[Oral health status evaluation of pre-school children: longitudinal epidemiologic study (1993-1994), Córdoba, Argentina]
Related Experiment Video
Updated: Oct 30, 2026

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
L J Battellino1, L S Cornejo, S T Dorronsoro de Cattoni
1Cátedra de Química y Física Biológicas de la Facultad de Odontología de la Universidad Nacional de Córdoba, Argentina. luisjose@odo1.odo.unc.edu.ar
Insights
Children from lower socioeconomic levels (SEL III) have a nearly five times higher risk of dental caries. Preventive measures like assisted toothbrushing and fluoride treatments significantly reduce caries incidence in these children.
Area of Science:
- Pediatric Dentistry
- Public Health
- Epidemiology
Context:
- A longitudinal survey examined 820 four-year-old children in Cordoba City.
- Investigated the relationship between socioeconomic level (SEL) and dental caries incidence.
- Assessed oral hygiene, oral health indexes, and caries risk factors.
Purpose:
- To determine the role of various variables in the incidence of dental caries among preschool children.
- To analyze the correlation between socioeconomic status and caries development.
- To evaluate the effectiveness of preventive interventions.
Summary:
- Caries incidence, dmf-t, dmf-s, and relative caries risk were inversely related to socioeconomic level.
- Children in SEL III exhibited a 4.9 times higher risk of caries compared to SEL I.
- While sugar intake was higher in SEL III, caries experience showed a moderate correlation with carbohydrate intake. No significant salivary biochemical differences were found.
- Lesion location differed by SEL: smooth surfaces in SEL I, occlusal surfaces in SEL III.
- Assisted toothbrushing and fluoride applications significantly reduced caries incidence in SEL III children, approaching SEL I rates.
Impact:
- Findings highlight the significant impact of socioeconomic factors on early childhood caries.
- Identifies specific preventive strategies (assisted brushing, fluoride) crucial for high-risk populations.
- Emphasizes the need for targeted public health interventions for vulnerable socioeconomic groups to reduce caries disparities.
Abstract:
A one-year longitudinal survey was carried out on a sample of the Cordoba City 4-year old kindergarten population (n = 820); so as to determine the role of several variables upon the incidence of caries. The dmf-t, dmf-s, oral hygiene and oral health indexes as well as incidence rates and caries relative risks of caries were inversely related to the socioeconomic level (SEL) of the children involved. Thus in the SEL III (typical proletariat, non-typical proletariat and sub-proletariat) children, the relative risk of caries was almost five times higher (RR = 4.9) than in the SEL I (entrepreneureal and managerial bourgeoisie) children. In SEL I, almost all new lesions occurred on smooth surfaces (61.2%), while in SEL III the molar occlusal faces were mainly affected (66.3%). Daily sugar intake was higher in SEL III children but experience of caries showed poor correlation to the amount (r = 0.40) and frequency (r = 0.52) of carbohydrate intake. No significant interlevel differences were observed in the biochemical salivary parameters analyzed. Assisted toothbrushing and fluoride topications strongly lowered the incidence of caries among SEL III children, also making the corresponding rates fall almost to SEL I values (0.31, 0.23 and 0.22 vs. 0.21). In conclusion, SEL III children should be treated prophylactically with effective preventive measures, because of their susceptibility to caries. Such preventive measures include assisted toothbrushing and fluoride topications.
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