Skip to main content
Top
Published in: BMC Oral Health 1/2010

Open Access 01-12-2010 | Research article

Oral health status of adults in Southern Vietnam - a cross-sectional epidemiological study

Authors: Thoa C Nguyen, Dick J Witter, Ewald M Bronkhorst, Nhan B Truong, Nico HJ Creugers

Published in: BMC Oral Health | Issue 1/2010

Login to get access

Abstract

Background

Before strategies or protocols for oral health care can be advised at population level, epidemiological information on tooth decay patterns and its effects on oral function are indispensable. The aim of this study was to investigate influences of socio-demographic variables on the prevalence of decayed, missing, filled (DMF) and sound teeth (St) and to determine the relative risk of teeth in different dental regions for D, M, and F, of adults living in urban and rural areas in Southern Vietnam.

Methods

Cross-sectional DMF and St data of 2965 dentate subjects aged 20 to 95 living in urban and rural areas in three provinces were collected by means of a self-administered questionnaire and an oral examination. The sample was stratified by age, gender, residence and province.

Results

The percentage of subjects having missing teeth was high for all ages while it was low for subjects with decayed and filled teeth. The mean number of missing teeth increased gradually by age from approximately 1 in each jaw at the age of 20 to 8 at the age of 80. The number of decayed teeth was relative low at all ages, being highest in molars at young ages. The mean number of filled teeth was extremely low at all ages in all dental regions. Every additional year of age gives a significantly lower chance for decay, a higher chance for missing, and a lower chance for filled teeth. Molars had a significantly higher risk for decay, missing and filled than premolars and anterior teeth. Females had significantly higher risk for decayed and filled teeth, and less chance for missing teeth than males. Urban subjects presented lower risk for decay, but approximately 4 times greater chance for having fillings than rural subjects. Low socio-economic status (SES) significantly increased the chance for missing anterior and molar teeth; subjects with high SES had more often fillings.

Conclusions

The majority of adults of Southern Vietnam presented a reduced dentition. The combination of low numbers of filled teeth and relative high numbers of decayed and missing teeth indicates that the main treatment for decay is extraction. Molars are more at risk for being decayed or missing than premolars and anterior teeth.
Appendix
Available only for authorised users
Literature
1.
go back to reference Medical Publishing House: National Oral Health Survey of Vietnam 2001. 2002, Hanoi Medical Publishing House: National Oral Health Survey of Vietnam 2001. 2002, Hanoi
2.
go back to reference Elias AC, Sheiham A: The relationship between satisfaction with mouth and number and position of teeth. J Oral Rehabil. 1998, 25: 649-661. 10.1046/j.1365-2842.1998.00313.x.CrossRefPubMed Elias AC, Sheiham A: The relationship between satisfaction with mouth and number and position of teeth. J Oral Rehabil. 1998, 25: 649-661. 10.1046/j.1365-2842.1998.00313.x.CrossRefPubMed
3.
go back to reference Gerritsen AE, Sarita P, Witter DJ, Kreulen CM, Mulder J, Creugers NH: Esthetic perception of missing teeth among a group of Tanzanian adults. Int J Prosthodont. 2008, 21: 169-173.PubMed Gerritsen AE, Sarita P, Witter DJ, Kreulen CM, Mulder J, Creugers NH: Esthetic perception of missing teeth among a group of Tanzanian adults. Int J Prosthodont. 2008, 21: 169-173.PubMed
4.
go back to reference Pallegedara C, Ekanayake L: Effect of tooth loss and denture status on oral health-related quality of life of older individuals from Sri Lanka. Community Dent Health. 2008, 25: 196-200.PubMed Pallegedara C, Ekanayake L: Effect of tooth loss and denture status on oral health-related quality of life of older individuals from Sri Lanka. Community Dent Health. 2008, 25: 196-200.PubMed
5.
go back to reference Baba K, Igarashi Y, Nishiyama A, John MT, Akagawa Y, Ikebe K, Ishigami T, Kobayashi H, Yamashita S: Patterns of missing occlusal units and oral health-related quality of life in SDA patients. J Oral Rehabil. 2008, 35: 621-628. 10.1111/j.1365-2842.2007.01803.x.CrossRefPubMed Baba K, Igarashi Y, Nishiyama A, John MT, Akagawa Y, Ikebe K, Ishigami T, Kobayashi H, Yamashita S: Patterns of missing occlusal units and oral health-related quality of life in SDA patients. J Oral Rehabil. 2008, 35: 621-628. 10.1111/j.1365-2842.2007.01803.x.CrossRefPubMed
6.
go back to reference Kanno T, Carlsson GE: A review of the shortened dental arch concept focusing on the work by the Käyser/Nijmegen group. J Oral Rehabil. 2006, 33: 850-862. 10.1111/j.1365-2842.2006.01625.x.CrossRefPubMed Kanno T, Carlsson GE: A review of the shortened dental arch concept focusing on the work by the Käyser/Nijmegen group. J Oral Rehabil. 2006, 33: 850-862. 10.1111/j.1365-2842.2006.01625.x.CrossRefPubMed
7.
go back to reference Sarita PT, Witter DJ, Kreulen CM, Matee MI, van't Hof MA, Creugers NH: Decayed/missing/filled teeth and shortened dental arches in Tanzanian adults. Int J Prosthodont. 2004, 17: 224-230.PubMed Sarita PT, Witter DJ, Kreulen CM, Matee MI, van't Hof MA, Creugers NH: Decayed/missing/filled teeth and shortened dental arches in Tanzanian adults. Int J Prosthodont. 2004, 17: 224-230.PubMed
9.
go back to reference World Health Organization: Statistical tables 2009. 2009, Regional office of the Western Pacific World Health Organization: Statistical tables 2009. 2009, Regional office of the Western Pacific
10.
go back to reference World Health Organization: World Health Report. 2008 World Health Organization: World Health Report. 2008
11.
go back to reference Van Palenstein Helderman W, Mikx F, Truin GJ, Hoang TH, Pham HL: Workforce requirements for a primary oral health care system. Int Dent J. 2000, 50: 371-377.CrossRefPubMed Van Palenstein Helderman W, Mikx F, Truin GJ, Hoang TH, Pham HL: Workforce requirements for a primary oral health care system. Int Dent J. 2000, 50: 371-377.CrossRefPubMed
12.
go back to reference Khanh N, Dong D: Report of dental care in Southern Vietnam 2008. Southern Vietnam Dental Congress XI. 2008 Khanh N, Dong D: Report of dental care in Southern Vietnam 2008. Southern Vietnam Dental Congress XI. 2008
13.
go back to reference Bader JD, Shugars DA: Variation, treatment outcomes, and practice guidelines in dental practice. J Dent Educ. 1995, 59: 61-95.PubMed Bader JD, Shugars DA: Variation, treatment outcomes, and practice guidelines in dental practice. J Dent Educ. 1995, 59: 61-95.PubMed
14.
go back to reference Grytten J: Models for financing dental services. A review. Community Dent Health. 2005, 22: 75-85.PubMed Grytten J: Models for financing dental services. A review. Community Dent Health. 2005, 22: 75-85.PubMed
15.
go back to reference Pack AR: Dental services and needs in developing countries. Int Dent J. 1998, 48 (Suppl 1): 239-247.CrossRefPubMed Pack AR: Dental services and needs in developing countries. Int Dent J. 1998, 48 (Suppl 1): 239-247.CrossRefPubMed
17.
go back to reference Kumar N, Shekhar C, Kumar P, Kundu AS: Kuppuswamy's socioeconomic status scale-updating for 2007. Indian J Pediatr. 2007, 74: 1131-1132.PubMed Kumar N, Shekhar C, Kumar P, Kundu AS: Kuppuswamy's socioeconomic status scale-updating for 2007. Indian J Pediatr. 2007, 74: 1131-1132.PubMed
20.
go back to reference Caldas Junior Ade F, Silveira RC, Marcenes W: The impact of restorative treatment on tooth loss prevention. Pesqui Odontol Bras. 2003, 17: 166-170.CrossRefPubMed Caldas Junior Ade F, Silveira RC, Marcenes W: The impact of restorative treatment on tooth loss prevention. Pesqui Odontol Bras. 2003, 17: 166-170.CrossRefPubMed
21.
go back to reference McCaul LK, Jenkins WM, Kay EJ: The reasons for extraction of permanent teeth in Scotland: a 15-year follow-up study. Br Dent J. 2001, 190: 658-662. 10.1038/sj.bdj.4801068a.PubMed McCaul LK, Jenkins WM, Kay EJ: The reasons for extraction of permanent teeth in Scotland: a 15-year follow-up study. Br Dent J. 2001, 190: 658-662. 10.1038/sj.bdj.4801068a.PubMed
22.
go back to reference McCaul LK, Jenkins WM, Kay EJ: The reasons for the extraction of various tooth types in Scotland: a 15-year follow up. J Dent. 2001, 29: 401-407. 10.1016/S0300-5712(01)00036-7.CrossRefPubMed McCaul LK, Jenkins WM, Kay EJ: The reasons for the extraction of various tooth types in Scotland: a 15-year follow up. J Dent. 2001, 29: 401-407. 10.1016/S0300-5712(01)00036-7.CrossRefPubMed
23.
go back to reference Quteish Taani DS: Periodontal reasons for tooth extraction in an adult population in Jordan. J Oral Rehabil. 2003, 30: 110-112. 10.1046/j.1365-2842.2003.00981.x.CrossRefPubMed Quteish Taani DS: Periodontal reasons for tooth extraction in an adult population in Jordan. J Oral Rehabil. 2003, 30: 110-112. 10.1046/j.1365-2842.2003.00981.x.CrossRefPubMed
24.
go back to reference Fure S: Ten-year incidence of tooth loss and dental caries in elderly Swedish individuals. Caries Res. 2003, 37: 462-469. 10.1159/000073401.CrossRefPubMed Fure S: Ten-year incidence of tooth loss and dental caries in elderly Swedish individuals. Caries Res. 2003, 37: 462-469. 10.1159/000073401.CrossRefPubMed
25.
go back to reference Aida J, Ando Y, Akhter R, Aoyama H, Masui M, Morita M: Reasons for permanent tooth extractions in Japan. J Epidemiol. 2006, 16: 214-219. 10.2188/jea.16.214.CrossRefPubMed Aida J, Ando Y, Akhter R, Aoyama H, Masui M, Morita M: Reasons for permanent tooth extractions in Japan. J Epidemiol. 2006, 16: 214-219. 10.2188/jea.16.214.CrossRefPubMed
26.
go back to reference Lesolang RR, Motloba DP, Lalloo R: Patterns and reasons for tooth extraction at the Winterveldt Clinic: 1998-2002. SADJ. 2009, 64: 214-218.PubMed Lesolang RR, Motloba DP, Lalloo R: Patterns and reasons for tooth extraction at the Winterveldt Clinic: 1998-2002. SADJ. 2009, 64: 214-218.PubMed
27.
go back to reference Akhter R, Hassan NM, Aida J, Zaman KU, Morita M: Risk indicators for tooth loss due to caries and periodontal disease in recipients of free dental treatment in an adult population in Bangladesh. Oral Health Prev Dent. 2008, 6: 199-207.PubMed Akhter R, Hassan NM, Aida J, Zaman KU, Morita M: Risk indicators for tooth loss due to caries and periodontal disease in recipients of free dental treatment in an adult population in Bangladesh. Oral Health Prev Dent. 2008, 6: 199-207.PubMed
28.
go back to reference Da'ameh D: Reasons for permanent tooth extraction in the North of Afghanistan. J Dent. 2006, 34: 48-51. 10.1016/j.jdent.2005.02.009.CrossRefPubMed Da'ameh D: Reasons for permanent tooth extraction in the North of Afghanistan. J Dent. 2006, 34: 48-51. 10.1016/j.jdent.2005.02.009.CrossRefPubMed
29.
go back to reference Van Palenstein Helderman WH, Truin GJ, Can N, Khanh ND: The possibility of previous epidemiological data serve as baseline for future national oral health surveys - a study in Vietnam. Int Dent J. 2001, 51: 45-48.CrossRefPubMed Van Palenstein Helderman WH, Truin GJ, Can N, Khanh ND: The possibility of previous epidemiological data serve as baseline for future national oral health surveys - a study in Vietnam. Int Dent J. 2001, 51: 45-48.CrossRefPubMed
30.
go back to reference Lukacs JR, Largaespada LL: Explaining sex differences in dental caries prevalence: saliva, hormones, and "life-history" etiologies. Am J Hum Biol. 2006, 18: 540-555. 10.1002/ajhb.20530.CrossRefPubMed Lukacs JR, Largaespada LL: Explaining sex differences in dental caries prevalence: saliva, hormones, and "life-history" etiologies. Am J Hum Biol. 2006, 18: 540-555. 10.1002/ajhb.20530.CrossRefPubMed
31.
go back to reference Thuy TT, Nakagaki H, Ha NT, Morita I, Tatematsu M, Lan HA, Hung HT, Robinson C: Fluoride profiles in premolars after different durations of water fluoridation in Ho Chi Minh City, Vietnam. Arch Oral Biol. 2003, 48: 369-376. 10.1016/S0003-9969(03)00013-X.CrossRefPubMed Thuy TT, Nakagaki H, Ha NT, Morita I, Tatematsu M, Lan HA, Hung HT, Robinson C: Fluoride profiles in premolars after different durations of water fluoridation in Ho Chi Minh City, Vietnam. Arch Oral Biol. 2003, 48: 369-376. 10.1016/S0003-9969(03)00013-X.CrossRefPubMed
33.
go back to reference Reisine ST, Psoter W: Socioeconomic status and selected behavioral determinants as risk factors for dental caries. J Dent Educ. 2001, 65: 1009-1016.PubMed Reisine ST, Psoter W: Socioeconomic status and selected behavioral determinants as risk factors for dental caries. J Dent Educ. 2001, 65: 1009-1016.PubMed
34.
go back to reference Zitzmann NU, Staehelin K, Walls AW, Menghini G, Weiger R, Zemp Stutz E: Changes in oral health over a 10-yr period in Switzerland. Eur J Oral Sci. 2008, 116: 52-59.CrossRefPubMed Zitzmann NU, Staehelin K, Walls AW, Menghini G, Weiger R, Zemp Stutz E: Changes in oral health over a 10-yr period in Switzerland. Eur J Oral Sci. 2008, 116: 52-59.CrossRefPubMed
35.
go back to reference Starr JM, Pattie A, Whalley LJ, Deary IJ: Predictors of tooth loss in the 1921 Lothian Birth Cohort. Age Ageing. 2008, 37: 111-114. 10.1093/ageing/afm160.CrossRefPubMed Starr JM, Pattie A, Whalley LJ, Deary IJ: Predictors of tooth loss in the 1921 Lothian Birth Cohort. Age Ageing. 2008, 37: 111-114. 10.1093/ageing/afm160.CrossRefPubMed
36.
go back to reference Kim HY, Le SW, Cho SI, Patton LL, Ku Y: Associations between missing teeth with unmet needs and socioeconomic status among South Korean dentate government employees. J Public Health Dent. 2007, 67: 174-178. 10.1111/j.1752-7325.2007.000018.x.CrossRefPubMed Kim HY, Le SW, Cho SI, Patton LL, Ku Y: Associations between missing teeth with unmet needs and socioeconomic status among South Korean dentate government employees. J Public Health Dent. 2007, 67: 174-178. 10.1111/j.1752-7325.2007.000018.x.CrossRefPubMed
37.
go back to reference Sanders AE, Slade GD, Turrell G, John Spencer A, Marcenes W: The shape of the socioeconomic-oral health gradient: implications for theoretical explanations. Community Dent Oral Epidemiol. 2006, 34: 310-319. 10.1111/j.1600-0528.2006.00286.x.CrossRefPubMed Sanders AE, Slade GD, Turrell G, John Spencer A, Marcenes W: The shape of the socioeconomic-oral health gradient: implications for theoretical explanations. Community Dent Oral Epidemiol. 2006, 34: 310-319. 10.1111/j.1600-0528.2006.00286.x.CrossRefPubMed
38.
go back to reference Kida IA, Astrøm AN, Strand GV, Masalu JR: Clinical and socio-behavioral correlates of tooth loss: a study of older adults in Tanzania. BMC Oral Health. 2006, 6: 5-10.1186/1472-6831-6-5.CrossRefPubMedPubMedCentral Kida IA, Astrøm AN, Strand GV, Masalu JR: Clinical and socio-behavioral correlates of tooth loss: a study of older adults in Tanzania. BMC Oral Health. 2006, 6: 5-10.1186/1472-6831-6-5.CrossRefPubMedPubMedCentral
39.
go back to reference Witter DJ, Van Palenstein Helderman WH, Creugers NHJ, Käyser AF: The shortened dental arch concept and its implications for orla health care. Community Dent Oral Epidemiol. 1999, 27: 249-258. 10.1111/j.1600-0528.1998.tb02018.x.CrossRefPubMed Witter DJ, Van Palenstein Helderman WH, Creugers NHJ, Käyser AF: The shortened dental arch concept and its implications for orla health care. Community Dent Oral Epidemiol. 1999, 27: 249-258. 10.1111/j.1600-0528.1998.tb02018.x.CrossRefPubMed
40.
go back to reference Warren JJ, Watkins CA, Cowen HJ, Hand JS, Levy SM, Kuthy RA: Tooth loss in the very old: 13-15-year incidence among elderly Iowans. Community Dent Oral Epidemiol. 2002, 30: 29-37. 10.1034/j.1600-0528.2002.300105.x.CrossRefPubMed Warren JJ, Watkins CA, Cowen HJ, Hand JS, Levy SM, Kuthy RA: Tooth loss in the very old: 13-15-year incidence among elderly Iowans. Community Dent Oral Epidemiol. 2002, 30: 29-37. 10.1034/j.1600-0528.2002.300105.x.CrossRefPubMed
41.
go back to reference Zhang Q, Kreulen CM, Witter DJ, Creugers NH: Oral health status and prosthodontic conditions of Chinese adults: a systematic review. Int J Prosthodont. 2007, 20: 567-572.PubMed Zhang Q, Kreulen CM, Witter DJ, Creugers NH: Oral health status and prosthodontic conditions of Chinese adults: a systematic review. Int J Prosthodont. 2007, 20: 567-572.PubMed
42.
go back to reference Müller F, Naharro M, Carlsson GE: What are the prevalence and incidence of tooth loss in the adult and elderly population in Europe?. Clin Oral Implants Res. 2007, 18 (Suppl 3): 2-14. 10.1111/j.1600-0501.2007.01459.x.CrossRefPubMed Müller F, Naharro M, Carlsson GE: What are the prevalence and incidence of tooth loss in the adult and elderly population in Europe?. Clin Oral Implants Res. 2007, 18 (Suppl 3): 2-14. 10.1111/j.1600-0501.2007.01459.x.CrossRefPubMed
Metadata
Title
Oral health status of adults in Southern Vietnam - a cross-sectional epidemiological study
Authors
Thoa C Nguyen
Dick J Witter
Ewald M Bronkhorst
Nhan B Truong
Nico HJ Creugers
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2010
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/1472-6831-10-2

Other articles of this Issue 1/2010

BMC Oral Health 1/2010 Go to the issue