Dental Caries Experience and Oral Health Behaviour Among 12-Year-Olds in the City of Tirana, Albania

Dorjan Hysi, Etleva Droboniku,

Abstract

Aim: The aim of this study was to investigate the prevalence of dental caries experience among 12-year-old children in Tirana, Albania, and its relationship with toothbrushing, flossing, sweet consumption, and dental visits. Methods: In this cross-sectional study, 12-year-old children (N=372) were selected from three schools in three different areas of Tirana using cluster sampling. Participants’ dental status was evaluated using the 1997 World Health Organization caries diagnostic criteria for Decayed, Missing, or Filled Teeth/Surfaces (DMFT, DMFS) by four calibrated examiners. A questionnaire on oral health behaviours was completed by each participant. Ethical approval was obtained from the Albanian Ministry of Health. Informed consent was obtained from the parents by the principals of the schools concerned. Results: The total number of children in the sample was 372, comprising 195 (52.4%) females and 177 (47.6%) males. The mean DMFT was 3.8, DMFS=7.98, Significant Caries (SiC) index =7.06, and the prevalence of caries-free children was 14.5%. The percentage of untreated caries or the ratio of D/DMFT was 0.542 (54.2%). Three hundred and twenty-five (87%) participants reported consuming sweets every day and only 250 (67.%) reported brushing their teeth at least once a day. The children reported making frequent visits to a dentist, often for relief of pain. Conclusions: Dental caries experience was seen to be high among 12-year-old children in Tirana, Albania. This is a challenge for the Dental Public Health Service to improve access to dental care and start preventive programmes.

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