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Int Poster J Dent Oral Med 14 (2012), No. 1     15. Mar. 2012

Int Poster J Dent Oral Med 2012, Vol 14 No 1, Poster 580

Dental status of schoolchildren from a Danube town of Romania

Language: English
 

Authors:
Prof. Dr. Rodica Luca, Dr. Catalina Farcasiu, Dr. Diana Daniela Daciana Prelipcean, Dr. Andreea Cristina Chis,
University of Medicine and Pharmacy Carol Davila, Faculty of Dentistry, Pediatric Dentistry Department, Bucharest, Romania
Dr. Alexandru-Titus Farcasiu,
University of Medicine and Pharmacy Carol Davila, Faculty of Dentistry, Removable Prosthetic Department, Bucharest, Romania

Date/Event/Venue:
22-25 April 2010
Balkan Stomatological Society (BaSS) 15th Congress
Thessaloniki, Greece
 

Introduction

The Danube is the longest river in the European Union and Europe's second river after the Volga. In Romania, the drainage basin of the Danube river representa almost 30% (1075 km). It is passing through 17 important Romanian towns. Many of these towns are classified as very small or small. Among these, Fetesti (33.294 inhabitants), located on a Danube branch (Borcea branch), is an important railway knot to Dobrogea. The first bridge across Danube was built in 1895. Epidemiological studies on the dental status of schoolchildren from Danube Romanian cities are few.

Fig. 1 Fig. 2
 

Objectives

To gather data regarding the dental status of schoolchildren from the first and sixth grade from Fetesti, a town with low pollution on the Danube River. The evaluation was done for children at the beginning of their school education and for children at 12 years of age (WHO's reference age).
 

Material and Methods

276 children (160 boys) from two schools from Fetesti: 121 children (61 boys) aged 6-7 years from the first grade (Sample A, mean age 7y3mo) and 155 children (79 boys) aged 11-12 years from the sixth grade (Sample B, mean age 11y7mo).

  • Cross-sectional study on children examined in classrooms according to WHO criteria (1997).
  • Only the children available in examination day were included in the study.
  • Parents' and teachers' consent was obtained
  • Presence and distribution of caries (at the level of cavitations), fillings and teeth missing due to caries were recorded.
  • The status of first permanent molars (FPM) for the two age samples was also recorded.
  • Mean values and confidence intervals were calculated for: prevalence index (Ip), dmft, dmfs, DMFT, DMFS, SIC Index.
  • Data was analyzed using a dedicated software.
Sample A Sample B
Mean age 7 y 3 mo 11 y 7 mo
Median 7 y 4 mo 11 y 6 mo
Interval 6 y 2 mo - 7 y 11 mo 11 y - 12 y 10 mo
Tab. 1
Fig. 3 Fig. 4
 

Results

Fig. 5: Results sample A Fig. 6: Results sample A
Fig. 7: Results sample A Fig. 8: Results sample B
Fig. 9: Results sample B Fig. 10: FPM status and caries distribution
Fig. 11: FPM status and caries distribution Fig. 12: FPM status and caries distribution
Fig. 13: FPM status and caries distribution Fig. 14: FPM status and caries distribution
Ip (%) 91.74
dmft 5.56±3.25 male 6.28±3.24 ss
female 4.83±3.12
SiC 9.19±1.39
dmfs 12.79±9.84 male 15.05±9.66 ss
female 10.50±9.56
DMFT 0.46±0.90 male 0.38±0.71 ns
female 0.55±1.06
SiC 1.56±1.03
DMFS 0.60±1.23 male 0.54±1.19 ns
female 0.67±1.28
Tab. 2: Results sample A
Ip (%) 87.09
dmft 1.06±1.58 male 1.28±1.74 ns
female 0.83±1.38
SiC 3.02±1.54
dmfs 2.92±4.69 male 3.41±5.10 ns
female 2.42±4.20
DMFT 2.65±1.92 male 2.56±1.89 ns
female 2.74±1.96
SiC 4.89±1.18
DMFS 4.37±3.75 male 4.48±4.02 ns
female 4.25±4.48
Tab. 3: Results sample B

Conclusions

The percentage of caries-free children in both samples is very low. All children have a high caries experience.
30% of the first grades have 9 primary teeth and 1.5 permanent teeth affected.
For the sixth grade, 30% of the children have approximately 5 affected permanent teeth (SiC 30%) and 10% have 6 affected permanent teeth (SiC 10%).
For the Balkan countries, DMFT for 12 years old ranges between 1.8 and 4.8 and our results frame between those limits (2.6). The current study's SiC values (30%) are amongst the lowest reported (table).
Regarding the status of the FPM, about 28% of the first grades and 63% of the sixth grades have caries on the FPM (questionable situations included).
Caries topography on the FPM follows the usual pattern, occlusal caries being the most frequent in both groups. Sealants and fillings are very few, showing little concern for both prevention and treatment seeking in the absence of pain.
Prevention programs are needed in order to achieve the WHO Global Goals for Oral Health for 2015 (SiC<3 for 12 years olds). Early local preventive strategies, addressing schoolchildren from the first grade, can have better efficiency in helping decrease caries prevalence on FPM.

Country & Year of study DMFT SiC 30%
Slovenia 1998 1.8
Greece 2000 2.2
Romania 2001 2.67 5.8
Romania 2009 (present study) 2.65 4.9
Turkey 1988 2.7
Serbia & Montenegro 1994 2.9-7.8
Macedonia 1999 3.0
Albania 2005 3.1
Bosnia & Herzegovina 2004 4.2 7.4
Bosnia & Herzegovina (Sarajevo) 2004 4.8 8.4
Bulgaria 200 4.4
Croatia 2005 6.7 10.9
Tab. 4

 
This Poster was submitted by Prof. Dr. Rodica Luca.
 

Correspondence address:
Prof. Dr. Rodica Luca
University of Medicine and Pharmacy Carol Davila
Faculty of Dentistry, Pediatric Dentistry Department
Str. Ionel Perlea 12 sector 1
Bucharest
Romania