Community dentistry and oral epidemiology最新文献

{"title":"Do Temporal Changes in Complete Tooth Loss Point to Cohort Effects?","authors":"Gloria C. Mejia,&nbsp;Kym M. McCormick,&nbsp;Sergio Chrisopoulos,&nbsp;Najith Amarasena,&nbsp;Liana Luzzi","doi":"10.1111/cdoe.70077","DOIUrl":"10.1111/cdoe.70077","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Complete tooth loss is more common among older adults; however, its prevalence has declined significantly over time. It is currently unknown whether age and period effects act independently or whether they interact to produce differential effects by birth cohorts. This study aimed to examine temporal changes in the prevalence of complete tooth loss in Australia, examine the effects of age, period and cohort and assess life course changes within birth cohorts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study used data from three repeated cross-sectional waves of Australia's National Dental Telephone Interview Survey (2005, 2013 and 2021), each comprising independent samples. The prevalence of edentulism among adults aged 41 years and older was described. The independent effects of age and period and examined cohort effects were estimated using an Age-Period-Cohort Interaction (APC-I) model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The prevalence of complete tooth loss among adults aged 41 years and older declined from 12% in 2005 to 6% in 2021. The analysis shows that while edentulism increased with age, it decreased significantly over time across most age groups. Despite the low prevalence of edentulism, younger generations showed higher-than-expected levels of complete tooth loss. Significant cohort effects were observed, with older cohorts showing high tooth loss and younger cohorts exhibiting concerning trends.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Despite overall progress in reducing edentulism, the increase in complete tooth loss among younger generations poses a threat to long-term oral health outcomes in Australia. Ongoing surveillance and targeted public health interventions are critical in preventing a resurgence in tooth loss, particularly among younger populations. Comprehensive oral health programs and equitable access to care are essential to maintaining Australia's progress in oral health and in addressing emerging challenges.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":"54 5","pages":"588-595"},"PeriodicalIF":2.9,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cdoe.70077","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148053176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral Health Interventions for Culturally and Linguistically Diverse Children and Caregivers: A RE-AIM Systematic Review of Implementation Gaps","authors":"I. Awadh,&nbsp;D. Ha,&nbsp;R. Boyd,&nbsp;A. Khan,&nbsp;L. Ball,&nbsp;M. Nisar,&nbsp;S. Zafar","doi":"10.1111/cdoe.70090","DOIUrl":"10.1111/cdoe.70090","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To characterise implementation reporting completeness of oral health interventions for culturally and linguistically diverse (CALD) children and caregivers using the RE-AIM framework (Reach, Effectiveness, Adoption, Implementation, Maintenance).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Six databases (PubMed, Embase, CINAHL, Scopus, Web of Science, Cochrane Library) were searched for studies published 2010–2025 (PROSPERO CRD42024531750; PRISMA 2020). Eligible studies evaluated oral health interventions for CALD children aged 0–18 years from immigrant, refugee, or asylum-seeking backgrounds. Risk of bias was assessed with RoB 2, MMAT, and ROBINS-I. A 22-item RE-AIM coding tool assessed reporting completeness across five domains, categorised as low (&lt; 60%), moderate (60%–69.9%), or high (≥ 70%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eleven studies were included (USA <i>n</i> = 9, UK <i>n</i> = 1, Australia <i>n</i> = 1; samples 36–1207). Two of three RCTs were rated High risk (RoB 2), all six non-randomised studies Serious risk (ROBINS-I), and two mixed-methods studies Low and Moderate (MMAT). Reporting completeness was predominantly low (72.7% of studies). Reach (84.1%) and Adoption (86.4%) were well-documented; Effectiveness (32.3%) showed the largest gap. Clinical outcomes (dmft/DMFT) were assessed in 36.4% of studies; cost was not reported in any study. Follow-up of 18 months or longer was limited to 18.2%, and attrition (5.6%–47%) in refugee populations reflected structural mobility rather than intervention failure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Reporting completeness was substantially incomplete for Effectiveness, cost, and long-term follow-up, though several gaps reflect structural constraints in CALD settings rather than reporting failures alone. Future studies should prospectively embed validated reporting checklists that capture intervention structure and implementation, select outcomes matched to the phase of evidence (proximal in early-phase, clinical in adequately powered trials), and design retention strategies suited to mobile and recently resettled populations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":"54 5","pages":"527-545"},"PeriodicalIF":2.9,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cdoe.70090","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148469312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal Assessment of Fluoride Concentrations in Public Drinking Water Supplies in New Zealand: Implications for Epidemiological Studies.","authors":"Frank Dean, Tim Chambers, Christina Pike, Matt Hobbs, Jonathan Broadbent","doi":"10.1111/cdoe.70129","DOIUrl":"https://doi.org/10.1111/cdoe.70129","url":null,"abstract":"<p><strong>Objectives: </strong>To establish a national longitudinal database of fluoride concentrations in public drinking water supplies in New Zealand (NZ) and investigate the potential implications of different fluoride exposure classifications for epidemiological studies evaluating the effects of community water fluoridation (CWF) on population health outcomes.</p><p><strong>Methods: </strong>Fluoride concentrations in NZ public drinking water supplies were assessed longitudinally from 2000 to 2021. Fluoride sample results obtained from all 67 Territorial Authorities and drinking water regulators were cleaned, standardised to water distribution zones (WDZs), aggregated to weekly values, and imputed where missing. A synthetic birth cohort of 10 000 children followed from birth to age four was developed to simulate individual-level fluoride exposure histories and evaluate different exposure classifications, including binary fluoridation status and mixed exposure resulting from residential mobility.</p><p><strong>Results: </strong>Fluoride concentrations in fluoridated WDZ had a median of 0.74 mg/L (range 0.00-1.04), while non-fluoridated WDZ had consistently low fluoride concentrations (median 0.05 mg/L; range 0.00-0.42). Substantial temporal variability was observed, with only 40% of WDZ-observation years having fluoride concentrations above 0.7 mg/L for at least 90% of the year. In the synthetic cohort, exposure misclassification arising from naturally occurring fluoride concentrations or sub-optimal dosing appeared minimal. In contrast, residential mobility between fluoridated and non-fluoridated areas represented a more substantial source of potential bias, with approximately 30% of individuals experiencing mixed fluoridation exposure over 4 years.</p><p><strong>Conclusion: </strong>The findings highlight the importance of longitudinal and quantitatively derived exposure measures for future research evaluating the oral health impacts of CWF.</p>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral Health and High-Complexity Networks: A Functional Interdependence Analysis via Health Information Systems.","authors":"Eva Ruzena Montiel Fernández","doi":"10.1111/cdoe.70119","DOIUrl":"https://doi.org/10.1111/cdoe.70119","url":null,"abstract":"<p><strong>Aim: </strong>This study analysed the integration levels and co-assistance patterns of the dentistry service within a high-complexity hospital in Paraguay, under the framework of Integrated Health Service Delivery Networks (IHSDN).</p><p><strong>Methods: </strong>Using a retrospective observational design, Big Data from the Hospital Information System (HIS) were processed between March and August 2025. Care trajectories and functional interdependence with 19 clinical services were evaluated using network analysis techniques in RStudio, with associations determined through Relative Risk (RR).</p><p><strong>Results: </strong>The results demonstrate an operational integration network in which dental functions complement one another, yet with a predominant linkage to Internal Medicine Emergency services (n = 397). A low density of interdependence was detected with strategic specialties for chronic disease management, such as Cardiology (n = 97) and Diabetology (n = 79). A critical finding was that patients accessing services through scheduled care were 4.16 times more likely to receive proactive and continuous care than those entering through emergency departments (RR = 4.16; 95% CI; p < 0.001). Furthermore, a capacity gap was observed: while global hospital demand grew by 10.2%, the dental supply only increased by 0.5%. In light of these arguments, although the IHSDN structure is solid, its operability remains reactive and fragmented.</p><p><strong>Conclusions: </strong>The study demonstrates that scheduled management is the key to quadrupling care integration. The HIS is positioned as an essential governance tool to identify bottlenecks, eliminate access barriers, and strengthen proactive referrals, ensuring that oral health is effectively integrated into the comprehensive care of patients with chronic conditions.</p>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultural and Social Determinants of Indigenous Peoples' Health: Understanding Oral Health Inequities in Canada, New Zealand/Aotearoa, and Australia.","authors":"Herenia P Lawrence, John R Broughton, Lisa M Jamieson","doi":"10.1111/cdoe.70128","DOIUrl":"https://doi.org/10.1111/cdoe.70128","url":null,"abstract":"<p><strong>Objective: </strong>This cross-sectional study examined the cultural and social determinants of health in Canada, New Zealand, and Australia and their relevance to the oral health of Indigenous pregnant women.</p><p><strong>Methods: </strong>An Indigenous framework was applied to a social determinants of health (SDH) model, Charlotte Loppie's Tree Metaphor, utilising data from the Baby Teeth Talk Study, a multi-national academic-community partnership, to compare SDHs among Indigenous pregnant women in Canada (n = 544), New Zealand (n = 222), and Australia (n = 446). The same survey instrument, with cultural adaptations, was used. Self-rated oral health and the oral health impact on dimensions of quality of life were assessed. 'Stem' SDHs included socio-demographic characteristics, lifestyle practices, oral health literacy, knowledge of children's oral hygiene, value of oral health self-care, psychological stress, sense of mastery, social support, oral health self-efficacy, and fatalism. 'Core' SDHs included dental care access and Indigenous cultural identity. The 'Root' SDH was self-reported interpersonal racism. Z-tests for the comparison of means and the Normal approximation to the Binomial distribution for proportions were used with statistical adjustment for multiple pairwise comparisons.</p><p><strong>Results: </strong>The participants' mean age was not statistically different across the countries. Maternal rating of their oral health as 'fair/poor' was significantly higher in New Zealand (57.7%) and Australia (54.3%) than in Canada (39.0%). First Nations/Métis expectant women in Canada were twice as likely to have visited a dentist in the last year, and least likely to report cost as a barrier to care. They also experienced less racism. Pregnant Māori women had higher oral health literacy, greater knowledge of children's oral hygiene and greater oral health self-efficacy. Employment income and social support were greatest among Māori women. Aboriginal women in Australia faced more unfavourable SDHs, particularly those related to socio-economic status. One-in-three First Nations, Māori and Aboriginal women perceived culture and ethnicity as central to their identity.</p><p><strong>Conclusions: </strong>Differences in governance, funding, and delivery models for Indigenous oral healthcare can explain disparities in access to dental care for pregnant Indigenous women. Unique historical and cultural trajectories may account for the different SDHs of their oral health experiences, particularly those that are more distal and deeply rooted, such as discrimination and racism. Understanding how socio-cultural determinants differ among diverse Indigenous populations may, in turn, explain the differences in the effectiveness of some interventions (over others) in improving the oral health of Indigenous Peoples.</p>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global Perspectives on Oral Health Related Quality of Life Among Indigenous Populations.","authors":"Srivardhini Shanmugham, Priyanga Chandrasekaran, Priyadharshini Ragavane, Vignesh Kumar Patchaiyappan, Angeline Hephzibah Pauljoseph","doi":"10.1111/cdoe.70130","DOIUrl":"https://doi.org/10.1111/cdoe.70130","url":null,"abstract":"<p><strong>Objective: </strong>To systematically evaluate whether oral health conditions are associated with oral health-related quality of life (OHRQoL) among Indigenous populations globally.</p><p><strong>Methods: </strong>Electronic searches were conducted in PubMed, Scopus, Web of Science, ProQuest, Cochrane Library, Google Scholar, and Embase for studies published from January 2005 to December 2025. Cross-sectional studies assessing OHRQoL among Indigenous populations using validated instruments were included. Eligible tools were Oral Health Impact Profile-14 (OHIP-14), Geriatric Oral Health Assessment Index (GOHAI), Child Perceptions Questionnaire 11-14 (CPQ11-14), Early Childhood Oral Health Impact Scale (ECOHIS), Oral Impacts on Daily Performance (OIDP), and Child Oral Impacts on Daily Performances (Child-OIDP). Risk of bias was assessed using a modified version of the Newcastle-Ottawa Scale for cross-sectional studies. Due to methodological heterogeneity, meta-analysis was not feasible; findings were synthesised narratively.</p><p><strong>Results: </strong>Of the 184 records identified, 18 studies met the inclusion criteria, with sample sizes ranging from 109 to 1011 participants. OHIP-14 scores ranged from 14.9 to 30.7 across adult studies, indicating poorer OHRQoL. GOHAI scores among older adults ranged from 10.2 to 53.0 on a 12-60 scale, reflecting variable but often compromised self-perceived oral health and functional limitation. Among children, the mean ECOHIS score was 4.4 ± 5.9, with poorer OHRQoL associated with early childhood caries. Poorer OHRQoL was commonly associated with untreated caries, periodontal disease, poor oral hygiene, tobacco use, lower socioeconomic status, limited education, and restricted access to dental care.</p><p><strong>Conclusion: </strong>Compromised OHRQoL among Indigenous populations was associated with oral disease burden, social and behavioural determinants, and limited access to oral healthcare services.</p><p><strong>Prospero registration: </strong>This systematic review was registered with PROSPERO (Registration No. CRD420251016421).</p>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Social Determination of Racial Inequities in Oral Health Among Indigenous Peoples.","authors":"Lucas Fernando Rodrigues Dos Santos, Diego Francisco Lima da Silva, Tainá Faustino Mafra, Herika de Arruda Mauricio, Rafael da Silveira Moreira","doi":"10.1111/cdoe.70132","DOIUrl":"https://doi.org/10.1111/cdoe.70132","url":null,"abstract":"<p><strong>Objectives: </strong>To foster a critical analysis of the racial inequities affecting the oral health (OH) of Indigenous peoples in Brazil, framed by the social determination of the health-disease-care process (SDHP).</p><p><strong>Methods: </strong>This critical literature review articulates the themes of colonisation, Indigenous peoples' oral health and racial inequities in health through the lens of SDHP. It explores how racial inequities affecting the oral health of Indigenous peoples in Brazil are socially determined, understanding that their health and illness profiles depend on the socioeconomic and legal contexts in which they are historically embedded.</p><p><strong>Results: </strong>Racial inequities in OH are not determined by race, but by racism-a historical-political system of domination that violates civil rights. For Indigenous peoples, as victims of racialisation, this injustice reflects a colonial legacy of exclusion, state tutelage, extermination and violence. OH serves as a strong indicator of the exercise of citizenship, exposing material/structural disparities throughout life and across generations. Globally and in the Brazilian context, neoliberal policies exacerbate these inequities among Indigenous peoples, leading to increased oral illness and diminished access to healthcare. Racism must be understood not merely as a risk factor but as a structural foundation of poor OH conditions.</p><p><strong>Conclusions: </strong>Reducing racial inequities in oral health for Indigenous peoples requires intersectoral strategies. Changes are needed in the domains of power across the legal, educational and healthcare systems. This involves intervening in public policies and redirecting OH research, education, management and services to recognise the historical oral health needs of Indigenous peoples in Brazil and the impacts of colonialism and racialisation.</p>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Geoinformation-Based Analysis of Oral Health Status Among Indigenous Young Adults.","authors":"Herika de Arruda Mauricio, Thatiana Regina Favaro, André Luiz Sá de Oliveira, Rafael da Silveira Moreira","doi":"10.1111/cdoe.70120","DOIUrl":"https://doi.org/10.1111/cdoe.70120","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to characterise the Xukuru do Ororubá Indigenous population in Pesqueira, Pernambuco, Brazil, in relation to the oral health status through geoinformation tools.</p><p><strong>Methods: </strong>A cross-sectional observational study, nested within a cohort study, was conducted in 2018. The study employed questionnaires and oral examinations and collected geographic coordinates using Global Positioning System (GPS) devices at the locations of Indigenous households, villages and socio-environmental regions, as well as at the health unit where Indigenous people received dental care. The primary outcome, caries experience, was assessed by the DMFT Index, with the mean score used for analysis. The descriptive analyses were presented using tables and maps. The spatial analysis was conducted using QGIS version 3.40.15.</p><p><strong>Results: </strong>The Agreste socio-environmental region presented the most unfavourable indicators. There is a combination of a higher average number of untreated decayed teeth, a lower average number of filled teeth and a higher average number of lost teeth, a pattern consistent with late access to services and predominantly curative and non-tooth-preserving treatment. Inverse distance weighting maps indicate spatial gradients, with better oral health conditions near the centres and a progressive reduction in peripheral areas.</p><p><strong>Conclusions: </strong>The application of geoinformation tools to data on the Xukuru do Ororubá Indigenous population has made it possible to identify inequalities in access to and the effectiveness of oral health actions. These inequalities indicate priorities that must be addressed by the oral health care network.</p>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Childhood Dental Attendance and Adult Oral Health: A Path Analysis of the British Cohort Study.","authors":"Aina Najwa Mohd Khairuddin, Jing Kang, Jennifer E Gallagher","doi":"10.1111/cdoe.70125","DOIUrl":"https://doi.org/10.1111/cdoe.70125","url":null,"abstract":"<p><strong>Objectives: </strong>Oral health outcomes reflect cumulative life-course exposures, with early-life experiences, particularly patterns of dental attendance, playing a key role in shaping oral health trajectories and inequalities in adulthood. This study aimed to assess socio-demographic differences in adult perceived oral health status and to examine the pathways linking childhood dental attendance to adult oral health.</p><p><strong>Methods: </strong>Data from the 1970 British Cohort Study involving over 17 000 participants born in England, Scotland, and Wales were drawn for this study. Oral health outcomes were assessed through self-reported dental problems at age 26 and self-rated oral health status at age 46. Childhood dental attendance patterns were derived from follow-up data collected at ages 5, 10, and 16. Guided by a directed acyclic graph, path analysis was conducted to examine the hypothesised pathways between childhood dental attendance and adult oral health, incorporating socioeconomic status, oral health behaviours, and general health conditions across the life course.</p><p><strong>Results: </strong>This study analysed data from 4 699 participants, of whom 23% reported poor oral health. Poor oral health was more prevalent among participants who brushed their teeth less than twice daily, had comorbidities in childhood or adulthood, had a history of dental problems, and were smokers. Childhood dental attendance pattern had a very weak, yet positive direct effect on adult oral health at age 46 (OR = 1.03, 95% CI = 1.00-1.06). Higher parental social class was associated with regular childhood dental attendance (OR = 1.17, 95% CI = 1.14-1.21) and with higher social class in adulthood (ages 26 and 46), which in turn indirectly influenced adult oral health. Regular dental visits in childhood were linked to improved oral hygiene practice (OR = 1.05, 95% CI = 1.02-1.08), and in turn, marginally associated with better oral health in adulthood (OR = 1.04, 95% CI = 1.01-1.07). While dental problems in early adulthood did not mediate the effect of childhood dental attendance, they were associated with poorer oral health in middle adulthood (OR = 1.15, 95% CI = 1.11-1.19).</p><p><strong>Conclusion: </strong>This study suggests that childhood dental attendance has a modest but positive effect on adult oral health. Socio-demographic factors, particularly parental social class, influence both childhood dental attendance and adult social class, indirectly affecting oral health outcomes. Oral hygiene practices partially mediated the effects, highlighting the importance of early prevention and sustained self-care. Interventions promoting regular dental visits in childhood, alongside addressing social inequalities, may help improve oral health trajectories across the life course.</p>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Screen Time, Dental Caries, and Oral Health-Related Quality of Life in Adolescents Living in Deprived Neighbourhoods in Manaus, Brazil: A Two-Year Follow-Up Study.","authors":"Iana Nogueira Rego, Maria Augusta Bessa Rebelo, Mario Vianna Vettore, Janete Maria Rebelo Vieira","doi":"10.1111/cdoe.70121","DOIUrl":"https://doi.org/10.1111/cdoe.70121","url":null,"abstract":"<p><strong>Objectives: </strong>To examine the influence of screen time and behavioural pathways on the incidence of dental caries and oral health-related quality of life (OHRQoL) among adolescents living in deprived neighbourhoods.</p><p><strong>Methods: </strong>A 2-year prospective cohort study involving 323 12-year-old adolescents enrolled in public schools was conducted in the East region of Manaus, Brazil. Baseline data encompassing sex, socioeconomic status (family income, parents' education and household crowding), social support (SSA questionnaire), screen time (number of hours spent on screen-based activities), behaviours (sugar consumption and frequency of toothbrushing) and dental caries (DMFT index) was collected through self-administered questionnaires and clinical examinations. OHRQoL (Child Perceptions Questionnaire-CPQ11-14) and dental caries incidence were measured at baseline and 2-year follow-up. Structural equation modelling, guided by the Wilson and Cleary conceptual framework, was employed to examine both direct and indirect associations among the study variables.</p><p><strong>Results: </strong>Increased screen time directly predicted higher dental caries incidence and poor OHRQoL after 2 years. Sugar consumption mediated the association between screen time and dental caries incidence. Incidence of dental caries mediated the association between screen time and OHRQoL. Poor OHRQoL was also directly predicted by dental caries incidence and female sex. Screen time and sugar consumption mediated the association of socioeconomic status and social support with dental caries incidence and OHRQoL.</p><p><strong>Conclusions: </strong>The findings of this study indicate that spending more time on screen-based activities is significantly associated with a greater consumption of sugar, higher incidence of dental caries and negative impact on OHRQoL among adolescents. These findings underscore the need for targeted strategies aimed at reducing screen time and sugar consumption to mitigate its detrimental effects on oral health and overall quality of life.</p>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149058952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}