Assessment of Oral Health Status and Treatment Needs of 5-Year- Old and 12-Year- Old children in Yemen

الموضوعات

طب

الملخص

During the period between the first of April 2003 and the End of October2005 in six governorates in Yemen (cities and environs) selected according totheir geographical location, socioeconomic status, different climates and sizesof population an oral health survey was conducted among Yemeni 5-year-oldprivate kindergarten children in urban areas. The sample consisted of (1292)five year old children in kindergartens and (4104) twelve year old schoolchildren in urban, periurban and rural areas. To investigate the prevalence andseverity of dental caries, dental treatment needs, gingival health condition inrelation to age, gender, area of residency, level of parents education, mottledenamel, Qat chewing habit ; in addition to dental attitude and behavior. WHO(1997) criteria were used to assess the individual tooth health status andtreatment needs, Mottled enamel was scored according to the Modified Dean'sIndex (1942), while for the assessment of periodontal health status, PlaqueIndex (Silness and Loe, 1964), Gingival Index (Loe and Silness, 1963) and(Loe, 1967) to asses the severity of gingival inflammation) and Calculus Index(Ramfjord, 1959) were applied. Results showed that caries-free subjectsconstituted about 31.5% (1698 subject) of the total examined subjects (31.9%among deciduous teeth and 27.9% for permanent teeth). The dmft and dmfsvalues were 2.09 and 4.58, respectively. Boys demonstrated statisticallysignificantly values compared to girls (P<0.05). On the other hand, statisticallysignificant differences were found between the three areas of residencyconcerning dmfs values (P < 0.05). DMFT and DMFS values were of 2.17 and3.76, respectively. Girls had higher DMFS means than boys, while the highestDMFT and DMFS means were in urban areas, while the lowest DMFT andDMFS means were found in periurban areas, statistically high significantdifferences were found between three areas.Occlusal surfaces of the deciduous teeth seemed to be the highest mean ofdecayed surfaces followed by distal surfaces. Concerning permanent teeth theocclusal surfaces had the highest DS mean followed by lingual surfaces whilethe mesial surfaces had the lowest DS mean.Regarding the treatment need, 54% of the children and school children werein need of one surface filling followed by 33.6% in need of two or more surfacefilling and the least percentage 1.9% were in need of crowns.The number of children and school childern with enamel mottling was(2020 subjects), representing 37.4 % of the total sample. The sample in Taiz,Hadramawat and Al-Hodaidah had the highest percentage of enamel mottling,in those three governorates school children in periurban areas had the highestpercentage which were 19.7%, 17.6 %, and 13.8%, respectively.The school children who are Qat chewers were (287 school children),representing 5.3% of total sample (5% from males and 0.3% from females).The results of this study showed that the prevalence of gingivitis was high andincreased significantly with age. Most of children examined showed mildplaque and gingivitis scores. Only 33.7% of the whole samples were gingivitisfree.Females demonstrated less gingivitis than males with statistically highlysignificant difference (P < 0.001). The children in rural areas had the highestplaque, gingival and calculus scores, while the lowest plaque gingival andcalculus scores were found in periurban areas. Children with mottled enamelhad statistically highly significant calculus scores compared to children andschool children with normal enamel. The Qat chewers had high significantmean gingival index scores when compared to non Qat chewers (P < 0.001).Results illustrated that the total sample claimed to attend dental clinic regularly(at least once per year) only 1.4 %, the results showed also an associationbetween levels of parents education and high percentage of plaque-free,gingivitis-free and caries-free children and school children.In conclusions, the dental health status among children and school childrenin Yemen was very bad, stressing on the evaluation of dental facilities, dentalservices, and content of fluoride ion in the water supplies in order to findsufficient ways to provide the children with primary preventive programmesand proper dental services.

روابط وملفات

التعريف والنوع

رقم الوثيقة

fa8d9de0-3208-4846-a0eb-df0084578bef

رقم العقد

0

نوع الوسائط

Crawler

نوع المحتوى

الرسائل العلمية

صيغة المصدر

رسائل دكتوراة

نوع الملف

pdf image

أسماء الملفات

fa8d9de0-3208-4846-a0eb-df0084578bef_1.pdf

بيانات النشر

ألقاب المؤلفين

[{"name_ar":"Khalid Abdul-Salam Abu-Baker Al- Haddad","title_ar":"اعداد","title_en":"Preparation"},{"name_ar":"Yahia El-Tayeb Ibrahim ","title_ar":"اشراف","title_en":"Supervision"}]

اللغة

English

المصدر والدورية

اسم المصدر

Assessment of Oral Health Status and Treatment Needs of 5-Year- Old and 12-Year- Old children in Yemen

المحتوى والصفحات

عدد الصفحات

0

إشراف وإعداد

الإشراف

Yahia El-Tayeb Ibrahim

الإعداد

Khalid Abdul-Salam Abu-Baker Al- Haddad

الاقتباسات الببليوغرافية