Relationship between social determinants, dental caries and its consequences in children in Manta
DOI:
https://doi.org/10.29166/odontologia.vol27.n1.2025-e7503Keywords:
Social determinants of health, CPO index, PUFA indexAbstract
Social determinants of health refer to the economic, social, regulatory and political forces that can have a positive or negative impact on the health of communities. Dental caries and its consequences when not treated can affect people's quality of life. The objective was to describe the relationship between social determinants, dental caries and its consequences in children from the Manta canton. A cross-sectional study was conducted in a sample of 218 children between 5 and 14 years of age from the Manta canton, in Ecuador. A modification of form 033 was applied and a clinical examination was performed to identify the DMFT, dmft, PUFA and pufa index, in addition to a questionnaire on social determinants of health. The prevalence of caries in primary dentition was 100% and in permanent teeth 6%. On the other hand, the prevalence of pulpal conditions as a consequence of untreated dental caries was 19.3% in primary dentition and 4.1% in permanent dentition. Furthermore, the DMFT index was 0.17 ± 0.746 teeth and the dmft index was 5.85 ± 3.360 teeth, while the PUFA/pufa was 0.10/0.61. Factors such as diet, income and employment influenced the level of caries rates and their consequences.
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Braveman P, Gottlieb L. The Social Determinants of Health: It’s Time to Consider the Causes of the Causes. Public Health Rep [Internet]. el 1 de enero de 2014;129(1_suppl2):19–31. Disponible en: http://journals.sagepub.com/doi/10.1177/00333549141291S206
Singh A, Ferreira J, Peres M. Socio-Economic Inequalities in Oral Health. En: Peres M, Ferreira J, Watt R, editores. Oral Epidemiology A Textbook on Oral Health Conditions, Research Topics and Methods. First. Cham: Springer; 2021. p. 279–94.
Rodríguez-Godoy M, Navarro-Saiz LM, Alzate JP, Guarnizo-Herreño CC. Inequidad en el ingreso y caries de la infancia temprana en Colombia: un análisis multinivel. Cienc e Saude Coletiva. 2022;27(6):2325–36.
Tellez M, Zini A, Estupiñan-Day S. Social Determinants and Oral Health: An Update. Curr Oral Heal Reports [Internet]. 2014;1(3):148–52. Disponible en: https://doi.org/10.1007/s40496-014-0019-6
Añon C. Los determinantes sociales en el derecho a la salud. En: Lema C, editor. Los determinantes sociales de la salud: más allá del derecho a la salud. Primera. Madrid: Editorial Dykinson; 2021. p. 27–70.
Viner RM, Ozer EM, Denny S, Marmot M, Resnick M, Fatusi A, et al. Adolescence and the social determinants of health. Lancet [Internet]. el 28 de abril de 2012;379(9826):1641–52. Disponible en: https://doi.org/10.1016/S0140-6736(12)60149-4
Pitts NB, Zero DT, Marsh PD, Ekstrand K, Weintraub JA, Ramos-Gomez F, et al. Dental caries. Nat Rev Dis Prim [Internet]. 2017;3(1):17030. Disponible en: https://doi.org/10.1038/nrdp.2017.30
Glazer K, Peres M, Ferreira L. Dental Caries. En: Peres M, Ferreira J, Watt R, editores. Oral Epidemiology A Textbook on Oral Health Conditions, Research Topics and Methods. First. Cham: Springer; 2021. p. 39–56.
Machiulskiene V, Campus G, Carvalho JC, Dige I, Ekstrand KR, Jablonski-Momeni A, et al. Terminology of Dental Caries and Dental Caries Management: Consensus Report of a Workshop Organized by ORCA and Cariology Research Group of IADR. Caries Res [Internet]. 2020;54(1):7–14. Disponible en: https://www.karger.com/DOI/10.1159/000503309
Scottish Dental Clinical Effectiveness Programme. Prevention and Management of Dental Caries in Children [Internet]. Second. Dundee: Scottish Dental Clinical Effectiveness Programme; 2018. 158 p. Disponible en: https://www.sdcep.org.uk/wp-content/uploads/2018/05/SDCEP-Prevention-and-Management-of-Dental-Caries-in-Children-2nd-Edition.pdf
Vieira-Andrade RG, Pordeus IA, Ramos-Jorge ML, Drumond CL, Silva-Freire LC, Ramos-Jorge J, et al. Risk indicators of untreated dental caries incidence among preschoolers: a prospective longitudinal study. Braz Oral Res. 2022;36:1–12.
Cortés F. Medición de la salud y la enfermedad en odontología comunitaria. En: Cuenca, E.; Baca P, editor. Odontología preventiva y comunitaria Principios, métodos y aplicaciones. Cuarta. Barcelona: Elsevier España; 2013. p. 47–60.
Murrieta J. Índices epidemiológicos de morbilidad bucal. 1era ed. Ciudad de México: Universidad Nacional Autónoma de México; 2009. 192 p.
World Health Organization. Oral Health Surveys. Basics Methods. Geneva: World Health Organization; 2013. 125 p.
Peres M, Ferreira J, Watt R. Oral Epidemiology. A Textbook on Oral Health Conditions, Research Topics and Methods. First. Cham: Springer; 2021. 536 p.
Bhadila GY, Farsi J, Aljishi H, Bagher M. Clinical Effects of Dental Caries on the Quality of Life of Paediatric Patients Aged 8–10 Years: Utilisation of the PUFA Index. Oral Health Prev Dent. 2023;21:113–20.
Ccanto-Coanqui A, Mamani-Cori V, Villalta-Negreiros YS, Chique-Pari JJ, Rojas-Ortiz HR. Caries dental no tratada y percepción de condiciones orales sobre calidad de vida en niños. Peruvian J Heal Care Glob Heal [Internet]. el 26 de diciembre de 2022;6(2 SE-Artículos breves):75–9. Disponible en: https://revista.uch.edu.pe/index.php/hgh/article/view/212
Ballo L, Arheiam A, Marhazlinda J. Determinants of caries experience and the impact on the OHRQOL of 6-year-old Libyan children: a cross-sectional survey. BMC Oral Health [Internet]. 2021;21(1):320. Disponible en: https://doi.org/10.1186/s12903-021-01681-2
Calixto LF, Dias VO, Oliveira MJL, Maia NGF, Oliveira C de C, Martins MATS. Impact of dental caries experience and the consequences of untreated dental caries on the quality of life of children aged 8 to 10 years. Arq em Odontol [Internet]. el 23 de diciembre de 2018;54(0 SE-). Disponible en: https://periodicos.ufmg.br/index.php/arquivosemodontologia/article/view/3779
Ministerio de Salud Pública. Protocolos odontológicos. Primera ed. Quito: Ministerio de Salud Pública del Ecuador; 2014. 253 p.
Monse B, Heinrich-Weltzien R, Benzian H, Holmgren C, Van Palenstein Helderman W. PUFA - An index of clinical consequences of untreated dental caries. Community Dent Oral Epidemiol. 2010;38(1):77–82.
Hahn RA. What is a Social Determinant of Health? Back to Basics. J Public health Res [Internet]. el 26 de octubre de 2021;10(4):jphr.2021.2324. Disponible en: https://doi.org/10.4081/jphr.2021.2324
Kassebaum NJ, Bernabé E, Dahiya M, Bhandari B, Murray CJL, Marcenes W. Global burden of untreated caries: a systematic review and metaregression. J Dent Res. mayo de 2015;94(5):650–8.
Quadros LN, Rebelo MAB, de Queiroz AC, Pereira JV, Vettore MV, Rebelo Vieira JM. Clinical consequences of untreated dental caries and school performance in low-income adolescents. Int J Paediatr Dent. 2021;31(5):619–26.
Griffin SO, Thornton-Evans G, Wei L, Griffin PM. Disparities in Dental Use and Untreated Caries Prevalence by Income. JDR Clin Transl Res. 2021;6(2):234–41.
Szöke J, Petersen PE. Changing levels of dental caries over 30 years among children in a country of central and eastern europe-The case of Hungary. Oral Heal Prev Dent. 2020;18(2):177–83.
Monsalves MJ, Espinoza I, Moya P, Aubert J, Durán D, Arteaga O, et al. Structural determinants explain caries differences among preschool children in Chile’s Metropolitan Region. BMC Oral Health. marzo de 2023;23(1):136.
Elamin A, Garemo M, Mulder A. Determinants of dental caries in children in the Middle East and North Africa region: a systematic review based on literature published from 2000 to 2019. BMC Oral Health. mayo de 2021;21(1):237.
Vasavan SK, Retnakumari N. Assessing consequences of untreated dental caries using pufa/PUFA index among 6-12 years old schoolchildren in a rural population of Kerala. J Indian Soc Pedod Prev Dent. 2022;40(2):132–9.
Silva MP, Vettore MV, Rebelo MAB, Rebelo Vieira JM, Herkrath APC de Q, Queiroz AC de, et al. Clinical Consequences of Untreated Dental Caries, Individual Characteristics, and Environmental Factors on Self-Reported Oral Health Measures in Adolescents: A Follow-Up Prevalence Study. Caries Res. 2020;54(2):176–84.
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Copyright (c) 2025 Mayte Carolina Aguilar Zambrano, Gandy Samyr Flores Herrera, Juan Manuel Sierra Zambrano, Alba María Mendoza Castro
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