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Dental Caries Experience in Elementary School Students in Quebec: Surveillance Study Using ICDAS II
Journal (Canadian Dental Association)
|December 16, 2020
Summary
Dental caries is a significant public health issue affecting Quebec youth. This study highlights the need for enhanced preventive strategies to improve children's oral health and reduce tooth decay prevalence.
Area of Science:
- Public Health
- Pediatric Dentistry
- Epidemiology
Background:
- Dental caries remains a prevalent issue among children in Quebec.
- Assessing the oral health status of elementary school students is crucial for public health surveillance.
- Previous studies may not have utilized comprehensive caries assessment criteria.
Purpose of the Study:
- To evaluate the oral health status of Grade 2 and Grade 6 students in Quebec.
- To determine the prevalence and indicators of dental caries in primary and permanent dentitions.
- To inform public health strategies for caries prevention in children.
Main Methods:
- A cross-sectional study involving 2875 Grade 2 and 2788 Grade 6 students across Quebec.
- Oral health examinations conducted by 16 calibrated dentists using the International Caries Detection and Assessment System (ICDAS) II criteria.
- A stratified sampling design ensured provincial representativeness.
Main Results:
- Mean decayed, missing, filled teeth (dmft) and surfaces (dmfs) indexes were calculated for both age groups.
- Grade 2 students showed higher combined dmft+DMFT (5.84) and dmfs+DMFS (11.28) than Grade 6 students (5.98 and 9.96, respectively).
- A high percentage of students (90-92%) exhibited signs of caries (dmfs + DMFS > 0).
Conclusions:
- Tooth decay continues to be a significant public health concern for Quebec's youth.
- The findings underscore the necessity of strengthening preventive dental care programs.
- Utilizing ICDAS II for population-level surveillance and combining primary/permanent dentition data offers valuable insights.
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