Impact of Demographic, Clinical, and Preventive Factors on Caries Susceptibility and Cavitation in a Six-to-15-Year Cohort.

Autor:	Kumar P; Department of Pedodontics and Preventive Dentistry, Dental College Azamgarh, Azamgarh, IND., Verma G; Department of Conservative Dentistry and Endodontics, Mithila Minority Dental College and Hospital, Darbhanga, IND., Barua P; Department of Pedodontics and Preventive Dentistry, Regional Dental College, Guwahati, IND., Singh SP; Department of Pedodontics and Preventive Dentistry, Dental College Azamgarh, Azamgarh, IND., Khan A; Department of Pedodontics and Preventive Dentistry, Dental College Azamgarh, Azamgarh, IND., Naja Sk P; Department of Pedodontics and Preventive Dentistry, Dental College Azamgarh, Azamgarh, IND., Gupta S; Department of Orthodontics, Kothiwal Dental College and Research Centre, Moradabad, IND.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Nov 03; Vol. 16 (11), pp. e72917. Date of Electronic Publication: 2024 Nov 03 (Print Publication: 2024).
DOI:	10.7759/cureus.72917
Abstrakt:	Introduction: Dental caries continues to represent one of the most widespread oral health challenges on a global scale, particularly in adolescents. This cross-sectional investigation examines the impact of demographic, clinical, and preventive factors on caries susceptibility and cavitation in children aged six to 15 years, thereby offering a thorough analysis of risk patterns and preventive strategies. Materials and Methods: This prospective, cross-sectional study was conducted on 2,000 schoolchildren, aged six to 15 years. Demographic and clinical data and data on preventive factors were gathered using the American Academy of Pediatric Dentistry (AAPD) Caries-Risk Assessment Tool (CAT). Based on clinical assessments and self-reported behaviors, participants were classified into high-, medium-, and low-risk groups. Statistical methodologies, including chi-square analyses and odds ratios (OR), were employed to evaluate the significance of the relationships among the variables. Results: The associations between gender, educational attainment, and caries risk were statistically significant (p = 0.001), demonstrating that females exhibited a greater vulnerability than their male counterparts. Individuals enrolled in higher education levels showed an increased prevalence of high-risk categorization. Notable variations among communities were also observed, with specific demographics presenting a heightened susceptibility to caries. The frequency of tooth brushing, sugar intake, and regular dental examinations exhibited strong correlations with caries risk, whereas cavitation was recorded in 65.50% of the subjects. Key predictors included visible plaque, diminished salivary flow, and use of orthodontic appliances (p = 0.001). Preventive strategies, such as the application of fluoridated products and daily tooth brushing, have been found to significantly mitigate the risk of cavitation. Conclusion: This investigation emphasizes the complex, multifaceted nature of caries susceptibility, accentuating the critical role of demographic, clinical, and preventive factors. Competing Interests: Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Institutional Ethics and Review Board of Kothiwal Dental College and Research Centre, Moradabad issued approval KDCRC/IERB/11/2021/28. Ethical committee approval was obtained before starting this study. Consent from parents/guardians and assent from children were obtained. The confidentiality of participants' data was maintained throughout the study. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Kumar et al.)
Databáze:	MEDLINE
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