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Sharma M, Batra K, Chen CC, Dai CL, Batra R, Cappelli DP. Predicting Flossing through the Application of the Multi-Theory Model (MTM) of Health Behavior Change among Minority Adolescents in the United States. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:15106. [PMID: 36429824 PMCID: PMC9690246 DOI: 10.3390/ijerph192215106] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/12/2022] [Revised: 11/03/2022] [Accepted: 11/12/2022] [Indexed: 06/16/2023]
Abstract
Adolescents from minority groups are particularly susceptible to poor oral hygiene behaviors, including lack of daily flossing. This cross-sectional study aimed to conduct an exploratory behavioral research to identify evidence-based (theory-based) approaches to promote flossing behavior among African American/Black and Latinx/Hispanic (minority) adolescents. A 39-item psychometrically valid web-based questionnaire was used to collect responses from a nationwide sample of minority adolescents aged 10-17 years residing in the United States. The data were analyzed using bivariate and multivariate statistical methods. Of 520 minority adolescents (260 African American/Black and 260 Latinx/Hispanic adolescents), the proportion of flossing was nearly equally split in the sample. A significantly higher proportion of minority adolescents who were flossing had access to floss as opposed to those who were not flossing (86.8% vs. 69.8%, p < 0.001). A significantly higher proportion of minority adolescents who were not flossing did not visit the dentist over the past year as opposed to those who floss (25.2% vs. 14.7%, p < 0.001). Among the participants who were not flossing, gender, grade level, instruction in school regarding flossing, and multi-theory model (MTM) of health behavior change constructs were the significant predictors (p < 0.001) of initiating and sustaining flossing. The findings of this study will serve as baseline data for developing and evaluating effective evidence-based interventions using the MTM.
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Affiliation(s)
- Manoj Sharma
- Department of Social and Behavioral Health, School of Public Health, University of Nevada, Las Vegas, NV 89119, USA
| | - Kavita Batra
- Department of Medical Education, Kirk Kerkorian School of Medicine at UNLV, University of Nevada, Las Vegas, NV 89102, USA
- Office of Research, Kirk Kerkorian School of Medicine at UNLV, University of Nevada, Las Vegas, NV 89102, USA
| | - Ching-Chen Chen
- Department of Counselor Education, School Psychology, and Human Services, College of Education, University of Nevada, Las Vegas, NV 89154, USA
| | - Chia-Liang Dai
- Department of Teaching and Learning, College of Education, University of Nevada, Las Vegas, NV 89154, USA
| | - Ravi Batra
- Department of Social and Behavioral Health, School of Public Health, University of Nevada, Las Vegas, NV 89119, USA
- Department of Information Technology, Coforge Ltd., Atlanta, GA 30338, USA
| | - David P. Cappelli
- School of Dental Medicine, University of Nevada, Las Vegas, NV 89102, USA
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Saldaña-Villanueva K, Pérez-Vázquez FJ, Ávila-García IP, Méndez-Rodríguez KB, Carrizalez-Yáñez L, Gavilán-García A, Vargas-Morales JM, Van-Brussel E, Diaz-Barriga F. A preliminary study on health impacts of Mexican mercury mining workers in a context of precarious employment. J Trace Elem Med Biol 2022; 71:126925. [PMID: 35051884 DOI: 10.1016/j.jtemb.2022.126925] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/21/2021] [Revised: 11/17/2021] [Accepted: 01/04/2022] [Indexed: 11/21/2022]
Abstract
Mercury mining is one of the main sources of mercury (Hg) release into the environment, causing serious impacts on human health and the environment. Workers in these mines are employed informally and precariously and therefore lack labor rights such as social security. The objective of the study is to make visible the exposure to environmental contaminants and the health of workers in mercury mines. An environmental assessment was conducted to determine workers' exposure to contaminants; urine samples were obtained to measure exposure to mercury and arsenic, and blood samples were obtained for lead and cadmium. Clinical parameters were also evaluated. Concentrations of Hg, As and Pb were determined in soil, 279.4 mg/kg (24.4-788.5), 14.7 mg/kg (9.5-20.3) and 1.4 mg/kg (1-2.8), respectively. The exposure results for mercury were 551 μg/g creatinine, for arsenic 50 μg/L and for lead 4.7 μg/dL. Cd-B was not found. In addition, 17.6 % of the workers had diabetes and 17.6 % had renal disorders. Principal Component Regression was performed obtaining an r2 of 0.86 for glomerular filtration rate and 0.54 for albumin creatinine ratio using clinical, occupational, and metal exposure variables. Exposure to Hg in this type of mine is not exclusive, so there is a cumulative risk of chronic exposure to different environmental pollutants directly impacting the health of workers. It is necessary to implement health strategies and different work opportunities for these workers.
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Affiliation(s)
- Kelvin Saldaña-Villanueva
- Coordination for the Innovation and Application of Science and Technology (CIACYT), Autonomous University of San Luis Potosi, San Luis Potosi, Mexico
| | - Francisco J Pérez-Vázquez
- Coordination for the Innovation and Application of Science and Technology (CIACYT), Autonomous University of San Luis Potosi, San Luis Potosi, Mexico
| | - Ivette P Ávila-García
- Coordination for the Innovation and Application of Science and Technology (CIACYT), Autonomous University of San Luis Potosi, San Luis Potosi, Mexico
| | - Karen B Méndez-Rodríguez
- Coordination for the Innovation and Application of Science and Technology (CIACYT), Autonomous University of San Luis Potosi, San Luis Potosi, Mexico
| | - Leticia Carrizalez-Yáñez
- Coordination for the Innovation and Application of Science and Technology (CIACYT), Autonomous University of San Luis Potosi, San Luis Potosi, Mexico
| | - Arturo Gavilán-García
- National Institute of Ecology and Climate Change, Secretariat of the Environment and Natural Resources (SEMARNAT) Mexico, Mexico
| | - Juan M Vargas-Morales
- School of Chemistry, Autonomous University of San Luis Potosi, San Luis Potosí, Mexico
| | - Evelyn Van-Brussel
- Department of Pharmacology and Toxicology, School of Medicine, UASLP, Toxicological Care Information Center (CIAT), Hospital Dr. Ignacio Morones Prieto, San Luis Potosí, Mexico
| | - Fernando Diaz-Barriga
- Coordination for the Innovation and Application of Science and Technology (CIACYT), Autonomous University of San Luis Potosi, San Luis Potosi, Mexico.
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Aceves-Martins M, Godina-Flores NL, Gutierrez-Gómez YY, Richards D, López-Cruz L, García-Botello M, Moreno-García CF. Obesity and oral health in Mexican children and adolescents: systematic review and meta-analysis. Nutr Rev 2021; 80:1694-1710. [PMID: 34664672 PMCID: PMC9086795 DOI: 10.1093/nutrit/nuab088] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
Abstract
Context A relationship between obesity and poor oral health has been reported. Objective To investigate the association between overweight/obesity and oral health in Mexican children and adolescents. Data Sources A literature search was conducted of 13 databases and 1 search engine for articles published from 1995 onward. Data Analysis A total of 18 publications were included. Evidence was inconclusive and varied according to sociodemographic factors or outcome measuring tools. The Decayed, Missing, and Filled Teeth and Filled Teeth Surfaces indices and the decayed extracted filled teeth index outcomes were included in a random effects model meta-analysis. Pooled estimates showed no statistically significant oral health differences (measured via the decayed extracted filled teeth or the Decayed, Missing, and Filled Teeth Surfaces indexes) among body mass index (BMI) categories. However, pooled estimates of 6 studies showed that children with higher BMI had worse oral health in permanent teeth (measured via the Decayed Missing Filled Teeth Index) than children with lower BMI (overall mean difference, –0.42; 95%CI, –0.74, –0.11). Conclusion Whether there is an association between poor oral health and high BMI is inconclusive; however, both co-exist among Mexican children. Therefore, health promotion and prevention efforts should address common risk factors and broader risk social determinants shared between noncommunicable diseases.
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Affiliation(s)
- Magaly Aceves-Martins
- M. Aceves-Martins is with The Rowett Institute of Nutrition and Health, University of Aberdeen, Foresterhill, Aberdeen, UK. N.L. Godina-Flores and Y.Y. Gutierrez-Gómez are with the Nutrition Department, School of Medicine and Health Sciences, Tecnológico de Monterrey, Col. Ejidos de Huipulco, Tlalpan, Mexico City, Mexico. D. Richards is with the School of Dentistry, University of Dundee, Park Place, Dundee, UK. L. López-Cruz is with the Universidad Europea del Atlantico, Parque Científico y Tecnologico de Cantabria, Santander, Cantabria, Spain. M. García-Botello is with the Universidad de Monterrey, Nuevo León, Mexico. C.F. Moreno-García is with the School of Computing, Robert Gordon University, Garthdee House, Aberdeen, Scotland, UK
| | - Naara L Godina-Flores
- M. Aceves-Martins is with The Rowett Institute of Nutrition and Health, University of Aberdeen, Foresterhill, Aberdeen, UK. N.L. Godina-Flores and Y.Y. Gutierrez-Gómez are with the Nutrition Department, School of Medicine and Health Sciences, Tecnológico de Monterrey, Col. Ejidos de Huipulco, Tlalpan, Mexico City, Mexico. D. Richards is with the School of Dentistry, University of Dundee, Park Place, Dundee, UK. L. López-Cruz is with the Universidad Europea del Atlantico, Parque Científico y Tecnologico de Cantabria, Santander, Cantabria, Spain. M. García-Botello is with the Universidad de Monterrey, Nuevo León, Mexico. C.F. Moreno-García is with the School of Computing, Robert Gordon University, Garthdee House, Aberdeen, Scotland, UK
| | - Yareni Yunuen Gutierrez-Gómez
- M. Aceves-Martins is with The Rowett Institute of Nutrition and Health, University of Aberdeen, Foresterhill, Aberdeen, UK. N.L. Godina-Flores and Y.Y. Gutierrez-Gómez are with the Nutrition Department, School of Medicine and Health Sciences, Tecnológico de Monterrey, Col. Ejidos de Huipulco, Tlalpan, Mexico City, Mexico. D. Richards is with the School of Dentistry, University of Dundee, Park Place, Dundee, UK. L. López-Cruz is with the Universidad Europea del Atlantico, Parque Científico y Tecnologico de Cantabria, Santander, Cantabria, Spain. M. García-Botello is with the Universidad de Monterrey, Nuevo León, Mexico. C.F. Moreno-García is with the School of Computing, Robert Gordon University, Garthdee House, Aberdeen, Scotland, UK
| | - Derek Richards
- M. Aceves-Martins is with The Rowett Institute of Nutrition and Health, University of Aberdeen, Foresterhill, Aberdeen, UK. N.L. Godina-Flores and Y.Y. Gutierrez-Gómez are with the Nutrition Department, School of Medicine and Health Sciences, Tecnológico de Monterrey, Col. Ejidos de Huipulco, Tlalpan, Mexico City, Mexico. D. Richards is with the School of Dentistry, University of Dundee, Park Place, Dundee, UK. L. López-Cruz is with the Universidad Europea del Atlantico, Parque Científico y Tecnologico de Cantabria, Santander, Cantabria, Spain. M. García-Botello is with the Universidad de Monterrey, Nuevo León, Mexico. C.F. Moreno-García is with the School of Computing, Robert Gordon University, Garthdee House, Aberdeen, Scotland, UK
| | - Lizet López-Cruz
- M. Aceves-Martins is with The Rowett Institute of Nutrition and Health, University of Aberdeen, Foresterhill, Aberdeen, UK. N.L. Godina-Flores and Y.Y. Gutierrez-Gómez are with the Nutrition Department, School of Medicine and Health Sciences, Tecnológico de Monterrey, Col. Ejidos de Huipulco, Tlalpan, Mexico City, Mexico. D. Richards is with the School of Dentistry, University of Dundee, Park Place, Dundee, UK. L. López-Cruz is with the Universidad Europea del Atlantico, Parque Científico y Tecnologico de Cantabria, Santander, Cantabria, Spain. M. García-Botello is with the Universidad de Monterrey, Nuevo León, Mexico. C.F. Moreno-García is with the School of Computing, Robert Gordon University, Garthdee House, Aberdeen, Scotland, UK
| | - Marcela García-Botello
- M. Aceves-Martins is with The Rowett Institute of Nutrition and Health, University of Aberdeen, Foresterhill, Aberdeen, UK. N.L. Godina-Flores and Y.Y. Gutierrez-Gómez are with the Nutrition Department, School of Medicine and Health Sciences, Tecnológico de Monterrey, Col. Ejidos de Huipulco, Tlalpan, Mexico City, Mexico. D. Richards is with the School of Dentistry, University of Dundee, Park Place, Dundee, UK. L. López-Cruz is with the Universidad Europea del Atlantico, Parque Científico y Tecnologico de Cantabria, Santander, Cantabria, Spain. M. García-Botello is with the Universidad de Monterrey, Nuevo León, Mexico. C.F. Moreno-García is with the School of Computing, Robert Gordon University, Garthdee House, Aberdeen, Scotland, UK
| | - Carlos Francisco Moreno-García
- M. Aceves-Martins is with The Rowett Institute of Nutrition and Health, University of Aberdeen, Foresterhill, Aberdeen, UK. N.L. Godina-Flores and Y.Y. Gutierrez-Gómez are with the Nutrition Department, School of Medicine and Health Sciences, Tecnológico de Monterrey, Col. Ejidos de Huipulco, Tlalpan, Mexico City, Mexico. D. Richards is with the School of Dentistry, University of Dundee, Park Place, Dundee, UK. L. López-Cruz is with the Universidad Europea del Atlantico, Parque Científico y Tecnologico de Cantabria, Santander, Cantabria, Spain. M. García-Botello is with the Universidad de Monterrey, Nuevo León, Mexico. C.F. Moreno-García is with the School of Computing, Robert Gordon University, Garthdee House, Aberdeen, Scotland, UK
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Cagetti MG, Balian A, Cirio S, Camoni N, Salerno C, Tartaglia GM. Is Pediatric Dentistry a Topic of Interest for Pediatric Journals? A Scoping Review. CHILDREN-BASEL 2021; 8:children8090720. [PMID: 34572152 PMCID: PMC8467268 DOI: 10.3390/children8090720] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/28/2021] [Revised: 08/21/2021] [Accepted: 08/22/2021] [Indexed: 01/10/2023]
Abstract
Background: Pediatric dentistry shares many skills with pediatrics. This review evaluates the amount of literature on pediatric dentistry in the first 30 pediatric journals classified by the Web of Science in 2019. The aim was to perform a quantitative analysis of the main dental topics addressed. Methods: A scoping review with the PRISMA-ScR criteria was performed. The Clarivate Analytics Journal Citation Report was consulted for journals ranked in the category “Pediatrics” in 2019. Papers were searched in PubMed using an ad hoc prepared string. Results: A total of 504 papers were included. Papers on dental hard tissues were the most prevalent (45.6%), followed by dental public health (23.2%), orofacial development (15.3%), soft tissues related conditions (12.3%), and orofacial trauma (3.6%). Increasing trends have been observed for total papers published (R2 = 0.9822) and total dental papers (R2 = 0.8862), with no statistically significant differences (χ2(6) = 0.051 p > 0.05). The majority of papers (n = 292, 57.9%) were cited between 1 and 10 times, whilst less than 7% of papers received more than 40 citations. Discussion: It is desirable that papers on pediatric dentistry increase in the pediatric scenario, allowing the two related disciplines to intertwine more in the future.
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Affiliation(s)
- Maria Grazia Cagetti
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, 20122 Milan, Italy; (M.G.C.); (S.C.); (N.C.); (C.S.); (G.M.T.)
| | - Araxi Balian
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, 20122 Milan, Italy; (M.G.C.); (S.C.); (N.C.); (C.S.); (G.M.T.)
- Correspondence:
| | - Silvia Cirio
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, 20122 Milan, Italy; (M.G.C.); (S.C.); (N.C.); (C.S.); (G.M.T.)
| | - Nicole Camoni
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, 20122 Milan, Italy; (M.G.C.); (S.C.); (N.C.); (C.S.); (G.M.T.)
| | - Claudia Salerno
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, 20122 Milan, Italy; (M.G.C.); (S.C.); (N.C.); (C.S.); (G.M.T.)
| | - Gianluca Martino Tartaglia
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, 20122 Milan, Italy; (M.G.C.); (S.C.); (N.C.); (C.S.); (G.M.T.)
- UOC Maxillo-Facial Surgery and Dentistry Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, University of Milan, 20100 Milan, Italy
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García Pérez A, González-Aragón Pineda AE, Rosales Ibáñez R, Rodríguez Chávez JA, Cuevas-González JC, Pérez Pérez NG, Villanueva Gutiérrez T. Association between sociodemographic factors and noncavitated and cavitated caries lesions in 8- to 12-year-old Mexican schoolchildren. Medicine (Baltimore) 2021; 100:e26435. [PMID: 34160434 PMCID: PMC8238365 DOI: 10.1097/md.0000000000026435] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/24/2021] [Accepted: 06/04/2021] [Indexed: 01/04/2023] Open
Abstract
The aim of this study was to evaluate the association between sociodemographic factors and noncavitated and cavitated caries lesions in Mexican schoolchildren.This cross-sectional study was conducted in 2020 on 8-to-12-year-old schoolchildren of different socioeconomic status (SES). The caries was evaluated using ICDAS II, SES was evaluated using three categories---a high, middle, or low-income level---of the CONAPO. Multinomial logistic regression analyses were performed in order to ascertain the associations between socioeconomic factors and noncavitated and cavitated caries lesions.The prevalence of noncavitated lesions was 38.0% and cavitated lesions was 43.4% in permanent dentition. In all the samples, 50.6% of schoolchildren had poor oral hygiene. About 52.5% of the mothers and 64.7% of the fathers had less than 9 years of education. Schoolchildren with a low-income level have more cavitated lesions (ICDAS II 4-6) than schoolchildren with high-income level (56.3% vs 15.8%, P = .009). The multinomial logistic regression models showed that mother's level of education <9 years and low-income level were significantly associated with cavitated caries lesions (ICDAS II 4-6), [odds ratio = 1.79 (1.17 - 2.75); P = .007], [OR = 2.21 (1.23 - 3.97); P = .008], respectively. The socioeconomic level was not associated with noncavitated caries lesions (ICDAS II 1-3).An association was found between the presence of cavitated caries lesions and the subject's mother's level of education and a low-income level. Socioeconomic factors were found to be associated with inequalities in caries distribution in the age group studied.
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Affiliation(s)
- Alvaro García Pérez
- Faculty of Higher Studies (FES), Iztacala, National Autonomous University of Mexico (UNAM)
| | | | - Raúl Rosales Ibáñez
- Faculty of Higher Studies (FES), Iztacala, National Autonomous University of Mexico (UNAM)
| | | | - Juan Carlos Cuevas-González
- Stomatology Department, Biomedical Sciences Institute, Autonomous University of Ciudad Juárez, Ciudad Juárez
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Cagetti MG, Cocco F, Calzavara E, Augello D, Zangpoo P, Campus G. Life-conditions and anthropometric variables as risk factors for oral health in children in Ladakh, a cross-sectional survey. BMC Oral Health 2021; 21:51. [PMID: 33546664 PMCID: PMC7863482 DOI: 10.1186/s12903-021-01407-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2020] [Accepted: 01/24/2021] [Indexed: 12/03/2022] Open
Abstract
Background The aim of this survey was to evaluate the severity of dental caries among children living in Zanskar Valley (Ladakh, India) and its association with anthropometric and background variables. Methods This cross‐sectional survey was conducted on schoolchildren divided into four age groups (< 6, ≥ 6 < 11, ≥ 11 < 14 and > 14 years of age). A total of 1474 schoolchildren (607 males, 41.2%) were examined. Actual caries prevalence (dt/DT) and gingival bleeding were recorded by four calibrated dentists. An ad hoc questionnaire evaluated general health, eating habits, oral hygiene and the self-perception of oral conditions. Height, weight, waist circumference, heart-rate and oxygen-saturation were also collected directly by examiners. Responses to questionnaire items were treated as categorical or ordinal variables. The relationship between children’s caries data, gingival bleeding, gender, Body Mass Index (BMI) following the International Obesity Task Force, waist circumference and questionnaire items was assessed using the Kruskal–Wallis test and Pearson correlation. Conditional ordinal logistic regression was used to analyse associations among caries severity, gender, BMI, waist circumference, oxygen saturation and questionnaire items. A forward stepwise logistic regression procedure was also carried-out to estimate the ORs of gingival bleeding prevalence and the covariates derived from examination or questionnaire. Results Caries was almost ubiquitarian with only 10.0% of caries-free children (dt/DT = 0). Caries severity, in both primary and permanent dentitions, was statistically significantly related to gender, waist circumference, BMI, oral hygiene frequency and self-reported chewing problems (p < 0.01 in both dentitions). An increasing relative risk for caries in permanent dentition compared to caries-free subjects was observed in children with a low BMI (RRR = 1.67, 95%CI = 1.54/2.83 for subjects with 1–3 caries lesions and RRR = 1.52, 95%CI = 1.36/1.74 for subjects with > 3 caries lesions); also, children with reduced waist circumference had a higher relative risk to have 1–3 caries lesions (RRR = 2.16, 95%CI = 1.84/2.53) and an even higher risk to have more than 3 caries lesions (RRR = 4.22, 95%CI = 3.33/5.34). Conclusions A significant impact of untreated caries lesions was observed in Ladakh schoolchildren; low BMI values and reduced waist circumference showed to be the main caries risk predictors. Preventive and intervention programmes should be implemented to improve children's oral health.
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Affiliation(s)
- Maria Grazia Cagetti
- Department of Biomedical, Surgical and Dental Science, University of Milan, Via Beldiletto 1, 20142, Milan, Italy
| | - Fabio Cocco
- Department of Surgery, Microsurgery and Medicine Sciences, School of Dentistry, University of Sassari, Viale San Pietro, 07100, Sassari, Italy
| | - Ezio Calzavara
- Private Practitioner, Italian Association of Dentists (ANDI) Foundation Onlus, Via Giuseppe Ripamonti 44, 20141, Milan, Italy
| | - Davide Augello
- Private Practitioner, Italian Association of Dentists (ANDI) Foundation Onlus, Via Giuseppe Ripamonti 44, 20141, Milan, Italy
| | - Phunchok Zangpoo
- Dental Surgeon, Community Health Center, Padum, Zanskar, Ladakh, c/o Italian Association of Dentists (ANDI) Foundation Onlus, Via Giuseppe Ripamonti 44, 20141, Milan, Italy
| | - Guglielmo Campus
- Department of Surgery, Microsurgery and Medicine Sciences, School of Dentistry, University of Sassari, Viale San Pietro, 07100, Sassari, Italy. .,Department of Restorative, Preventive and Pediatric Dentistry, University of Bern, Freiburgstrasse 7, 3010, Bern, Switzerland. .,School of Dentistry, Sechenov University, 119991, Moscow, Russia.
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Correlation between Caries, Body Mass Index and Occlusion in an Italian Pediatric Patients Sample: A Transverse Observational Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17092994. [PMID: 32357403 PMCID: PMC7246709 DOI: 10.3390/ijerph17092994] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/25/2020] [Revised: 04/22/2020] [Accepted: 04/24/2020] [Indexed: 12/11/2022]
Abstract
BACKGROUND The aim of this study was to evaluate the correlation between caries, body mass index (BMI) and occlusion in a sample of pediatric patients. METHODS The study group included 127 patients (72 female, 55 male) aged between 6 and 16 years (mean age 10.2) and selected between January and June 2019 at the Department of Pediatric Dentistry, University of Messina. Caries incidence was evaluated using the decayed, missing and filled teeth (DMFT) index. On the basis of BMI values, using a table adjusted for age and gender, patients were grouped into four categories (underweight, normal weight, risk of overweight, overweight). RESULTS There was no significant correlation between BMI and DMFT in the whole sample. The study of the correlation between BMI and DMFT in patients with different types of malocclusion showed a significant inverse correlation for patients affected by II class and deepbite malocclusion. CONCLUSIONS The incidence of caries does not seem to be significantly related to BMI and occlusal patterns, but it decreases with increasing age.
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Pontigo-Loyola AP, Márquez-Corona MDL, Minaya-Sánchez M, Lucas-Rincón SE, Casanova-Rosado JF, Robles-Minaya JL, Casanova-Sarmiento JA, Casanova-Rosado AJ, Mendoza-Rodriguez M, Medina-Solís CE. Correlation between the caries status of the first permanent molars and the overall DMFT Index: A cross-sectional study. Medicine (Baltimore) 2020; 99:e19061. [PMID: 32000455 PMCID: PMC7004719 DOI: 10.1097/md.0000000000019061] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/24/2019] [Revised: 11/24/2019] [Accepted: 01/06/2020] [Indexed: 12/11/2022] Open
Abstract
To analyze whether a correlation exists between the caries status (Decayed, Missing and Filled Teeth, DMFT Index) of the first permanent molars (FPMs) and that of the full permanent dentition of Mexican adolescents, and to propose its use in large epidemiological studies of dental caries.We conducted a cross-sectional study of 1538 adolescents from 12 to 15 years old. Based on a clinical oral examination, we determined the DMFT Indices of their FPMs (FPM-DMFT) and of their full permanent dentition (comprehensive DMFT Index). We explored each FPM to determine whether it was with or without caries, filled, missing or sealed. For our statistical analysis, we used Fisher exact test and Spearman correlation in Stata software.After examining a total of 6157 FPMs, we found that 56.8% of our sample of adolescents had no caries in their 4 FPMs whereas 4.9% experienced caries in all 4. No significant differences emerged by sex (P > .05); however, by age, the older adolescents experienced greater FPM-DMFT (P < .05). Analysis yielded a correlation of r = 0.8693 between the FPM-DMFT and comprehensive DMFT scores (P < .0001) of participants. The underestimation of caries prevalence (DMFT > 0) was 5.4% (48.6% vs 43.2%), while the DMFT Index was underestimated at 0.34 (1.15 vs 0.81).The strong correlation between the FPM-DMFT and comprehensive DMFT Indices suggests that overall caries status can be inferred on the basis of FPM caries status. This evidence is useful when conducting large epidemiological studies such as national surveys.
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Affiliation(s)
| | | | | | - Salvador Eduardo Lucas-Rincón
- Academic Area of Dentistry of Health Sciences Institute at Autonomous University of Hidalgo State, Pachuca
- Clinic of Dental Specialties of the General Hospital of Pachuca, Campus Arista of the Ministry of Health of Hidalgo, Pachuca
| | | | | | | | | | - Martha Mendoza-Rodriguez
- Academic Area of Dentistry of Health Sciences Institute at Autonomous University of Hidalgo State, Pachuca
| | - Carlo Eduardo Medina-Solís
- Academic Area of Dentistry of Health Sciences Institute at Autonomous University of Hidalgo State, Pachuca
- Advanced Studies and Research Center in Dentistry “Dr. Keisaburo Miyata”, School of Dentistry, Autonomous University State of Mexico, Toluca, Mexico
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Guaré RO, Perez MM, Novaes TF, Ciamponi AL, Gorjão R, Diniz MB. Overweight/obese children are associated with lower caries experience than normal-weight children/adolescents. Int J Paediatr Dent 2019; 29:756-764. [PMID: 31336007 DOI: 10.1111/ipd.12565] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/18/2019] [Revised: 06/27/2019] [Accepted: 07/16/2019] [Indexed: 02/03/2023]
Abstract
AIM To compare (a) enamel carious (EC) and dentin carious (DC) lesions and (b) caries risk, between normal-weight (NW) and overweight/obese (OW) children/adolescents. DESIGN In this cross-sectional study, 91 participants aged 6-12 years were classified according to the body mass index (BMI): NW (n = 50) and OW (n = 41). Caries experience was evaluated using the International Caries Detection and Assessment System (ICDAS) with two thresholds: "EC/DC" (ICDAS 1-3/4-6) and "DC" (ICDAS 4-6). Caries risk was determined by the Caries Management by Risk Assessment (CAMBRA) system. A logistic regression analysis was performed to determine the association among OW, caries thresholds, and caries risk. RESULTS Caries experience was similar for both groups at the "EC/DC" threshold (P = .477) and higher for the NW group at the "DC" threshold (P = .009). For CAMBRA, caries risk classification was similar for both groups (P = .082). The logistic regression showed the OW group was less likely to exhibit radiographically visible proximal carious lesions (odds ratio [OR] of 0.330, P = .019), thick biofilm visible on the tooth surface (OR = 0.360, P = .019), high caries risk (OR = 0.367, P = .039), and moderate-to-high caries levels (OR = 0.190, P = .022). CONCLUSION OW children/adolescents had lower caries experience, at both ICDAS thresholds, and lower caries risk, compared to NW children/adolescents.
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Affiliation(s)
| | | | | | - Ana Lídia Ciamponi
- Department of Orthodontics and Paediatric Dentistry, School of Dentistry, University of São Paulo (USP), São Paulo, SP, Brazil
| | - Renata Gorjão
- Institute of Physical Activity and Sport Sciences, Interdisciplinary Post-graduate Program in Health Sciences, Cruzeiro do Sul University, São Paulo, SP, Brazil
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