Journal Article

Oral Health Survey in Burundi; Evaluation of the Caries Experience in Schoolchildren Using the DMFT Index

La Corte, Pino, Dettori, Marco, Cappai, Andrea, Agnoli, Maria Ruth, Viarchi, Arianna, Castiglia, Paolo, Arghittu, Antonella, Wolf, Thomas Gerhard, Lamloum, Demetrio, Campus, Guglielmo

2023

Overview

Background and objectives: There are no data on oral health in the population of Burundi. This study aimed to describe the oral health status of schoolchildren in Burundi using the dmft/DMFT index for the first time. Materials and methods: The study was designed as a cross-sectional population-based epidemiological survey. The survey was designed according to the WHO methodology for oral health surveys. Oral examinations were conducted in school rooms using a dental mirror, probe, and headlight. The following characteristics of primary dentition status were recorded: decayed (d/D), missing (m/M), and filled (f/F) teeth, and the dmft/DMFT (d + m + f t/D + M + F T) index was calculated for each subject. Quantitative and qualitative variables were represented by measures of position and variability. One-way ANOVA was used to assess differences between parametric variables. Logistic regression was performed for total caries experience and gender, age groups, living area, and geographical provinces. Results: A total of 1902 children were examined, 1007 (52.94%) six-year-olds and 895 (47.06%) in the older group. The dmft/DMFT and subgroups were statistically significantly different in terms of age groups, living areas, and geographical regions (dmft/DMFT d-subgroup and D-subgroup p < 0.01), but only for DMFT for sex. The ORs estimated by logistic regression by total caries experience showed a protective effect for 12 year old subjects and those living in southern provinces, an OR of 0.52 (95%CI 0.43–0.64) and an OR of 0.26 (95%CI 0.21–0.32), respectively. Conclusions: Dental caries in African countries, including Burundi, remains a major problem affecting the general health and wellbeing of the population. Tackling untreated caries requires a multifaceted approach, including strengthening oral health infrastructure, promoting oral health education, providing affordable dental services, and encouraging healthier eating habits.

• Publisher: MDPI AG,MDPI
• Subject: Age groups / Burundi / Burundi - epidemiology / Caregivers / caries epidemiology / Child / children / Children & youth / Cross-Sectional Studies / Dental care / Dental caries / Dental Caries - diagnosis / Dental Caries - epidemiology / Dental Health Surveys - methods / Developing countries / DMF Index / DMFT index / Elementary school students / Epidemiology / Female / Food habits / Health education / Health surveys / Humans / LDCs / Logistic Models / Male / Oral diseases / Oral health / Oral Health - standards / Oral Health - statistics & numerical data / Oral hygiene / Per capita / Prevention / Public health / Regression analysis / Rural areas / Software / Surveys / Teeth / Toothbrushing / Variables