Mean DT Research Articles

Association between maternal and child oral health and dental caries in Korea

AimThe aim of this study was to examine the oral health-related behaviors in mothers and their children and the prevalence of dental caries in both.Subject and methodsA sample of 2536 children and their mothers was selected from the Fifth Korean National Health and Nutrition Examination Survey. Variables were analyzed using multiple regression to evaluate the prevalence of dental caries among children and mothers, demographic socioeconomic status, and oral health-related behaviors.ResultsThe average age of the mothers was 40.28 years and that of the children was 10.88 years. Mean DT scores were 0.67 for mothers and 0.29 for children. Mean DMFT scores were 6.63 for mothers and 1.76 for children. The higher the mother’s number of decayed, missing, or filled permanent teeth (DMFT score, B = 0.076, P < 0.001) and number of decayed teeth (DT score, B = 0.032, P = 0.038) in their permanent dentition, the higher the children’s DMFT score was for their permanent dentition. Children from mothers with low household income levels (B = 0.159, P = 0.043), with dental pain (B = 0.132, P = 0.032), and not using a dental mouth rinse (B = 0.135, P = 0.007) presented with higher DT scores. Children from mothers with low self-perceived oral health status (B = 0.113, P < 0.001), lower usage of dental floss (B = 0.100, P = 0.012), a lower ratio of protein intake to total energy (B = −0.017, P = 0.014), and lower ratio of fat intake (B = −0.009, P = 0.047) showed lower self-perceived oral health status.ConclusionThe better the oral health status of the mother, the better the oral health status of the child was. An effective oral health and education program for mothers should be developed to promote an improved oral health status of their children.

Dental Caries in Chinese Elderly People: Findings from the 4th National Oral Health Survey.

To investigate the dental caries status and related factors in Chinese elderly people, using data from the 4th National Oral Health Survey of China. In this cross-sectional study, a multistage, cluster strategy was used to recruit 4,431participants (2,222 male and 2,209 female) aged 65 to 74 years from all 31 provinces, autonomous regions and municipalities of the mainland of China. The survey was performed according to the diagnostic standard proposed by the World Health Organization (WHO). Socio-demographic information was collected with a closed questionnaire. The caries prevalence in 65 to 74-year-olds was rather high; the report shows it was 98.0% (DMFT ≥ 1) among elderly people in China. The mean DMFT, DT, MT and FT was 13.33 ± 9.32, 3.33 ± 4.17, 9.50 ± 8.66 and 0.49 ± 1.41, respectively. The filling rate was very low, assessed as 12.8%. The number of DMFT related to gender, residential district type, educational level, level of annual household income, toothbrushing frequency, consumption frequency of desserts, attitudes to oral health and oral health-related knowledge. The prevalence of dental caries in Chinese elderly people is rather high and a lot of decayed teeth still need to be filled and suitable prevention and treatment for this group is urgently needed.

Is caries equally distributed in adults? A population-based cross-sectional study in Norway – the TOHNN-study

Objectives: The aim of the study was to examine the prevalence and distribution of dental caries in an adult population and identify factors associated with being caries free.Material and methods: Data were collected from a randomized population sample in Northern Norway (N = 1932; 988 women; mean age 47.0 years, SD 15.3). The study included a structured questionnaire and a clinical examination. The sum of enamel and dentine caries, DS1-5, formed the main outcome measures for caries prevalence.Results: Mean DMFT was 15.1 (95% CI 14.8, 15.4), mean DFT was 12.0 (CI 11.7, 12.2), and mean DT was 1.1 (CI 1.0, 1.2). The mean value for dentine caries (DS3–5) was 0.8 (CI 0.7, 0.9), and mean DS1–5 was 3.8 (CI 3.6, 4.1). Mean DS1–5 was highest in the youngest age group (mean 6.9, 95% CI 6.3, 7.6) and in rural areas (mean 5.0, CI 4.4, 5.6). The most caries-prone 20% in the youngest age group had 52% of the total number of carious lesions compared with 80% in the two oldest age groups. Tooth brushing twice daily (p = .005), drinking sugar containing soft drink (p =.029), and attending dental services every year (p < .001), were associated with being caries free.Conclusion: Dental caries is still a common condition, particularly in the youngest age group. Living in a rural area, low socioeconomic status, less frequent tooth cleaning and sugar containing soft drinks were associated with a higher prevalence of dental caries. The different caries distribution among adults calls for different preventive strategies at both population and individual levels.

Reliability of intra-oral camera using teledentistry in screening of oral diseases - Pilot study.

ObjectiveReliability of intra-oral camera using teledentistry in screening of oral diseases.MethodologyA trained and calibrated examiner used intra-oral camera to capture videos of oral cavity along with clinical examination to evaluate caries, plaque, calculus, tooth wear and fluorosis, stains in children.ResultsThe mean DT and DMFT were significantly higher with use of intra-oral camera than with clinical examination (p = 0.001 and 0.001) respectively. A positive strong significant correlation was seen between intra-oral camera and clinical examination with respect to DT, MT, FT and DMFT (r = 0.721, p < 0.001; r = 0.908, p < 0.001; r = 0.869, p < 0.001; r = 0.876, p < 0.001) respectively. Reliability of intra-oral camera when compared with clinical examination varied from substantial to almost perfect agreement various oral conditions. Disclosed immature plaque was not clear while mature plaque was clearly demonstrated.Conclusion/recommendationsIntra-oral camera was shown to be a reliable tool to identify common oral diseases. Further studies involving applications like sealant retention, pre-malignant lesions, recurrent apthae, gingival recession and dental malocclusion and effectiveness in regular screening are needed.

Dissipation of Antimicrobials in a Seasonally Frozen Soil after Beef Cattle Manure Application.

Land application of manure containing antimicrobials results in the dispersion of the antimicrobials in agro-ecosystems. Dissipation of excreted antimicrobials in seasonally frozen agricultural soils has not been fully characterized under field conditions. This study investigated the field dissipation kinetics of chlortetracycline, sulfamethazine, and tylosin over a 10-mo period after fall application of manure from cattle () administered 44 mg chlortetracycline (chlortetracycline treatment [CTC]), 44 mg each of chlortetracycline and sulfamethazine (CTCSMZ), or 11 mg tylosin per kg feed daily. Antimicrobial concentrations in manured soil reflected the same relative concentrations in manure: chlortetracycline > sulfamethazine > tylosin. The first-order dissipation half-life (DT) for chlortetracycline from the CTCSMZ treatment was 77 d during the growing season and 648 d during the nongrowing season when the soil was frozen for an extended period. By comparison, dissipation of chlortetracycline added alone (treatment CTC) did not differ significantly between the two seasons (mean DT, 121 d). During the nongrowing season, chlortetracycline from CTC dissipated faster ( = 0.004) than that from the CTCSMZ treatment, indicating that the presence of sulfamethazine may have altered the dissipation of chlortetracycline. Dissipation kinetics for sulfamethazine and tylosin were not determined due to low detection in the manure-amended soil. Sulfamethazine was detected (up to 16 ± 10 µg kg) throughout the 10-mo monitoring period. Tylosin concentration was ≤11 ± 6.6 µg kg and gradually dissipated. Chlortetracycline was detectable 10 mo after application in the seasonally frozen soil, indicating a risk for residue build-up in the soil and subsequent offsite contamination.

Differentiation of prostate cancer lesions with high and with low Gleason score by diffusion-weighted MRI.

To differentiate prostate cancer lesions with high and with low Gleason score by diffusion-weighted-MRI (DW-MRI). This prospective study was approved by the responsible ethics committee. DW-MRI of 84 consenting prostate and/or bladder cancer patients scheduled for radical prostatectomy were acquired and used to compute apparent diffusion coefficient (ADC), intravoxel incoherent motion (IVIM: the pure diffusion coefficient D t, the pseudo-diffusion fraction F p and the pseudo-diffusion coefficient D p), and high b value (as acquired and Hessian filtered) parameters within the index lesion. These parameters (separately and combined in a logistic regression model) were used to differentiate lesions depending on whether whole-prostate histopathological analysis after prostatectomy determined a high (≥7) or low (6) Gleason score. Mean ADC and D t differed significantly (p of independent two-sample t test < 0.01) between high- and low-grade lesions. The highest classification accuracy was achieved by the mean ADC (AUC 0.74) and D t (AUC 0.70). A logistic regression model based on mean ADC, mean F p and mean high b value image led to an AUC of 0.74 following leave-one-out cross-validation. Classification by IVIM parameters was not superior to classification by ADC. DW-MRI parameters correlated with Gleason score but did not provide sufficient information to classify individual patients. • Mean ADC and diffusion coefficient differ between high- and low-grade prostatic lesions. • Accuracy of trivariate logistic regression is not superior to using ADC alone. • DW-MRI is not a valid substitute for biopsies in clinical routine yet.

Dental and Periodontal Status of 5 and 12 year old Children in Jakarta and it’s Satellite Cities

Jakarta is the capital city of Indonesia which is surrounded by its satellite cities Bogor, Depok, Tangerang, Bekasi, which can be shortened by Jabodetabek. Objective: The study aims to describe oral health among 5 and 12 years-old children in Jabodetabek. Methods: This cross-sectional oral-health survey was conducted from 2014 with ethics approval. Sample of 5-year-old and 12-year-old Indonesian children living in Jabodetabek were selected using cluster sampling method. One trained examiner performed the clinical examination. Caries experience was measured using DMFT index, severity of decayed teeth was assessed using PUFA index, gingival status and oral hygiene were measured by Loe and Sillness modified index. Results: A total of 390 5-year-old and 458 12-year-old children with balanced proportion between girls and boys participated the survey. The prevalence of caries experience among the 5-year-old children and 12-year-old children were 90% and 84% respectively. The mean DMFT and DT scores among the 5-year-old children and 12-year-old children were 7.5±5.5 and 6.8±4.8; 3.2±2.2 and 2.9±2.1 respectively. Pulp involvement were apparent in 45% and 23% of caries in 5 and 12-year-old children respectively. Most children, 45% 5-year-old children and 92% 12-year-old children had substantial amount of plaque. Moreover, 68% 12-year-old children had gingivitis. Conclusion: Dental caries were prevalent among 5 and 12-year-old Indonesian children in Jakarta its satellite cities. The oral health condition of most of the children were poor. DOI: 10.14693/jdi.v23i1.982

Oral Health Status and Treatment Needs among Pregnant Women of Raichur District, India: A Population Based Cross-Sectional Study.

Background and Objectives. Pregnancy can be a risk factor for dental diseases as oral tissues are liable to changes due to hormonal variations. The aim of the study was to assess the oral health status and treatment needs among pregnant women of Raichur district, Karnataka, India. Methods. Cross-sectional data was collected from 300 primigravidae from all the 5 taluks of Raichur district visiting the respective community health centre at taluk headquarters. A specially designed questionnaire was used to assess the demographic variables and oral hygiene practices. A clinical examination was done according to WHO (World Health Organization) criteria 1997 and recorded using WHO Oral Health Assessment Form. Results. The mean age of the pregnant women in the study was 21.8 (2.12) years. The prevalence of caries and periodontal diseases was 62.7% and 95%, respectively. The mean DT, MT, FT, and DMFT were 2.06 (2.5), 0.03 (0.17), 0.04 (0.27), and 2.13 (2.54), respectively. The mean OHI-S was 2.87 (1.27). Chi-square test showed that CPI scores increased with the trimester of pregnancy. Conclusion. The present study demonstrates poor oral hygiene and high prevalence of periodontal diseases, as well as a large proportion of unmet dental treatment needs among pregnant women of Raichur district, India.

Associations with dental caries experience among a convenience sample of Aboriginal Australian adults.

Few studies have examined dental caries experience in Aboriginal adults. The objectives of this study were to describe the dental caries experience of some Aboriginal Australian adults residing in the Northern Territory, and to determine associations with dental caries experience. A convenience sample of Aboriginal adults from Australia's Northern Territory was dentally examined. Self-reported oral health information was collected through a questionnaire. Data were available for 312 participants. The per cent of untreated decayed teeth (per cent DT >0) was 77.9 (95% CI 73.0 to 82.1), the mean DT was 3.0 (95% CI 2.6 to 3.4), the prevalence of any caries experience (the per cent DMFT >0) was 95.5 (95% CI 92.6 to 97.3) and the mean DMFT was 9.7 (95% CI 8.9 to 10.5). In multivariable analyses, unemployment and not brushing teeth the previous day were associated with the per cent DT >0. Problem-based dental attendance was associated with both the mean DT and the per cent DMFT >0. Older age, residing in the capital city, being non-incarcerated, last visiting a dentist <1year ago and problem-based dental attendance were associated with the mean DMFT. Dental caries experience among this convenience sample of Aboriginal Australian adults was very high. Most factors associated with dental caries were social determinants or dental service access-related.

Dental and periodontal status of 12-year-old Dai school children in Yunnan Province, China: a cross-sectional study

BackgroundThe Dai people are one of the ethnic minorities in China and have a population of 1,260,000. They have the same origin as one of the main ethnic groups in Laos and Thailand. The study aims to describe the dental caries and gingival status of 12-year-old Dai children in China and to study the factors affecting their oral-health status.MethodsThis cross-sectional oral-health survey was conducted from 2011–2012 with ethics approval. A sample of 12-year-old Dai children living in Yunnan, China, was selected using a multistage and cluster sampling method. One trained examiner performed the clinical examination. Caries experience was measured using DMFT index, and gingival status was assessed with CPI index. A self-completed questionnaire was sent to the children, and they were asked about their backgrounds and oral-health-related behaviors and oral-health knowledge. Binary logistic regression analysis was performed to investigate the factors that affected the caries status.ResultsA total of 875 children were invited, and 823 (94 %) joined the survey. The prevalence of caries experience among the participants was 40 %. The mean DMFT and DT scores were 0.9 and 0.8, respectively. Most children (93 %) had gingivitis, and many (46 %) had calculus. Girls and those who had visited a dentist during the previous year had a higher prevalence of caries.ConclusionDental caries were prevalent among 12-year-old Dai children in China. The periodontal condition of most of the children was poor. Caries were associated with gender and dental attendance.Electronic supplementary materialThe online version of this article (doi:10.1186/s12903-015-0106-7) contains supplementary material, which is available to authorized users.

Caries and Dental Fluorosis Among 7-to 12-Year-Old Children From Low- and Moderate-Fluoride Areas in Turkey

Aim: The aim of this study was to assess caries and dental fluorosis among 7- to 12-year-old children living in low- and moderate-fluoride areas, and to assess the relationship between dental fluorosis and caries experience. Methodology: A total of 258 children (7–12 years old), selected from areas with low (0.2–0.3 mg/l), or moderate (1.1–1.3 mg/l) fluoride concentration in drinking water were interviewed and examined for caries and dental fluorosis. The diagnosis of dental fluorosis followed the Thylstrup-Fejerskov Index (TF), and the diagnosis of dental caries followed the World Health Organization criteria. Results: The prevalences of dental fluorosis were 18.5% and 83.5%, and the corresponding mean TF-scores were 0.25 ± 0.56 and 2.17 ± 1.69, in low- and moderate-fluoride areas, respectively. Filled teeth were not seen in both areas. The mean DMT and/or dt scores were 3.02 ± 1.95 and 1.38 ± 2.08, and the corresponding prevalences of caries were 95.9% and 47.7%, in low- and moderatefluoride areas, respectively. There was a strong negative association between the TF and DMT and/or dt scores, varying between the lowfluoride and moderate-fluoride areas (rs, p < 0.001). When caries experience (DMT and/or dt ≥1) was regressed for age, gender, and area of residence, the odds ratio (OR) for having DMT and/or dt ≥1 was 1.51 (95% CI 0.8–2.9), 2.26 (95% CI 1.18–4.32) and 0.05 (95% CI 0.02–0.12), respectively. When dental fluorosis (TF-score ≥1) was regressed for age, gender, and area of residence, the odds ratio (OR) for having a TF-score ≥1was 2.34 (95% CI 1.17–4.69), 0.91 (95% CI 0.48–1.75), and 25.32 (95% CI 12.84–49.91), respectively. Conclusions: Dental caries decreased with increasing severity of dental fluorosis in both low- and moderate-fluoride areas. These results indicate a negative relationship between the severity of dental fluorosis and dental caries. Groundwater wells should routinely be analyzed for fluoride level especially in rural areas to optimize anticaries benefits and minimize the risk of fluorosis.

Subtype differentiation of renal tumors using voxel-based histogram analysis of intravoxel incoherent motion parameters.

The aim of this study was to determine if voxel-based histogram analysis of intravoxel incoherent motion imaging (IVIM) parameters can differentiate various subtypes of renal tumors, including benign and malignant lesions. A total of 44 patients with renal tumors who underwent surgery and had histopathology available were included in this Health Insurance Portability and Accountability Act-compliant, institutional review board-approved, single-institution prospective study. In addition to routine renal magnetic resonance imaging examination performed on a 1.5-T system, all patients were imaged with axial diffusion-weighted imaging using 8 b values (range, 0-800 s/mm). A biexponential model was fitted to the diffusion signal data using a segmented algorithm to extract the IVIM parameters perfusion fraction (fp), tissue diffusivity (Dt), and pseudodiffusivity (Dp) for each voxel. Mean and histogram measures of heterogeneity (standard deviation, skewness, and kurtosis) of IVIM parameters were correlated with pathology results of tumor subtype using unequal variance t tests to compare subtypes in terms of each measure. Correction for multiple comparisons was accomplished using the Tukey honestly significant difference procedure. A total of 44 renal tumors including 23 clear cell (ccRCC), 4 papillary (pRCC), 5 chromophobe, and 5 cystic renal cell carcinomas, as well as benign lesions, 4 oncocytomas (Onc) and 3 angiomyolipomas (AMLs), were included in our analysis. Mean IVIM parameters fp and Dt differentiated 8 of 15 pairs of renal tumors. Histogram analysis of IVIM parameters differentiated 9 of 15 subtype pairs. One subtype pair (ccRCC vs pRCC) was differentiated by mean analysis but not by histogram analysis. However, 2 other subtype pairs (AML vs Onc and ccRCC vs Onc) were differentiated by histogram distribution parameters exclusively. The standard deviation of Dt [σ(Dt)] differentiated ccRCC (0.362 ± 0.136 × 10 mm/s) from AML (0.199 ± 0.043 × 10 mm/s) (P = 0.002). Kurtosis of fp separated Onc (2.767 ± 1.299) from AML (-0.325 ± 0.279; P = 0.001), ccRCC (0.612 ± 1.139; P = 0.042), and pRCC (0.308 ± 0.730; P = 0.025). Intravoxel incoherent motion imaging parameters with inclusion of histogram measures of heterogeneity can help differentiate malignant from benign lesions as well as various subtypes of renal cancers.

Sediment accumulation rates in subarctic lakes: Insights into age-depth modeling from 22 dated lake records from the Northwest Territories, Canada

Age-depth modeling using Bayesian statistics requires well-informed prior information about the behavior of sediment accumulation. Here we present average sediment accumulation rates (represented as deposition times, DT, in yr/cm) for lakes in an Arctic setting, and we examine the variability across space (intra- and inter-lake) and time (late Holocene). The dataset includes over 100 radiocarbon dates, primarily on bulk sediment, from 22 sediment cores obtained from 18 lakes spanning the boreal to tundra ecotone gradients in subarctic Canada. There are four to twenty-five radiocarbon dates per core, depending on the length and character of the sediment records. Deposition times were calculated at 100-year intervals from age-depth models constructed using the ‘classical’ age-depth modeling software Clam. Lakes in boreal settings have the most rapid accumulation (mean DT 20 ± 10 yr/cm), whereas lakes in tundra settings accumulate at moderate (mean DT 70 ± 10 yr/cm) to very slow rates, (>100 yr/cm). Many of the age-depth models demonstrate fluctuations in accumulation that coincide with lake evolution and post-glacial climate change. Ten of our sediment cores yielded sediments as old as c. 9000 cal BP (BP = years before AD 1950). From between c. 9000 cal BP and c. 6000 cal BP, sediment accumulation was relatively rapid (DT of 20–60 yr/cm). Accumulation slowed between c. 5500 and c. 4000 cal BP as vegetation expanded northward in response to warming. A short period of rapid accumulation occurred near 1200 cal BP at three lakes. Our research will help inform priors in Bayesian age modeling.

Oral Health among Women – A Cross-sectional Study from South India

Objective: To evaluate oral health among women which would provide a baseline data to develop preventive and educational programmes. Material and methods: A cross-sectional study was carried out within the municipal corporation limits of Udupi district among women attending/visiting government and private hospital for antenatal check-up, check-up for their new born or the accompanying persons visiting the hospitals. Age, type of health care system, previous pregnancy was collected at the time of enrollment in the study. This was followed by recording of Community Periodontal Index and Loss of Attachment (CPI and LOA) for periodontal diseases and Decayed, Missing, Filled Tooth (DMFT) Index for dental caries. Results: A total of 1004 women (508 government and 496 private hospital) participated in this study. There was a significant difference in the periodontal status (mean CPI and LOA) among the three types of women (p<0.001 and <0.001). Post-hoc analysis showed that the expectant mothers had highest mean CPI and LOA followed by mothers with least mean score in non-pregnant women. There was a significant difference in the caries status (mean DT, MT, DMFT) among the three types of women (p=0.02, <0.001 and <0.001) however, no significant difference was seen with respect to mean filled tooth (FT). Post-hoc analysis showed that the expectant mothers and mothers had higher mean DT than non – pregnant women. Interestingly, it was seen that mothers had higher mean MT than expectant mothers and non-pregnant women. The overall mean DMFT score was significantly higher for mothers followed by expectant mothers with least being in non-pregnant women. Conclusion: A clear understanding of hormonal changes and its role in oral health and disease is needed for all the health care providers. Women in the reproductive age and who were expecting pregnancy should have thorough oral health screening and treatment.

Association of smoking and snuffing with dental caries occurrence in a young male population in Finland: A cross-sectional study

Objective. The aim of this study was to investigate the prevalence of smoking and snuffing habits in association with dental caries occurrence in a male cohort born in the early 1990s in Finland. The impact of health behaviours and factors related to the place of residence were included in analyses. Materials and methods. Oral health of 8537 conscripts was screened in a cross-sectional study. In the same occasion they also answered a questionnaire covering their smoking and snuffing habits and other background factors. The residence-related factors were obtained from the Defence Forces’ database. Cross-tabulation together with chi-squared test and generalized linear mixed models were used for analyses. Results. Almost forty per cent (39.4%) of the men reported smoking daily and 9.0% reported daily snuffing. Restorative treatment need of those who reported frequent smoking was more than 2-fold (mean DT = 2.22) compared to the non-smokers (mean DT = 1.07). Smoking was statistically significantly associated with other harmful health behaviours. The snuffers reported more snacking than the non-smokers, but were most frequent brushers. The result from the statistical modelling showed that smoking, low tooth brushing frequency, eating sweets and consuming energy drinks frequently were significantly associated with restorative treatment need. Conclusion. In this cross-sectional study, association between smoking and dental caries was distinct. The high rate of restorative treatment need among smokers may be explained by their poor health behaviours. Dietary habits of the snuffers seem harmful too, but are compensated by good tooth brushing frequency.

Dental caries status of Bulang preschool children in Southwest China

BackgroundBulang is one of the 55 ethnic minorities in China with a population of around 120,000. They live mainly in Yunnan, which is a less-developed province in southwestern China. Many Bulang people live in remote villages and have little access to dental care. They like hot and sour food and chew betel nut. This study examines the caries status of 5-year-old Bulang children and factors that influence their caries status.MethodsA sample of 5-year-old Bulang children in Yunnan was selected using a multi-stage cluster sampling method. One trained dentist examined the children using dental mirrors with intra-oral LED light and CPI probes. Caries experience was measured according to the dmft index. Oral hygiene status was recorded according to the visible plaque index (VPI). A parental questionnaire was used to study the children’s oral health-related behaviours.ResultsA total of 775 children were invited and 723 joined the survey. The caries prevalence was 85%, and 38% of them had caries involved in pulp. The mean dmft and dt score were 5.8 ± 4.9 and 5.6 ± 4.8, respectively. Visible plaque was found on 636 children (88%). Multi-factor ANCOVA analysis found that higher dmft scores were found among the children who snacked on sweets daily, had visited a dentist within the last year and had higher VPI scores.ConclusionsThe caries prevalence and experience among 5-year-old Bulang children in Yunnan was high, and most of the caries were left untreated. The caries experience was associated with snacking habits, dental visit habits and oral hygiene.

Caries experience in schoolchildren in Bucharest, Romania: The PAROGIM study

This cross-sectional study aimed to investigate the prevalence and experience of dental caries among children from public middle schools in Bucharest in relation to socioeconomic status and access to school-based dental care. Clinical data were collected from 1,595 schoolchildren aged 10-17 years, randomly allocated by clusters into a stratified sample population. The dental caries were scored according to the World Health Organization (WHO) clinical criteria and expressed based on tooth and surface levels [Decayed-Missing-Filled Teeth/Surfaces indices (DMFT/DMFS)]. A questionnaire was administered to the children to determine the education level of their parents and their living standard. The caries prevalence was 75 percent, and 64 percent had untreated caries. The mean DMFT value for the entire sample was 2.8, and its highest component was decayed teeth (mean DT 2). Parental education level had the strongest influence on the caries scores; 70 percent of children whose parents had not completed a university degree had untreated caries (%DT) compared to only 49 percent of children whose parents had a higher level of education (P < 0.05). Children with access to school-based dental care had significantly better dental health (P < 0.05). Compared to previous national surveys, the caries rates among schoolchildren in Bucharest are slowly declining. However, there was still a high proportion of untreated caries with a clear socioeconomic gradient, and a change in the school-based oral preventive strategy is needed to meet the needs of the children.

Prevalence and polarization of dental caries among young, healthy adults: Cross-sectional epidemiological study

Objective. Oral health of young people has improved in the industrialized countries during past decades. However, stagnation of this progress has been reported recently. The main aim of this epidemiological study was to investigate the level of cariological treatment history and need (DMFT, DT) and polarization of dental caries among a healthy young male population born in the early 1990s. Materials and methods. Oral health of 13,564 men and 255 women born in 1990, 1991 or 1992 was screened based on the WHO criteria for epidemiological studies by 15 calibrated dentists in 20 garrisons (of a total 24) of the Finnish Defence Forces in January and July 2011. Mean DMFT and DT (SD) values and their distribution were calculated excluding wisdom teeth. Polarization was investigated using the Lorentz analysis. Results. Mean DMFT, DT and FT values were DMFT = 4.1 (SD = 4.2), DT = 1.4 (SD = 2.5) and FT = 2.7 (SD = 2.9). Almost half of the men (45.1%) and one third of the women (37.3%) had at least one tooth needing restorative treatment. About 30% of the conscripts had 90% of all caries lesions and ∼ 10% of the conscripts had half of all lesions. Conclusions. Oral health of young males has not improved since the previous study among conscripts 15 years ago. Polarization of dental caries still exists. About half of the young male population still has manifested dental caries. Oral health promotion must not be neglected, even in countries with low caries prevalence.

Geographical Distribution of Dental Caries Prevalence and Associated Factors in Young Adults in Finland

Oral health of the young has been reported to be associated with the place of residence, due to differences in socio-economic status. The results of studies on the effect of fluoride in drinking water on caries prevalence have been contradictory. The main aim of our study was to investigate the geographical distribution of dental caries prevalence in Finland and analyse possible regional, associated factors. Oral health of 13,564 men born between 1990 and 1992 was screened using a method based on criteria of the World Health Organization for epidemiological studies by 15 calibrated dentists in 20/24 garrisons of the Finnish Defence Forces in 2011. Mean DMFT and DT values in provinces were calculated. Multilevel analysis was applied to the data using generalized linear mixed models and a logit link function. The binary outcome variable was the cariological treatment need (yes/no) and the garrison was treated as random effect. Mean DMFT and DT values varied significantly between provinces in Finland. Increased levels of fluoride in drinking water, Swedish as the main language in the municipality, and living in urban areas were protective factors against cariological treatment need. Dentist density did not affect caries prevalence. The geographical distribution of dental caries further supported estimates of the protective effects of high fluoride levels in drinking water, Swedish as the main language in the municipality, as well as living in urban areas. Effect of fluoride on caries prevalence still exists, and association with the socio-economic status was confirmed.

Oral conditions and their social impact among HIV dental patients, 18 years on

A study undertaken in 1992-1993 identified that HIV-infected dental patients were substantially disadvantaged with regard to the social impact of their oral disease. The oral pain experienced by HIV-positive patients prior to the introduction of combination antiretroviral therapy (cART) was attributable to specific features of HIV-related periodontal disease and other oral manifestations of HIV such as candida infections and xerostomia. A repeat of this study in 2009-2010 provided additional information in the post-cART era. Data were collected from three sources: the 2009-2010 HIV-positive sample, the National Survey of Adult Oral Health (NSAOH) and the original 1992-1993 study. Collation of data was by clinical and radiographic oral examination. Information about the social impact of oral conditions was obtained from the Oral Health Impact Profile. The caries experience of the 2009-2010 HIV-positive sample was improved with statistical significance for both mean DMFT and mean DT, while the presence of HIV-related periodontal disease still occurs. Statistically significant improvements were achieved for prevalence and severity of oral health related quality of life. The need for timely access to oral health care with a focus on prevention is essential for HIV-positive individuals whose health is impacted by chronic disease, smoking and salivary hypofunction.