Dental caries and oral health behavior assessments among portuguese adolescents.

  • Nélio Jorge Veiga Centre for Interdisciplinary Research in Health (CIIS) – Universidade Católica Portuguesa, Portugal. | Faculty Dental Medicine – Universidade Católica Portuguesa, Viseu, Portugal.
  • Maria Helena Ribeiro De Checchi Instituto de Saúde e Biotecnologia - Universidade Federal do Amazonas, Brasil.
  • Johnny Martins Faculty Dental Medicine – Universidade Católica Portuguesa, Viseu, Portugal.
  • Inara Pereira da Cunha Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas, Brasil.
  • Marcelo de Castro Meneghim Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas, Brasil.
  • Maria José Correia Centre for Interdisciplinary Research in Health (CIIS) – Universidade Católica Portuguesa, Portugal. | Faculty Dental Medicine – Universidade Católica Portuguesa, Viseu, Portugal.
  • Patrícia Couto Centre for Interdisciplinary Research in Health (CIIS) – Universidade Católica Portuguesa, Portugal. | Faculty Dental Medicine – Universidade Católica Portuguesa, Viseu, Portugal.
DOI: https://doi.org/10.17126/joralres.2020.071

Abstract

Introduction: Adolescents have a high risk of developing caries in Portugal. The present study is designed to assess dental caries experience among the adolescents by the application of DMFT index, characterize the oral health risk factors and to determine the association between caries experience and socio-demographic variables. The characterization of the oral health behaviors of adolescents of the central region of Portugal will help in the development of specific oral health education strategies to improve oral health among the local communities. Material and methods: A cross-sectional study was conducted among a convenient sample of 694 adolescents aged 12 to 18 years attending public schools in two Portuguese districts using a structured questionnaire designed to investigate oral health and behavior of participants. In addition, a clinical examination was carried out noting the decayed, missing and filled teeth. A descriptive analysis of the variables was performed using the Chi-square, Mann-Whitney and Kruskal-Wallis tests (p<0.05). A multivariate analysis was applied for analysis of the association between variables. Results: The mean DMFT index score of 2.91±2.9 was obtained. Of the total sample, 73% consumed sugary food daily, 50.1% considered having good oral health and 70.8% did not report pain in the last 12 months. Most adolescents (79.4%) brushed their teeth daily and 60% did not use dental floss. Of the total sample, 96.4% had a dental appointment in the last 12 months, 46.4% of which was for preventive purposes. Applying the Chi-square statistical test, we verified that the adolescents who brush their teeth daily presented a good perception about their oral health (p<0.001), the DMFT index scores were associated with the residence area (p=0.01) and the presence of dental caries was associated with the perception of oral health (p=0.049) and sugary food intake (p=0.029).Conclusion: Portuguese adolescents presented a low DMFT index. The DMFT index was associated with residence area, perception of oral health and sugary food intake. Daily toothbrushing was associated with self-perception of oral health. It is suggested that oral health promotion and prevention programs should aim to reduce the risks of oral disease development.

References

1. Carounanidy U, Sathyanarayanan R. Dental Caries - A com-plete changeover - (Part I). J. Conserv Dent. 2009;12(2):46-54.
2. World Health Organization. Oral heath surveys: basic methods. 4th ed. Geneva: World Health Organization; 1997.
3. General Directory of Health of Portugal. National Study of Prevalence of Oral Diseases. Program for the Promotion of Oral Health in Schools. 2008; Lisbon.
4. General Directory of Health of Portugal. Program for the Promotion of Oral Health. Available at: https://www.dgs.pt/paginas-de-sistema/saude-de-a-a-z/programa-nacional-de-promocao-de-saude-oral.aspx.
5. Rodrigues MA, Silva RP, Pereira PF. Relationship of dental caries with nutritional status, social factors and behavioral in adolescents from 15 to 19 years. RASBRAN – Rev Associ Bras Nutri. 2018;9(2):103-10.
6. Silva Junior IF, Aguiar NL, Barros RC, Arantes DC, Nascimento LS. Teenager's Oral Health: Literature Review. Rev Adolesc. Saúde. 2016;13 13(Supl. 1):95-103.
7. Araújo MVA, Barriga ALC, Emmi DT, Pinheiro HHC, Barroso RFF. Caries prevalence, autoperception and impact on oral health in teenagers in Marajó island - PA. RDAPO: Rev Digi Acad Paraense de Odontologia Belém-PA. 2017;1:11-17.
8. Martins MMF, Aquino RA, Pomponet ML, Pinto-Júnior EPP, Amorim LDAF. Adolescent and youth access to primary health care services in a city in the state of Bahia, Brazil. Cad. Saúde Pública. 2019;35(1):e00044718.
9. Antunes J, Toporcov T, Bastos J, Frazão P, Narvai P, Peres M. Oral health in the agenda of priorities in public health. Rev Saúde Pública. 2016;50:57.
10. Almeida TF, Cangussu MCT, Chaves SCL, Amorim TM. Oral health status of children, adolescents, and adults registered in Family Health Units Service in the Municipality of Salvador, State of Bahia, Brazil, in 2005. Epidemiol Serviço de Saúde. 2013;21(1):109-18.
11. Barros CMSB. Technical manual on oral health education. Rio de Janeiro: SESC, National Department. 2007;53-5.
12. Pestana M, Gageiro J. Data analysis for social sciences: the complementarity of SPSS. 4 Ed. Lisbon: Edições Silabo, 2005.
13. Barata C, Veiga N, Mendesc C, Araújo F, Ribeiro O, Coelho I. DMFT and oral health behaviours assessment in a sample of adolescents of Mangualde. Rev Port Estomatol Med Dent Cir Maxilofac. 2013;54(1):27–32.
14. Peres SHCS, Carvalho FS, PAZ CC, Magalhães JB, Pereira LJR. Polarization of dental caries in teen-agers in the southwest of the State of São Paulo, Brazil. Ciênc Saúde Coletiva. 2008;13(Suppl 2):2155-62.
15. Da Costa AM, Tôrres LHN, Meirelles MPR, Cypriano S, Batista MJ, Sousa MLR. Low prevalence of caries: polarization group and the importance of family aspects. Rev Odontol Bras Central. 2016;25(72):6-11.
16. Amaral A, Melão N. Health profile of children monitored in primary care consultation in Viseu, Portugal. Rev Port Saúde Pública. 2016;34(1):53–60.
17. Souza ME, Pereira SM, Castilho ARF, Pereira LJ, Pardi V, Pereira AC. Relationship among socioeconomic and clinical factors with oral health, in schoolchildren from rural areas: a longitudinal study. RFO UPF. 2015;20(2):208-15.
18. Costa MM, Souto IC, Barroso KM, Paredes SO. Factors associated with the experience of dental caries in public schools at a small city in the Northeast of Brazil. Rev Bras Pesq Saúde Vitória. 2017;19(3):32-40.
19. Reis HC, Pontres IC, Furlanetto DLC, Amaral LD, Castro-filho AA. Epidemiological Survey of Dental Caries in Schoolchildren of 2 Schools of the Public Network of the Federal District. Oral Sci. 2013;5(1):5-8.
20. Engelmann JL, Tomazoni F, Oliveira MDM, Ardenghi TM. Association between Dental Caries and Socioeconomic Factors in Schoolchildren - A Multilevel Analysis. Braz Dent J. 2016;27(1):72-8.
21. Daniel S, Harfst S, Wilder R. Mosby's dental hygiene: concepts, cases and competencies. 2ª Ed. St Louis: Mosby Elsevier. 2008.
22. Bonotto DMV, Pintarelli TP, Santin G, Montes GR, Ferreira FM, Fraiz FC. Dental caries and gender in adolescentes. RFO 2015;20(2):202-7.
23. Gonçalves MM, Leles CR, Freire MCM. Associations between Caries among Children and Household Sugar Procu-rement, Exposure to Fluoridated Water and Socioeconomic Indicators in the Brazilian Capital Cities. Inter J Dent. 2013;2013:492790.
24. Hattne K, Folke S, Twetman S. Attitudes to oral hearth among adolescents with high caries risk. Acta Odont Scand. 2001;65:206-213.
25. Pereira C, Veiga N, Amaral O, Pereira J. Oral health behaviors among portuguese adolescents. Rev Port Saúde Pública. 2013;31(2):145–52.
26. Pereira A. Odontologia em Saúde Colectiva - Planejando acções e promovendo saúde. 1ª Ed. Porto Alegre: Artmed Editora; 2003.
27. Sambunjak D, Nickerson J, Poklepovic T, Johnson T, Imai P, Tugwell P, et al. Flossing for the management of periodontal diseases and dental caries in adults. Cochrane Database Syst Rev. 2011;(12):CD008829.
28. Crocombe L, Broadbent J, Thomson W, Brennan D, Poulton R. Impact of dental visiting trajectory patterns on clinical oral health and oral health-related quality if life. J Public Health Dent. 2012;72:36-44.
29. Gibilini C, Esmeriz CEC, Volpato LF, Meneghim ZMAP, Dias SD, Sousa MLR. Access to dental services and self-perception of oral health in adolescents, adults, and the elderly. Arq Odontol. 2010;46(4):213-23.
Published
2020-09-30
How to Cite
VEIGA, Nélio Jorge et al. Dental caries and oral health behavior assessments among portuguese adolescents.. Journal of Oral Research, [S.l.], v. 9, n. 4, p. 300-308, sep. 2020. ISSN 0719-2479. Available at: <https://www.joralres.com/index.php/JOralRes/article/view/joralres.2020.071>. Date accessed: 16 apr. 2024. doi: https://doi.org/10.17126/joralres.2020.071.
Citation Formats
Issue
Vol 9 No 4 (2020)
Section
Articles

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