title: Dental caries and associated factors among primary school children in Bahir Dar city: a cross-sectional study.
abstract: BACKGROUND
  Dental caries is the most common chronic infectious disease of childhood caused by the interaction of bacteria, mainly Streptococcus mutans and sugary foods on tooth enamel. This study aimed at determining the prevalence and associated factors of dental caries among primary school children at Bahir Dar city.
  
  
  METHODS
  A school based cross-sectional study was conducted at Bahir Dar city from October 2013 to January 2014. Systematic random sampling technique was used to select the children. Structured questionnaire was used to interview children and/or parents to collect socio demographic variables. Clinical dental information obtained by experienced dentist using dental caries criteria set by World Health Organization. Binary and multiple logistic regression analysis were computed to investigate factors associated with dental caries.
  
  
  RESULTS
  Of the 147 children, 82 (55.4%) were girls. Majority of the children (67.6%) cleaned their teeth using traditional method (small stick of wood made of a special type of plant). The proportion of children having dental caries was 32 (21.8%). Primary tooth decay accounted for 24 (75%) of dental caries. The proportion of missed teeth was 7 (4.8%). The overall proportion of toothache and dental plaque among school children were 40 (27.2%) and 99 (67.3%), respectively. Grade level of 1-4 (AOR = 3.9, CI = 1.49 -10.4), poor habit of tooth cleaning (AOR = 2.6, CI = 1.08 - 6.2), dental plaque (AOR = 5.3, CI = 1.6 - 17.7) and toothache (AOR = 6.3, CI = 2.4 - 15.4) were significantly associated with dental caries.
  
  
  CONCLUSIONS
  Dental caries is a common public health problem in school children associated with poor oral hygiene, dietary and dental visit habits. Therefore, prevention measures such as health education on oral hygiene, dietary habits and importance of dental visit are obligatory for children.
authors.affiliation: Department of Medical Microbiology, Immunology and Parasitology, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia. Wondem_32@yahoo.com.
authors.forename: Wondemagegn
authors.initials: W
authors.lastname: Mulu
authors.forename: Tazebew
authors.initials: T
authors.lastname: Demilie
authors.forename: Mulat
authors.initials: M
authors.lastname: Yimer
authors.forename: Kassaw
authors.initials: K
authors.lastname: Meshesha
authors.forename: Bayeh
authors.initials: B
authors.lastname: Abera
mesh_terms: D000293:Adolescent; D002648:Child; D003430:Cross-Sectional Studies; D003731:Dental Caries / Q000175:diagnosis* / Q000453:epidemiology*; D003773:Dental Plaque / Q000175:diagnosis / Q000453:epidemiology; D005002:Ethiopia / Q000453:epidemiology; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D008297:Male; D009910:Oral Hygiene / Q000706:statistics & numerical data; D015995:Prevalence; D012307:Risk Factors; D012574:Schools / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D014504:Urban Health / Q000706:statistics & numerical data; D014505:Urban Population / Q000706:statistics & numerical data*