Citation: Ambarkova V, Apostolova D and Gothe RM. Dental Caries Experience among 5 Year Age Children
from Two Municipalities Berovo and Pechčevo in the Eastern Region of the Republic of Macedonia. J Dent App.
2014;1(4): 61-67.
J Dent App - Volume 1 Issue 4 - 2014
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Journal of Dental Applications
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Abstract
Aim: The aim of this study was to investigate the prevalence of dental caries
experience among 5 year age children (irst grades) in Eastern Region of the
Republic of Macedonia.
Methods: In this cross-sectional study, primary school children from
irst grades (N= 228) were selected from 3 Central and 7 Regional Primary
Schools. Participant’s dental status was evaluated using the 1997 World Health
Organization caries diagnostic criteria for Decayed, Missing or Filled Teeth
(DMFT) by 2 calibrated examiners.
Results: The total number of children in the sample was 228, comprising
114 (50.00%) females and 114 (50.00%) males. The mean dmft was 6.01, with
standard deviation (sd) of 3.93 and 95% conidence interval (ci) of 3.42-4.44.
The Signiicant caries (SiC) index was 8.83 for primary dentition. The mean
DMFT was 0.075, with standard deviation (SD) of 0.39 and 95% conidence
interval (CI) of 0.34-0.44. Signiicant caries (SiC) index was 0.22 for permanent
dentition. The prevalence of caries-free children was 9.09% in primary dentition.
The percentage of untreated caries or the ration of dt/dmft was 0.8293 (82.93%).
Conclusions: Dental caries experience was seen to be high among primary
school children (irst grades) in Eastern Region of the Republic of Macedonia.
Most of the dental caries from the teeth of primary dentition were left untreated.
Keywords: Caries; Caries prevalence; DMFT index; Macedonia
younger Paleozoic rocks (schist, granite), the youngest Pliocene,
sediments formed as results of temporary looding along ravines,
soil debris, alluvial sediments and other modern sediments which
cover almost 70% of the area. In the area of the municipality, on top
Kadiica are discovered large beds of copper (about 70 million tons
and a concentration of 0.2%), which will soon begin to be exploited.
Around the villages Pancharevo and Crnik however, there are certain
coal reserves.
Pehchevo Municipality has 6.775 hectares high quality forest
wealth. From vegetation aspect, the majority of the municipality of
Pehchevo is covered with deciduous, coniferous and mixed forests.
he spring area of Bregalnica is rich with dense complexes of beech,
pine and ir forests, and a rarity in the eastern part of Macedonia. In
addition to the forests, pastures occupy a large area, which appears
to be more endemic plants for the eastern part of the Republic of
Macedonia. In addition to the forests, large area is covered with
pastures, and is rich with a great number of endemic plants.
he municipal area of Pehchevo has dozens of weak but cold
low-mineral springs. Some of them are attached to taps and water
supply. he most signiicant hydrographic facility, in addition to the
river is Bregalnica the Pehchevska river the spring of which is under
the Kadiica peak at an altitude of 1,560 meters. he riverbed consists
of approximately 100 watercourses (with a total length of 540 km),
mainly periodic or occasional and with overlowing character. Longest
Introduction
Dental cariesis the most common dental health problemafecting
young children populations in bothdeveloped and developing
countries around the world [1]. Caries is very common among 6-year-
old children from Pechčevo and Berovo with a prevalence of 91.67%.
Moreover, 82.93% оf caries remains untreated at this age.Untreated
dentalcaries is oten associated with discomfort or toothache,
afects the body weight gain, growth andquality of life as well as the
cognitive developmentof preschool children [2], and is also related to
theirhospitalization [3] and emergency dental visits [4].
Dental caries as an infectious disease is still a major oral public
health issue [5]. As documented in some recent studies, it has been
recognized as the most common chronic childhood disease.
According to some recent studies which were conducted among
American children, it has been recognized as the most common
chronic childhood disease [6]. However, epidemiological data
representing oral health status, particularly referring to dental
caries among Macedonian school children are still insuicient and
incomplete.
In respect to the natural characteristics, regardless the small
territory, the municipality of Pehchevo is very interesting and
heterogeneous. From geological aspect, this area is consisted of
rocks with diferent age starting with oldest Precambrian rocks,
Research Article
Dental Caries Experience among 5 Year Age Children
from Two Municipalities Berovo and Pechčevo in the
Eastern Region of the Republic of Macedonia
Vesna Ambarkova
1
*, Dragica Apostolova
2
and
Raffaella Matteucci Gothe
3
1
MSc, DDS, University St. Cyril and Methodius, Faculty of
Dental Medicine, Department of Paediatric andPreventive
Dentistry, Skopje, Republic of Macedonia
2
PHO Health Center-Pehčevo, ul: Industriska br.5
Pehčevo 2326
3
Institute of Public Health, Medical Decision Making and
HTA, street: Eduard-Wallnöfer-Zentrum 1, 6060, Hall in
Tirol, Austria
*Corresponding author: Vesna Ambarkova PhD
Candidate, MSc, DDS, University St. Cyril and Methodius,
Faculty of Dental Medicine, Department of Paediatric
andPreventive Dentistry, Vodnjanska 17 University
Dental Clinic Center Sv. Pantelejmon Skopje 1000,
Republic of Macedonia, Tel: ++38970686333; E-mail:
vambarkova@stomfak.ukim.edu.mk
Received: June 26, 2014; Accepted: September 05,
2014; Published: September 10, 2014
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