First Permanent Molar Caries and Oral Health Practices in Saudi Male Teenagers: Inequalities by Socioeconomic Position

Objectives. Caries remains a problem in high-risk groups aggravated by socioeconomic inequalities. The study aimed to investigate (1) oral health practices associated with caries in the 1st permanent molars in Saudi male teenagers and (2) the impact of socioeconomic position (SEP) on caries control...

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Main Authors: Eman Bakhurji, Balgis Gaffar, Muhammad Nazir, Khalifa Al-Khalifa, Asim Al-Ansari
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Scientifica
Online Access:http://dx.doi.org/10.1155/2020/2640949
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author Eman Bakhurji
Balgis Gaffar
Muhammad Nazir
Khalifa Al-Khalifa
Asim Al-Ansari
author_facet Eman Bakhurji
Balgis Gaffar
Muhammad Nazir
Khalifa Al-Khalifa
Asim Al-Ansari
author_sort Eman Bakhurji
collection DOAJ
description Objectives. Caries remains a problem in high-risk groups aggravated by socioeconomic inequalities. The study aimed to investigate (1) oral health practices associated with caries in the 1st permanent molars in Saudi male teenagers and (2) the impact of socioeconomic position (SEP) on caries control using these practices. Methods. A cross-sectional study targeted 1137 male teenagers in intermediate schools in Khobar and Dammam, Saudi Arabia, in 2016. Caries was examined using the World Health Organization criteria and plaque was assessed using the plaque index of Loe and Silness. A questionnaire assessed SEP (parental education, employment, and home ownership) and oral health practices (using fluoridated toothpaste twice daily, regular dental visits for check-ups, and avoiding daily sugary snacks). Regression models analysed the association of these factors with caries presence and the mean number of decayed 1st permanent molars. Stratification was used to assess differences between SEP levels. Results. The response rate was 81.7%. Caries prevalence and mean (SD) number of decayed 1st permanent molars were 50.4% and 1.08 (1.31). The use of fluoride toothpaste was associated with lower odds of caries and fewer decayed molars (OR = 0.50 and regression coefficient = −0.35). Differences in the relationship between caries and toothpaste were observed by SEP levels with stronger associations in less advantaged groups. Conclusions. Brushing twice daily using fluoride toothpaste was associated with less caries in Saudi male teenagers with stronger association observed in groups with lower SEP. The use of fluoride toothpaste helps in reducing health inequalities associated with SEP.
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spelling doaj-art-b5997d4be42a4c2ca23e774a4ab3070b2025-02-03T06:04:36ZengWileyScientifica2090-908X2020-01-01202010.1155/2020/26409492640949First Permanent Molar Caries and Oral Health Practices in Saudi Male Teenagers: Inequalities by Socioeconomic PositionEman Bakhurji0Balgis Gaffar1Muhammad Nazir2Khalifa Al-Khalifa3Asim Al-Ansari4Department of Preventive Dental Sciences, College of Dentistry Imam Abdulrahman Bin Faisal University, Dammam, Saudi ArabiaDepartment of Preventive Dental Sciences, College of Dentistry Imam Abdulrahman Bin Faisal University, Dammam, Saudi ArabiaDepartment of Preventive Dental Sciences, College of Dentistry Imam Abdulrahman Bin Faisal University, Dammam, Saudi ArabiaDepartment of Preventive Dental Sciences, College of Dentistry Imam Abdulrahman Bin Faisal University, Dammam, Saudi ArabiaDepartment of Preventive Dental Sciences, College of Dentistry Imam Abdulrahman Bin Faisal University, Dammam, Saudi ArabiaObjectives. Caries remains a problem in high-risk groups aggravated by socioeconomic inequalities. The study aimed to investigate (1) oral health practices associated with caries in the 1st permanent molars in Saudi male teenagers and (2) the impact of socioeconomic position (SEP) on caries control using these practices. Methods. A cross-sectional study targeted 1137 male teenagers in intermediate schools in Khobar and Dammam, Saudi Arabia, in 2016. Caries was examined using the World Health Organization criteria and plaque was assessed using the plaque index of Loe and Silness. A questionnaire assessed SEP (parental education, employment, and home ownership) and oral health practices (using fluoridated toothpaste twice daily, regular dental visits for check-ups, and avoiding daily sugary snacks). Regression models analysed the association of these factors with caries presence and the mean number of decayed 1st permanent molars. Stratification was used to assess differences between SEP levels. Results. The response rate was 81.7%. Caries prevalence and mean (SD) number of decayed 1st permanent molars were 50.4% and 1.08 (1.31). The use of fluoride toothpaste was associated with lower odds of caries and fewer decayed molars (OR = 0.50 and regression coefficient = −0.35). Differences in the relationship between caries and toothpaste were observed by SEP levels with stronger associations in less advantaged groups. Conclusions. Brushing twice daily using fluoride toothpaste was associated with less caries in Saudi male teenagers with stronger association observed in groups with lower SEP. The use of fluoride toothpaste helps in reducing health inequalities associated with SEP.http://dx.doi.org/10.1155/2020/2640949
spellingShingle Eman Bakhurji
Balgis Gaffar
Muhammad Nazir
Khalifa Al-Khalifa
Asim Al-Ansari
First Permanent Molar Caries and Oral Health Practices in Saudi Male Teenagers: Inequalities by Socioeconomic Position
Scientifica
title First Permanent Molar Caries and Oral Health Practices in Saudi Male Teenagers: Inequalities by Socioeconomic Position
title_full First Permanent Molar Caries and Oral Health Practices in Saudi Male Teenagers: Inequalities by Socioeconomic Position
title_fullStr First Permanent Molar Caries and Oral Health Practices in Saudi Male Teenagers: Inequalities by Socioeconomic Position
title_full_unstemmed First Permanent Molar Caries and Oral Health Practices in Saudi Male Teenagers: Inequalities by Socioeconomic Position
title_short First Permanent Molar Caries and Oral Health Practices in Saudi Male Teenagers: Inequalities by Socioeconomic Position
title_sort first permanent molar caries and oral health practices in saudi male teenagers inequalities by socioeconomic position
url http://dx.doi.org/10.1155/2020/2640949
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AT muhammadnazir firstpermanentmolarcariesandoralhealthpracticesinsaudimaleteenagersinequalitiesbysocioeconomicposition
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