Seyyed Amirhossein Fazeli, Seyyed Ali Fazeli.
First-molar caries in primary school children of a northern city of Iran.
Pak Oral Dental J Jan ;25(1):93-6.

The first permanent molar is unquestionably the most important unit of mastication and is essential in the development of functionally desirable occlusion. The loss of a first permanent molar in a child can lead to changes in the dental arches that can be traced throughout the life of that person. The aim of this project was to study the caries status of different first molars in male and female primary school children in Bandargaz (a northern city of Iran). In May 2002, as an epidemiologic survey, this study was conducted with 327 third-grade schoolchildren who were studying in 10 primary schools of Bandargaz City, located in south-east border of Caspian Sea, north of Iran. By a double-blind approach, some dental hygiene habits of all the students were asked and recorded in questionnaires and the relevant DMFT was calculated solely for first molars according to Oral Health Surveys: All mentioned data including hygiene habits and first molars caries status were analyzed using SPSS 10.5 statistical software. The significance was set at P < 0.05. 98.5% of all schoolchildren had received the fluoride-solution for 3 years and 80.7% of the schoolchildren brushed at least once a day but unfortunately, 92.2% of students did not floss. The first-molars oriented DMFT of this population was 0.6330+1.0331. In the case of girls, the first-molar DMFT was 0.7665 +1.1562 while in boys` it was 0.4938±0.8687. Therefore, the girls caries rate was significantly much higher than boys. (P<0.0009) In addition to previous studies, some further comprehensive studies are necessary to find the exact factors causing higher incidence of first-molar caries among female in primary school children.

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