars were, however, observed between females in Age Group 3 from a high compared to low density region. Significantly greater average numbers of carious molar teeth were found in females compared to males, with no significant differences in mean number of carious teeth between age groups. Differences in carious teeth between the sexes likely reflect behavioral and dietary variation for males and females. Limited differences in caries prevalence and mean number of carious teeth between female age groups and regions of varying population density suggests that reproductive factors played a minor role in dental caries variation between males and females.

What Difference Does Using Bitewing Radiographs Make to Epidemiological Estimates of Dental Caries Prevalence and Severity in a Young Adolescent Population with High Caries Experience?

The study aimed to determine the relative contributions of bitewing radiography and clinical examination to caries estimates for a New Zealand child population with high caries experience. An epidemiological survey was conducted of 171 12- and 13-year-old children attending schools in five communities. Examinations were conducted in dental clinics. Bitewing radiographs were taken at the time of the clinical examination. These were developed and read later, and the data from those were used at the analysis stage to adjust the caries diagnosis for the mesial, occlusal and distal surfaces of the posterior teeth. For almost all parameters, the use of radiographs resulted in higher estimates, although at the whole-mouth prevalence level the difference was not great. The percent difference between the estimates ranged from –0.1 to 166.7%. There were moderate differences between the clinical-only and radiographically adjusted whole-mouth estimates for mean DMFT, DT, DMFS and DS, but only a minor difference in caries prevalence. With the mesial and distal surfaces only, the prevalence and severity estimates were significantly greater, with a one-surface difference (on average) in mean DS being the largest difference observed, at 166.7%. The diagnostic discrepancy was much greater for approximal than occlusal surfaces. These findings support but also build upon earlier findings and again underline the need for bitewing radiographs to be a routine part of oral epidemiological surveys wherever logistics and funding permit.

Caries pattern in primary molars in Dutch 5-year-old children

The aim of this study was to investigate the difference in caries prevalence based on quadrant dmfs data between first and second primary molars in 5-year-old Dutch children. Cross-sectional observational study. METHODS AND STATISTICS: For this study 692 children, all insured by a "Health Insurance Fund", living in one of four selected cities in The Netherlands were asked to participate in the study. From the original cohort 435 children (49% girls) participated. Clinical examinations were performed and only carious lesions with involvement of the dentine were reported. Lesions on the occlusal, buccal, palatinal/lingual, mesial and distal surfaces as well as lesions in buccal and palatinal pits and fissures were reported separately. No radiographs were taken. Systematic differences in dmfs between first and second molars in the same quadrant of each primary dentition were tested with the Wilcoxon signed rank test. Second primary molars, even after correction for caries in pits and buccal/palatinal fissures, had a statistically significant higher total dmfs than the first primary molars. The differences were mainly found on the occlusal surfaces. On proximal surfaces, the first primary molars had significant more caries than the second primary molars. The d-component constituted the major part of the caries index. Second primary molars, corrected for decay in the pits and buccal/palatinal fissures of this molar, are more affected by caries than first primary molars and that the differences in caries prevalence are the largest on the occlusal surface. The specific site of the caries found suggests that developmental disturbances in second primary molars may attribute to their prevalence.

Substantial caries-inhibiting effect of fluoride varnish suggested

DesignA randomised controlled trial (RCT) was carried out over a period of 3 years. In total, 758 adolescents (age 13 years at baseline) from three areas in Sweden, from low, medium and high caries-risk areas, were recruited into the study. Bitewing radiographs were taken at baseline and at the end of the trial period by the participants’ own dentists. Radiographic caries recording was performed, blinded, by one of the authors.InterventionThree fluoride varnish regimes were employed over a 3-year period, applied as follows: twice a year at 6-month intervals (Group 1, six applications in total); three times a year all within 1 week (Group 2, nine applications in total); once a month during school terms (Group 3, 24 applications in total). All approximal surfaces were treated with a total of 0.3 ml fluoride varnish. Participants were advised to refrain from eating or toothbrushing on the day. A control group received no fluoride varnish (Group 4).Outcome measureApproximal caries prevalence after 3 years, incidence, progression and prevented fraction (PF) were measured.ResultsIntra-examiner kappa was 0.90 for all scores and 0.82 for carious surfaces. There were no significant differences in caries prevalence after 3 years between groups for dentin lesions and filled surfaces, and for enamel lesions or filled surfaces. For all areas together and in the high-risk area, however, there were significantly more dentin lesions in the control group than in fluoride varnish groups. After 3 years, statistically significant differences (P<0.001) for total caries incidence and new enamel lesions were found between test and control groups in all areas together, in high-risk areas and in medium-risk areas. The largest differences were found in the high-risk area: the control group developed 3.05±3.37 (mean±SD) lesions compared with 0.54±1.26 in Group 3, 0.95±1.67 in Group 1 and 1.4±1.89 in Group 2. Incidence was also significantly less in Group 3 than in Group 2. For all areas together, fluoride varnish treatment once a month (Group 3) had the best preventive effect with a prevented fraction of 76% compared to 57% (Group 1) and 47% (Group 2). In the medium- and high-risk areas, treatment twice a year (Group 1) resulted in a PF of 66 and 69% and was the most cost-effective option (results published elsewhere).ConclusionsMonthly fluoride varnish application was the most effective preventive regime in this school-based programme. Six-monthly fluoride varnish application was the most cost-effective method, however, for high- and medium-risk groups over the 3-year period.

Multilevel Analysis of Regional Differences in Caries Prevalence among 3-year-old Children

Multilevel Analysis of Regional Differences in Caries Prevalence among 3-year-old Children

Severity of dental caries among 12-year-old Sudanese children with different fluoride exposure

The aim of this study was to assess the effect of fluoride on the severity of caries among children exposed to different concentrations of fluoride in the drinking water and living in rural areas in the Sudan. Permanently resident schoolchildren (n = 299) aged 11-13 years from three villages were clinically examined under field conditions. The caries criterion was teeth in need of extraction or extracted; only molars were recorded. Dental fluorosis was scored on all buccal tooth surfaces by the Thylstrup and Fejerskov index. The fluoride concentrations of the drinking water were assessed in samples (n = 25) collected from wells and households. Predictors of caries were assessed by logistic regression analyses. There was no significant difference regarding age and gender distribution between the areas (P > 0.05, df = 2, Kruskal-Wallis test). The socio-economic conditions in these villages were presumed to be equal. Significantly different fluoride concentrations in the drinking water were verified by the severity of dental fluorosis. Children in Abu Delaig, drinking water with 1.0-2.0 mg fluoride/L (median = 1.8), had significantly higher caries prevalence (21% versus 8%) than in a 0.4 mg fluoride area. Area was the only significant predictor for caries; odds ratio 3.7 for children in Abu Delaig compared with the low fluoride area. There was no difference in caries prevalence between the lowest and the highest fluoride (2.9 mg) area. This study failed to demonstrate an effect of fluoride in drinking water on caries experience when the end point was molars indicated for extraction or missing because of caries.

Caries prevalence, oral health behavior, and attitudes in children residing in radiation-contaminated and -noncontaminated towns in Ukraine.

Several studies investigating the oral health status of children living in Ukraine after the Chernobyl catastrophe revealed an increase of caries in children residing in radionucleotide-contaminated areas. (1) To compare prevalence of dental caries in contaminated and noncontaminated towns; and (2) to determine if there is a difference between dental behaviors and attitudes of children residing in contaminated and noncontaminated areas that may have contributed to differences in caries prevalence. Children aged 13-14 were randomly selected in two towns of approximately the same population size (33 000): Ovruch (n = 119) from a contaminated area and Mirgorod (n = 100) from a noncontaminated area. Data on behaviors and attitudes were collected via a self-administered questionnaire having six domains: (i) family background; (ii) dental anxiety; (iii) dental utilization; (iv) oral hygiene; (v) use of fluoride toothpaste; and (vi) sugar consumption. Oral examinations included information on carious lesions, restorations, missing teeth, and soft tissue abnormalities. Caries prevalence was compared using a t-test. Regression analysis was conducted to determine the independent contribution of oral hygiene behaviors and dental utilization. There was a significant difference in caries prevalence in the contaminated town (mean DMFT = 9.1 +/- 3.5) versus the noncontaminated town (mean DMFT = 5.7 +/- 1.4; P < 0.000). Oral hygiene practices, age, and utilization of dental services were not found to be associated with differences in DMFT score between the two communities. There was a significantly higher caries prevalence in a radiation-contaminated town compared to a noncontaminated town of Ukraine. The difference was not explained by differences in oral health knowledge, attitudes or behaviors.

Caries risk in patients with thalassaemia major

The aim of this study was to assess the prevalence and distribution of dental caries in subjects with thalassaemia major. Clinical examination for dental caries, diagnosed according to the WHO criteria. A total of 54 thalassaemic patients, 23 aged 6-9 (14 males and 9 females) and 31 aged 12-18 (17 males and 14 females) were examined. dmft, DMFT and plaque scores. The mean dmft was 6.92 for 6-7 year olds and 4.72 for 8-9 year olds. The DMFT values were 6.57 and 5.95 for ages 12-14 and 15-18, respectively. There was no statistically significant difference in caries prevalence (dmft/DMFT) between gender or between primary and permanent teeth. Only 17.4 per cent of the children aged 6-9 and 21.4 per cent of 12-18 years olds were caries free. The prevalence of dental caries in the thalassaemia patients was considerably higher (22.7 per cent) than that reported in a normal Jordanian sample (DMFT 6.26 vs 4.84). Very few fillings (1.4 per cent of the examined teeth) were observed, indicating a negligible rate of conservative treatment. More than half (61.1 per cent) of the patients had poor oral hygiene (plaque score > or = 2.0). The need for effective preventive measures, education and dental treatment need to be stressed for this caries risk group.