Caries reductions between 1995, 1997 and 1999 in preschool children in Diadema, Brazil.

Abstract:

AIMS:This study aimed to assess changes in caries prevalence and severity in preschool children in Diadema, Brazil. METHODS:Three cross-sectional surveys were conducted, using the same protocol, in 1995, 1997 and 1999. The first survey included children aged 5-35 months, and the second and third, children aged 5-59 months. Participants were selected from all children attending a National Day of Children's Vaccination; 548, 992 and 690 in 1995, 1997 and 1999, respectively. This approach was sound as uptake rates for all years studied were above 90% for children aged between 1 and 59 months in all three surveys. Caries experience was measured using the World Health Organization (WHO) def index. Time-lag and quasi-longitudinal analysis were carried out. RESULTS:Time-lag analysis showed a marked and statistically significant decline in the prevalence and severity of coronal and rampant caries between 1995 and 1999. There were reductions of 36.5% in the prevalence of caries in 2-year-olds between 1995 and 1997 (P < 0.002) and 36.0% between 1997 and 1999 (P = 0.041). The mean def-s at the same age decreased from 2.0 in 1995 to 1.1 in 1997 (P < 0.001) and to 1.0 in 1999 (P > 0.05). The quasi-longitudinal analysis showed a statistically significantly increase in the percentage of children with caries between 1995 and 1997 and 1997 and 1999 (P < 0.001), but not for 2-year-old children between 1995 and 1997 (P > 0.05). The same pattern was observed for severity of dental caries. CONCLUSION:Oral health in preschool children in Diadema improved markedly during 1995-99.

journal_name

Int J Paediatr Dent

authors

Bönecker M,Marcenes W,Sheiham A

doi

10.1046/j.1365-263x.2002.00352.x

subject

Has Abstract

pub_date

2002-05-01 00:00:00

pages

183-8

issue

3

eissn

0960-7439

issn

1365-263X

pii

352

journal_volume

12

pub_type

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