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Caries prevalence of 5-year-old children in Athens and in South London
L Zoitopoulos1, T Athanassouli, S Gelbier
1Department of Community Dental Health, King's College Dental Hospital, London, England.
Insights
Dental caries in young children showed similar prevalence in London and Athens. However, London children had fewer decayed teeth but more missing teeth, suggesting different dental treatment approaches.
Area of Science:
- Pediatric Dentistry
- Public Health
Background:
- Dental caries is a significant global health issue affecting young children.
- Variations in dental health outcomes exist between different countries and regions.
- Understanding regional differences in childhood dental health is crucial for targeted interventions.
Purpose of the Study:
- To compare the dental health status of 5-year-old children in London boroughs with those in Athens, Greece.
- To investigate differences in caries prevalence, decayed, missing, and filled teeth (dmft) index, and treatment patterns.
Main Methods:
- Cross-sectional study involving 384 children in London and 318 children in Athens.
- Clinical examination of 5-year-old children to assess dental caries and related indices.
- Statistical analysis to compare dental health indicators between the two populations.
Main Results:
- No statistically significant difference in caries-free proportions (London: 56%, Athens: 57.5%) or mean dmft (London: 1.63, Athens: 1.48).
- London children had significantly fewer decayed teeth (mean 2.35 vs. 2.93) but significantly more missing teeth (mean 0.63 vs. 0.02) compared to Athens children, after excluding caries-free individuals.
- These findings indicate distinct dental treatment patterns between the two locations.
Conclusions:
- While overall caries prevalence is similar, treatment approaches for early childhood caries differ significantly between London and Athens.
- The higher number of missing teeth in London suggests potential disparities in access to or utilization of timely dental care for decayed teeth.
- Further research into specific treatment modalities and healthcare system influences is warranted to address these observed differences.
Abstract:
This study compared the dental health of 5-year-old children in the London boroughs of Lambeth, Lewisham and Southwark with that in the municipality of Athens, Greece. Three hundred and eighty-four children were examined in London, and 318 in Athens; both samples had a mean age of 5 years 6 months. The proportion of London children who were caries free was 56%, and of Athens children 57.5%, and the mean dmft was 1.63 and 1.48, respectively; these differences were not statistically significant. However, excluding caries-free children from the analysis, the London children had significantly fewer decayed teeth (mean 2.35 compared with 2.93 in Athens) and significantly more missing teeth (mean 0.63 compared with 0.02), indicating marked differences in treatment patterns.
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