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Caries Decline in Preschool Children from Low Social Classes and with Migration Background in Hamburg, Germany: Outcome from Repeated Cross-Sectional Caries Epidemiological Studies

Over several decades, the dental caries burden in the deciduous dentition has decreased in Germany. However, a dependency of the caries burden on social parameters, such as socio-economic status (SES) or migration background, is generally described. Therefore, the aim of the evaluation was to analys...

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Autor principal: Schiffner, Ulrich
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9331480/
https://www.ncbi.nlm.nih.gov/pubmed/35893342
http://dx.doi.org/10.3390/jcm11154251
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author Schiffner, Ulrich
author_facet Schiffner, Ulrich
author_sort Schiffner, Ulrich
collection PubMed
description Over several decades, the dental caries burden in the deciduous dentition has decreased in Germany. However, a dependency of the caries burden on social parameters, such as socio-economic status (SES) or migration background, is generally described. Therefore, the aim of the evaluation was to analyse to what extent children with a low social class affiliation or a migration background have participated in the caries decline. For the city of Hamburg, Germany, data from a series of five caries epidemiological surveys in day-care centres are available since 1977. Using the same methodology, the dmft values were determined, according to WHO criteria, and in addition including initial caries (IC). For the present evaluation, the data and the changes of caries load (caries prevalence and caries experience; dmft) over time were compared with reference to SES and a migration background. A decrease in the caries prevalence from 58.4% to 22.7% and in the dmft value from 2.6 to 0.8 was determined from 1977 to 2016 (WHO criteria). Including IC, the caries prevalence has decreased from 91.0% to 44.4%, and the caries experience shows a decline from 6.4 to 1.8. The caries reduction can be observed in children of all social classes and regardless of a migration background, although significant differences in caries prevalence and caries experience remain recognisable for each survey through 2016. In conclusion, preschool children from families with low SES or with a migration background have not been left behind in the improvement of dental health, but have also benefited from caries prevention measures in roughly the same order of magnitude as other children.
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spelling pubmed-93314802022-07-29 Caries Decline in Preschool Children from Low Social Classes and with Migration Background in Hamburg, Germany: Outcome from Repeated Cross-Sectional Caries Epidemiological Studies Schiffner, Ulrich J Clin Med Article Over several decades, the dental caries burden in the deciduous dentition has decreased in Germany. However, a dependency of the caries burden on social parameters, such as socio-economic status (SES) or migration background, is generally described. Therefore, the aim of the evaluation was to analyse to what extent children with a low social class affiliation or a migration background have participated in the caries decline. For the city of Hamburg, Germany, data from a series of five caries epidemiological surveys in day-care centres are available since 1977. Using the same methodology, the dmft values were determined, according to WHO criteria, and in addition including initial caries (IC). For the present evaluation, the data and the changes of caries load (caries prevalence and caries experience; dmft) over time were compared with reference to SES and a migration background. A decrease in the caries prevalence from 58.4% to 22.7% and in the dmft value from 2.6 to 0.8 was determined from 1977 to 2016 (WHO criteria). Including IC, the caries prevalence has decreased from 91.0% to 44.4%, and the caries experience shows a decline from 6.4 to 1.8. The caries reduction can be observed in children of all social classes and regardless of a migration background, although significant differences in caries prevalence and caries experience remain recognisable for each survey through 2016. In conclusion, preschool children from families with low SES or with a migration background have not been left behind in the improvement of dental health, but have also benefited from caries prevention measures in roughly the same order of magnitude as other children. MDPI 2022-07-22 /pmc/articles/PMC9331480/ /pubmed/35893342 http://dx.doi.org/10.3390/jcm11154251 Text en © 2022 by the author. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Schiffner, Ulrich
Caries Decline in Preschool Children from Low Social Classes and with Migration Background in Hamburg, Germany: Outcome from Repeated Cross-Sectional Caries Epidemiological Studies
title Caries Decline in Preschool Children from Low Social Classes and with Migration Background in Hamburg, Germany: Outcome from Repeated Cross-Sectional Caries Epidemiological Studies
title_full Caries Decline in Preschool Children from Low Social Classes and with Migration Background in Hamburg, Germany: Outcome from Repeated Cross-Sectional Caries Epidemiological Studies
title_fullStr Caries Decline in Preschool Children from Low Social Classes and with Migration Background in Hamburg, Germany: Outcome from Repeated Cross-Sectional Caries Epidemiological Studies
title_full_unstemmed Caries Decline in Preschool Children from Low Social Classes and with Migration Background in Hamburg, Germany: Outcome from Repeated Cross-Sectional Caries Epidemiological Studies
title_short Caries Decline in Preschool Children from Low Social Classes and with Migration Background in Hamburg, Germany: Outcome from Repeated Cross-Sectional Caries Epidemiological Studies
title_sort caries decline in preschool children from low social classes and with migration background in hamburg, germany: outcome from repeated cross-sectional caries epidemiological studies
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9331480/
https://www.ncbi.nlm.nih.gov/pubmed/35893342
http://dx.doi.org/10.3390/jcm11154251
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