title: Determinant Factors of Untreated Dental Caries and Lesion Activity in Preschool Children Using ICDAS.
abstract: The aim of the present study was to investigate determinant factors associated with the presence of dental caries and lesion activity in preschool children. A population-based, cross-sectional study was carried out with 843 children of aged three to five years enrolled at public and private preschools in the city of Campina Grande, Brazil. A questionnaire addressing socio-demographic data and oral health care was self-administered by parents/caregivers. Three dentists previously calibrated examined the children for the diagnosis of dental caries and lesion activity using the International Caries Detection and Assessment System (ICDAS). Nutritional status was evaluated based on the body mass index. Logistic regression analysis for complex samples was performed (α = 5%). The prevalence of dental caries was 66.3%. Among the children with caries, 88.0% had active lesions. Dental caries was more prevalent in girls (OR = 1.53, 95%CI: 1.05-2.23), in children from families with a monthly household income ≤US$312.50 (OR = 2.38, 95%CI: 1.65-3.43) and those whose mothers had up to eight years of schooling (OR = 1.55, 95%CI: 1.07-2.23). Lesion activity was significantly associated with mother's schooling ≤ 8 years (OR = 2.15, 95%CI: 1.15-4.00). The prevalence rates of dental caries and lesion activity were high and mainly associated with a lower socioeconomic status and mother's schooling.
authors.affiliation: Department of Dentistry, State University of Paraíba, Campina Grande, Paraíba, Brazil.
authors.forename: Tássia Cristina de Almeida
authors.initials: TC
authors.lastname: Pinto-Sarmento
authors.affiliation: Department of Public Health, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
authors.forename: Mauro Henrique
authors.initials: MH
authors.lastname: Abreu
authors.affiliation: Department of Dentistry, State University of Paraíba, Campina Grande, Paraíba, Brazil.
authors.forename: Monalisa Cesarino
authors.initials: MC
authors.lastname: Gomes
authors.affiliation: Department of Dentistry, State University of Paraíba, Campina Grande, Paraíba, Brazil.
authors.forename: Edja Maria Melo de Brito
authors.initials: EM
authors.lastname: Costa
authors.affiliation: Department of Paediatric Dentistry and Orthodontics, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
authors.forename: Carolina Castro
authors.initials: CC
authors.lastname: Martins
authors.affiliation: Department of Dentistry, State University of Paraíba, Campina Grande, Paraíba, Brazil.
authors.forename: Ana Flávia
authors.initials: AF
authors.lastname: Granville-Garcia
authors.affiliation: Department of Paediatric Dentistry and Orthodontics, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
authors.forename: Saul Martins
authors.initials: SM
authors.lastname: Paiva
mesh_terms: D001938:Brazil / Q000453:epidemiology; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D003731:Dental Caries / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008297:Male; D009909:Oral Health