Iliana Diamanti, Elias D Berdouses, Katerina Kavvadia, Konstantinos N Arapostathis, Christina Reppa, Maria Sifakaki, Olga Panagopoulou, Argy Polychronopoulou, Constantine J Oulis
{"title":"5岁、12岁和15岁希腊儿童龋齿患病率和龋齿经历(ICDAS II标准)与社会人口风险指标的关系十年期间国家一级的趋势。","authors":"Iliana Diamanti, Elias D Berdouses, Katerina Kavvadia, Konstantinos N Arapostathis, Christina Reppa, Maria Sifakaki, Olga Panagopoulou, Argy Polychronopoulou, Constantine J Oulis","doi":"10.1007/s40368-020-00599-7","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To study the caries status of 5, 12 and 15-year-old Greek children, assess how disease parameters are related to socio-demographic indicators and identify relevant trends at the national level.</p><p><strong>Methods: </strong>A stratified cluster sample of 3702 children in total was randomly selected and examined clinically for caries (ICDAS II criteria). Caries experience was outlined by adapting ICDAS<sub>0-6</sub> criteria to the d/D component of the WHO dmf/DMF index configuration. Percentages (%) of caries experience-free children, of children with initial caries (ICDAS<sub>1-2</sub>), and the mean d<sub>1-2</sub>t/D<sub>1-2</sub>T, d<sub>3-6</sub>mft/D<sub>3-6</sub>MFT and d<sub>3-6</sub>mfs/D<sub>3-6</sub>MFS indices were calculated. The probability of presenting with d<sub>1-2</sub>t/D<sub>1-2</sub>T ≥ 1 was assessed by binary logistic regression analysis, whereas negative binomial regression models examined the effect of socio-demographic parameters on d<sub>3-6</sub>mfs/D<sub>3-6</sub>MFS indices (level of significance: p ≤ 0.05).</p><p><strong>Results: </strong>60.1%, 48.1%, and 34.7% of the 5, 12, and 15-year-old children, respectively, had no caries experience at the defect level (d<sub>3-6</sub>mft/D<sub>3-6</sub>MFT = 0). Initial lesions (ICDAS<sub>1-2</sub>) were detected in 17.7%, 19.3% and 17.4% of the 5, 12 and 15-year-olds, accordingly. Mean d<sub>1-2</sub>t/D<sub>1-2</sub>T was 0.93, 1.70, and 2.51, whereas mean d<sub>3-6</sub>mft/D<sub>3-6</sub>MFT was 1.48, 1.61, and 2.46 for the 5, 12, and 15-year-olds, respectively. Children with higher educated parents and 15-year-old urban residents exhibited significantly less caries experience at the defect level. Initial caries lesions presented a significantly higher probability of being detected in urban-residing 5- and 15-year-olds, while no consistent trend could be identified for parental education level. Caries prevalence and experience levels declined for all age groups in ten years.</p><p><strong>Conclusion: </strong>Although the dental health of Greek children has improved disparities remain, calling for organised primary and secondary preventive interventions.</p>","PeriodicalId":520615,"journal":{"name":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","volume":" ","pages":"619-631"},"PeriodicalIF":0.0000,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40368-020-00599-7","citationCount":"8","resultStr":"{\"title\":\"Caries prevalence and caries experience (ICDAS II criteria) of 5-, 12- and 15-year-old Greek children in relation to socio-demographic risk indicators. Trends at the national level in a period of a decade.\",\"authors\":\"Iliana Diamanti, Elias D Berdouses, Katerina Kavvadia, Konstantinos N Arapostathis, Christina Reppa, Maria Sifakaki, Olga Panagopoulou, Argy Polychronopoulou, Constantine J Oulis\",\"doi\":\"10.1007/s40368-020-00599-7\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To study the caries status of 5, 12 and 15-year-old Greek children, assess how disease parameters are related to socio-demographic indicators and identify relevant trends at the national level.</p><p><strong>Methods: </strong>A stratified cluster sample of 3702 children in total was randomly selected and examined clinically for caries (ICDAS II criteria). Caries experience was outlined by adapting ICDAS<sub>0-6</sub> criteria to the d/D component of the WHO dmf/DMF index configuration. Percentages (%) of caries experience-free children, of children with initial caries (ICDAS<sub>1-2</sub>), and the mean d<sub>1-2</sub>t/D<sub>1-2</sub>T, d<sub>3-6</sub>mft/D<sub>3-6</sub>MFT and d<sub>3-6</sub>mfs/D<sub>3-6</sub>MFS indices were calculated. The probability of presenting with d<sub>1-2</sub>t/D<sub>1-2</sub>T ≥ 1 was assessed by binary logistic regression analysis, whereas negative binomial regression models examined the effect of socio-demographic parameters on d<sub>3-6</sub>mfs/D<sub>3-6</sub>MFS indices (level of significance: p ≤ 0.05).</p><p><strong>Results: </strong>60.1%, 48.1%, and 34.7% of the 5, 12, and 15-year-old children, respectively, had no caries experience at the defect level (d<sub>3-6</sub>mft/D<sub>3-6</sub>MFT = 0). Initial lesions (ICDAS<sub>1-2</sub>) were detected in 17.7%, 19.3% and 17.4% of the 5, 12 and 15-year-olds, accordingly. Mean d<sub>1-2</sub>t/D<sub>1-2</sub>T was 0.93, 1.70, and 2.51, whereas mean d<sub>3-6</sub>mft/D<sub>3-6</sub>MFT was 1.48, 1.61, and 2.46 for the 5, 12, and 15-year-olds, respectively. Children with higher educated parents and 15-year-old urban residents exhibited significantly less caries experience at the defect level. Initial caries lesions presented a significantly higher probability of being detected in urban-residing 5- and 15-year-olds, while no consistent trend could be identified for parental education level. Caries prevalence and experience levels declined for all age groups in ten years.</p><p><strong>Conclusion: </strong>Although the dental health of Greek children has improved disparities remain, calling for organised primary and secondary preventive interventions.</p>\",\"PeriodicalId\":520615,\"journal\":{\"name\":\"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry\",\"volume\":\" \",\"pages\":\"619-631\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2021-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1007/s40368-020-00599-7\",\"citationCount\":\"8\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1007/s40368-020-00599-7\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2021/1/10 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s40368-020-00599-7","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2021/1/10 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
Caries prevalence and caries experience (ICDAS II criteria) of 5-, 12- and 15-year-old Greek children in relation to socio-demographic risk indicators. Trends at the national level in a period of a decade.
Purpose: To study the caries status of 5, 12 and 15-year-old Greek children, assess how disease parameters are related to socio-demographic indicators and identify relevant trends at the national level.
Methods: A stratified cluster sample of 3702 children in total was randomly selected and examined clinically for caries (ICDAS II criteria). Caries experience was outlined by adapting ICDAS0-6 criteria to the d/D component of the WHO dmf/DMF index configuration. Percentages (%) of caries experience-free children, of children with initial caries (ICDAS1-2), and the mean d1-2t/D1-2T, d3-6mft/D3-6MFT and d3-6mfs/D3-6MFS indices were calculated. The probability of presenting with d1-2t/D1-2T ≥ 1 was assessed by binary logistic regression analysis, whereas negative binomial regression models examined the effect of socio-demographic parameters on d3-6mfs/D3-6MFS indices (level of significance: p ≤ 0.05).
Results: 60.1%, 48.1%, and 34.7% of the 5, 12, and 15-year-old children, respectively, had no caries experience at the defect level (d3-6mft/D3-6MFT = 0). Initial lesions (ICDAS1-2) were detected in 17.7%, 19.3% and 17.4% of the 5, 12 and 15-year-olds, accordingly. Mean d1-2t/D1-2T was 0.93, 1.70, and 2.51, whereas mean d3-6mft/D3-6MFT was 1.48, 1.61, and 2.46 for the 5, 12, and 15-year-olds, respectively. Children with higher educated parents and 15-year-old urban residents exhibited significantly less caries experience at the defect level. Initial caries lesions presented a significantly higher probability of being detected in urban-residing 5- and 15-year-olds, while no consistent trend could be identified for parental education level. Caries prevalence and experience levels declined for all age groups in ten years.
Conclusion: Although the dental health of Greek children has improved disparities remain, calling for organised primary and secondary preventive interventions.
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