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European Archives of Paediatric Dentistry

, Volume 14, Issue 4, pp 227–231 | Cite as

Prevalence and clinical consequences of untreated dental caries using PUFA index in suburban Nigerian school children

  • E. O. OziegbeEmail author
  • T. A. Esan
Original Scientific Article

Abstract

Background

Dental caries is the most common childhood disease and the most frequent non-communicable disease worldwide. In developing countries, a vast majority of the caries remains unrestored. However, the severity and consequences of untreated dental caries among Nigerian children is unknown.

Objectives

To determine the prevalence using the DMFT/dmft index and severity of oral conditions related to dental caries using the PUFA/pufa index in suburban Nigerian children.

Methods

The study population consisted of 1,266 randomly selected school children in Ile-Ife, Nigeria. Dental caries status was assessed using the DMFT/dmft index, described by WHO for epidemiological studies. The PUFA/pufa index was used to assess the clinical consequences of untreated dental caries.

Results

The mean dmft was 0.58 for the 4–6 years age group while the mean pufa score was 0.16 for the same age group. The mean DMFT score (0.16) was highest for the 13–16 years age group, while the mean PUFA score was 0.05 for the same age group. The prevalence of dmft > 0 was highest in the 4–6 years age group (16.9 %) while the prevalence of DMFT > 0 was highest in the 13–16 years age group (7.2 %). The mean pufa > 0 was highest in the 4–6 years age group (9.2 %). The overall caries prevalence was highest in the 4–6 years age group (17.4 %). Thirty-three percent of decayed teeth in the permanent dentition and 28.2 % of the primary dentition had signs of odontogenic infections.

Conclusions

Despite the increase in the consumption of westernised diets by Nigerian children coupled with limited access to dental care, the prevalence was low but the clinical consequences of untreated dental caries was still high.

Keywords

Untreated caries Severity PUFA index Children 

References

  1. Adegbenbo AO, el-Nadeef MA, Adeyinka A. A national survey of dental caries status and treatment needs in Nigeria. Int Dent J. 1995;45:35–44.Google Scholar
  2. Adekoya-Sofowora CA, Nasir WO, Oginni AO, Taiwo M. Dental caries in -12-year-old suburban Nigerian school children. Afr Health Sci. 2006a;6(3):145–50.PubMedGoogle Scholar
  3. Adekoya-Sofowora CA, Nasir WO, Taiwo M, Adesina OA. Caries experience in the primary dentition of nursery school children in Ile-Ife, Nigeria. Afr J Oral Health. 2006b;2(2):19–25.Google Scholar
  4. Adeniyi AA, Oyinkan O, Ogunbodede EO, Jeboda SO, Sofola OO. Dental caries occurrence and associated oral hygiene practices among rural and urban Nigerian pre-school children. J Dent Oral Hyg. 2009;1(5):64–70.Google Scholar
  5. Agbelusi GA, Jeboda SO. Oral health status of 12-year-old Nigerian children. West Afr J Med. 2006;25:195–8.PubMedGoogle Scholar
  6. Akpata ES. Oral health in Nigeria. Int Dent J. 2004;54(6):361–6.PubMedGoogle Scholar
  7. Bajomo AS, Ruldolph MJ, Ogunbodede EO. Dental caries in six, 12 and 15 year old Venda children in South Africa. East Afr Med J. 2004;81:236–43.PubMedGoogle Scholar
  8. Benzian H, Monse B, Heinrich-Weltzien R, et al. Untreated severe dental decay: a neglected determinant of low Body Mass Index in 12-year-old Filipino children. BMC Public Health. 2011;11:558.PubMedCrossRefGoogle Scholar
  9. Budget office of the Federation. National Ministry of Finance Federal Republic of Nigeria 2012.Google Scholar
  10. Cleaton-Jones P. Dental caries, trends in 5–6 year old and 11- to 13-year-old children in two UNICEF designated regions. Subsaharan African and Middle East and North Africa 1970–2000. J Isr Dent Assoc 2001;18:11–21.Google Scholar
  11. Edelstein BL. The dental caries pandemic and disparities problem. BMC Oral Health. 2006;6(1):52.Google Scholar
  12. Egri M, Gunay O. Association between some educational indicators and dental caries experience of 12-year-old children in developing countries an ecological approach. Community Dent Health. 2004;21:227–9.PubMedGoogle Scholar
  13. Filstrup SL, Briskie D, da Fonseca M, et al. Early childhood caries and quality of life: child and parent perspectives. Pediatr Dent. 2003;25:431–40.PubMedGoogle Scholar
  14. Finucane D. Rationale for the restoration of carious primary teeth: a review. Eur Arch Paediatr Dent. 2012;13:281–292.Google Scholar
  15. Henshaw NE, Adenubi JO. The increase in dental disease in the northern states of Nigeria and its manpower implications. J Dent. 1975;3:243–50.PubMedCrossRefGoogle Scholar
  16. Low W, Tan S, Schwartz S. The effect of severe caries on the quality of life in young children. Pediatr Dent. 1999;21:325–6.PubMedGoogle Scholar
  17. 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;38:77–82.PubMedCrossRefGoogle Scholar
  18. Okullo I, Astrom AN, Hangejorden O, Rwenyonyi CM. Variation in caries experience and sugar intake among secondary school students in urban and rural Uganda. Acta Odontol Scand. 2003;61:197–202.PubMedCrossRefGoogle Scholar
  19. Okeigbemen SA. The prevalence of dental caries among 12–15 year-old children in Nigeria: report of a local survey and campaign. Oral Health Prev dent. 2004;2:27–31.PubMedGoogle Scholar
  20. Petersen PE, Bourgeois D, Ogawa H, Estupinan-Day S, Ndiaye C. The global burden of oral diseases and risk to oral health. Bull World Health Organ. 2005;83:661–9.PubMedGoogle Scholar
  21. Pitts NB, Fyffe HE. The effect of varying diagnostic thresholds upon clinical caries data for low prevalence group. J Dent Res. 1988;67:592–6.PubMedCrossRefGoogle Scholar
  22. Pine C, Harris VR, Burnside G, Merrett MCE. An investigation of the relationship between untreated decayed teeth and sepsis in 5-year-old children. British Dent J. 2006;200:45–7.CrossRefGoogle Scholar
  23. Reisine ST. The impact of dental conditions on social functioning and quality of life. Annu Rev Public Health 1998;91–99.Google Scholar
  24. Sheiham A. Oral health, general health and quality of life. Bull World Health Organ. 2005;83(9):644.PubMedGoogle Scholar
  25. Sheiham A. Dental caries affects body weight, growth and quality of life in pre-school children. Br Dent J. 2006;201:625–6.PubMedCrossRefGoogle Scholar
  26. van Wyk PJ, Louw AJ, Du plessis JB. Caries status and treatment needs in South Africa: report of the 1999–2002 National children oral health survey. South Afr Dent J. 2004;59:238–42.Google Scholar
  27. World Health Organisation. A guide to oral health epidemiological investigations. Geneva: World Health Organisation; 1979.Google Scholar
  28. World Health Organisation. Oral Health Surveys. Basic Methods. 4th edn. Geneva: World Health Organisation; 1997.Google Scholar

Copyright information

© European Academy of Paediatric Dentistry 2013

Authors and Affiliations

  1. 1.Department of Child Dental Health, Faculty of DentistryObafemi Awolowo UniversityIle-IfeNigeria
  2. 2.Department of Restorative Dentistry, Faculty of DentistryObafemi Awolowo UniversityIle-IfeNigeria

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