Clinical Research Unit (CRU), Egas Moniz Center for Interdisciplinary Research, Egas Moniz-School of Health and Science, 2829-511 Almada, Portugal.
Evidenced-Based Hub, Egas Moniz Center for Interdisciplinary Research, Egas Moniz-School of Health and Science, 2829-511 Almada, Portugal.
Int J Environ Res Public Health. 2023 Jan 31;20(3):2511. doi: 10.3390/ijerph20032511.
Oral health surveys are essential for assessing the dental caries experience and to influence national policies. This retrospective cross-sectional study aims to analyze dental caries experience for which dental treatment was sought in a reference university dental hospital at the Lisbon Metropolitan Area between January 2016 and March 2020. Full-mouth examination, and sociodemographic, behavior, and medical information were included. Descriptive analyses and logistic regression analysis were applied to ascertain risk indicators associated with dental caries experience. A final sample of 9349 participants (5592 females/3757 males) were included, aged 18 to 99 years old. In this population, caries experience was 91.1%, higher in female participants. Age (OR = 1.01, 95% CI [1.00-1.02], occupation (OR = 2.94, 95% CI [2.37-3.65], OR = 3.35, 95% CI [2.40-4.67], OR = 2.55, 95% CI [1.66-3.91], for employed, unemployed, and retired, respectively), overweight (OR = 1.52, 95% CI [1.18-1.96]), reporting to have never visited a dentist (OR = 0.38, 95% CI [0.23-0.64], and self-reported week teeth status (OR = 2.14, 95% CI [1.40-3.28]) were identified as risk indicators for the presence of dental caries, according to adjusted multivariable logistic analyses. These results highlight a substantial rate of dental experience in a Portuguese cohort and will pave the way for future tailored oral public health programs in Portugal.
口腔健康调查对于评估龋齿经历和影响国家政策至关重要。本回顾性横断面研究旨在分析 2016 年 1 月至 2020 年 3 月期间在里斯本大都市区的一家参考大学牙科医院寻求治疗的龋齿经历。包括全口检查以及社会人口学、行为和医疗信息。应用描述性分析和逻辑回归分析来确定与龋齿经历相关的风险指标。最终纳入了 9349 名参与者(5592 名女性/3757 名男性),年龄在 18 至 99 岁之间。在该人群中,龋齿发生率为 91.1%,女性参与者更高。年龄(OR=1.01,95%CI[1.00-1.02])、职业(OR=2.94,95%CI[2.37-3.65])、OR=3.35,95%CI[2.40-4.67])、OR=2.55,95%CI[1.66-3.91]),对于在职、失业和退休人员,分别)、超重(OR=1.52,95%CI[1.18-1.96])、从未看过牙医(OR=0.38,95%CI[0.23-0.64])和自我报告的周牙齿状况(OR=2.14,95%CI[1.40-3.28])被确定为存在龋齿的风险指标,根据调整后的多变量逻辑分析。这些结果突出了葡萄牙队列中相当高的龋齿发生率,并为葡萄牙未来量身定制的口腔公共卫生计划铺平了道路。