Cent Eur J Public Health 2019, 27(3):256-262 | DOI: 10.21101/cejph.a5314

Caries prevalence among schoolchildren in urban and rural Croatia

Stjepanka Lešić1, Walter Dukić2, Zdenka Šapro Kriste3, Vesna Tomičić4, Snježana Kadić5
1 Private Dental Practice Stjepanka Lešić, Štitar, Croatia
2 School of Dental Medicine, University of Zagreb, Zagreb, Croatia
3 Private Dental Practice Zdenka Šapro Kriste, Slano-Orašac, Croatia
4 Private Dental Practice Vesna Tomičić, Dubrovnik, Croatia
5 Dental Polyclinic Zagreb, Zagreb, Croatia

Objective: The aim of the study was to evaluate caries prevalence in a sample of schoolchildren aged 6 to 16 years from rural and urban areas in Croatia.

Methods: Using standardized World Health Organisation (WHO) criteria, the oral health status of 1,589 children (265 from rural and 1,324 from urban areas) was assessed by recording the following indices: DMFT (decayed, missing, filled permanent teeth), deft (decayed, extracted, filled primary teeth), DMFS (decayed, missing, filled surfaces - permanent teeth), defs (decayed, extracted, filled surfaces - primary teeth) and SiC (Significant Caries Index). Rural areas were Štitar and Babina Greda municipalities in Slavonia and urban areas were the cities of Županja (Slavonia), Zagreb and Dubrovnik.

Results: Half of the examined children (50.0%) had caries (D component in DMFT), with 46.0% of these being from urban and 70.2% from rural areas. The median DMFT among children was 2, 4 (rural) and 2 (urban) (p < 0.001). Among 12-year-olds, the median DMFT was 4 (rural) and 3 (urban), and mean DMFT was 3.4. The median DMFS for rural area was 5 and for urban area 3 (p < 0.001). The median deft was 1.00 for rural and 1.00 for urban, while the highest value was found among 6-year-olds at 9 in rural and 7 in urban areas. The median SiC was 4, 4 (urban) and 5 (rural).

Conclusion: Schoolchildren from urban and rural areas in Croatia differ significantly in caries prevalence. They fall into the medium DMFT classification group according to the WHO, which indicates the need for a comprehensive oral health preservation programme.

Klíčová slova: epidemiology, dental caries, preventive dentistry, cross-sectional studies, paediatric dentistry, DMF index

Vloženo: 7. únor 2018; Revidováno: 4. červenec 2019; Přijato: 4. červenec 2019; Zveřejněno: 30. září 2019  Zobrazit citaci

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Lešić S, Dukić W, Šapro Kriste Z, Tomičić V, Kadić S. Caries prevalence among schoolchildren in urban and rural Croatia. Cent Eur J Public Health. 2019;27(3):256-262. doi: 10.21101/cejph.a5314. PubMed PMID: 31580564.
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