Limits...
Epidemiological investigation of caries prevalence in first grade school children in Rhineland-Palatinate, Germany.

Weusmann J, Mahmoodi B, Azaripour A, Kordsmeyer K, Walter C, Willershausen B - Head Face Med (2015)

Bottom Line: A distinctly higher d3mft was found in the decidous molars compared to the front teeth.Boys were significantly more caries-experienced than girls (p < 0.001).This trend was observed in the high-risk group (obtained by SiC) as well as in the entire study population.

View Article: PubMed Central - PubMed

Affiliation: Department of Operative Dentistry, University Medical Center of the, Johannes Gutenberg-University Mainz, Augustusplatz 2, 55131, Mainz, Germany. jens.weusmann@unimedizin-mainz.de.

ABSTRACT

Introduction: The annual examination of first graders' oral health as stipulated by law aimed to reach every child in Rhineland-Palatinate (Germany) in their first year of school. We intended to evaluate the first graders' oral health based on the examination data for 2013/2014.

Methods: Instructed examiners measured the d3mft(deciduous)/D3MFT(permanent) index according to World Health Organization criteria in 25,020 predominantly 6-7 year-old first-grade school children. Only caries affecting dentin was diagnosed; no radiography or fiber-transillumination was used. Out of the d3mft value, the "Significant Caries Index" (SiC) was calculated. This index identifies the dmft score of the third of the population with the highest caries experience. Descriptive analysis was performed.

Results: Out of the the examined children, 60.9% were caries free. Mean d3mft score was 1.28 ± 2.27 while the mean SiC was 3.73 ± 2.51. A distinctly higher d3mft was found in the decidous molars compared to the front teeth. Boys were significantly more caries-experienced than girls (p < 0.001).

Conclusion: The results of this study confirm the lasting trend towards decreasing caries prevalence in children starting school found in previous cross-sectional studies. This trend was observed in the high-risk group (obtained by SiC) as well as in the entire study population. Particular attention in caries prophylaxis should be paid to the primary molars.

No MeSH data available.


Related in: MedlinePlus

Study participants flow diagram
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
getmorefigures.php?uid=PMC4591732&req=5

Fig1: Study participants flow diagram

Mentions: According to the governmental data, 32,640 first graders were registered in Rhineland-Palatinate for the school term 2013/2014 in a total of 825 elementary schools. Out of those first graders, 30,376 (93 %) were recorded by the school dentists. 1,854 (5.7 %) individuals were excluded due to lack of compliance, absence, no parental consent or illegibility of the examination sheets resulting in 28,522 students from 825 schools. For another 3,502, the detailed d3mft/D3MFT findings were not available, so that for these analyses only 25,020 subjects were included (Fig. 1).Fig. 1


Epidemiological investigation of caries prevalence in first grade school children in Rhineland-Palatinate, Germany.

Weusmann J, Mahmoodi B, Azaripour A, Kordsmeyer K, Walter C, Willershausen B - Head Face Med (2015)

Study participants flow diagram
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4591732&req=5

Fig1: Study participants flow diagram
Mentions: According to the governmental data, 32,640 first graders were registered in Rhineland-Palatinate for the school term 2013/2014 in a total of 825 elementary schools. Out of those first graders, 30,376 (93 %) were recorded by the school dentists. 1,854 (5.7 %) individuals were excluded due to lack of compliance, absence, no parental consent or illegibility of the examination sheets resulting in 28,522 students from 825 schools. For another 3,502, the detailed d3mft/D3MFT findings were not available, so that for these analyses only 25,020 subjects were included (Fig. 1).Fig. 1

Bottom Line: A distinctly higher d3mft was found in the decidous molars compared to the front teeth.Boys were significantly more caries-experienced than girls (p < 0.001).This trend was observed in the high-risk group (obtained by SiC) as well as in the entire study population.

View Article: PubMed Central - PubMed

Affiliation: Department of Operative Dentistry, University Medical Center of the, Johannes Gutenberg-University Mainz, Augustusplatz 2, 55131, Mainz, Germany. jens.weusmann@unimedizin-mainz.de.

ABSTRACT

Introduction: The annual examination of first graders' oral health as stipulated by law aimed to reach every child in Rhineland-Palatinate (Germany) in their first year of school. We intended to evaluate the first graders' oral health based on the examination data for 2013/2014.

Methods: Instructed examiners measured the d3mft(deciduous)/D3MFT(permanent) index according to World Health Organization criteria in 25,020 predominantly 6-7 year-old first-grade school children. Only caries affecting dentin was diagnosed; no radiography or fiber-transillumination was used. Out of the d3mft value, the "Significant Caries Index" (SiC) was calculated. This index identifies the dmft score of the third of the population with the highest caries experience. Descriptive analysis was performed.

Results: Out of the the examined children, 60.9% were caries free. Mean d3mft score was 1.28 ± 2.27 while the mean SiC was 3.73 ± 2.51. A distinctly higher d3mft was found in the decidous molars compared to the front teeth. Boys were significantly more caries-experienced than girls (p < 0.001).

Conclusion: The results of this study confirm the lasting trend towards decreasing caries prevalence in children starting school found in previous cross-sectional studies. This trend was observed in the high-risk group (obtained by SiC) as well as in the entire study population. Particular attention in caries prophylaxis should be paid to the primary molars.

No MeSH data available.


Related in: MedlinePlus