Regional Epidemiological Study on the Dental Status of the First Permanent Molar in Romanian Schoolchildren

<b>Background/Objectives:</b> Dental caries remains a significant public health challenge in Romania, with recent studies reporting a prevalence of 40% in children’s permanent teeth, with 90% of cases untreated. This study aimed to evaluate the dental status of the first permanent molars...

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Main Authors: Liana Beresescu, Gabriela Felicia Beresescu, Daniela Esian, Alexandru Vlasa, Csilla Benedek, Raluca Sabau, Alexandra Mihaela Stoica
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Dentistry Journal
Subjects:
Online Access:https://www.mdpi.com/2304-6767/13/1/26
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author Liana Beresescu
Gabriela Felicia Beresescu
Daniela Esian
Alexandru Vlasa
Csilla Benedek
Raluca Sabau
Alexandra Mihaela Stoica
author_facet Liana Beresescu
Gabriela Felicia Beresescu
Daniela Esian
Alexandru Vlasa
Csilla Benedek
Raluca Sabau
Alexandra Mihaela Stoica
author_sort Liana Beresescu
collection DOAJ
description <b>Background/Objectives:</b> Dental caries remains a significant public health challenge in Romania, with recent studies reporting a prevalence of 40% in children’s permanent teeth, with 90% of cases untreated. This study aimed to evaluate the dental status of the first permanent molars in children aged 11–12 years. <b>Methods:</b> This cross-sectional study was conducted over 12 months at the Integrated Center for Dental Medicine in Târgu Mureș and two private clinics in Transylvania. A total of 516 children, aged 11–12 years, were examined using the ICDAS II classification. Data on carious lesions and dental treatments performed were collected. <b>Results:</b> Of the 2064 first permanent molars examined, 57.99% had carious lesions, fillings, or extractions, while 41.28% were free from caries. Among the affected molars, 41.71% had untreated caries, 9.30% were filled, and 6.25% were sealed. Boys showed a significantly higher prevalence of advanced lesions (ICDAS 4–6) compared to girls. Caries predominantly affected the pits and fissures (87.46%). <b>Conclusions:</b> This study reveals a high prevalence of carious lesions in first permanent molars and a low rate of treatment. The findings emphasize the need for improved oral health education, increased access to dental care, and the development of national strategies to prevent and treat dental caries in children.
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publishDate 2025-01-01
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spelling doaj-art-3dfc7537e7ec4117915b1025b6fbd4b02025-01-24T13:28:39ZengMDPI AGDentistry Journal2304-67672025-01-011312610.3390/dj13010026Regional Epidemiological Study on the Dental Status of the First Permanent Molar in Romanian SchoolchildrenLiana Beresescu0Gabriela Felicia Beresescu1Daniela Esian2Alexandru Vlasa3Csilla Benedek4Raluca Sabau5Alexandra Mihaela Stoica6Faculty of Dental Medicine, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu-Mureș, 540139 Târgu-Mureș, RomaniaFaculty of Dental Medicine, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu-Mureș, 540139 Târgu-Mureș, RomaniaFaculty of Dental Medicine, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu-Mureș, 540139 Târgu-Mureș, RomaniaFaculty of Dental Medicine, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu-Mureș, 540139 Târgu-Mureș, RomaniaFaculty of Dental Medicine, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu-Mureș, 540139 Târgu-Mureș, RomaniaPrivate Practice, Dentral, Moldova St., no. 22, 540542 Târgu-Mureș, RomaniaFaculty of Dental Medicine, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu-Mureș, 540139 Târgu-Mureș, Romania<b>Background/Objectives:</b> Dental caries remains a significant public health challenge in Romania, with recent studies reporting a prevalence of 40% in children’s permanent teeth, with 90% of cases untreated. This study aimed to evaluate the dental status of the first permanent molars in children aged 11–12 years. <b>Methods:</b> This cross-sectional study was conducted over 12 months at the Integrated Center for Dental Medicine in Târgu Mureș and two private clinics in Transylvania. A total of 516 children, aged 11–12 years, were examined using the ICDAS II classification. Data on carious lesions and dental treatments performed were collected. <b>Results:</b> Of the 2064 first permanent molars examined, 57.99% had carious lesions, fillings, or extractions, while 41.28% were free from caries. Among the affected molars, 41.71% had untreated caries, 9.30% were filled, and 6.25% were sealed. Boys showed a significantly higher prevalence of advanced lesions (ICDAS 4–6) compared to girls. Caries predominantly affected the pits and fissures (87.46%). <b>Conclusions:</b> This study reveals a high prevalence of carious lesions in first permanent molars and a low rate of treatment. The findings emphasize the need for improved oral health education, increased access to dental care, and the development of national strategies to prevent and treat dental caries in children.https://www.mdpi.com/2304-6767/13/1/26permanent first molardental cariesICDAS II classificationsealingsfillings
spellingShingle Liana Beresescu
Gabriela Felicia Beresescu
Daniela Esian
Alexandru Vlasa
Csilla Benedek
Raluca Sabau
Alexandra Mihaela Stoica
Regional Epidemiological Study on the Dental Status of the First Permanent Molar in Romanian Schoolchildren
Dentistry Journal
permanent first molar
dental caries
ICDAS II classification
sealings
fillings
title Regional Epidemiological Study on the Dental Status of the First Permanent Molar in Romanian Schoolchildren
title_full Regional Epidemiological Study on the Dental Status of the First Permanent Molar in Romanian Schoolchildren
title_fullStr Regional Epidemiological Study on the Dental Status of the First Permanent Molar in Romanian Schoolchildren
title_full_unstemmed Regional Epidemiological Study on the Dental Status of the First Permanent Molar in Romanian Schoolchildren
title_short Regional Epidemiological Study on the Dental Status of the First Permanent Molar in Romanian Schoolchildren
title_sort regional epidemiological study on the dental status of the first permanent molar in romanian schoolchildren
topic permanent first molar
dental caries
ICDAS II classification
sealings
fillings
url https://www.mdpi.com/2304-6767/13/1/26
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