Contextual and individual determinants of dental pain in preschool children

Osmar Martins Ferreira-Júnior1, Maria do Carmo Matias Freire2, Rafael da Silveira Moreira3

  • 1Dentistry Graduate Program, Universidade Federal de Goias, Goiania, Brazil.

Insights

Dental pain is common in Brazilian preschoolers, affecting 22%. Factors like low socioeconomic status, indigenous ethnicity, poor housing, and caries significantly increase pain prevalence in children.

Area of Science:

  • Pediatric Dentistry
  • Public Health
  • Epidemiology

Background:

  • Dental pain in children is understudied, especially in preschool populations.
  • Understanding prevalence and determinants is crucial for targeted interventions.

Purpose of the Study:

  • To assess the prevalence of dental pain in 5-year-old Brazilian children.
  • To identify individual and contextual factors associated with dental pain in this age group.

Main Methods:

  • Cross-sectional study utilizing data from the 2010 National Survey of Oral Health.
  • Involved 7280 five-year-olds examined at home with parental questionnaires.
  • Hierarchized Poisson regression with a multilevel approach was used for data analysis.

Main Results:

  • Prevalence of dental pain was 22.0%.
  • Higher prevalence was observed in children from lower Human Development Index cities, indigenous children, and those from lower-income families.
  • Factors like increased dwellers per bedroom and caries experience significantly elevated pain prevalence.

Conclusions:

  • Dental pain is highly prevalent among Brazilian preschool children.
  • Both contextual (e.g., city-level socioeconomic factors) and individual (e.g., ethnicity, income, oral health status) factors significantly influence dental pain.
Abstract

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