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Factors affecting caries experience in French adolescents

S Tubert-Jeannin1, J P Lardon, E Pham

  • 1Medical information service, University of Clermont-Ferrand, France.

Community Dentistry and Oral Epidemiology
|February 1, 1994
PubMed
Summary

This study found that even as cavities decrease, factors like fluoride intake, frequent snacking, and oral hygiene practices significantly impact caries experience in French adolescents. These habits remain key determinants of dental health outcomes.

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Area of Science:

  • Oral Health Research
  • Dental Epidemiology
  • Adolescent Health

Background:

  • Dental caries (cavities) remains a significant public health concern, even with declining prevalence.
  • Understanding the multifactorial nature of caries is crucial for effective prevention strategies in adolescents.
  • Previous research highlights fluoride, diet, hygiene, and socioeconomic status as potential caries determinants.

Purpose of the Study:

  • To evaluate the habits of French adolescents aged 14-15.
  • To determine the influence of fluoride exposure, diet, oral hygiene, and socioeconomic factors on caries experience.
  • To identify the most significant determinants of caries experience in this population.

Main Methods:

  • A cohort of 300 French adolescents (14-15 years old) was randomly selected.

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  • Clinical examination and DMFS (decayed, missing, filled teeth) index were used to assess caries experience.
  • A self-administered questionnaire gathered data on habits, diet, oral hygiene, and socioeconomic factors. Multiple regression analysis was employed.

    • Main Results:

    • Age, sex, frequency of sweet consumption, use of standard or high fluoride toothpastes, and bleeding during toothbrushing were significant predictors of DMFS scores.
    • Living in St Yorre, an area with naturally high fluoride levels (0.45 mg/l), was also a significant factor.
    • Fluoride supply, snacking habits, and oral hygiene independently and significantly influenced caries experience.

    Conclusions:

    • Despite declining caries rates, fluoride exposure, dietary habits (snacking), and oral hygiene practices remain critical and independent determinants of caries experience in French adolescents.
    • Targeted interventions focusing on these key factors are essential for continued improvement in adolescent oral health.
    • The study underscores the ongoing importance of fluoride, diet, and hygiene in the etiology of dental caries.