The Prevalence, Severity and Pattern of First Permanent Molars’ Dental Caries in Children Attending A Postgraduate Dental Hospital: A Retrospective Study
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Abstract
Introduction: First permanent molars (FPMs) erupt early and their anatomy and location leave them susceptible to dental caries. This study aimed to retrospectively determine the prevalence, severity and pattern of dental caries of FPMs and investigate their relationship if any with demographics and medical health status of the partcipants. Meth- ods: This was a retrospective cross-sectional study. A sample of the digital case notes and radiographs of children aged 5 to 12 years who attended the only postgraduate dental hospital in Dubai were accessed. The recorded data included the children’s demographic variables and the carious status of each FPM as recorded in the notes on the initial assessment. Descriptive and statistical analyses were conducted (P<0.05). Results: A total of 2984 FPMs were obtained from the digital records of 774 children. Their mean age was 8.07 (±2.23) years and only those that met the inclusion criteria were included in the study. The prevalence of dental caries and mean Decayed Missing Filled Surfaces of FPMs, were 42% and 0.3 (±0.04), respectively. The most prevalent decayed surface was the occlusal (29.2%), followed by mesial, buccal, palatal/ lingual, distal surfaces (24.2 %; 6.6 %; 3.1 %; 2.3 %) respectively. Children with medical problems and/or special needs had a significantly higher level of caries in the buccal surfaces (12.3%) (P=0.042). Conclusion: Caries of FPMs in a sample of Dubai children studied was prevalent, especially in those with special healthcare needs, thus indicating a necessity for targeted prevention and treatment focused on these keystone teeth.
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Okoye L, Ekwueme O. Prevalence of dental caries in a nigerian rural community: a preliminary local survey. Ann Med Health Sci Res. 2011; 1(2):187- 95.
Dawkins E, Michimi A, Ellis-Griffith G, Peterson T, Carter D, English G: Dental caries among children visiting a moble dental clinic in south central Kentucky: a pooled cross-sectional study. BMC Oral Health. 2013; 13: 19-10.1186/1472-6831- 13-19. doi:10.1186/1472-6831-13-19.
Moses J, Rangeeth BN, Gurunathan D. Prevalence of dental caries, socio-economic old school going children of chid ambaram status and treatment needs among 5 to 15-year-old school going children Of Chidambaram. J Clin Dign Res. 2011; 5:146-151.
McDonald SP, Sheiham A. The distribution of caries on different tooth surfaces at varying levels of caries--a compilation of data from 18 previous studies. Community Dent Health. 1992; 9(1):39- 48.
Pitts NB, Zero DT, Marsh PD, Ekstrand K, Weintraub JA, Ramos-Gomez F, Tagami J, Twetman S, Tsakos G, Ismail A. Dental caries. Nat Rev Dis Primers. 2017; 3(1):1-6. doi: 10.1038/nrdp.2017.30.
Tahir L, Nazir R. Dental Caries, Etiology, and Remedy through Natural Resources. In Dental Caries-Diagnosis, Prevention and Management, IntechOpen, 2018. doi:10.5772/ intechopen.75937.
Chirca M, Luca R, Georgescu D. The prevalence of caries in first permanent molar in a group of school children aged 6 to 7 years in Pitesti. Proc. Rom. Acad. 2015; 1:41-44.
Abuaffan AH, Hayder S, Hussen AA, Ibrahim TA. Prevalence of dental caries of the first permanent molars among 6-14 years old Sudanese children. Indian Journal of Dental Education. 2018; 11(1):13- 6. doi:10.21088/ijde.0974.6099.11118.2.
Ebrahimi M, Behjat-Al-Molook Ajami AR, Shirazi S, Aghaee MA, Rashidi S. Dental treatment needs of permanent first molars in Mashhad schoolchildren. J Dent Res Dent Clin Dent Prospect. 2010; 4(2):52- 55. doi: 10.5681/joddd.2010.014.
Warren JJ, Hand JS, Yao JH. First-molar caries experience among Taiwanese first-grade children. J Dent Children 1997; 64:425-8.
Sadeghi M. Prevalence and bilateral occurrence of first permanent molar caries in 12-year-old students. J Dent Res Dent Clin Dent Prospects. 2007; 1(2):86-92. doi: 10.5681/joddd.2007.015.
Lee Y. Diagnosis and Prevention Strategies for Dental Caries. J Lifestyle Med. 2013; 3(2):107-9.
Kutesa A, Mwanika A, Wandera M. Pattern of dental caries in Mulago Dental School clinic, Uganda. Afr Health Sci. 2005; 5(1):65-8.
Dastouri M, Kowash M, Al-Halabi M, Salami A, Khamis AH, Hussein I. United Arab Emirates dentists’ perceptions about the management of broken down first permanent molars and their enforced extraction in children: a questionnaire survey. Eur Arch Paediatr Dent. 2020; 21(1):31-41. doi:10.1007/s40368-019-00434-8.
Ahovuo-Saloranta A, Forss H, Hiiri A, Nordblad A, MaÃakelaÃa M. Pit and fissure sealants versus fluoride varnishes for preventing dental decay in the permanent teeth of children and adolescents. Cochrane Database of Systematic Reviews 2016, Issue 1. Art. No.: CD003067. doi: 10.1002/14651858.CD003067.pub4.
Moynihan PJ, Kelly SA. Effect on caries of restricting sugars intake: systematic review to inform WHO guidelines. J Dent Res. 2014; 93(1):8–18. doi: 10.1177/0022034513508954
Stangvaltaite-Mouhat, L., Puriene, A., Stankeviciene, I. Aleksejuniene J. Fluoride in the drinking water and dental caries experience by tooth surface susceptibility among adults. BMC Oral Health. 2021; 21, 234. doi:10.1186/s12903- 021-01598-w
World Health Organization. Prevention methods and programmes for oral diseases. Report of a WHO Expert Committee. World Health Organ Tech Rep Ser. 1984;713:1-46.
El-Nadeef MA, Hassab H, Al-Hosani E. National survey of the oral health of 5-year-old children in the United Arab Emirates. East Mediterr Health J. 2010; 16(1):51-5.
Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The strengthening of the reporting of observational studies in epidemiology (STROBE) statement: Guidelines for reporting observational studies. Int J Surg. 2014;12(12):1495-1499. doi:10.1016/j. ijsu.2014.07.013.
World Health Organization. Oral Health Surveys: Basic Methods. 4th ed. Geneva: WHO; 1997.
Pocket Dentistry website, 12: Diagnosis and Management of Dental Caries. Available at: https://pocketdentistry.com/12-diagnosis-and- management-of-dental-caries/. [Accessed: 13-07- 2023].
Cobourne MT, Williams A, Harrison M. National clinical guidelines for the extraction of first permanent molars in children. Br Dent J. 2014; 5:17(11): 643-8. doi: 10.1038/sj.bdj.2014.1053. PMID: 25476643.
Togoo RA, Yaseen SM, Lall S, Algarni FAS, Faraj A, Shah FK. Prevalence of first permanent molar caries among 7-10 years old school going boys in Abha City, Saudi Arabia. Bangladesh Journal of Medical Science 2012; 11:98–102.
Andegiorgish AK, Weldemariam BW, Kifle MM, Mebrahtu FG, Zewde HK, Tewelde MG, Hussen MA, Tsegay WK. Prevalence of dental caries and associated factors among 12 years old students in Eritrea. BMC Oral Health. 2017 Dec 29;17(1):169. doi: 10.1186/s12903-017-0465-3.
Akaji EA, Ikechebelu QU, Osadolor OO. Assessing dental caries and related factors in 12-year- old Nigerian school children: Report from a southeastern state. Eur J Gen Dent 2020; 9:11-6. doi: 10.4103/ejgd.ejgd_89_19
Okolo CC, Oredugba FA, Denloye OO, Adeyemo YI. Dental Caries Prevalence, Severity, and Pattern Among Male Adolescents in Kano, Nigeria. J West Afr Coll Surg. 2022; 12(4):88-93. doi: 10.4103/ jwas.jwas_101_22.
Zhu F, Chen Y, Yu spaceY, Xie Y, Zhu H, Wang
H. Caries prevalence of the first permanent molars in 6-8 years old children. Plos one. 2021; 16(1):e0245345. doi:10.1371/journal. pone.0245345.
Que L, Jia M, You Z, Jiang LC, Yang CG, Quaresma AAD, das Neves EMAA. Prevalence of dental caries in the first permanent molar and associated risk factors among sixth-grade students in S o Tom© Island. BMC Oral Health. 2021; 21(1):483. doi: 10.1186/s12903-021-01846-z.
Wang JD, Chen X, Frencken J, Du MQ, Chen Z. Dental caries and first permanent molar pit and fissure morphology in 7- to 8-year-old children in Wuhan, China. Int J Oral Sci. 2012; 4(3):157-60. doi: 10.1038/ijos.2012.34.
Department of Health and Social Care, NHS England, and NHS Improvement Guidance, Delivering better oral health: an evidence-based toolkit for prevention, 2021. Available at: https:// www.gov.uk/government/publications/delivering- better-oral-health-an-evidence-based-toolkit-for- prevention/chapter-8-oral-hygiene. [Accessed: 13- 07-2023].
Chestnutt IG, Playle R, Hutchings S, Morgan- Trimmer S, Fitzsimmons D, Aawar N, Angel L, Derrick S, Drew C, Hoddell C, Hood K, Humphreys I, Kirby N, Lau TMM, Lisles C, Morgan MZ, Murphy S, Nuttall J, Onishchenko K, Phillips C, Pickles T, Scoble C, Townson J, Withers B, Chadwick BL. Fissure Seal or Fluoride Varnish? A Randomized Trial of Relative Effectiveness. J Dent Res. 2017; 96(7):754-761. doi: 10.1177/0022034517702094.
Wuollet E, Laisi S, Alaluusua S, Waltimo- Sirén J. The Association between Molar-Incisor Hypomineralization and Dental Caries with Socioeconomic Status as an Explanatory Variable in a Group of Finnish Children. Int J Environ Res Public Health. 2018; 15(7):1324. doi: 10.3390/ ijerph15071324.
Grossi JA, Cabral RN, Leal SC. Caries Experience in Children with and without Molar- Incisor Hypomineralisation: A Case-Control Study. Caries Res. 2017; 51(4):419-424. doi: 10.1159/000477099.
Hussain G, Al-Halabi M, Kowash M, Hassan
A. The Prevalence and Severity of Molar Incisor Hypomineralization and Molar Hypomineralization in Dubai, UAE. J Dent Child (Chic). 2018; 85(3):102-107.
Markovic D, Petrovic B, Peric T. Case series: Clinical findings and oral rehabilitation of patients with amelogenesis imperfecta. Eur Arch Paediatr Dent. 2010;11:201-8. doi: 10.1007/BF03262745
Wells M. Review suggests that cleft lip and palate patients have more caries. Evid Based Dent. 2014 Sep;15(3):79. doi: 10.1038/sj.ebd.6401042.
Sundell AL. Children with orofacial clefts-dental caries and health-related quality of life. Sweden, 2016. Diva-portal.org, 2016.
Ghaith B, Al Halabi M, Khamis AH, Kowash M. Oral Health Status among Children with Down Syndrome in Dubai, United Arab Emirates. J Int Soc Prev Community Dent. 2019; 9(3):232-239. doi: 10.4103/jispcd.JISPCD_396_18.
Al-Raeesi S, Kowash M, Hassan A, Al-Halabi M. Oral manifestations and dentofacial anomalies in Thalassemia major children in Dubai (UAE). Spec Care Dentist. 2018; 38(1):25-30. doi: 10.1111/ scd.12263.
Al Hashmi H, Kowash M, Hassan A, Al Halabi M. Oral Health Status among Children with Cerebral Palsy in Dubai, United Arab Emirates. J Int Soc Prev Community Dent. 2017; 7(3):S149-S154. doi: 10.4103/jispcd.JISPCD_295_17.
de Souza AL, Leal SC, Bronkhorst EM, Frencken JE. Assessing caries status according to the CAST instrument and WHO criterion in epidemiological studies. BMC Oral Health. 2014; 14:119. doi: 10.1186/1472-6831-14-119.
Akarslan ZZ, Akdevelioğlu M, Güngör K, Erten H. A comparison of the diagnostic accuracy of bitewing, periapical, unfiltered and filtered digital panoramic images for approximal caries detection in posterior teeth. Dentomaxillofac Radiol. 2008; 37(8):458- 63. doi: 10.1259/dmfr/84698143.