Clinical status and assessment of caries on first permanent molars in a group of 6‐ to 13‐year‐old Tunisian school children
Abstract Aim The present survey aimed to highlight the clinical status of first permanent molars (FPMs) among a group of children aged between 6 and 13 years in public primary schools in Tunisia and to determine the association between FPMs' dental caries, gingival bleeding, malocclusion, denta...
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Format: | Article |
Language: | English |
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Wiley
2023-02-01
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Series: | Clinical and Experimental Dental Research |
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Online Access: | https://doi.org/10.1002/cre2.676 |
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author | Farah Chouchene Fatma Masmoudi Ahlem Baaziz Fethi Maatouk Hichem Ghedira |
author_facet | Farah Chouchene Fatma Masmoudi Ahlem Baaziz Fethi Maatouk Hichem Ghedira |
author_sort | Farah Chouchene |
collection | DOAJ |
description | Abstract Aim The present survey aimed to highlight the clinical status of first permanent molars (FPMs) among a group of children aged between 6 and 13 years in public primary schools in Tunisia and to determine the association between FPMs' dental caries, gingival bleeding, malocclusion, dental fluorosis, and enamel defects. Materials and Methods The survey involved a cross‐sectional study based on a dental examination conducted in public primary schools in Monastir Tunisia. A dental caries assessment was performed on FPMs using the International Caries Detection and Assessment System classification; the number of carious lesions in permanent and temporary dentition was established using the decayed/missing/filled teeth (DMFT) index. The Gingival Index and the Dental Aesthetic Index were used to determine the occurrence of gingival bleeding and malocclusions. Dean's index and the modified Development Defects of Enamel index were used to define the enamel defects. The χ2 test was used to assess the difference between more than two groups, and the level of statistical significance was set at .05%. Results A total of 545 children and 2080 FPMs were examined. The prevalence of dental caries in FPMs was recorded to be 35.8%. The overall mean DMFT index of the study population was 1.62 and the mean DMFT index was 1.41. The proportion of carious FPMs increased significantly with the age of the children (p < .05). The mandibular first permanent molar presented higher caries prevalence than its maxillary counterpart (p < .05). The presence of surfaces affected by molar incisor hypomineralization was recorded in 4.3% and the presence of surfaces affected by fluorosis was recorded in 4.6% of FPMs. No association was reported between FPMs' dental caries, gingival bleeding, malocclusion, and enamel defects (p > .05). Conclusion Although the prevalence of caries in FPMs was considered moderate, health promotion programs should be implemented on a large scale to decrease the prevalence of dental caries among school children. |
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format | Article |
id | doaj.art-843d62e225184295bb24b519db4693e7 |
institution | Directory Open Access Journal |
issn | 2057-4347 |
language | English |
last_indexed | 2024-04-10T10:02:23Z |
publishDate | 2023-02-01 |
publisher | Wiley |
record_format | Article |
series | Clinical and Experimental Dental Research |
spelling | doaj.art-843d62e225184295bb24b519db4693e72023-02-16T05:59:05ZengWileyClinical and Experimental Dental Research2057-43472023-02-019124024810.1002/cre2.676Clinical status and assessment of caries on first permanent molars in a group of 6‐ to 13‐year‐old Tunisian school childrenFarah Chouchene0Fatma Masmoudi1Ahlem Baaziz2Fethi Maatouk3Hichem Ghedira4Pediatric and Preventive Dentistry Department Faculty of Dental Medicine of Monastir Monastir TunisiaPediatric and Preventive Dentistry Department Faculty of Dental Medicine of Monastir Monastir TunisiaPediatric and Preventive Dentistry Department Faculty of Dental Medicine of Monastir Monastir TunisiaPediatric and Preventive Dentistry Department Faculty of Dental Medicine of Monastir Monastir TunisiaPediatric and Preventive Dentistry Department Faculty of Dental Medicine of Monastir Monastir TunisiaAbstract Aim The present survey aimed to highlight the clinical status of first permanent molars (FPMs) among a group of children aged between 6 and 13 years in public primary schools in Tunisia and to determine the association between FPMs' dental caries, gingival bleeding, malocclusion, dental fluorosis, and enamel defects. Materials and Methods The survey involved a cross‐sectional study based on a dental examination conducted in public primary schools in Monastir Tunisia. A dental caries assessment was performed on FPMs using the International Caries Detection and Assessment System classification; the number of carious lesions in permanent and temporary dentition was established using the decayed/missing/filled teeth (DMFT) index. The Gingival Index and the Dental Aesthetic Index were used to determine the occurrence of gingival bleeding and malocclusions. Dean's index and the modified Development Defects of Enamel index were used to define the enamel defects. The χ2 test was used to assess the difference between more than two groups, and the level of statistical significance was set at .05%. Results A total of 545 children and 2080 FPMs were examined. The prevalence of dental caries in FPMs was recorded to be 35.8%. The overall mean DMFT index of the study population was 1.62 and the mean DMFT index was 1.41. The proportion of carious FPMs increased significantly with the age of the children (p < .05). The mandibular first permanent molar presented higher caries prevalence than its maxillary counterpart (p < .05). The presence of surfaces affected by molar incisor hypomineralization was recorded in 4.3% and the presence of surfaces affected by fluorosis was recorded in 4.6% of FPMs. No association was reported between FPMs' dental caries, gingival bleeding, malocclusion, and enamel defects (p > .05). Conclusion Although the prevalence of caries in FPMs was considered moderate, health promotion programs should be implemented on a large scale to decrease the prevalence of dental caries among school children.https://doi.org/10.1002/cre2.676dental cariesenamel defectsfirst permanent molarGingivits |
spellingShingle | Farah Chouchene Fatma Masmoudi Ahlem Baaziz Fethi Maatouk Hichem Ghedira Clinical status and assessment of caries on first permanent molars in a group of 6‐ to 13‐year‐old Tunisian school children Clinical and Experimental Dental Research dental caries enamel defects first permanent molar Gingivits |
title | Clinical status and assessment of caries on first permanent molars in a group of 6‐ to 13‐year‐old Tunisian school children |
title_full | Clinical status and assessment of caries on first permanent molars in a group of 6‐ to 13‐year‐old Tunisian school children |
title_fullStr | Clinical status and assessment of caries on first permanent molars in a group of 6‐ to 13‐year‐old Tunisian school children |
title_full_unstemmed | Clinical status and assessment of caries on first permanent molars in a group of 6‐ to 13‐year‐old Tunisian school children |
title_short | Clinical status and assessment of caries on first permanent molars in a group of 6‐ to 13‐year‐old Tunisian school children |
title_sort | clinical status and assessment of caries on first permanent molars in a group of 6 to 13 year old tunisian school children |
topic | dental caries enamel defects first permanent molar Gingivits |
url | https://doi.org/10.1002/cre2.676 |
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