dental caries begins at a very early age. dental caries prevalence studies conducted in developed...
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Prevalence of Dental
Caries in Patient Attended
the Conservative Clinic.
March – May 2010
University of Aden Faculty of Dentistry
Department of Conservative DentistryMay.2010
Prepared by:Halah Al Farra
Samah Abdul RhimAlaa Mohammad
Heba FekriNagween Badr
Azal FadelMohammad Najeeb
Abeer Jamal
Supervised by :Asso.Prof.Dr. Nayda Nasco
Dr. Marwan A. Wahab Al - TamimiDr. Hamed Mohammad Al - Haddad
Prevalence of Dental Caries in Patient Attending Conservative Clinic at the Faculty of Dentistry..
Dental Caries ..“a disease process resulting in the demineralization of dental hard tissues by microbial activity”.
The most spread disease in humans, with a mean prevalence of 90 %.
Responsible for around 40 to 45 % of all lost teeth.
Introduction ..
Other Complications : • Loss of chewing capacity• Psychological disturbances• Aesthetical problems
Dental caries begins at a very
early age.
Dental Caries prevalence studies
conducted in developed countries
showed a decrease in the frequency and
severity of disease ..
However, it is considered to exist a bio morbidity in the distribution of the
disease, at different human groups due to social differences.
ETIOLOGY of DENTAL CARIESBacteria
Diet
Tooth
Time
Other Factors …• oral hygiene
• frequent consumption of carbohydrates • previous experience of caries, • severity of the lesions
•age, • characteristics of the saliva, • inexistence fluoride therapies, • socio-economic factors .• and others...
In respect to the bad oral hygiene numerous studies have shown that this is a significant risk factor in the incidence of dental caries and in its prevalence .
Deficiencies in Oral Hygiene
accumulation of dental plaque
reducing the clearing of acids formed by microorganisms
facilitate demineralization of the hard tooth tissues
prevent remineralization of demineralized surfaces
increase of the caries
risk
Aims of the Study• Determine the prevalence
of dental caries in patient attended the Conservative Clinic of Aden Faculty of Dentistry.
• Determine the severity of dental caries in patient attended the Conservative Clinic of Aden Faculty of Dentistry.
• To establish a relationship between the prevalence of dental caries, gender and
age.• To establish a relationship between the severity of dental caries and oral
hygiene.
Materials and MethodsType of study :
Observational Retrospective ..
Universe : Total number (364) of dental sheets of
patientsFrom March to May 2010some of the sheets were excluded from the study
due to the lack or not well understandable information .
• D = Decayed ..
The prevalence of dental caries was
determined by using DMFT index , in which :
Excluded from this study :1. The third molar (if present) .2. Primary teeth 3. Teeth that were lost by causes
other than caries .
• M = Missing ..
• F = Filled ..
• T = Tooth ..
Severity of carious lesions according to GRIMEP
Interpretation :
Puntuation Degree of severity 0 Healthy1 – 2 Low
3 - 5 Moderate 6 High
Clinical Situation Significance
Healthy 0
only in occlusal surfaces 1
buccal fissure of lower molars, palatal fissure of upper molars
or upper incisors2
proximal surfaces of molars and premolars 3
proximal surfaces of anterior teeth 4
smooth surfaces of posterior teeth 5
smooth surfaces of anterior teeth 6
Results and Discussion of the Study
Distribution of patients attended at the Conservative Clinic according to age
and gender
1<19 20-24 25-39 40-59 ≥ 60
MaleFemale
TOTAL
1<19 28.820-24 2525-39 26.940-59 16.5≥ 60 2.7
DMFTOTAL
MALE FEMALE< 20 4.04 4.78 4.3
20 - 24 4.3 3.35 3.9825 - 39 3.44 4.4 3.9140 - 59 6.67 6.54 6.5860 and
+ 9.25 16 10.6
TOTAL 4.44 4.96 4.66
DMFT index according to gender and group of age
The DMFT index at age 12 in 1990 was 3.1.
Male47%Female
53%
1<19 20-24 25-39 40-59 ≥ 60
4.04 4.33.44
6.67
9.25
4.873.35 4.4
6.54
16
Male Female
DMFT index according to gender
and group of age
Relative contribution of the components to the total index
F26%
M14%
D60%
D = Decayed ..M = Missing
.. F = Filled ..
D M F
13.00%
50.90%
35.80%
Relative contribution of the components to the total index in patients more than 60 years old
Male Female0
102030405060708090
100
9.6 13.5
90.4 86.5
GoodBad
Distribution of patients according to oral hygiene and gender
Severity of the carious lesion
helthy low moderate high
6%
27%
59%
8%
severity grade
6 27
59
8
helthy low moderate high
Carious severity and oral hygiene
HEAL
THY
LOW
MO
DERA
TE
HIGH
HEAL
THY
LOW
MO
DERA
TE
HIGH
GOOD BAD
24.40%
34.10%39.00%
2.40% 4.00%
25.70%
61.10%
8.70%
GOOD BAD
Conclusions of Our Study
1. Dental careis showed a high prevalence in this group of patients
2. The highest value of DMFT index was observed in patients with 60 years old and more
3. Females were more affected than males
4. Moderate severity of carious lesions was found in this study
5. Pateints with bad oral hygiene developed highest severity of dental careis
Recommendations ..
The very high level of caries prevalence and dental treatment needs revealed by the present study demonstrate the necessity to target oral health services towards community-directed prevention and oral health promotion, in order to improve the oral health status of yemeni society .
It is necessary for oral health professionals to recognize the significance and importance of preventive activities.
An organized intervention, leading towards improving dental status through increasing the population’s knowledge, attitude, and behavior to dental care is recommended.
Special THANKS for …
Our Group would Like to Express the deepest gratitude and appreciation toward Prof.Dr. Renee Martinez .