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Caries prevalence, severity, and pattern in preschool children
1Pediatric Dentistry at King Saud University College of Dentistry in Riyadh, Kingdom of Saludi Arabia. ahwyne@gmail.ocm
Insights
Dental caries is highly prevalent in Riyadh
Area of Science:
- Pediatric Dentistry
- Public Health
Background:
- Dental caries poses a significant global health challenge, particularly in young children.
- Understanding regional variations in caries is crucial for targeted interventions.
Purpose of the Study:
- To assess the prevalence, severity, and pattern of dental caries in preschool children in Riyadh, Saudi Arabia.
- To identify demographic and institutional factors associated with caries in this population.
Main Methods:
- A cross-sectional study involving 789 preschool children (mean age 4.7 years) in Riyadh.
- Caries assessment using World Health Organization (WHO) diagnostic criteria.
- Data collection included demographic information and preschool type (government vs. private).
Main Results:
- Overall caries prevalence was 74.8% with a mean decayed, missing, and filled teeth (dmft) score of 6.1.
- Caries prevalence and severity were significantly higher in children attending government preschools compared to private ones.
- Mandibular second molars and maxillary central incisors showed the highest caries prevalence among posterior and anterior teeth, respectively.
Conclusions:
- Dental caries is highly prevalent and severe among preschool children in Riyadh.
- Posterior teeth are most commonly affected, with a high proportion of children experiencing both anterior and posterior tooth decay.
- Preventive strategies like fissure sealants and topical fluoride are recommended for high-caries populations.
Aim:
To determine caries prevalence, severity, and pattern in preschool children of Riyadh, Saudi Arabia.
Methods And Materials:
A total of 789 randomly selected preschool children, 379 (48%) male and 410 (52%) female, with mean age of 4.7 (SD 0.5) years were examined for dental caries using World Health Organization (WHO) diagnostic criteria.
Results:
The overall caries prevalence among the sample was 74.8%. The mean decayed, missing, and filled (dmft) score was 6.1 (SD 3.9) with a decay component of 4.66, a missing component of 0.54, and a filled component of 0.92. There was no significant difference (p>.05) in caries prevalence and severity in relation to gender of the children. However, the caries prevalence and severity were significantly higher (p<.05) among children from government preschools as compared to those from private preschools. Among the posterior teeth, mandibular second molars (54.3%), and among anterior teeth, maxillary central incisors (27.9%) had the highest caries prevalence. Among the molars, caries prevalence was generally high in lower molars while among the anterior teeth, upper teeth generally had a higher caries prevalence. The majority of the children (50.3%) had both posterior and anterior tooth caries, 42.2% had posterior tooth caries only, while very few (7.5%) children had only anterior tooth caries.
Conclusion:
Caries prevalence and severity are very high in the study population, and most children have posterior tooth caries.
Clinical Significance:
Early measures such as fissure sealants, topical fluoride applications (as early as safely possible), and dietary fluoride supplements (where indicated) are needed to prevent caries of deciduous molars in high caries populations.
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