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[Caries prevention in historical perspective. Social factors]
Nederlands Tijdschrift Voor Tandheelkunde
|November 21, 2018
Summary
Dental caries prevalence shifted over the 20th century, with lower socioeconomic status initially showing less decay but later experiencing more. Overall oral health significantly improved by the century's end.
Area of Science:
- Dental Public Health
- Epidemiology
- Socioeconomic Determinants of Health
Background:
- Historically, socioeconomic status (SES) influenced caries prevalence differently in children and adults.
- Early 20th century: lower SES children had less caries than affluent children.
- Later 20th century: higher SES correlated with reduced caries in both children and adults.
Observation:
- A reversal in the caries-SES relationship occurred during the 20th century.
- Individuals with lower SES experienced more tooth extractions throughout the century.
- Significant improvements in general oral health were observed by the end of the 20th century.
Findings:
- The relationship between socioeconomic status and dental caries prevalence evolved significantly over the 20th century.
- Higher socioeconomic status became associated with lower caries prevalence and fewer tooth extractions.
- Oral health outcomes demonstrated a positive trend over the century.
Implications:
- Improvements in oral health are linked to increased prosperity, enhanced oral hygiene practices, and fluoride toothpaste adoption.
- The rise of dental professionals and increased knowledge of caries prevention contributed to better oral health outcomes.
- Public health initiatives and socioeconomic factors play a crucial role in shaping population oral health trends.
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