The prevalence of dental caries among Egyptian children and adolescences and its association with age, socioeconomic status, dietary habits and other risk factors. A cross-sectional study

Marwa M S Abbass, Sara Ahmed Mahmoud, Sara El Moshy, Dina Rady, Nermeen AbuBakr, Israa Ahmed Radwan, Attera Ahmed, Ahmed Abdou, Ayoub Al Jawaldeh, Marwa M S Abbass, Sara Ahmed Mahmoud, Sara El Moshy, Dina Rady, Nermeen AbuBakr, Israa Ahmed Radwan, Attera Ahmed, Ahmed Abdou, Ayoub Al Jawaldeh

Abstract

Background: Dental caries is a chronic, multifactorial disease, with limited data available for the Egyptian population. The aim of this study is to assess the prevalence of dental caries among Egyptian children and adolescents in correlation with age, gender, body mass index, socioeconomic status, parental education, biological risk factors and dietary habits. Methods: A total number of 369 Egyptian children and adolescents (age ranges from 3-18 years) were examined over the period from 15 th November 2017 to 13 th January 2018. Socio-demographic data, oral hygiene measures and dietary habits for children were recorded. Dental status was analyzed using decayed, missing and filled tooth index (dmft) for deciduous dentition and (DMFT) index for permanent dentition. For mixed dentition (deft) index was used, d (decayed tooth indicated for filling), e (decayed tooth indicated for extraction) and f (filled tooth). Results: 74% of the children had dental caries with mean dmft: 3.23±4.07; deft: 4.21±3.21; DMFT: 1.04±1.56. In primary dentition, dmft of the children was positively correlated with age, beans, candies, crackers, chocolates and inversely correlated with gender, socio-economic status (SES), parental education, brushing frequency of the parent, brushing frequency of the parent to the child teeth, brushing frequency of the child and consumption of eggs, fruits/vegetables, milk and milk products. In mixed dentition, deft was positively correlated with candies, crackers, citric juices, while negatively correlated with age, SES, parental education, brushing frequency of the parent to the child, brushing frequency of the child, fruits/vegetables. In permanent dentition, DMFT in children was positively correlated with age and chocolates while not correlated with any of the remaining risk factors. Conclusion: The present study clarifies the significant risk factors associated with dental caries amongst Egyptian children. This will help in planning strategies to prevent and treat such disease.

Keywords: Adolescences; Age; Caries; Dietary; Education; Prevalence; Socioeconomic; children.

Conflict of interest statement

No competing interests were disclosed.

Figures

Figure 1.. dmft and different risk factors…
Figure 1.. dmft and different risk factors - N= 369: *+ve correlations; ** inverse correlations; A : ≤ 2 times/week B : 3–6 times/week C : 1–6 times/day.
Figure 2.. deft and different risk factors…
Figure 2.. deft and different risk factors - N= 369: *+ve correlations; ** inverse correlations; A : ≤ 2 times/week B : 3–6 times/week C : 1–6 times/day.
Figure 3.. DMFT and different risk factors…
Figure 3.. DMFT and different risk factors - N= 369: *+ve correlations; ** inverse correlations; A : ≤ 2 times/week B : 3–6 times/week C : 1–6 times/day.

References

    1. Selwitz RH, Ismail AI, Pitts NB: Dental caries. Lancet. 2007;369(9555):51–59. 10.1016/S0140-6736(07)60031-2
    1. GBD 2015 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. 10.1016/S0140-6736(16)31678-6
    1. Que G, Hou W: [Epidemiological investigation on deciduous dental caries among children aged 2 approximately 4 years of Kaifu district in Changsha city]. Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2009;34(1):76–80.
    1. Armfield JM, Slade GD, Spencer AJ: Socioeconomic differences in children's dental health: the Child Dental Health Survey, Australia 2001. AIHW Dental Statistics and Research Unit.2006.
    1. Poureslami HR, Van Amerongen WE: Early Childhood Caries (ECC): an infectious transmissible oral disease. Indian J Pediatr. 2009;76(2):191–194. 10.1007/s12098-008-0216-1
    1. Albino J, Tiwari T: Preventing Childhood Caries: A Review of Recent Behavioral Research. J Dent Res. 2016;95(1):35–42. 10.1177/0022034515609034
    1. Petersen PE, Kjoller M, Christensen LB, et al. : Changing dentate status of adults, use of dental health services, and achievement of national dental health goals in Denmark by the year 2000. J Public Health Dent. 2004;64(3):127–135. 10.1111/j.1752-7325.2004.tb02742.x
    1. Widström E, Eaton KA: Oral healthcare systems in the extended European union. Oral Health Prev Dent. 2004;2(3):155–194.
    1. Petersen PE: Challenges to improvement of oral health in the 21st century--the approach of the WHO Global Oral Health Programme. Int Dent J. 2004;54(6 Suppl 1):329–343. 10.1111/j.1875-595X.2004.tb00009.x
    1. Leake J, Jozzy S, Uswak G: Severe dental caries, impacts and determinants among children 2-6 years of age in Inuvik Region, Northwest Territories, Canada. J Can Dent Assoc. 2008;74(6):519.
    1. Zahran M: Dental health of primary school children in Egypt: an incremental care program. Egypt Dent J. 1973;19(2):265–276.
    1. Zahran M: The pattern of dental caries in Egyptian school children. Egypt Dent J. 1974;20(4):13–26.
    1. Abdel-Azim MM: Restorative dental status and restorative dental needs among a sample of Egyptian dental students. Egypt Dent J. 1979;25(3):269–278.
    1. el-Beheri S: Dental caries among Egyptian school children of high and low socio-economic level. Egypt Dent J. 1986;32(3):255–263.
    1. Wissa AA, Zahran MA: Evaluation of governmental dental health services in rural health centers in Egypt. Community Dent Oral Epidemiol. 1988;16(1):16–18. 10.1111/j.1600-0528.1988.tb00546.x
    1. .2014.
    1. Abou El-Yazeed M, Rashed M, El sayed M, et al. : Dental Caries Prevalence among a group of Egyptian Nurseries Children. Life Sci J. 2011;8(1):412–419.
    1. Hamila NAA: Early childhood caries and certain risk factors in a sample of children 1-3.5 years in Tanta. Dentistry. 2013;4:180 10.4172/2161-1122.1000180
    1. Mobarak EH, Shabayek MM, Mulder J, et al. : Caries experience of Egyptian adolescents: does the atraumatic restorative treatment approach offer a solution? Med Princ Pract. 2011;20(6):545–9. 10.1159/000329790
    1. Daniel WW: Biostatistics: A Foundation for Analysis in the Health Sciences.7th edition. New York: John Wiley & Sons.1999.
    1. Veerasamy A, Kirk R, Gage J: Epidemiology of dental caries among adolescents in Tamil Nadu, India. Int Dent J. 2016;66(3):169–77. 10.1111/idj.12216
    1. Quach A, Laemmle-Ruff IL, Polizzi T, et al. : Gaps in smiles and services: a cross-sectional study of dental caries in refugee-background children. BMC Oral Health. 2015;15(1):10. 10.1186/1472-6831-15-10
    1. World Health Organization: Expert Committee on Physical Status: the use and interpretation of anthropometry physical status. WHO Techniques Report Series, v 854. Geneva: World Health Organization.1995.
    1. Martins RJ, Moimaz SA, Silva MR, et al. : Body mass index, dental caries and sugar intake in 2-5 year-old preschoolers. Braz J Oral Sci. 2014;13(3):209–212. 10.1590/1677-3225v13n3a09
    1. Edalat A, Abbaszadeh M, Eesvandi M, et al. : The Relationship of Severe Early Childhood Caries and Body Mass Index in a Group of 3- to 6-year-old Children in Shiraz. J Dent (Shiraz). 2014;15(2):68–73.
    1. Kuczmarski RJ, Ogden CL, Grummer-Strawn LM, et al. : CDC growth charts: United States. Adv Data. 2000;8(314):1–27.
    1. Jokić NI, Bakarčić D, Janković S, et al. : Dental caries experience in croatian school children in Primorsko-Goranska county. Cent Eur J Public Health. 2013;21(1):39–42. 10.21101/cejph.a3752
    1. World Health Organization: Oral Health Surveys: Basic Methods.World Health Organization, Geneva, Switzerland.1997.
    1. World Health Organization: Oral health surveys: Basic methods. 5th ed., Geneva, Switzerland, World Health Organization.2013.
    1. El-Gilany A, El-Wehady A, El-Wasify M: Updating and validation of the socioeconomic status scale for health research in Egypt. East Mediterr Health J. 2012;18(9):962–968. 10.26719/2012.18.9.962
    1. McGrady MG, Ellwood RP, Goodwin M, et al. : Adolescents' perceptions of the aesthetic impact of dental fluorosis vs. other dental conditions in areas with and without water fluoridation. BMC Oral Health. 2012;12(1):4. 10.1186/1472-6831-12-4
    1. Cypriano S, Hoffmann RH, de Sousa Mda L: Dental caries experience in 12-year-old schoolchildren in southeastern Brazil. J Appl Oral Sci. 2008;16(4):286–292. 10.1590/S1678-77572008000400011
    1. Goyal A, Gauba K, Chawla HS, et al. : Epidemiology of dental caries in Chandigarh school children and trends over the last 25 years. J Indian Soc Pedod Prev Dent. 2007;25(3):115–118. 10.4103/0970-4388.36559
    1. Sudha P, Bhasin S, Anegundi RT: Prevalence of dental caries among 5-13-year-old children of Mangalore city. J Indian Soc Pedod Prev Dent. 2005;23(2):74–79. 10.4103/0970-4388.16446
    1. Jain A, Jain V, Suri SM, et al. : Prevalence of dental caries in male children from 3 to 14 years of age of Bundelkhand region, India. Int J Community Med Public Health. 2016;3(4):787–790. 10.18203/2394-6040.ijcmph20160730
    1. Psoter WJ, Reid BC, Katz RV: Malnutrition and dental caries: a review of the literature. Caries Res. 2005;39(6):441–447. 10.1159/000088178
    1. Xavier A, Bastos RDS, Arakawa AM, et al. : Correlation between dental caries and nutritional status: preschool children in a Brazilian municipality. Revista de Odontologia da UNESP. 2013;42(5):378–383. 10.1590/S1807-25772013000500010
    1. Ojeda JC, Llanos LS: Caries prevalence of preschool age children in community homes of the Cauca Valle and related social factors. Revista Odontológica Mexicana. 2017;21(4):e221–e226. 10.1016/j.rodmex.2018.01.011
    1. Jose A, Joseph MR: Prevalence of dental health problems among school going children in rural Kerala. J Indian Soc Pedod Prev Dent. 2003;21(4):147–51.
    1. Migale D, Barbato E, Bossù M, et al. : Oral health and malocclusion in 10-to-11 years-old children in southern Italy. Eur J Paediatr Dent. 2009;10(1):13–18.
    1. Saravanan S, Anuradha KP, Bhaskar DJ: Prevalence of dental caries and treatment needs among school going children of Pondicherry, India. J Indian Soc Pedod Prev Dent. 2003;21(1):1–12.
    1. Alm A, Isaksson H, Fahraeus C, et al. : BMI status in Swedish children and young adults in relation to caries prevalence. Swed Dent J. 2011;35(1):1–8.
    1. Chen W, Chen P, Chen SC, et al. : Lack of association between obesity and dental caries in three-year-old children. Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi. 1998;39(2):109–111.
    1. Oliveira LB, Sheiham A, Bönecker M: Exploring the association of dental caries with social factors and nutritional status in Brazilian preschool children. Eur J Oral Sci. 2008;116(1):37–43. 10.1111/j.1600-0722.2007.00507.x
    1. Sales-Peres SH, Goya S, Sant’Anna RM, et al. : [Prevalence of overweight and obesity, and associated factors in adolescents, at the central west area of the state São Paulo (SP, Brazil)]. Cien Saude Colet. 2010;15 Suppl 2:3175–3184. 10.1590/S1413-81232010000800022
    1. Willerhausen B, Blettner M, Kasaj A, et al. : Association between body mass index and dental health in 1,290 children of elementary schools in a German city. Clin Oral Investig. 2007;11(3):195–200. 10.1007/s00784-007-0103-6
    1. Elangovan A, Mungara J, Joseph E: Exploring the relation between body mass index, diet, and dental caries among 6-12-year-old children. J Indian Soc Pedod Prev Dent. 2012;30(4):293–300. 10.4103/0970-4388.108924
    1. Saldūnaitė K, Bendoraitienė EA, Slabšinskienė E, et al. : The role of parental education and socioeconomic status in dental caries prevention among Lithuanian children. Medicina (Kaunas). 2014;50(3):156–161. 10.1016/j.medici.2014.07.003
    1. Pizzo G, Piscopo MR, Matranga D, et al. : Prevalence and socio-behavioral determinants of dental caries in Sicilian schoolchildren. Med Sci Monit. 2010;16(10):PH83–9.
    1. Koposova N, Widström E, Eisemann M, et al. : Oral health and quality of life in Norwegian and Russian school children: A pilot study. Stomatologia. 2010;12(1):10–16.
    1. Kato H, Tanaka K, Shimizu K, et al. : Parental occupations, educational levels, and income and prevalence of dental caries in 3-year-old Japanese children. Environ Health Prev Med. 2017;22(1):80. 10.1186/s12199-017-0688-6
    1. Hooley M, Skouteris H, Boganin C, et al. : Parental influence and the development of dental caries in children aged 0-6 years: a systematic review of the literature. J Dent. 2012;40(11):873–85. 10.1016/j.jdent.2012.07.013
    1. Marshall TA, Eichenberger-Glilmore JM, Broffitt BA, et al. : Dental caries and childhood obesity: roles of diet and socioeconomic status. Community Dent Oral Epidemiol. 2007;35(6):449–458. 10.1111/j.1600-0528.2006.00353.x
    1. Jürgensen N, Petersen PE: Oral health and the impact of socio-behavioural factors in a cross sectional survey of 12-year old school children in Laos. BMC Oral Health. 2009;9(1):29. 10.1186/1472-6831-9-29
    1. Bruno-Ambrosius K, Swanholm G, Twetman S: Eating habits, smoking and toothbrushing in relation to dental caries: a 3-year study in Swedish female teenagers. Int J Paediatr Dent. 2005;15(3):190–6. 10.1111/j.1365-263X.2005.00621.x
    1. Ayele FA, Taye BW, Ayele TA, et al. : Predictors of dental caries among children 7-14 years old in Northwest Ethiopia: a community based cross-sectional study. BMC Oral Health. 2013;13:7. 10.1186/1472-6831-13-7
    1. Mafuvadze BT, Mahachi L, Mafuvadze B: Dental caries and oral health practice among 12 year old school children from low socio-economic status background in Zimbabwe. Pan Afr Med J. 2013;14:164. 10.11604/pamj.2013.14.164.2399
    1. Pieper K, Dressler S, Heinzel-Gutenbrunner M, et al. : The influence of social status on pre-school children’s eating habits, caries experience and caries prevention behavior. Int J Public Health. 2012;57(1):207–15. 10.1007/s00038-011-0291-3
    1. Mathur MR, Tsakos G, Millett C, et al. : Socioeconomic inequalities in dental caries and their determinants in adolescents in New Delhi, India. BMJ Open. 2014;4(12):e006391. 10.1136/bmjopen-2014-006391
    1. Hooley M, Skouteris H, Boganin C, et al. : Parental influence and the development of dental caries in children aged 0-6 years: a systematic review of the literature. J Dent. 2012;40(11):873–885. 10.1016/j.jdent.2012.07.013
    1. Boka V, Trikaliotis A, Kotsanos N, et al. : Dental caries and oral health-related factors in a sample of Greek preschool children. Eur Arch Paediatric Dent. 2013;14(6):363–368. 10.1007/s40368-013-0097-5
    1. Llena C, Forner L: Dietary habits in a child population in relation to caries experience. Caries Res. 2008;42(5):387–393. 10.1159/000154784
    1. Llena Puy C, Forner L: Dietary habits of a school population and implications for oral health. Minerva Stomatol. 2010;59(4):173–180.
    1. Serra-Majem L, García Closas R, Ramón JM, et al. : Dietary habits and dental caries in a population of Spanish schoolchildren with low levels of caries experience. Caries Res. 1993;27(6):488–494. 10.1159/000261586
    1. Çolak H, Dülgergil ÇT, Dalli M, et al. : Early childhood caries update: A review of causes, diagnoses, and treatments. J Nat Sci Biol Med. 2013;4(1):29–38. 10.4103/0976-9668.107257
    1. Sheiham AJ, James WP: A reappraisal of the quantitative relationship between sugar intake and dental caries: the need for new criteria for developing goals for sugar intake. BMC Public Health. 2014;14:863. 10.1186/1471-2458-14-863
    1. Doichinova L, Bakardjiev P, Peneva M: Assessment of food habits in children aged 6-12 years and the risk of caries. Biotechnol Biotechnol Equip. 2015;29(1):200–204. 10.1080/13102818.2014.989180
    1. Mafuvadze BT, Mahachi L, Mafuvadze B: Dental caries and oral health practice among 12 year old school children from low socio-economic status background in Zimbabwe. Pan Afr Med J. 2013;14:164. 10.11604/pamj.2013.14.164.2399
    1. Mobley C, Marshall TA, Milgrom P, et al. : The contribution of dietary factors to dental caries and disparities in caries. Acad Pediatr. 2009;9(6):410–414. 10.1016/j.acap.2009.09.008
    1. Almasi A, Rahimiforoushani A, Eshraghian MR, et al. : Effect of Nutritional Habits on Dental Caries in Permanent Dentition among Schoolchildren Aged 10-12 Years: A Zero-Inflated Generalized Poisson Regression Model Approach. Iran J Public Health. 2016;45(3):353–61.
    1. Mathew T, Casamassimo PS, Hayes JR: Relationship between sports drinks and dental erosion in 304 university athletes in Columbus, Ohio, USA. Caries Res. 2002;36(4):281–287. 10.1159/000063927
    1. Al-Majed I, Maguire A, Murray JJ: Risk factors for dental erosion in 5-6 year old and 12-14 year old boys in Saudi Arabia. Community Dent Oral Epidemiol. 2002;30(1):38–46. 10.1034/j.1600-0528.2002.300106.x
    1. Rees J, Loyn T, McAndrew R: The acidic and erosive potential of five sports drinks. Eur J Prosthodont Restor Dent. 2005;13(4):186–190.
    1. Tahmassebi JF, Duggal MS, Malik-Kotru G, et al. : Soft drinks and dental health: a review of the current literature. J Dent. 2006;34(1):2–11. 10.1016/j.jdent.2004.11.006
    1. Soares PV, Tolentino AB, Machado AC, et al. : Sports dentistry: a perspective for the future. Rev Bras Educ Fís Esporte. 2014;28(2):351–358. 10.1590/1807-55092014000200351
    1. Shah N, Sundaram KR: Impact of socio-demographic variables, oral hygiene practices, oral habits and diet on dental caries experience of Indian elderly: a community‐based study. Gerodontology. 2004;21(1):43–50. 10.1111/j.1741-2358.2004.00010.x
    1. Sherfudhin H, Abdullah A, Shaik H, et al. : Some aspects of dental health in young adult Indian vegetarians. A pilot study. Acta Odontol Scand. 1996;54(1):44–48. 10.3109/00016359609003508
    1. Johansson I: Milk and dairy products: Possible effects on dental health. Food Nutr Res. 2002;46(3):119–122. 10.1080/11026480260363242
    1. Moynihan P, Petersen PE: Diet, nutrition and the prevention of dental diseases. Public Health Nutr. 2004;7(1A):201–226. 10.1079/PHN2003589
    1. Lim S, Sohn W, Burt BA, et al. : Cariogenicity of soft drinks, milk and fruit juice in low-income african-american children: a longitudinal study. J Am Dent Assoc. 2008;139(7):959–967, quiz 995. 10.14219/jada.archive.2008.0283
    1. Zahara AM, Ili MN, Yahya NA: Dietary habits and dental caries occurrence among young children: Does the relationship still exist? Malaysian J Med Health Sci. 2013;9(1):9–20.
    1. Levy SM, Warren JJ, Broffitt B, et al. : Fluoride, beverages and dental caries in the primary dentition. Caries Res. 2003;37(3):157–165. 10.1159/000070438
    1. Sohn W, Burt BA, Sowers MR: Carbonated soft drinks and dental caries in the primary dentition. J Dent Res. 2006;85(3):262–266. 10.1177/154405910608500311
    1. Stevens A, Hamel C, Singh K, et al. : Do sugar-sweetened beverages cause adverse health outcomes in children? A systematic review protocol. Syst Rev. 2014;3(1):96. 10.1186/2046-4053-3-96
    1. Ismail AI, Burt BA, Eklund SA: The cariogenicity of soft drinks in the United States. J Am Dent Assoc. 1984;109(2):241–245. 10.14219/jada.archive.1984.0346
    1. Ooshima T, Minami T, Aono W, et al. : Oolong tea polyphenols inhibit experimental dental caries in SPF rats infected with mutans streptococci. Caries Res. 1993;27(2):124–129. 10.1159/000261529
    1. Daglia M, Racchi M, Papetti A, et al. : In vitro and ex vivo antihydroxyl radical activity of green and roasted coffee. J Agric Food Chem. 2004;52(6):1700–4. 10.1021/jf030298n
    1. World Health Organization (WHO): Sugars intake for adults and children.Geneva: WHO,2015; accessed 17 September 2017.
    1. Abbass M: Raw data for caries incidence in correlation to risk factors in Egyptian children.2018. 10.6084/m9.figshare.7445843.v1
    1. Abbass M: questionnaire for children.pdf.2018. 10.6084/m9.figshare.7392170.v3

Source: PubMed

3
Předplatit