Postgraduate Program in Dental Sciences, Federal University of Santa Maria, Rua Conde de Porto Alegre, Santa Maria, RS, 961, Brazil.
Postgraduate Program in Dental Sciences, Federal University of Santa Maria, Rua Venâncio Aires, Santa Maria, RS, 1434, Brazil.
Clin Oral Investig. 2023 Jun;27(6):3149-3157. doi: 10.1007/s00784-023-04921-7. Epub 2023 Feb 25.
Evaluate the association of the interaction between the use of dental services and the skin colour on the occurrence of dental pain over time.
This study is a cohort with 10 years of follow-up, started in 2010 with a sample of 639 preschool children (1-5 years old). The use of dental services, race and the presence of dental pain were self-reported by the individuals according to predefined criteria. Multilevel logistic regression analysis was performed to assess the interaction between skin colour and use of dental services in the occurrence of dental pain over time.
About 449 and 429 were reassessed in 2017 and 2020, respectively. The occurrence of dental pain across the cohort was 60.7%. Caucasian individuals who used dental services throughout the cohort had a 51% lower chance of having a dental pain than those who used dental services but were non-white (OR 0.49; 95% IC 0.27-0.90).
There was a racial inequity in the occurrence of dental pain among individuals who managed to make use of dental services throughout the follow-ups.
The differences found should serve as a warning to the way how individuals with different characteristics are treated and must be used to combat this inequity. Individuals should receive resolute and personalized treatments according to their clinical condition and not according to their socioeconomic characteristics.
评估在一段时间内，使用牙科服务与肤色之间的相互作用与牙齿疼痛发生之间的关联。
本研究是一个具有 10 年随访期的队列研究，于 2010 年开始，样本为 639 名学龄前儿童（1-5 岁）。使用牙科服务、种族和牙齿疼痛的存在情况由个体根据预设标准进行自我报告。采用多水平逻辑回归分析评估肤色与使用牙科服务之间在一段时间内发生牙齿疼痛的相互作用。
大约有 449 人和 429 人分别在 2017 年和 2020 年重新评估。整个队列中牙齿疼痛的发生率为 60.7%。在整个队列中一直使用牙科服务的白种人发生牙齿疼痛的几率比使用牙科服务但非白种人低 51%（OR 0.49；95%CI 0.27-0.90）。
在能够在整个随访期间使用牙科服务的个体中，牙齿疼痛的发生存在种族不平等现象。
发现的差异应该引起对不同特征的个体如何被治疗的关注，并必须用于消除这种不平等。个体应根据其临床状况而不是其社会经济特征接受坚定和个性化的治疗。
