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Spatio-temporal trends in caries: A study on children in Berlin-Mitte
Ae Kyung Lee1, Annette Aigner2,3, Timo Schmid4
1Institute of Public Health, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Clinical and Experimental Dental Research
|November 17, 2020
Summary
Children
Area of Science:
- Pediatric Dentistry
- Public Health
- Epidemiology
Background:
- Significant inequalities in children's dental caries distribution in Germany are known.
- Small-scale geographical areas for caries prevalence in children remain understudied.
Purpose of the Study:
- To investigate spatio-temporal trends of children's dental caries at a small-area level.
- Focus on the district of Berlin-Mitte to identify localized oral health disparities.
Main Methods:
- Utilized routinely collected data from Berlin's annual Health Examination Surveys (2006-2014).
- Analyzed data from 14,866 children aged 5-7 years in Berlin-Mitte.
- Examined dmft (decayed, missing, filled teeth), caries experience, untreated caries, and caries risk across 10 quarters and 41 communities.
Main Results:
- Identified significant disparities in children's dental caries between different quarters within Berlin-Mitte.
- Northeastern quarters consistently showed the poorest oral health across all measured outcomes.
- Observed an increasing concentration of children with high caries risk in these northeastern areas, despite overall improvements in other parts of Mitte.
Conclusions:
- Confirmed mounting spatiotemporal disparities in children's oral health within Berlin-Mitte.
- Highlighted specific quarters requiring urgent public health interventions.
- Advocated for the use of small-area analysis to effectively reveal and address local oral health inequalities.
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