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Demographic factors and dental health of Swedish children and adolescents

Journal article
Authors Ann-Catrin André Kramer
Magnus Hakeberg
Max Petzold
Anna-Lena Östberg
Published in Acta Odontologica Scandinavica
Volume 74
Issue 3
Pages 178-185
ISSN 0001-6357
Publication year 2016
Published at Institute of Odontology
Institute of Odontology, Section 1
Institute of Medicine, Department of Public Health and Community Medicine, Section of Occupational and environmental medicine
Pages 178-185
Language en
Links dx.doi.org/10.3109/00016357.2015.10...
Keywords Age distribution; dental caries; epidemiology; residence characteristics; sex
Subject categories Epidemiology, Public health science

Abstract

Abstract OBJECTIVE: To investigate the dental health of Swedish children and adolescents with reference to age, gender and residence. MATERIAL AND METHODS: Electronic dental records from 300,988 3-19-year-olds in one Swedish region were derived in a cross-sectional study in years 2007-2009. The DMFT system was used. Age was categorized into 3-6/7-9/10-12/13-15/16-17/18-19-year-olds and residence into 'metropolitan', 'urban' and 'rural' areas. ANOVA, generalized linear regression models and Fisher's exact test were used. RESULTS: Among 7-9-year-old children, nine out of 10 were free from fillings and manifest caries, while for 18-19-year-olds; this proportion was one third. Girls (18-19-year-olds) had a significantly lower risk of caries compared to boys of the same age, RR for the DT index = 0.83 (95% CI = 0.81-0.85). This pattern was reversed in 7-12-year-old children. Children and adolescents in metropolitan and urban areas had significantly more caries than subjects in rural areas, for instance the RR for the DT index in metropolitan 7-9-year-olds was 2.26 (95% CI = 2.11-2.42) compared to their rural counterparts. CONCLUSIONS: In the permanent dentition, the overall pattern revealed that girls ≤ 12 years had a higher risk of caries, while adolescent girls had a lower risk of caries, both compared with boys of corresponding ages. Living in an urban or metropolitan area entailed a higher risk of caries than living in a rural area. A greater occurrence of dental caries in adolescents than in children was confirmed. The findings should have implications for planning and evaluation of oral health promotion and disease prevention activities.

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