Dental caries and erosion status of 12-year-old Hong Kong children

BMC Public Health

Chun-Hung Chu¹  Edward CM Lo¹  Alex MH Chau¹  Shinan Zhang¹ 

[1] Faculty of Dentistry, The University of Hong Kong, 34 Hospital Road, Hong Kong, SAR, China

关键词: Children;    Epidemiology;    Oral health behaviours;    Dental erosion;    Caries;   

Others  :  1161376
DOI  :  10.1186/1471-2458-14-7

 received in 2013-04-04, accepted in 2014-01-05,  发布年份 2014

【 摘 要 】

Background

This study aimed to assess the dental caries and erosion status of 12-year-old Hong Kong children and study the determinants of dental caries and dental erosion of these children.

Methods

The survey was performed from 2011 to 2012 with ethics approval. Stratified random sampling was adopted to select 12-year-old children in 7 primary schools in Hong Kong. The participating parents were asked to complete a self-administered questionnaire concerning their children’s diet and oral health habits. The children were examined for caries status with WHO criteria by 3 calibrated examiners. Detection of dental erosion followed Basic Erosive Wear Examination (BEWE) criteria.

Results

A total of 704 children were recruited and 600 (316 boys, 53%) participated in the survey. There were 124 children (21%) with caries experience (DMFT > 0) and their DMFT was 0.34 ± 0.76. About half of their decay was unfilled (DT = 0.16 ± 0.52) The DMFT of girls and boys were 0.45 ± 0.89 and 0.23 ± 0.61, respectively (p = 0.001). Girls also had a higher DT (0.21 ± 0.62 compared with 0.11 ± 0.41, p = 0.013) and FT than boys (0.23 ± 0.63 compared with 0.12 ± 0.44, p = 0.016). Most children (75%) had at least some sign of erosion (BEWE > 0), but no severe erosion (BEWE = 3). Logistic regression showed girls who consumed soft drinks and took vitamin C supplements had higher caries risk. Dental erosion was more severe among the children who had caries experience and consumed fruit juice.

Conclusions

The 12-year-old Hong Kong children had low caries experience, and almost half of the decay was left untreated. Although severe erosion was not found, many children had early signs of erosion.

【 授权许可】

   
2014 Zhang et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Reich E: Trends in caries and periodontal health epidemiology in Europe. Int Dent J 2011, 51(S6):392-398.
• [2]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 Dental Oral Epidemiol 2003, 31(s1):3-24.
• [3]Petersen PE, Lennon MA: Effective use of fluorides for the prevention of dental caries in the 21st century: the WHO approach. Community Dental Oral Epidemiol 2004, 32(5):319-321.
• [4]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.
• [5]Chu CH, Chau AM, Lo EC, Lam A: Planning and implementation of community oral health programs for caries management in children. Gen Dent 2012, 60:210-215.
• [6]Chu CH: Treatment of early childhood caries: a review and case report. Gen Dent 2000, 48(2):42-48.
• [7]Chu CH, Fung DSH, Lo ECM: Dental caries status of pre-school children in Hong Kong. Br Dent J 1999, 187(11):616-620.
• [8]Chu CH, Wong SSS, Suen RPC, Lo ECM: Oral health and dental care in Hong Kong. Surgeon 2013, 11(3):153-157.
• [9]Imfeld T: Dental erosion: definition, classification and links. Eur J Oral Sci 1996, 104(2):151-155.
• [10]Chu CH, Lam A, Lo ECM: Dentin hypersensitivity and its management. Gen Dent 2011, 59(2):115-122.
• [11]Lussi A, Schaffner M, Jaeggi T: Dental erosion - diagnosis and prevention in children and adults. Int Dent J 2007, 57:385-398.
• [12]Arnadottir IB, Holbrook WP, Eggertsson H, Gudmundsdottir H, Jonsson SH, Gudlaugsson JO, Saemundsson SR, Eliasson ST, Agustsdottir H: Prevalence of dental erosion in children: a national survey. Community Dent Oral Epidemiol 2010, 38(6):521-526.
• [13]Hasselkvist A, Johansson A, Johansson AK: Dental erosion and soft drink consumption in Swedish children and adolescents and the development of a simplified erosion partial recording system. Swed Dent J 2010, 34(4):187-195.
• [14]Chu CH, Pang KKL, Lo ECM: Dietary behaviour and knowledge of dental erosion among Chinese adults. BMC Oral Health 2010, 10:13. BioMed Central Full Text
• [15]Owens BM: The potential effects of pH and buffering capacity on dental erosion. Gen Dent 2007, 55(6):527-531.
• [16]Department of Health: Oral health survey 2001. Hong Kong: Hong Kong SAR Government; 2002.
• [17]World Health Organization: Oral healthy surveys: basic methods. 4th edition. Geneva: World Health Organization; 1997.
• [18]Census and Statistics Department: 2011 Population census. : ; http://www.census2011.gov.hk/en/index.html webcite Access on November 19, 2013
• [19]Department of Health: Oral health survey 2001 technical report. Hong Kong: Department of Health; 2002.
• [20]Bartlett D, Ganss C, Lussi A: Basic erosive wear examination (BEWE): a new scoring system for scientific and clinical needs. Clin Oral Investig 2008, 12(1):S65-S68.
• [21]Census and Statistics Department: Thematic report household income distribution in Hong Kong published in June 2012. : ; http://www.census2011.gov.hk/pdf/household-income.pdf webcite Accessed on April 4, 2013
• [22]Harding MA, Whelton H, O’Mullane DM, Cronin M: Dental erosion in 5-year-old Irish school children and associated factors: a pilot study. Community Dent Health 2006, 20(3):165-170.
• [23]Matonanaki M, Koletsi-Kounari H, Mamai-Homata E, Papaioannou W: Dental erosion prevalence and associated risk indicators among preschool children in Athens, Greece. Clin Oral Investig 2013, 17(2):585-593.
• [24]Mulic A, Tveit AB, Wang NJ, Hove LH, Espelid I, Skaare AB: Reliability of two clinical scoring systems for dental erosive wear. Caries Res 2010, 44(3):294-299.
• [25]Ganss C: How valid are current diagnostic criteria for dental erosion? Clin Oral Investig 2008, 12:S41-S49.
• [26]Margaritis V, Mamai-Homata E, Koletsi-Kounari H, Polychronopoulou A: Evaluation of three different scoring systems for dental erosion: a comparative study in adolescents. J Dent 2011, 39(1):88-93.
• [27]Milosevic A: The problem with an epidemiological index for dental erosion. Br Dent J 2011, 211(5):201-203.
• [28]Chu CH, Ho PL, Lo EC: Oral health status and behaviours of preschool children in Hong Kong. BMC Public Health 2012, 12:767. BioMed Central Full Text
• [29]Chu CH AWYW, Lo ECM, Courtel F: Oral health status and behaviours of children in rural districts of Cambodia. Int Dent J 2008, 58:15-22.
• [30]Wong MC, Lo ECM, Schwarz E, Zhang HG: Oral health status and oral health behaviors in Chinese children. J Dent Res 2001, 80(5):1459-1465.
• [31]Narksawat K, Tonmukayakul U, Boonthum A: Association between nutritional status and dental caries in permanent dentition among primary schoolchildren aged 12–14 years, Thailand. Southeast Asian J Trop Med Public Health 2009, 40(2):338-344.
• [32]Wang P, Lin HC, Chen JH, Liang HY: The prevalence of dental erosion and associated risk factors in 12-13-year-old school children in Southern China. BMC Public Health 2010, 10:478. BioMed Central Full Text
• [33]Lussi A, Jaeggi T, Zero D: The role of diet in the aetiology of dental erosion. Caries Res 2004, 38(1):34-44.
• [34]Abu-Ghazaleh SB, Burnside G, Milosevic A: The prevalence and associated risk factors for tooth wear and dental erosion in 15- to 16-year-old schoolchildren in Amman, Jordan. Eur Arch Paediatr Dent 2013, 14:21-27.
• [35]Huew R, Waterhouse P, Moynihan P, Kometa S, Maguire A: Dental caries and its association with diet and dental erosion in Libyan schoolchildren. Int J Paediatr Dent 2012, 22(1):68-76.
• [36]Hamasha AA, Zawaideh FI, Al-Hadithy RT: Risk indicators associated with dental erosion among Jordanian school children aged 12–14 years of age. Int J Paediatr Dent 2013, 24:56-58.