@article{2989781,
    title = "Caries prevalence and caries experience (ICDAS II criteria) of 5-, 12- and 15-year-old Greek children in relation to socio-demographic risk indicators. Trends at the national level in a period of a decade",
    author = "Diamanti, I. and Berdouses, E.D. and Kavvadia, K. and Arapostathis, K.N. and Reppa, C. and Sifakaki, M. and Panagopoulou, O. and Polychronopoulou, A. and Oulis, C.J.",
    journal = "European Archives of Paediatric Dentistry",
    year = "2009",
    volume = "22",
    number = "4",
    pages = "619-631",
    publisher = "Springer Science and Business Media Deutschland GmbH",
    issn = "1818-6300, 1996-9805",
    doi = "10.1007/s40368-020-00599-7",
    keywords = "adolescent;  child;  cross-sectional study;  dental caries;  DMF index;  Greece;  human;  prevalence, Adolescent;  Child;  Cross-Sectional Studies;  Dental Caries;  Dental Caries Susceptibility;  DMF Index;  Greece;  Humans;  Prevalence",
    abstract = "Purpose: To study the caries status of 5, 12 and 15-year-old Greek children, assess how disease parameters are related to socio-demographic indicators and identify relevant trends at the national level. Methods: A stratified cluster sample of 3702 children in total was randomly selected and examined clinically for caries (ICDAS II criteria). Caries experience was outlined by adapting ICDAS0–6 criteria to the d/D component of the WHO dmf/DMF index configuration. Percentages (%) of caries experience-free children, of children with initial caries (ICDAS1–2), and the mean d1–2t/D1–2T, d3–6mft/D3–6MFT and d3–6mfs/D3–6MFS indices were calculated. The probability of presenting with d1–2t/D1–2T ≥ 1 was assessed by binary logistic regression analysis, whereas negative binomial regression models examined the effect of socio-demographic parameters on d3–6mfs/D3–6MFS indices (level of significance: p ≤ 0.05). Results: 60.1%, 48.1%, and 34.7% of the 5, 12, and 15-year-old children, respectively, had no caries experience at the defect level (d3–6mft/D3–6MFT = 0). Initial lesions (ICDAS1–2) were detected in 17.7%, 19.3% and 17.4% of the 5, 12 and 15-year-olds, accordingly. Mean d1–2t/D1–2T was 0.93, 1.70, and 2.51, whereas mean d3–6mft/D3–6MFT was 1.48, 1.61, and 2.46 for the 5, 12, and 15-year-olds, respectively. Children with higher educated parents and 15-year-old urban residents exhibited significantly less caries experience at the defect level. Initial caries lesions presented a significantly higher probability of being detected in urban-residing 5- and 15-year-olds, while no consistent trend could be identified for parental education level. Caries prevalence and experience levels declined for all age groups in ten years. Conclusion: Although the dental health of Greek children has improved disparities remain, calling for organised primary and secondary preventive interventions. © 2021, European Academy of Paediatric Dentistry."
}