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      Prevalence of oral conditions and associated factors among schoolchildren in Accra, Ghana: a cross-sectional study

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          Abstract

          Objective

          The impact of oral diseases on children cannot be overemphasized because their effects may go beyond the individual to the household and the community at large. This study aimed to determine the prevalence of common oral conditions in children between the ages of 9 and 16 years in Accra.

          Methods

          A cross-sectional study was carried out among participants from 16 selected junior high schools in Accra. Their caries experience was assessed using the decayed, missing, and filled teeth (DMFT) index. Other variables recorded were age, sex, previous history of a dental visit, and the presence of other common oral conditions (ie, periodontal disease, traumatised teeth, oral mucosal lesions, neoplasia, cysts, and malocclusion). Summaries and descriptive statistics were generated and reported. The DMFT was compared between subgroups, and the χ 2 test was used to compare outcomes of categorical variables.

          Results

          A total of 1118 students participated in the study. This consisted of 37.8% males and 62.2% females. The mean age was 12.8 (standard deviation = 1.7) years. Common oral conditions were found in 49.7% of the participants and the prevalence of caries, periodontal disease, and malocclusion were found to be 13.3%, 30.4%, and 11.3%, respectively. The population's mean DMFT was found to be 0.27 (standard deviation = 0.76).

          Conclusions

          The prevalence of caries and periodontal disease calls for additionaleffort to reduce the burden of common oral conditions in Ghanaian children.

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          Most cited references26

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          Global, Regional, and National Prevalence, Incidence, and Disability-Adjusted Life Years for Oral Conditions for 195 Countries, 1990–2015: A Systematic Analysis for the Global Burden of Diseases, Injuries, and Risk Factors

          The Global Burden of Disease 2015 study aims to use all available data of sufficient quality to generate reliable and valid prevalence, incidence, and disability-adjusted life year (DALY) estimates of oral conditions for the period of 1990 to 2015. Since death as a direct result of oral diseases is rare, DALY estimates were based on years lived with disability, which are estimated only on those persons with unmet need for dental care. We used our data to assess progress toward the Federation Dental International, World Health Organization, and International Association for Dental Research’s oral health goals of reducing the level of oral diseases and minimizing their impact by 2020. Oral health has not improved in the last 25 y, and oral conditions remained a major public health challenge all over the world in 2015. Due to demographic changes, including population growth and aging, the cumulative burden of oral conditions dramatically increased between 1990 and 2015. The number of people with untreated oral conditions rose from 2.5 billion in 1990 to 3.5 billion in 2015, with a 64% increase in DALYs due to oral conditions throughout the world. Clearly, oral diseases are highly prevalent in the globe, posing a very serious public health challenge to policy makers. Greater efforts and potentially different approaches are needed if the oral health goal of reducing the level of oral diseases and minimizing their impact is to be achieved by 2020. Despite some challenges with current measurement methodologies for oral diseases, measurable specific oral health goals should be developed to advance global public health.
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            Global epidemiology of dental caries and severe periodontitis - a comprehensive review.

            Dental caries and periodontitis are the most common oral diseases and major causes of tooth loss.
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              Early Childhood Caries: Prevalence, Risk Factors, and Prevention

              Early childhood caries (ECC) is major oral health problem, mainly in socially disadvantaged populations. ECC affects infants and preschool children worldwide. The prevalence of ECC differs according to the group examined, and a prevalence of up to 85% has been reported for disadvantaged groups. ECC is the presence of one or more decayed, missing, or filled primary teeth in children aged 71 months (5 years) or younger. It begins with white-spot lesions in the upper primary incisors along the margin of the gingiva. If the disease continues, caries can progress, leading to complete destruction of the crown. The main risk factors in the development of ECC can be categorized as microbiological, dietary, and environmental risk factors. Even though it is largely a preventable condition, ECC remains one of the most common childhood diseases. The major contributing factors for the for the high prevalence of ECC are improper feeding practices, familial socioeconomic background, lack of parental education, and lack of access to dental care. Oral health plays an important role in children to maintain the oral functions and is required for eating, speech development, and a positive self-image. The review will focus on the prevalence, risk factors, and preventive strategies and the management of ECC.
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                Author and article information

                Contributors
                Journal
                Int Dent J
                Int Dent J
                International Dental Journal
                Elsevier
                0020-6539
                1875-595X
                27 March 2021
                February 2022
                27 March 2021
                : 72
                : 1
                : 93-99
                Affiliations
                [a ]Oral and Maxillofacial Surgery Unit, Korle-Bu Teaching Hospital, Accra, Ghana
                [b ]Department of Orthodontics and Pedodontics, College of Health Sciences, University of Ghana, Accra, Ghana
                [c ]Department of Restorative Dentistry, College of Health Sciences, University of Ghana, Accra, Ghana
                [d ]Department of Community and Preventive Dentistry, College of Health Sciences, University of Ghana, Accra, Ghana
                Author notes
                [* ] Corresponding author. Oral and Maxillofacial Surgery Unit, Korle-Bu Teaching Hospital, P.O. Box KB-20, Korle-Bu, Accra, Ghana p.blankson@ 123456kbth.gov.gh
                Article
                S0020-6539(21)00042-3
                10.1016/j.identj.2021.02.004
                9275338
                33781557
                79d9dafb-6597-4730-8f4c-576bb49f6e7a
                © 2021 The Authors

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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                Categories
                Scientific Research Report

                prevalence,observational study,dental caries,periodontal disease,malocclusion,ghana

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