Relationship between oral health in children and poverty related factors

Aldo Squassi1, Silvia Mauro, María José Mauro

  • 1Preventive and Community Dentistry, School of Dentistry, University of Buenos Aires, Argentina.

Insights

Poverty significantly impacts children's oral health in Buenos Aires. Children facing social risks exhibited higher rates of dental caries, directly linked to socioeconomic factors like parental education and healthcare access.

Area of Science:

  • Public Health
  • Pediatric Dentistry
  • Socioeconomic Determinants of Health

Background:

  • Poverty is a significant determinant of health outcomes, particularly in vulnerable populations.
  • Oral health in children is influenced by socioeconomic status, access to care, and environmental factors.
  • Suburban areas often present unique challenges regarding health disparities.

Purpose of the Study:

  • To investigate the relationship between poverty-related variables and oral health status in children.
  • To analyze the influence of socioeconomic factors on dental caries prevalence in a suburban population.
  • To identify specific poverty indicators associated with poor oral health outcomes in children.

Main Methods:

  • A comparative study involving 1,049 children, divided into a social risk group (n=579) and a control group (n=470).
  • Analysis of poverty-related variables: parental education, employment, and oral healthcare access.
  • Clinical oral examinations assessing DMFS, dmfs, DS, ds, Care Index, and plaque index, analyzed with statistical tests (t-test, ANOVA, Chi-square).

Main Results:

  • Children in the social risk group showed significantly higher dental caries indicators (DMFS, dmfs, DS, ds) compared to the control group.
  • A positive correlation was observed between increased poverty indicators and higher dental caries prevalence.
  • Neighborhoods with higher social risk incidence had a greater proportion of children with high cariogenic risk.

Conclusions:

  • Poverty-related variables are significantly associated with adverse oral health outcomes in children.
  • Socioeconomic factors play a crucial role in the development of dental caries among preschool and school-aged children.
  • Targeted interventions addressing socioeconomic disparities are essential for improving pediatric oral health in the studied region.

Related Concept Videos

Development of the Oral Microbiota01:28

Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
Teeth01:15

Teeth

The formation of teeth, also known as odontogenesis, is a complex process that begins in utero, around the sixth week of embryonic development. There are three stages to this process: the bud stage, the cap stage, and the bell stage.
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin and...
The Oral Microbiota01:27

The Oral Microbiota

The oral microbiome includes a complex ecosystem comprising over 700 microbial species, identified through genomic sequencing and culture-based analyses to date. This community includes a core microbiome, found universally among individuals, and a variable component influenced by environmental factors such as diet, lifestyle, and host genetics. Site-specific conditions, including oxygen gradients, pH levels, and nutrient availability, determine the spatial distribution of these microorganisms...
Tooth Anatomy01:21

Tooth Anatomy

The human tooth enables us to eat a variety of foods, speak clearly, and even aid in shaping our faces. Teeth are composed of various elements that work together. Here's a detailed look at the anatomy of a human tooth.
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or grinding food.
Oral Cavity01:11

Oral Cavity

The oral cavity, or the mouth, is a complex structure in humans that plays a vital role in our day-to-day lives. Its role is not only in chewing and swallowing food; it also plays a role in speech and facial expressions.
Teeth: The teeth are the hardest structures in our bodies. Humans have two sets of teeth throughout their lifetime: deciduous (baby) teeth and permanent teeth. Each tooth consists of several parts: the crown (visible part), the root (embedded in the jaw), enamel (hard outer...
Factors Affecting Illness01:18

Factors Affecting Illness

When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness, disability,...