Drummond Andreia Maria Araújo, Diniz Thiago Caldeira, Ferreira Raquel Conceição, Gomes Viviane Elisângela, Pinto Rafaela da Silveira, Vasconcelos Mara, Prates Marcus Vinícius Camargo, Vargas Andrea Maria Duarte
Univesidade Federal de Minas Gerais - UFMG, School of Dentistry, Department of Social and Preventive Dentistry, Belo Horizonte, MG, Brazil.
Ministério da Saúde, Departamento de Atenção Primária à Saúde, Coordenação-Geral de Saúde Bucal, Brasília, DF, Brasil.
Braz Oral Res. 2025 Apr;39(suppl 1):e048. doi: 10.1590/1807-3107bor-2025.vol39.048.
This study aimed to compare the findings of the SB Brasil 2003, 2010, and 2023 surveys and analyze the evolution of caries experience among Brazilian adolescents (aged 15-19 years). A total of 16,832 adolescents were evaluated in 2003, 5,445 in 2010, and 8,054 in 2023. Although the 2010 sample was numerically smaller, all surveys maintained representativeness for Brazil, its regions, and state capitals, following national epidemiological sampling criteria. The DMFT index (Decayed, Missing, and Filled Teeth) and its components were analyzed at the national, regional, and state capital levels, considering socioeconomic and regional disparities. A significant reduction in the mean DMFT index was observed, from 5.51 (2003) to 4.25 (2010) and 3.41 (2023), with more pronounced declines in the Northeast and South regions. The decayed component showed a decrease between 2003 and 2023, while the filled teeth without decay component consistently decreased. Despite these improvements, regional inequalities persist, with the North and Central-West regions reporting higher caries rates and lower access to dental care. These findings highlight notable advancements in adolescent oral health in Brazil, particularly regarding the reduction in caries experience across some regions. However, persistent disparities underscore the need for targeted public health policies to ensure more equitable access to oral healthcare.
本研究旨在比较2003年、2010年和2023年巴西口腔健康调查（SB Brasil）的结果，并分析巴西青少年（15 - 19岁）龋齿患病情况的演变。2003年共评估了16,832名青少年，2010年评估了5,445名，2023年评估了8,054名。尽管2010年的样本数量较少，但按照国家流行病学抽样标准，所有调查在巴西全国、各地区和州首府均保持了代表性。在国家、地区和州首府层面，考虑社会经济和地区差异，对龋失补指数（DMFT，即龋齿、缺失牙和充填牙数）及其组成部分进行了分析。观察到平均DMFT指数显著下降，从2003年的5.51降至2010年的4.25以及2023年的3.41，东北地区和南部地区的下降更为明显。龋齿部分在2003年至2023年期间有所减少，而无龋充填牙部分持续下降。尽管有这些改善，但地区不平等现象仍然存在，北部和中西部地区的龋齿患病率较高，获得牙科护理的机会较低。这些发现凸显了巴西青少年口腔健康方面的显著进步，特别是在一些地区龋齿患病情况的减少。然而，持续存在的差距凸显了制定有针对性的公共卫生政策以确保更公平地获得口腔医疗服务的必要性。
