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Oral health status and Unmet Restorative Treatment Needs (UTN) in disadvantaged migrant and not migrant children in Italy
Pubblication date: 03/2019
Authors: G.F. Ferrazzano*, T. Cantile*, G. Sangianantoni*, A. Ingenito*, S. Rengo**, B. Alcidi*, G. Spagnuolo**-***
Institution: *School of Paediatric Dentistry, Department
of Neurosciences, Reproductive Sciences and
Oral Sciences, University of Naples "Federico II",
**Department of Neurosciences, Reproductive
and Odontostomatological Sciences, University
"Federico II" of Naples, Naples, Italy
***I. M. Sechenov First Moscow State Medical
Publication: European Journal of Paediatric Dentistry
Title: Oral health status and Unmet Restorative Treatment Needs (UTN) in disadvantaged migrant and not migrant children in Italy
Abstract: Aim Despite a global decline in caries experience in children,
dental caries remains a common and persistent public health
problem, being more prevalent among socioeconomically
disadvantaged groups. The aim of this survey is to evaluate
DMFT index, caries prevalence and Unmet Restorative
Treatment Needs (UNT) index in migrant and not migrant
children with low income, in Campania region (Italy), in order
to plan and build up strategies for promoting dental health in
children and adequate health care for vulnerable groups.
Methods A sample of 553 children (age range: 12–14
years old) were recruited from volunteer patients at a
charitable foundation in Naples (Italy) and were categorised
into 2 subgroups, according to their status of “migrant” or
“not migrant”. Parents completed a questionnaire in order
to investigate demographic and oral health behaviour. The
participants were healthy and from low family income levels.
DMFT scores and caries prevalence were calculated; UNT index
was also calculated [D⁄(D + F)]%. The mean DMFT values
related to the examined variables were calculated using oneway
Results Mean DMFT and UTN index were 3.92±2.92
and 86.3% for migrants, and 3.29±3.21 and 68.4% for not
migrants, respectively. The difference in the mean DMFT
between the two groups was statistically significant (p=.027).
Caries prevalence was 77.5% and 55.9% in the migrant group
and in the not migrant group, respectively. High DMFT values
were statistically associated to history of previous dental visit,
sugar intake, brushing teeth once a day, and low mothers’
educational level for both groups.
Conclusions Economically disadvantaged children showed
high levels of dental caries. Furthermore, DMFT values, caries
prevalence and unmet restorative treatment needs index
among migrant children were higher than that of not migrant.
In order to reduce inequalities in dental caries experience,
there is a need to design policies aimed at primary prevention through health promotion programmes.