Differences in Caries Status and Risk Factors among Privileged and Unprivileged Children in Colombia.

OBJECTIVE: The objective of this study was to compare the ICDAS-II caries status and caries-related factors among children from rural and urban schools in Pasto, Colombia. MATERIALS AND METHODS: The study included 120 children (4 - 6 year- old children) from rural (privileged) and urban (unprivilege...

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Autores:
Guauque Olarte, Sandra Milena
Cerón Bastidas, Ximena Andrea
Suarez, Andres
Tipo de recurso:
Article of journal
Fecha de publicación:
2018
Institución:
Universidad Cooperativa de Colombia
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Repositorio UCC
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oai:repository.ucc.edu.co:20.500.12494/16268
Acceso en línea:
https://hdl.handle.net/20.500.12494/16268
Palabra clave:
Caries Risk Factors
Dental Care for Children
Risk Factors
Dental Caries
ICDAS-II
Rural Health
Caries Risk Factors
Dental Care for Children
Risk Factors
Dental Caries
ICDAS-II
Rural Health
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id COOPER2_79abba04a2f2684ee9f2f94812b6a292
oai_identifier_str oai:repository.ucc.edu.co:20.500.12494/16268
network_acronym_str COOPER2
network_name_str Repositorio UCC
repository_id_str
dc.title.spa.fl_str_mv Differences in Caries Status and Risk Factors among Privileged and Unprivileged Children in Colombia.
title Differences in Caries Status and Risk Factors among Privileged and Unprivileged Children in Colombia.
spellingShingle Differences in Caries Status and Risk Factors among Privileged and Unprivileged Children in Colombia.
Caries Risk Factors
Dental Care for Children
Risk Factors
Dental Caries
ICDAS-II
Rural Health
Caries Risk Factors
Dental Care for Children
Risk Factors
Dental Caries
ICDAS-II
Rural Health
title_short Differences in Caries Status and Risk Factors among Privileged and Unprivileged Children in Colombia.
title_full Differences in Caries Status and Risk Factors among Privileged and Unprivileged Children in Colombia.
title_fullStr Differences in Caries Status and Risk Factors among Privileged and Unprivileged Children in Colombia.
title_full_unstemmed Differences in Caries Status and Risk Factors among Privileged and Unprivileged Children in Colombia.
title_sort Differences in Caries Status and Risk Factors among Privileged and Unprivileged Children in Colombia.
dc.creator.fl_str_mv Guauque Olarte, Sandra Milena
Cerón Bastidas, Ximena Andrea
Suarez, Andres
dc.contributor.author.none.fl_str_mv Guauque Olarte, Sandra Milena
Cerón Bastidas, Ximena Andrea
Suarez, Andres
dc.subject.spa.fl_str_mv Caries Risk Factors
Dental Care for Children
Risk Factors
Dental Caries
ICDAS-II
Rural Health
topic Caries Risk Factors
Dental Care for Children
Risk Factors
Dental Caries
ICDAS-II
Rural Health
Caries Risk Factors
Dental Care for Children
Risk Factors
Dental Caries
ICDAS-II
Rural Health
dc.subject.other.spa.fl_str_mv Caries Risk Factors
Dental Care for Children
Risk Factors
Dental Caries
ICDAS-II
Rural Health
description OBJECTIVE: The objective of this study was to compare the ICDAS-II caries status and caries-related factors among children from rural and urban schools in Pasto, Colombia. MATERIALS AND METHODS: The study included 120 children (4 - 6 year- old children) from rural (privileged) and urban (unprivileged) schools. Caries was evaluated using the ICDAS-II criteria. A survey about the factors related to the presence of caries was applied. Chi-square and Fisher's tests were used to assess the differences in each study variable between the two groups. A Mann-Whitney U test was used to compare the number of teeth, per ICDAS-II category, between the groups. Negative binomial regression was used to estimate the percentage change in the mean number of teeth, per ICDAS-II category, among the rural and urban students. RESULTS: Significant differences were found between the rural and urban students for the ICDAS-II 0 and 3-6 categories (p<0.001). The mean number of teeth with moderate-to-severe caries status increased 233% in children from the rural school compared to those attending the urban school (p=0.0). Toothbrushing frequency (p=0.006), cariogenic diet, time elapsed from last dental visit, socioeconomic status, and type of health regime (p<0.001) were among the significant factors related to the rural and urban schools. CONCLUSIONS: This was the first study to compare ICDAS-II caries status between rural and urban students in Colombia. A worse caries status was found in rural students. This study identified the socioeconomic and clinical factors to guide specific interventions for rural children by modifying the available oral health promotion and disease prevention programs.
publishDate 2018
dc.date.issued.none.fl_str_mv 2018-12-01
dc.date.accessioned.none.fl_str_mv 2020-01-23T15:24:05Z
dc.date.available.none.fl_str_mv 2020-01-23T15:24:05Z
dc.type.none.fl_str_mv Artículo
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dc.identifier.bibliographicCitation.spa.fl_str_mv Cerón-Bastidas, X.A., Suarez, A.y Guauque-Olarte, S. (2018) Differences in Caries Status and Risk Factors among Privileged and Unprivileged Children in Colombia. Acta Stomatol Croat. 2018 Dec;52(4):330-339. doi: 10.15644/asc52/4/7. Recuperado de: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6336445/
identifier_str_mv 1846-0410 (Online)
10.15644/asc52/4/7
Cerón-Bastidas, X.A., Suarez, A.y Guauque-Olarte, S. (2018) Differences in Caries Status and Risk Factors among Privileged and Unprivileged Children in Colombia. Acta Stomatol Croat. 2018 Dec;52(4):330-339. doi: 10.15644/asc52/4/7. Recuperado de: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6336445/
url https://hdl.handle.net/20.500.12494/16268
dc.relation.isversionof.spa.fl_str_mv https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6336445/
dc.relation.ispartofjournal.spa.fl_str_mv acta stomatologica croatica
dc.relation.references.spa.fl_str_mv 1. Petersen PE. The World Oral Health Report 2003: continuous improvement of oral health in the 21st century - the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol. 2003. Dec;31 Suppl 1:3–23. 10.1046/j..2003.com122.x [PubMed] [CrossRef] [Google Scholar]
2. Bönecker M, Abanto J, Tello G, Oliveira LB. Impact of dental caries on preschool children’s quality of life: an update. Braz Oral Res. 2012;26 Suppl 1:103–7. 10.1590/S1806-83242012000700015 [PubMed] [CrossRef] [Google Scholar]
3. Ministerio de Salud y Protección Social de Colombia IV Estudio Nacional de Salud Bucal ENSAB IV. Situación en Salud Bucal. 2015;1:1–381. [Google Scholar]
4. Salas A, Cerón X, Cadena A, Mosquera C. Historia de caries en población escolarizada de 5 y 12 años en el corregimiento de Genoy municipio de Pasto - 2008. Rev Colomb de Investig Odontol. 2012;3:40–7. [Google Scholar]
5. Solarte J, Rocha A, Agudelo-Suárez A. Perfil epidemiológico de las alteraciones de la oclusión en la población escolar del corregimiento de Genoy, municipio de Pasto. Rev Fac Odontol Univ Antioq. 2011 [Google Scholar]
6. Naranjo M. Secretaría Distrital de Salud – Asociación Colombiana de Facultades de Odontología – ACFO. 2009.
7. Chankanka O, Cavanaugh JE, Levy SM, Marshall TA, Warren JJ, Broffitt B, et al. Longitudinal associations between children’s dental caries and risk factors. J Public Health Dent. 2011. Fall;71(4):289–300. 10.1111/j.1752-7325.2011.00271.x [PMC free article] [PubMed] [CrossRef] [Google Scholar]
8. García LM, Giraldo J, Mossos R, Muñoz MM, Perea C, Prado C. Prevalencia de caries y enfermedad periodontal en escolares del sector público de Cali, 2005. Colomb Med. 2008;39:47–50. [Google Scholar]
9. Engelmann JL, Tomazoni F, Oliveira MD, Ardenghi TM. Association between Dental Caries and Socioeconomic Factors in Schoolchildren - A Multilevel Analysis. Braz Dent J. 2016. Jan-Feb;27(1):72–8. 10.1590/0103-6440201600435 [PubMed] [CrossRef] [Google Scholar]
10. Cabrera C, Arancet MI, Cueto A, Martínez D. Salud Oral en Población Escolar Urbana y Rural. Int J Odontostomatol. 2015;9:341–8. 10.4067/S0718-381X2015000300001 [CrossRef] [Google Scholar]
11. Mitropoulos P, Stamatakis H, Rahiotis C, Kakaboura A. Diagnostic performance of the visual caries classification system ICDAS II versus radiography and micro-computed tomography for proximal caries detection: an in vitro study. J Dent. 2010. Nov;38(11):859–67. 10.1016/j.jdent.2010.07.005 [PubMed] [CrossRef] [Google Scholar]
12. Ekstrand KR, Kuzmina I, Bjorndal L, Thylstrup A. Relationship between external and histologic features of progressive stages of caries in the occlusal fossa. Caries Res. 1995;29(4):243–50. 10.1159/000262076 [PubMed] [CrossRef] [Google Scholar]
13. Pitts NB, Ekstrand KR. International Caries Detection and Assessment System (ICDAS) and its International Caries Classification and Management System (ICCMS)–methods for staging of the caries. Community Dent Oral Epidemiol. 2013. Feb;41(1):e41–52. 10.1111/cdoe.12025 [PubMed] [CrossRef] [Google Scholar]
14. Braga MM, Bonini G, Oliveira LB, Bönecker M. Feasibility of the International Caries Detection and Assessment System (ICDAS-II) in epidemiological surveys and comparability with standard World Health Organization criteria. Caries Res. 2009;43(4):245–9. 10.1159/000217855 [PubMed] [CrossRef] [Google Scholar]
15. Gomez J, Zakian C, Salsone S, Pinto SC, Taylor A, Pretty IA, et al. In vitro performance of different methods in detecting occlusal caries lesions. J Dent. 2013. Feb;41(2):180–6. 10.1016/j.jdent.2012.11.003 [PubMed] [CrossRef] [Google Scholar]
16. Clara J, Bourgeois D, Muller-Bolla M. DMF from WHO basic methods to ICDAS II advanced methods: a systematic review of literature. Odontostomatol Trop. 2012. Sep;35(139):5–11. [PubMed] [Google Scholar]
17. Shoaib L, Deery CM, Nugent ZJ, Ricketts DNJ. Validity and reproducibility of ICDAS II in primary teeth. Caries Res. 2009;43(6):442–8. 10.1159/000258551 [PubMed] [CrossRef] [Google Scholar]
18. Banava S, Safaie T, Fattah M, Askarzadeh S. Clinical comparison of dental caries by DMFT and ICDAS systems. JIDA. 2012;24:146–51. [Google Scholar]
19. Echeverría DS, Henríquez E, Sepúlveda R, Barra M. Caries temprana de la infancia severa: Impacto en la calidad de vida relacionada a la salud oral de niños preescolares. Rev Dent Chile. 2010;101:15–21. [Google Scholar]
20. R Development Core Team. R: A language and environment for statistical computing. 2017.
21. Rodakowska E, Wilczynska-Borawska M, Baginska J, Stokowska E. Epidemiological analysis of dental caries in 12-year-old children residing in urban and rural settings in the Podlaskie region of north-eastern Poland. Ann Agric Environ Med. 2013;20(2):325–8. [PubMed] [Google Scholar]
22. Joseph C, Velley AM, Pierre A, Bourgeois D, Muller-Bolla M. Dental health of 6-year-old children in Alpes Maritimes, France. Eur Arch Paediatr Dent. 2011. Oct;12(5):256–63. 10.1007/BF03262818 [PubMed] [CrossRef] [Google Scholar]
23. Kadar I, Millán S, Jaramillo P. Perfil de salud dental en población escolar de 12 años de instituciones educativas públicas y pérdida dental en la población mayor de 18 años de la ciudad de Popayán (Cauca, Colombia), 2009. Univ Odontol. 2010;29:99–105. [Google Scholar]
24. Fernández González C, Núñez Franz L, Díaz Sanzana N. Determinantes de salud oral en población de 12 años. Rev Clín Periodoncia Implantol Rehabil Oral. 2011;4:117–21. 10.1016/S0718-5391(11)70078-7 [CrossRef] [Google Scholar]
25. Mello TR, Ferreira Antunes JL. Prevalência de cárie dentária em escolares da região rural de Itapetininga, São Paulo, Brasil. Cad Saude Publica. 2004;20:829–35. 10.1590/S0102-311X2004000300020 [PubMed] [CrossRef] [Google Scholar]
26. Maserejian NN, Tavares MA, Hayes C, Soncini JA, Trachtenberg FL. Rural and urban disparities in caries prevalence in children with unmet dental needs: the New England Children’s Amalgam Trial. J Public Health Dent. 2008. Winter;68(1):7–13. 10.1111/j.1752-7325.2007.00057.x [PubMed] [CrossRef] [Google Scholar]
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32. Agudelo-Suárez AA, Pérez-Escobar JS, Martínez-Herrera E. Factores Relacionados al Uso de Servicios de Salud Oral en la Población de 6 a 15 Años en Colombia. Int J Odontostomatol. 2014;8:175–82. [Google Scholar]
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dc.coverage.temporal.spa.fl_str_mv 52(4)
dc.publisher.spa.fl_str_mv Universidad Cooperativa de Colombia, Facultad de Ciencias de la Salud, Odontología, Pasto
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spelling Guauque Olarte, Sandra MilenaCerón Bastidas, Ximena AndreaSuarez, Andres52(4)2020-01-23T15:24:05Z2020-01-23T15:24:05Z2018-12-011846-0410 (Online)10.15644/asc52/4/7https://hdl.handle.net/20.500.12494/16268Cerón-Bastidas, X.A., Suarez, A.y Guauque-Olarte, S. (2018) Differences in Caries Status and Risk Factors among Privileged and Unprivileged Children in Colombia. Acta Stomatol Croat. 2018 Dec;52(4):330-339. doi: 10.15644/asc52/4/7. Recuperado de: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6336445/OBJECTIVE: The objective of this study was to compare the ICDAS-II caries status and caries-related factors among children from rural and urban schools in Pasto, Colombia. MATERIALS AND METHODS: The study included 120 children (4 - 6 year- old children) from rural (privileged) and urban (unprivileged) schools. Caries was evaluated using the ICDAS-II criteria. A survey about the factors related to the presence of caries was applied. Chi-square and Fisher's tests were used to assess the differences in each study variable between the two groups. A Mann-Whitney U test was used to compare the number of teeth, per ICDAS-II category, between the groups. Negative binomial regression was used to estimate the percentage change in the mean number of teeth, per ICDAS-II category, among the rural and urban students. RESULTS: Significant differences were found between the rural and urban students for the ICDAS-II 0 and 3-6 categories (p<0.001). The mean number of teeth with moderate-to-severe caries status increased 233% in children from the rural school compared to those attending the urban school (p=0.0). Toothbrushing frequency (p=0.006), cariogenic diet, time elapsed from last dental visit, socioeconomic status, and type of health regime (p<0.001) were among the significant factors related to the rural and urban schools. CONCLUSIONS: This was the first study to compare ICDAS-II caries status between rural and urban students in Colombia. A worse caries status was found in rural students. This study identified the socioeconomic and clinical factors to guide specific interventions for rural children by modifying the available oral health promotion and disease prevention programs.1.Abstract. -- 2.Introduction. -- 3.Materials and Methods. -- 4.Results. -- 5.Discussion. -- 6.Acknowledgements. -- 7.Footnotes. -- 8.Referenceshttps://scienti.colciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0000514012https://orcid.org/0000-0003-0336-9682https://scienti.colciencias.gov.co/gruplac/jsp/visualiza/visualizagr.jsp?nro=00000000002911sandra.guauque@campusucc.edu.coximena.ceron@campusucc.edu.coafernando.suarez@gmail.comhttps://scholar.google.com/citations?hl=en&user=9uoINksAAAAJUniversidad Cooperativa de Colombia, Facultad de Ciencias de la Salud, Odontología, PastoOdontologíaPastohttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6336445/acta stomatologica croatica1. Petersen PE. The World Oral Health Report 2003: continuous improvement of oral health in the 21st century - the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol. 2003. Dec;31 Suppl 1:3–23. 10.1046/j..2003.com122.x [PubMed] [CrossRef] [Google Scholar]2. Bönecker M, Abanto J, Tello G, Oliveira LB. Impact of dental caries on preschool children’s quality of life: an update. Braz Oral Res. 2012;26 Suppl 1:103–7. 10.1590/S1806-83242012000700015 [PubMed] [CrossRef] [Google Scholar]3. Ministerio de Salud y Protección Social de Colombia IV Estudio Nacional de Salud Bucal ENSAB IV. Situación en Salud Bucal. 2015;1:1–381. [Google Scholar]4. Salas A, Cerón X, Cadena A, Mosquera C. Historia de caries en población escolarizada de 5 y 12 años en el corregimiento de Genoy municipio de Pasto - 2008. Rev Colomb de Investig Odontol. 2012;3:40–7. [Google Scholar]5. Solarte J, Rocha A, Agudelo-Suárez A. Perfil epidemiológico de las alteraciones de la oclusión en la población escolar del corregimiento de Genoy, municipio de Pasto. Rev Fac Odontol Univ Antioq. 2011 [Google Scholar]6. Naranjo M. Secretaría Distrital de Salud – Asociación Colombiana de Facultades de Odontología – ACFO. 2009.7. Chankanka O, Cavanaugh JE, Levy SM, Marshall TA, Warren JJ, Broffitt B, et al. Longitudinal associations between children’s dental caries and risk factors. J Public Health Dent. 2011. Fall;71(4):289–300. 10.1111/j.1752-7325.2011.00271.x [PMC free article] [PubMed] [CrossRef] [Google Scholar]8. García LM, Giraldo J, Mossos R, Muñoz MM, Perea C, Prado C. Prevalencia de caries y enfermedad periodontal en escolares del sector público de Cali, 2005. Colomb Med. 2008;39:47–50. [Google Scholar]9. Engelmann JL, Tomazoni F, Oliveira MD, Ardenghi TM. Association between Dental Caries and Socioeconomic Factors in Schoolchildren - A Multilevel Analysis. Braz Dent J. 2016. Jan-Feb;27(1):72–8. 10.1590/0103-6440201600435 [PubMed] [CrossRef] [Google Scholar]10. Cabrera C, Arancet MI, Cueto A, Martínez D. Salud Oral en Población Escolar Urbana y Rural. Int J Odontostomatol. 2015;9:341–8. 10.4067/S0718-381X2015000300001 [CrossRef] [Google Scholar]11. Mitropoulos P, Stamatakis H, Rahiotis C, Kakaboura A. Diagnostic performance of the visual caries classification system ICDAS II versus radiography and micro-computed tomography for proximal caries detection: an in vitro study. J Dent. 2010. Nov;38(11):859–67. 10.1016/j.jdent.2010.07.005 [PubMed] [CrossRef] [Google Scholar]12. Ekstrand KR, Kuzmina I, Bjorndal L, Thylstrup A. Relationship between external and histologic features of progressive stages of caries in the occlusal fossa. Caries Res. 1995;29(4):243–50. 10.1159/000262076 [PubMed] [CrossRef] [Google Scholar]13. Pitts NB, Ekstrand KR. International Caries Detection and Assessment System (ICDAS) and its International Caries Classification and Management System (ICCMS)–methods for staging of the caries. Community Dent Oral Epidemiol. 2013. Feb;41(1):e41–52. 10.1111/cdoe.12025 [PubMed] [CrossRef] [Google Scholar]14. Braga MM, Bonini G, Oliveira LB, Bönecker M. Feasibility of the International Caries Detection and Assessment System (ICDAS-II) in epidemiological surveys and comparability with standard World Health Organization criteria. Caries Res. 2009;43(4):245–9. 10.1159/000217855 [PubMed] [CrossRef] [Google Scholar]15. Gomez J, Zakian C, Salsone S, Pinto SC, Taylor A, Pretty IA, et al. In vitro performance of different methods in detecting occlusal caries lesions. J Dent. 2013. Feb;41(2):180–6. 10.1016/j.jdent.2012.11.003 [PubMed] [CrossRef] [Google Scholar]16. Clara J, Bourgeois D, Muller-Bolla M. DMF from WHO basic methods to ICDAS II advanced methods: a systematic review of literature. Odontostomatol Trop. 2012. Sep;35(139):5–11. [PubMed] [Google Scholar]17. Shoaib L, Deery CM, Nugent ZJ, Ricketts DNJ. Validity and reproducibility of ICDAS II in primary teeth. Caries Res. 2009;43(6):442–8. 10.1159/000258551 [PubMed] [CrossRef] [Google Scholar]18. Banava S, Safaie T, Fattah M, Askarzadeh S. Clinical comparison of dental caries by DMFT and ICDAS systems. JIDA. 2012;24:146–51. [Google Scholar]19. Echeverría DS, Henríquez E, Sepúlveda R, Barra M. Caries temprana de la infancia severa: Impacto en la calidad de vida relacionada a la salud oral de niños preescolares. Rev Dent Chile. 2010;101:15–21. [Google Scholar]20. R Development Core Team. R: A language and environment for statistical computing. 2017.21. Rodakowska E, Wilczynska-Borawska M, Baginska J, Stokowska E. Epidemiological analysis of dental caries in 12-year-old children residing in urban and rural settings in the Podlaskie region of north-eastern Poland. Ann Agric Environ Med. 2013;20(2):325–8. [PubMed] [Google Scholar]22. Joseph C, Velley AM, Pierre A, Bourgeois D, Muller-Bolla M. Dental health of 6-year-old children in Alpes Maritimes, France. Eur Arch Paediatr Dent. 2011. Oct;12(5):256–63. 10.1007/BF03262818 [PubMed] [CrossRef] [Google Scholar]23. Kadar I, Millán S, Jaramillo P. Perfil de salud dental en población escolar de 12 años de instituciones educativas públicas y pérdida dental en la población mayor de 18 años de la ciudad de Popayán (Cauca, Colombia), 2009. Univ Odontol. 2010;29:99–105. [Google Scholar]24. Fernández González C, Núñez Franz L, Díaz Sanzana N. Determinantes de salud oral en población de 12 años. Rev Clín Periodoncia Implantol Rehabil Oral. 2011;4:117–21. 10.1016/S0718-5391(11)70078-7 [CrossRef] [Google Scholar]25. Mello TR, Ferreira Antunes JL. Prevalência de cárie dentária em escolares da região rural de Itapetininga, São Paulo, Brasil. Cad Saude Publica. 2004;20:829–35. 10.1590/S0102-311X2004000300020 [PubMed] [CrossRef] [Google Scholar]26. 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