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CC BY-NC-ND 4.0 · European Journal of General Dentistry 2020; 9(01): 11-16
DOI: 10.4103/ejgd.ejgd_89_19
Original Article

Assessing dental caries and related factors in 12-year-old Nigerian school children: Report from a Southeastern State

Ezi Abigail Akaji
Department of Preventive Dentistry, Faculty of Dentistry, University of Nigeria, Enugu Campus, Nigeria
,
Queen Uche Ikechebelu
Department of Preventive Dentistry, Faculty of Dentistry, University of Nigeria, Enugu Campus, Nigeria
,
Obehi O. Osadolor
1   Department of Child Dental Health, University of Nigeria Teaching Hospital, Ituku, Enugu, Nigeria
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Abstract

Background/Aim: Dental caries is one of the most common diseases in the world and a common health problem among children. The aim of this study was to assess dental caries and related factors using the Decayed Missing and Filled Teeth (DMFT), Significant Caries Index (SiC), Restorative and Met Need indices in 12-year-old schoolchildren in a Southeastern State of Nigeria. Materials and Methods: A cross-sectional descriptive study of 360 twelve year old students selected by multistage sampling method from four schools in Enugu. Sociodemographic and behavioral data on dietary and oral health-care practices were collected using questionnaires, followed by an intraoral examination of each participant in accordance with the WHO criteria to determine their individual DMFT. Total and mean DMFT were obtained. SiC, Restorative Index (RI), and Met Need Index (MNI) were calculated. Data analysis was performed using the SPSS version 20. P ≤ 0.05 were accepted as statistically significant. Results: The prevalence of caries was 54.4%. Mean SiC/DMFT ratios of private and public school participants were 2.29/0.78 and 2.83/1.59, respectively. A zero RI and 0.02 MNI values were observed for all participants. Twelve (6.9%) public schoolchildren did not brush every day, although nearly 100% of them consumed cariogenic diet regularly. Conclusion: Despite low DMFT, number of teeth with untreated caries mirrored by zero RI and MNI values was high. Unhealthy dietary habits, suboptimal oral hygiene practices, and possibly lack of perception of gravity of caries were key influential factors. Efforts should be geared toward bridging these gaps through effective prevention program in schools.

Keywords

12 years old - decayed missing and filled teeth - dental caries - significant caries index

Financial support and sponsorship

Nil.




Publication History

Article published online:
01 November 2021

© 2020. European Journal of General Dentistry. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Bagramian RA, Garcia-Godoy F, Volpe AR. The global increase in dental caries. A pending public health crisis. Am J Dent 2009; 22:3-8.
  • 2 Denloye O, Ajayi D, Bankole O. A study of dental caries prevalence in 12-14 years old school children in Ibadan, Nigeria. J Paediatr Dent 2005;15:147-51.
  • 3 Al-Samadani KH, Ahmad MS, Bakeer HA, Elanbya MG. Oral health knowledge and practice among 9-12-year-old schoolchildren in the region of Madinah, Saudi Arabia, and its impact on the prevalence of dental caries. Eur J Gen Dent 2017;6:54-8.
  • 4 Petersen PE, Lennon MA. Effective use of fluorides for the prevention of dental caries in the 21st century: The WHO approach. Community Dent Oral Epidemiol 2004;32:319-21.
  • 5 Nakre PD, Harikiran AG. Effectiveness of oral health education programs: A systematic review. J Int Soc Prev Community Dent 2013;3:103-15.
  • 6 Bansal R, Sharma S, Shukla AK, Parashar P, Singh D, Varshney AM, Ahmad S. Prevalence of dental caries among school children in Meerut. Asian Pac J Health Sci2015;2:84-8
  • 7 Hobdell M, Petersen PE, Clarkson J, Johnson N. Global goals for oral health 2020. Int Dent J 2003;53:285-8.
  • 8 Petersen PE, Bourgeois D, Ogawa H, Estupinan-Day S, Ndiyae C. The global burden of oral diseases and risks to oral health. Bull World Health Organ 2005;83:661-9. Available from: https://apps.who.int/iris/handle/10665/73285. [Last accessed on 2019 Jun 14].
  • 9 Van den Branden S, Van den Broucke S, Leroy R, Declerck D, Hoppenbrouwers K. Oral health and oral health-related behaviour in preschool children: Evidence for a social gradient. Eur J Pediatr 2013;172:231-7.
  • 10 Peres MA, de Oliveira Latorre Mdo R, Sheiham A, Peres KG, Barros FC, Hernandez PG, et al. Social and biological early life influences on severity of dental caries in children aged 6 years. Community Dent Oral Epidemiol 2005;33:53-63.
  • 11 Roberts K, Condon L. How do parents look after children’s teeth? A qualitative study of attitudes to oral health in the early years. Community Pract 2014;87:32-5.
  • 12 Sahito N, Sahito MA, Fazlani KA. Prevalence of dental caries among school children in Hyderabad Pakistan. Int J Appl Sci Res Rev 2015;26:34-8.
  • 13 Al-Bluwi GS. Epidemiology of dental caries in children in the United Arab Emirates. Int Dent J 2014;64:219-28.
  • 14 Ingle NA, Dubey HV, Kaur N, Gupta R. Prevalence of dental caries among school children of Bharatpur city, India. J Int Soc Prev Community Dent 2014;4:52-5.
  • 15 World Health Organization. The World Oral Health Report 2003. Geneva, Switzerland: World Health Organization; 2003.
  • 16 Okeigbemen SA. The prevalence of dental caries among 12 to 15-year-old school children in Nigeria: Report of a local survey and Campaign. Oral Health Prev Dent 2004;2:27-31.
  • 17 Okoye LO, Chukwuneke FN, Akaji EA, Folaranmi N. Caries experience among school children in Enugu, Nigeria. Int J Med Health Dev 2010;15:17-23.
  • 18 Umesi-Koleoso DC, Ayanbadejo PO, Oremosu OA. Dental caries trend among adolescents in Lagos, South-West Nigeria. West Afr J Med 2007;26:201-5.
  • 19 Okoye L, Ekwueme O. Prevalence of dental caries in a Nigerian rural community: A preliminary local survey. Ann Med Health Sci Res 2011;1:187-95.
  • 20 Udoye C, Aguwa E, Chikezie R, Ezeokenwa M, Jerry-Oji O, Okpaji C. Prevalence and distribution of caries in the 12-15 years urban school children in Enugu. Int J Dent Sci 2008;7:2. Available from: http://ispub.com/IJDS/7/2/1189. [Last accessed on 2019 Apr 04].
  • 21 Adekoya-Sofowora CA, Nasir WO, Oginni AO, Taiwo M. Dental caries in 12-year-old suburban Nigerian school children. Afr Health Sci 2006;6:145-50.
  • 22 Agbelusi GA, Jeboda SO. Oral health status of 12-year-old Nigerian children. West Afr J Med 2006;25:195-8.
  • 23 Braimoh OB, Umanah AU, Ilochonwu AN. Caries distribution, prevalence, and treatment needs among 12–15-year-old secondary school students in Port Harcourt, Rivers state, Nigeria. J Dent Surg 2014. p. 6. 23. Available from: http://dx.doi.org/10.1155/2014/483760. [Last accessed on 2019 Apr 04].
  • 24 Cypriano S, Hoffmann RH, de Sousa Mda L, Wada RS. Dental caries experience in 12-year-old schoolchildren in Southeastern Brazil. J Appl Oral Sci 2008;16:286-92.
  • 25 Nurelhuda NM, Trovik TA, Ali RW, Ahmed MF. Oral health status of 12-year-old school children in Khartoum state, the Sudan; a school-based survey. BMC Oral Health 2009;9:15.
  • 26 Shafiezadeh N, Soleimani F, Mokhtari S, Askarizadeh N, Fatehi R. Dental status and DMFT index in 12 year old children of public care Centers in Tehran. Iran Rehabil J 2011;9:51-4.
  • 27 Gökalp SG, Doğan BG, Tekçiçek MT, Berberoğlu A, Unlüer S. National survey of oral health status of children and adults in Turkey. Community Dent Health 2010;27:12-7.
  • 28 Vizzotto D, Paiano HM, Rudey AC, Lovera AK, Hagemann P, Gazolla T. DMFT index of 12 year-old students of public schools participating in the project of education for working for health. RSBO 2013;10:245-51.
  • 29 Bhayat A, Ahmad MS. Oral health status of 12-year-old male schoolchildren in medina, Saudi Arabia. East Mediterr Health J 2014;20:732-7.
  • 30 Ndanu TA, Aryeetey R, Sackeyfio J, Otoo G, Lartey A. Oral hygiene practices and caries prevalence among 9-15 years old Ghanaian School children. J Nutr Health Sci 2015;2:104.
  • 31 Elias-Boneta AR, Toro MJ, Rivas-Tumanyan S, Murillo M, Orraca L, Encarnacion A, et al. Persistent oral health disparity in 12-year-old Hispanics: A cross-sectional study. BMC Oral Health 2016;16:10.
  • 32 Poudyal S, Rao A, Shenoy R, Priya H. Dental caries experience using the significant caries index among 12 year old school children in Karnataka, India. Int J Adv Res 2015;3:308-12.
  • 33 Andegiorgish AK, Weldemariam BW, Kifle MM, Mebrahtu FG, Zewde HK, Tewelde MG, et al. Prevalence of dental caries and associated factors among 12 years old students in Eritrea. BMC Oral Health 2017;17:169.
  • 34 Riatto SG, Montero J, Pérez DR, Castaño-Séiquer A, Dib A. Oral health status of Syrian children in the refugee center of Melilla, Spain. Int J Dent 2018;2018:2637508. doi: 10.1155/2018/2637508.
  • 35 Araoye MO. Research Methodology with Statistics for Health and Social Sciences. 1st ed. Ilorin: Nathadex; 2003. p. 117-21.
  • 36 World Health Organization. Oral Health Surveys-Basic Methods. 5th ed. Geneva, Switzerland: World Health Organization; 2013.
  • 37 Daly B, Batchelor PA, Treasure ET, Watt RG. Essential Dental Public Health. 2nd ed. Oxford: Oxford University Press; 2013.
  • 38 Akaji EA, Uguru NP, Maduakor SN, Ndiokwelu EM. Using community participation to assess demand and uptake of scaling and polishing in rural and urban environments. BMC Oral Health 2018;18:80.
  • 39 Akaji EA, Oredugba FA, Jeboda SO. Utilization of dental services among secondary school students in Lagos-Nigeria. Nig Dent J 2007;16:87-91.
  • 40 Ndiokwelu E. Applicability of rosenstock-hochbaum health behaviour model to prevention of periodontal disease in Enugu students. Odontostomatol Trop 2004;27:4-8.
  • 41 Redding CA, Rossi JS, Rossi SR, Velicer WF, Prochaska JO. Health behavior models. Int Electron J Health Educ 2000;3:180-93. Available from: http://www.iejhe.siu.edu. [Last accessed on 2019 Jun 14].
  • 42 Modak AR, Desai M. Prevalence of dental caries and designing the interventional strategies for school children in rural Konkan region. Walawalkar Int Med J 2017;4:35-40.