Dental caries and fissure sealant prevalence in first permanent molars among school boys aged 9 to 12 in Riyadh city, Kingdom of Saudi Arabia

Ibrahim M. Almajed; Ibrahim H. Alomran; Faisal I. Alkharji; Abdulrahman I. Binakresh; Abdulhakim M. Almutairi; Khaled M. Alhabeeb

doi:10.18203/2394-6040.ijcmph20240263

Authors

Ibrahim M. Almajed Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
Ibrahim H. Alomran College of Dentistry, King Saud University, Riyadh, Saudi Arabia
Faisal I. Alkharji College of Dentistry, King Saud University, Riyadh, Saudi Arabia
Abdulrahman I. Binakresh College of Dentistry, King Saud University, Riyadh, Saudi Arabia
Abdulhakim M. Almutairi College of Dentistry, King Saud University, Riyadh, Saudi Arabia
Khaled M. Alhabeeb College of Dentistry, King Saud University, Riyadh, Saudi Arabia

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20240263

Keywords:

Dental caries, Caries prevention, School boys, Fissure sealants, Permanent molars

Abstract

Background: Dental caries is a major global public health concern. This study assessed dental caries prevalence and the use of fissure sealants on first permanent molars among Saudi Arabian boys aged 9–12 attending elementary schools to establish effective caries prevention strategies.

Methods: Cluster probability sampling was employed to select public and private male elementary schools from five distinct geographic regions in Riyadh city, KSA; 601 male students in the fourth grade (aged 9–10 years), fifth grade (aged 10–11 years), and sixth grade (aged 11–12 years) were included. Only the first permanent molars’ occlusal surfaces were evaluated. Data management was performed using Microsoft excel, statistical analyses were conducted using the statistical package for the social sciences (SPSS), and the chi-square test was utilized.

Results: The outcome demonstrated that 67.7% (n=407 children) had decayed, missing, or filled first permanent molars, indicating the presence of caries, while 32.3% (n=194) had caries-free first permanent molars. Only 6.8% (n=41) of children had received fissure sealants. At the tooth level, 37.7% (n=906) of examined teeth had decayed, and 8.1% (n=194) had fillings. The utilization rate of fissure sealants remained low at 3.9% (n=93), with 50.4% (n=1211) of first permanent molars remaining intact.

Conclusions: This cross-sectional study highlights a significant prevalence between caries and the limited utilization of fissure sealants on first permanent molars among Saudi Arabian boys, underscoring the urgent need for proactive preventative measures and educational initiatives.

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References

Al Agili DE. A systematic review of population-based dental caries studies among children in Saudi Arabia. Saudi Dent J. 2013;25:3-11.

Al-Ansari A. Prevalence, severity, and secular trends of dental caries among various Saudi populations: A literature review. Saudi J Med Med Sci. 2014;2.

Bagramian RA, Garcia-Godoy F, Volpe AR. The global increase in dental caries. A pending public health crisis. Am J Dent. 2009;22:3-8.

Batchelor PA, Sheiham A. Grouping of tooth surfaces by susceptibility to caries: A study in 5-16 year-old children. BMC Oral Health. 2004;4:2.

Beauchamp J, Caufield PW, Crall JJ, Donly KJ, Feigal R, Gooch B, et al. Evidence-based clinical recommendations for the use of pit-and-fissure sealants: A report of the American Dental Association Council on Scientific Affairs. Dent Clin North Am. 2009;53:131-47.

Zakirulla M. Prevalance of first permanent molar caries among 7-10 years old school going boys in Abha City, Saudi Arabia. Bangladesh J Med Sci. 2012;11.

McDonald SP, Sheiham A. The distribution of caries on different tooth surfaces at varying levels of caries—a compilation of data from 18 previous studies. Community Dent Health. 1992;9:39-48.

Al-Samadani KHM, Ahmad MS. Prevalence of first permanent molar caries in and its relationship to the dental knowledge of 9-12-year olds from Jeddah, Kingdom of Saudi Arabia. ISRN Dent. 2012;391068.

Schou L, Locker D. Oral Health: A review of the effectiveness of health education and health promotion. Landekijk Centrum GVO. 1994.

World Health Day 1994: Oral health for a healthy life. Bull Pan Am Health Organ. 1994;28:177-82.

Ahovuo-Saloranta A, Forss H, Walsh T, Hiiri A, Nordblad A, Mäkelä M, et al. Sealants for preventing dental decay in the permanent teeth. Cochrane Database Syst Rev. 2013;CD001830.

Ahovuo-Saloranta A, Forss H, Hiiri A, Nordblad A, Mäkelä M. Pit and fissure sealants versus fluoride varnishes for preventing dental decay in the permanent teeth of children and adolescents. Cochrane Database Syst Rev. 2016;CD003067.

Vanka S, Vanka A. Caries prevention: a global strategy. Eur J Dent. 2013;7:266.

Al-Shammary A, Guile E, El-Backly M, Lamborne A. An oral health survey of Saudi Arabia: Phase I (Riyadh). General Directorate of Research Grants Programs-King Abdulaziz City for Science and Technology. 1991.

Al Ghannam NA, Al Shammery AR, Wyne AH. Caries in primary school children: prevalence, severity and pattern in Al-Ahsa, Saudi Arabia. Saudi Dent J. 2001;13.

Gopinath VK, Barathi VK, Kannan A. Assessment and treatment of dental caries in semi-urban school children of TamilNadu (India). J Indian Soc Pedod Prev Dent. 1999;17:9-12.

Kulkami SS, Deshpande SD. Caries prevalence and treatment needs in 11-15 year old children of Belgaum city. J Indian Soc Pedod Prev Dent. 2002;20.

Saravanan S, Kalyani V, Vijayarani MP, Jayakodi P, Felix J, Arunmozhi P, et al. Caries prevalence and treatment needs of rural school children in Chidambaram Taluk, Tamil Nadu, South India. Indian J Dent Res. 2008;19:186-90.

Stewart BL, Al-hadithi TS, Al- Shaykh AS. Caries experience in grades 1 and 6 children attending elementary schools at King Abdul-aziz Military City, Tabuk, Saudi Arabia. Saudi Dent J. 2000;12.

Wyne AH, Al-Ghorabi BM, Al-Asiri YA, Khan NB. Caries prevalence in Saudi primary schoolchildren of Riyadh and their teachers’ oral health knowledge, attitude and practices. Saudi Med J. 2002;23:77-81.

Brown A. Caries prevalence and treatment needs of healthy and medically compromised children at a tertiary care institution in Saudi Arabia. East Mediterr Health J. 2009;15:378-86.

World Health Organization: Oral Health Surveys: Basic Methods – 5th Edition. 2013. Available at: https://www.who.int/publications-detail-redirect/ 9789241548649. Accessed on 02 August 2023.

Motlagh MG, Kohestani A. An investigation on DMFTand DMFS of first permanent molars in 12-year-old blind children in residential institutes for blinds in Tehran (2000-2001). Front Dent. 2004;1:56-61.

Alwayli HM, Alshiha SA, Alfraih YK, Hattan MA, Alamri AA, Aldossary MS. A survey of fissure sealants and dental caries prevalence in the first permanent molars among primary school girls in Riyadh, Saudi Arabia. Eur J Dent. 2017;11:455-60.

Aldossary MS, Alamri AA, Alshiha SA, Hattan MA, Alfraih YK, Alwayli HM. Prevalence of dental caries and fissure sealants in the first permanent molars among male children in Riyadh, Kingdom of Saudi Arabia. Int J Clin Pediatr Dent. 2018;11:365-70.

Gudipaneni RK, Alkuwaykibi AS, Patil SR, Assiry A, Alam MK, Vundavalli S. Assessment of caries spectrum of first permanent molars in 7- to 8-year-old school children in northern Saudi Arabia: A cross-sectional study. Pesqui Bras Odontopediatria Clín Integr. 2020;20.

Khan S, Farooq I, ArRejaie A, Khabeer A, Farooqi FA. Prevalence of first permanent molar caries among 8 to 12 years old school-going children living in Dammam, Kingdom of Saudi Arabia. Ann Jinnah Sindh Uni. 2017;3:18-21.

Togoo RA, Yaseen SM, Zakirulla M, Al Garni F, Khoraj AL, Meer A. Prevalence of first permanent molar caries among 7-10 years old school going boys in Abha city, Saudi Arabia. J Int Oral Health. 2011;3:29.

Zouaidi K, Chala S, Ameziane R, Chhoul H. First permanent molar caries: a case study of Moroccan children between 6 and 15 year-old. Odontostomatol Trop Trop Dent J. 2012;35:5-10.

Chouchene F, Masmoudi F, Baaziz A, Maatouk F, Ghedira H. Clinical status and assessment of caries on first permanent molars in a group of 6- to 13-year-old Tunisian school children. Clin Exp Dent Res. 2023;9:240-8.

Hong-ru S, Pei-cheng X, Wen-hao Q. Investigation of the first permanent molar caries in primary school students in Xuhui District of Shanghai Municipality. Shanghai J Stomatol. 2012;21.

Kühnisch J, Berger S, Goddon I, Senkel H, Pitts N, Heinrich-Weltzien R. Occlusal caries detection in permanent molars according to WHO basic methods, ICDAS II and laser fluorescence measurements. Community Dent Oral Epidemiol. 2008;36:475-84.

Veiga NJ, Pereira CM, Ferreira PC, Correia IJ. Prevalence of dental caries and fissure sealants in a Portuguese sample of adolescents. PloS One. 2015;10:e0121299.

Hata H, Igari K, Kanou N, Kamiyama K: Evaluation of preventive dental care for first permanent molars in children. Shoni Shikagaku Zasshi. 1990;28:928-36.

Borges BCD, De Souza Borges J, Braz R, Montes MAJR, De Assunção Pinheiro IV. Arrest of non-cavitated dentinal occlusal caries by sealing pits and fissures: a 36-month, randomised controlled clinical trial. Int Dent J. 2012;62:251-5.

Gooch BF, Griffin SO, Gray SK, Kohn WG, Rozier RG, Siegal M, et al. Preventing dental caries through School-based sealant programs: updated recommendations and reviews of evidence. J Am Dent Assoc. 2009;140:1356-65.

Wendt LK, Koch G, Birkhed D. Long-term evaluation of a fissure sealing programme in Public Dental Service clinics in Sweden. Swed Dent J. 2000;25:61-5.

Parnell CA, O’Farrell M, Howell F, Hegarty M. Evaluation of a community fissure sealant programme in County Meath, Ireland. Community Dent Health. 2003;20:146-52.

Whelton H. Overview of the impact of changing global patterns of dental caries experience on caries clinical trials. J Dent Res. 2004;83:C29-34.

Amarasena N, Ha DH. Fissure sealant use among children attending school dental services. Child Dental Health Survey Australia 2008. Australian Research Centre for Population Oral Health, The University of Adelaide. 2012;36.

Oulis CJ, Berdouses ED, Mamai-Homata E, Polychronopoulou A. Prevalence of sealants in relation to dental caries on the permanent molars of 12 and 15-year-old Greek adolescents. A national pathfinder survey. BMC Public Health. 2011;11:100.

Michalaki M, Sifakaki M, Oulis CJ, Lygidakis NA. Attitudes, knowledge and utilization of fissure sealants among Greek dentists: a national survey. Eur Arch Paediatr Dent. 2010;11:287-93.

San Martin L, Castaño A, Bravo M, Tavares M, Niederman R, Ogunbodede EO: Dental sealant knowledge, opinion, values and practice of Spanish dentists. BMC Oral Health. 2013;13:1-8.