Vitória Luiza Beier, Leandro Machado Oliveira, Carlos Alexandre Souza Bier, Orlando Luiz do Amaral Júnior, Thayná Regina Pelissari
{"title":"Impact of perceived discrimination on prevalence of dental pain: Evidence from the ELSI-Brazil study.","authors":"Vitória Luiza Beier, Leandro Machado Oliveira, Carlos Alexandre Souza Bier, Orlando Luiz do Amaral Júnior, Thayná Regina Pelissari","doi":"10.1177/0265539X261475398","DOIUrl":"https://doi.org/10.1177/0265539X261475398","url":null,"abstract":"<p><p>To investigate the association between multiple perceived discrimination sources and dental pain in Brazilian adults aged 50 years and older. This cross-sectional study analyzed data from 5713 individuals aged 50 years or older who participated in the second wave (2019-2021) of the Brazilian Longitudinal Study of Aging (ELSI-Brazil). Data were collected through household interviews. Perceived discrimination was measured using the Everyday Discrimination Scale and specific domains (healthcare services, social settings, workplace, family, and housing). Dental pain was assessed based on self-reported dental pain in the previous 6 months. Associations were estimated using Poisson regression models adjusted for sex, self-reported skin colour, age, marital status, household wealth, education, area of residence, self-rated general health, and tooth count. The prevalence of dental pain was 11.0%. Higher frequencies of dental pain were observed among individuals reporting any form of discrimination. The strongest associations were identified in the contexts of social meetings (PR = 2.20, 95% CI:1.70-2.84), family (PR = 2.04, 95% CI:1.35-3.08), and due to the place of residence (PR = 1.93, 95% CI:1.25-2.97). These findings suggest that discrimination may represent a psychosocial stressor related to oral health and highlight the importance of public health strategies aimed at reducing social inequalities and promoting equitable dental care.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X261475398"},"PeriodicalIF":1.3,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148618753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Diego Manriquez-Robles, Melisa Aedo, Scarlett Roa-Castillo
{"title":"Oral health impacts and socioeconomic inequalities in disability and quality of life: A population-based study.","authors":"Diego Manriquez-Robles, Melisa Aedo, Scarlett Roa-Castillo","doi":"10.1177/0265539X261471705","DOIUrl":"https://doi.org/10.1177/0265539X261471705","url":null,"abstract":"<p><p>To examine whether oral health impacts function as a pathway linking socioeconomic position to functional disability and multidimensional quality of life in a nationally representative Chilean sample, we conducted a cross-sectional population-based analysis using complex survey methods and mediation modelling. Data were obtained from a national population-based household survey in Chile and included 16,590 non-institutionalized individuals aged 15 years and older, representing approximately 16.2 million individuals in the Chilean population after application of survey weights. Main outcome measures were oral health-related quality of life (OHIP-7), self-reported functional disability, and WHOQOL-BREF physical, psychological, social, and environmental domains. Pronounced socioeconomic gradients were observed in oral health impacts. Individuals in the highest education and income strata had significantly lower odds of high oral health impact (OR = 0.39 and 0.33, respectively, <i>p</i> < .001). High oral health impact was strongly associated with functional disability (OR = 3.85, <i>p</i> < .001) and with lower scores across all WHOQOL-BREF domains (physical <i>B</i> = -10.58, psychological <i>B</i> = -7.19, social <i>B</i> = -8.52, environmental <i>B</i> = -7.04, all <i>p</i> < .001). Inclusion of OHIP attenuated associations between socioeconomic indicators and disability. Monte Carlo simulations indicated statistically significant indirect effects of education and income on disability and quality-of-life domains through oral health impact. Oral health impacts are socially patterned and closely linked to functional disability and multidimensional quality of life. Findings are consistent with the interpretation that oral conditions may contribute to broader socioeconomic gradients in functioning and well-being, supporting the integration of oral health within primary care and health equity strategies.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X261471705"},"PeriodicalIF":1.3,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148583629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mariél de Aquino Goulart, Mario Vianna Vettore, Antonio Ponce de Leon, Roger Keller Celeste
{"title":"Contextual school performance, individual educational delay, income inequality and oral health among adolescents: A repeated cross-sectional study in Brazil, 2010 and 2023.","authors":"Mariél de Aquino Goulart, Mario Vianna Vettore, Antonio Ponce de Leon, Roger Keller Celeste","doi":"10.1177/0265539X261471382","DOIUrl":"https://doi.org/10.1177/0265539X261471382","url":null,"abstract":"<p><p><b>Objectives:</b> To examine the association of contextual school performance, individual educational delay, and socioeconomic conditions with untreated dental caries and tooth loss in Brazilian adolescents. <b>Methods:</b> Data from two nationally representative surveys (SB Brasil, 2010, n = 11,895; 2023, n = 9181 after exclusions). Outcomes were untreated caries and any tooth loss from the DMFT index. Contextual exposure was a Public School Performance Score (PSPS) derived by principal component analysis of school dropout, grade retention, and the Basic Education Development Index. Multilevel logistic models estimated odds ratios (ORs) per 1-unit SD increase in the PSPS for each survey year, adjusting for sex, age, equivalised income, educational delay, municipal income tertiles, and water fluoridation. <b>Results:</b> The PSPS distribution shifted rightwards between surveys (median rose from 0.99 to 2.43), reflecting improvements in IDEB and reductions in dropout and grade retention. In 2010, a 1-SD higher PSPS was associated with significantly lower odds of untreated caries (OR = 0.92, 95%CI 0.84, 0.99) and tooth loss (OR = 0.88, 95%CI 0.81, 0.97). By 2023, the associations had weakened and were no longer statistically significant: caries OR = 0.97 (95%CI 0.86, 1.10); tooth loss OR = 0.95 (95%CI 0.83, 1.08). The year-by-score and cross-level interactions were not statistically significant. <b>Conclusion:</b> The contextual gradient in oral health associated with school performance observed in 2010 was not detectable in 2023, despite overall improvements in educational indicators. <b>Clinical Significance:</b> Even when average school performance rises, additional school-based oral health strategies may be needed to maintain the health gradient, as universal improvements do not automatically translate into reduced inequalities.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X261471382"},"PeriodicalIF":1.3,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148583619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Advancing oral health: Collaboration towards UN sustainable development goals.","authors":"Rodrigo Mariño, Clare Kermond","doi":"10.1177/0265539X261469337","DOIUrl":"10.1177/0265539X261469337","url":null,"abstract":"<p><p><b>Objectives:</b>Oral health is vital for quality of life and is linked to multiple Sustainable Development Goals (SDGs). This commentary explores the intersection between oral health and each of the 17 SDGs. It seeks to enhance awareness of the SDGs among Oral Health Professionals (OHPs) and to provide recommendations for OHPs to enhance their role in achieving the SDGs. <b>Methods:</b>The commentary contextualizes the contribution of OHPs to achieve the SDGs. It describes the historical background of the Millennium Development Goals and the transition to the more ambitious SDGs. Progress reports on the SDGs are analysed. While oral health is not explicitly mentioned in any of the SDGs, it is intrinsically linked to all SDGs, yet these connections are underexplored. Oral health is connected to poverty reduction (SDG1), health and well-being (SDG3), quality education (SDG4), gender equality (SDG5), and climate action (SDG13). OHPs play a critical role in progress towards achieving SDGs, through advocacy, community engagement, and sustainable practices. However, challenges persist, including health inequalities (SDG10) and insufficient integration into broader health initiatives (SDG17). This commentary contributes to understanding how oral health intersects with each of the 17 SDGs. It advocates for the prioritization of oral health in the global health agenda and emphasizes the need for OHPs to mobilize resources and collaborate with various sectors. By addressing these interconnections, OHPs could diminish inequalities and contribute to a more equitable and sustainable future, underscoring the broader potential of oral health to contribute to progress on social justice and public health.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X261469337"},"PeriodicalIF":1.3,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148429964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"School - based oral health promotion strategies: A global scoping review.","authors":"Richa Shrivastava, Nishant Mehta, Neha Patyal, Iram Ahsan, Arpit Gupta","doi":"10.1177/0265539X261463937","DOIUrl":"https://doi.org/10.1177/0265539X261463937","url":null,"abstract":"<p><p>This scoping review aims to assess the extent of coverage of school health programs globally, map strategies across settings, and summarize outcomes and reported domains in literature. Guided by Arksey and O'Malley framework, an extensive search was performed across PubMed, Scopus, and Web of Science till February 2026, identifying 13,522 database records and 37 additional source records. After removing 2271 duplicates, 11,288 records were screened, and 84 studies met inclusion criteria. Eligible studies were experimental or observational research evaluating school-based oral health programmes for children involving a minimum of two schools at the district level. Three reviewers independently extracted data, and findings were synthesised using descriptive statistics and thematic analysis guided by the WHO Health Promoting Schools framework. The study identified seven key strategies for strengthening school oral health promotion, including implementing public health policies, delivering oral health services, integrating oral health into broader health programs, fostering collaboration and partnerships, emphasising reinforcement and motivation, ensuring optimal resource allocation, and creating a safe school environment. These strategies varied in extent, reach, and scope, ranging from national to local, from whole-population approaches to targeted population, and from purely educational efforts to comprehensive services. Although various strategies are reported, most focus on educational and behavioural interventions, with limited documentation of system-level approaches, particularly in developed countries.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X261463937"},"PeriodicalIF":1.3,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148367179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The primordial policy gap in dental caries control in Iran: From national DMFT success to the persistent challenge of the significant caries index (SIC): Policy brief.","authors":"Somayeh Hekmatfar, Hossein Hessari, Fatemeh Darabi, Karim Jafari Kaffash, Shadi Kaffashchian, Masoud Shabani","doi":"10.1177/0265539X261463935","DOIUrl":"https://doi.org/10.1177/0265539X261463935","url":null,"abstract":"","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X261463935"},"PeriodicalIF":1.3,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148343945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kiara Ekeigwe, Kasusu K Nyamuryekung'e, Anna Minja, Magreat Somba, Rachel J Mtei, Abby Cannon, Isaac Lema, Happiness Pius Saronga, Eric van Praag, Sylvia Kaaya, Joy Noel Baumgartner, Joseph R Egger
{"title":"Oral pain among young adolescents in Tanzania: A cross-sectional study.","authors":"Kiara Ekeigwe, Kasusu K Nyamuryekung'e, Anna Minja, Magreat Somba, Rachel J Mtei, Abby Cannon, Isaac Lema, Happiness Pius Saronga, Eric van Praag, Sylvia Kaaya, Joy Noel Baumgartner, Joseph R Egger","doi":"10.1177/0265539X261457536","DOIUrl":"10.1177/0265539X261457536","url":null,"abstract":"<p><p>Oral diseases are among the most common non-communicable diseases and adolescence represents an important time for intervention. The epidemiology of oral health is not well understood in low-resource settings. This study estimates the prevalence and correlates of oral pain and quality of life among adolescents in Tanzania. Baseline, cross-sectional data from a large randomized controlled trial of 1095 adolescents were analyzed. The primary outcome was self-reported oral pain in the past month. Regression models were conducted to assess the relationships between the prevalence of oral pain and sociodemographic characteristics and oral-health related behaviors. A chi-square test was used to explore associations between the experience of oral pain and quality of life measures from the EQ-5D-5 L instrument. The prevalence of oral pain was 13% (95% CI: 11.0, 15.9). No associations were observed between oral pain and most sociodemographic or behavioral factors. One association was found between perceived competence and reported oral pain in both the unadjusted (Prevalence ratio (PR): 1.20 95% CI: 1.04, 1.40) and adjusted models, (PR: 1.26, 95% CI: 1.07, 1.50). Analyses also showed associations with imprecise estimates between oral pain and district, maternal occupation, paternal occupation, and household hunger. A positive association was observed between reported oral pain and anxiety/depression and pain/discomfort measured on the EQ-5D-5 L quality of life instrument. This study contributes to the growing body of literature on the prevalence of oral pain among in-school adolescents. Findings support the need for population-based interventions to support good oral health among all adolescents.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X261457536"},"PeriodicalIF":1.3,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13389872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148307055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Biosafety practices in Brazilian dentistry after the COVID-19 public health emergency: Persistence and discontinuation of protective measures.","authors":"Tiago Paiva Machado, Luciane Zanin, Guilherme Bovi Ambrosano, Flávia Martão Flório","doi":"10.1177/0265539X261463930","DOIUrl":"https://doi.org/10.1177/0265539X261463930","url":null,"abstract":"<p><p>The COVID-19 pandemic disrupted dental services worldwide, requiring rapid adaptation of biosafety measures. In Brazil, emergency protocols were widely implemented across public and private dental care. This nationwide cross-sectional study investigated which biosafety practices adopted during the COVID-19 pandemic were maintained by Brazilian dentists and analysed factors associated with continued respirator use in the post-emergency period. Data were collected between March and October 2023 using non-probabilistic snowball sampling through an online questionnaire based on Brazilian biosafety guidelines and international recommendations. Descriptive statistics, chi-square and Fisher's exact tests, and simple and multiple logistic regression models were used (α=0.05). Among 1,136 dentists, most were female (71.2%), aged 41-50 years (33.6%), and had ≥12 years of professional experience (76.1%). Difficulties obtaining personal protective equipment during the pandemic were reported by 80.2% of participants, mainly involving masks and gloves, with significant associations according to work setting (p<0.05). Respirator use became widespread during the pandemic, with 45.6% reporting use only during the emergency phase and 39.6% continuing its use in the post-emergency period. In the adjusted model, sex and work setting remained associated with maintenance of respirator use (p<0.05). Fatigue (47.7%) and respiratory discomfort (27.3%) were the most frequently reported adverse effects. The pandemic changed dental biosafety practices in Brazil: traditional infection-control measures remained routine, whereas enhanced measures were partly sustained. These findings may inform preparedness planning for future public health emergencies.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X261463930"},"PeriodicalIF":1.3,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148301162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eman Alsagob, Hoda Abdellatif, Mamata Hebbal, Varkey Nadakkavukaran Santhosh, Ram Surath Kumar, Shaikha K Aldukhail
{"title":"Tobacco use and its impact on oral health among female adolescents in Riyadh, Saudi Arabia.","authors":"Eman Alsagob, Hoda Abdellatif, Mamata Hebbal, Varkey Nadakkavukaran Santhosh, Ram Surath Kumar, Shaikha K Aldukhail","doi":"10.1177/0265539X261457535","DOIUrl":"https://doi.org/10.1177/0265539X261457535","url":null,"abstract":"<p><p>Tobacco use poses significant public health challenges globally, with profound implications for oral health among adolescents. This study assessed the prevalence of tobacco use and its association with oral health perceptions, practices, and clinically assessed oral conditions among female adolescents in Riyadh, Saudi Arabia. A cross-sectional study was conducted among 1197 female adolescents aged 12-15 years from Fethipublic and private schools in Riyadh, Saudi Arabia. Data were collected using adapted questionnaires from the National Youth Tobacco Survey and WHO Oral Health Questionnaire. Clinical oral examinations were performed on 964 participants. Statistical analyses included chi-square tests and logistic regression. Tobacco use prevalence was 6.9%, with electronic cigarettes being most common (72.0%), followed by waterpipe smoking (59.8%) and traditional cigarettes (57.3%). Curiosity was the primary driver for initiation (74.5%). Significant associations were found between tobacco use and poor self-perceived gingival health (<i>p</i> < 0.001), school absenteeism due to toothache (<i>p</i> = 0.009), and avoiding smiling due to dental appearance (<i>p</i> = 0.021). Among examined participants, 76.6% had active carious lesions, 46.8% had gingivitis, and mean DMFT score was 5.72 ± 4.73. Despite relatively low prevalence, tobacco use was significantly associated with adverse oral health and psychosocial outcomes. These findings highlight the need for gender-sensitive preventive strategies, improved healthcare-based tobacco screening, and stricter regulation of adolescent access to tobacco products.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X261457535"},"PeriodicalIF":1.3,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148276472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ahmed Mahmoud, Stefan Serban, Alex D McMahon, David I Conway
{"title":"Associations between ethnicity, socioeconomic status and dental caries in children: A population-based record linkage longitudinal cohort study.","authors":"Ahmed Mahmoud, Stefan Serban, Alex D McMahon, David I Conway","doi":"10.1177/0265539X261452119","DOIUrl":"https://doi.org/10.1177/0265539X261452119","url":null,"abstract":"<p><p>This study aims to examine the associations of ethnicity and socioeconomic factors with obvious dental caries and assess longitudinal changes between 5 and 11-years of age. A retrospective longitudinal design was employed, linking individual-level health and education records for children aged 5 and 11-years living in Scotland between 2004 and 2018 (<i>n</i> = 155,737). At age five, Polish and Gypsy/Traveller children had around four times higher odds for developing obvious caries compared to White Scottish peers (OR = 4.37, 95% CI: 3.87-4.94) and (OR = 3.47, 95% CI: 2.52-4.79) respectively. By age 11, African, Chinese, Indian, and White British children showed lower odds of developing obvious caries, while Gypsy/Traveller (OR = 2.70, 95% CI: 1.98-3.70), and Polish (OR = 1.34, 95% CI: 1.18-1.52) children remained at elevated risk compared to White Scottish children. Longitudinal analysis revealed limited overall ethnic differences in new obvious caries development, though African (OR = 0.51, 95% CI: 0.39-0.67) and Chinese (OR = 0.58, 95% CI: 0.38-0.90) children were less likely to develop new obvious caries compared to White Scottish children. Several minority groups, including Polish, Gypsy/Traveller, Pakistani, and Arab children, demonstrated improvements in caries status between ages five and 11 compared to White Scottish children. Obvious caries presence at age five is strongly associated with caries at age 11 (OR = 3.24, 95% CI: 3.16-3.33). Ethnic disparities in obvious dental caries were evident at age 5 and independent of socioeconomic status. By age 11, these inequalities diminished for most groups, with socioeconomic factors emerging as the primary drivers of oral health inequalities, except among Gypsy/Traveller and Polish children.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":" ","pages":"265539X261452119"},"PeriodicalIF":0.9,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148162234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}