Risk factors for dental caries in Latin American and Caribbean countries
Autor: | Carlos Alberto Feldens, Vicente Aranguiz, Stefania Martignon, Angelo Giuseppe Roncalli, Evelyn Alvarez, Marília Afonso Rabelo Buzalaf |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Ethnic group CARIBE Dental Caries Social class Active Caries Health Risk Behaviors Fluorides 03 medical and health sciences 0302 clinical medicine Risk Factors Environmental health Epidemiology medicine Humans 030212 general & internal medicine Social determinants of health General Dentistry Socioeconomic status Biology Public health RK1-715 030206 dentistry General Medicine Latin America Caribbean Region Socioeconomic Factors Dentistry Risk assessment |
Zdroj: | Brazilian Oral Research v.35 suppl.1 2021 Brazilian Oral Research Sociedade Brasileira de Pesquisa Odontológica (SBPqO) instacron:SBPQO Brazilian Oral Research, Vol 35, Iss suppl 1 (2021) Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP Brazilian Oral Research, Volume: 35 Supplement 1, Article number: e053, Published: 28 MAY 2021 |
Popis: | Identifying the risk factors for dental caries is vital in epidemiology and clinical practices for developing effective preventive strategies, both, at the individual and collective levels. Different causality/determination models have been proposed to understand the development process of dental caries. In the present review, we designed a model inspired by the world-known social determinants models proposed in the 90s and more recently in the 10s, wherein the contextual factors are placed more externally and encompass the individual factors. The contextual factors included those related to the cultural and societal values, as well as the social and health government policies. The individual factors were classified into the following categories: socioeconomic (social class, occupation, income, and education level), demographic characteristics (age, sex, and ethnicity), behavioral factors (non-use of fluoride dentifrice, sugar consumption, poor oral hygiene, and lack of preventive dental care), and biological factors (recent caries experience/active caries lesions, biofilm retentive factors, developmental defects of the enamel, disabilities, saliva amount and quality, cariogenic biofilm). Each of these variables was addressed, while focusing on the current evidence from studies conducted in Latin American and Caribbean countries (LACC). Based on the proposed model, educational aspects were addressed, and individual caries risk assessment and management decisions were proposed; further, implications for public health policies and clinical practice were described. The identification of modifiable risk factors for dental caries should be the basis for multi-strategy actions that consider the diversity of Latin American communities. |
Databáze: | OpenAIRE |
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