Assessment of Gingival Health among Children in Jeddah, Saudi Arabia: A Cross-Sectional Study
DOI:
https://doi.org/10.63278/10.63278/mme.v31.1Abstract
Objective: This research aims to determine the Assessment of Gingival Health among Children in Jeddah, Saudi Arabia.
Methods: This research will employ a cross-sectional study design to assess the gingival health of children in Jeddah, Saudi Arabia. A cross-sectional approach allows for data collection from a representative population sample at a single point in time, providing a snapshot of gingival health status among children.
Results: The study included 250 participants. The most frequent gender among them was male (n= 144, 57.6%) and female (n= 106, 42.4%). The most frequent age among study participants was 9-12 years (n=71, 28.4%) followed by 13-16 years (n= 64, 25.6%), then 6-8 years (n=55, 22%), 3-5 years (n=34, 13.6%) and 2 years and less (n=26, 10.4%). The most frequent nationality among study participants was Saudi (n=212, 84.8%) and non-Saudi (n=38, 15.2%). Passive smoking among study participants, with most of them having smoked (n=154, 61.6%) and don’t smoke (n=96, 38.4%). Medical history among study participants, with most of them saying yes (n=160, 64%) and no (n=90, 36%). Participants were asked if they were using medical. Most frequently, people don’t use (n= 140, 56%) and use medical (n=110, 44%).
Conclusion: the study highlighted a significant prevalence of gingival health issues among children in Jeddah, Saudi Arabia. Factors such as poor oral hygiene practices, limited frequency of dental visits, and dental plaque and deposits were identified as contributing to gingival problems. The findings emphasize the need for improved oral health education, regular dental check-ups, and preventive measures to reduce the incidence of gingival diseases in children. Early intervention and community-based awareness programs are recommended to promote better oral health habits among children and their caregivers.
References
Tonetti MS, Eickholz P, Loos BG, Papapanou P, van der Velden U, Armitage G, et al.. Principles in prevention of periodontal diseases: Consensus report of group 1 of the 11th European Workshop on Periodontology on effective prevention of periodontal and peri-implant diseases. J Clin Periodontol. 2015;42 Suppl 16:S5-11.
Marsh PD. Contemporary perspective on plaque control. Br Dent J 2012;212:601–6.
Kornman KS. Mapping the pathogenesis of periodontitis: a new look. J Periodontol. 2008;79(8 Suppl):1560-8. Epub 2008/09/04.
Murakami S, Mealey B, Mariotti A, Chap-ple L.. A new classification scheme for periodontal and peri-implant diseases and conditions – Introduction and key changes from the 1999 classification. J Clin Periodontol. 2018;45(Suppl 20):S17–S27.
Nagy R, Novak M.. Chronic Periodontitis. In: Carranza A, Newman G, Takei H. Clinical Periodontology. 9th ed Philadelphia: EB Saunders Co; 2002. p. 398.
Trombelli L, Farina R, Silva C, Tatakis D.. Plaque induced gingivitis: Case definition and diagnostic considerations. J Clin Periodontol. 2018;45(Suppl 20):S44–S66.
Sreenivasan PK, Prasad K, Javali S.. Oral health practices and prevalence of dental plaque and gingivitis among Indian adults. Clinical and Experimental Dental Research. 2016;2:6–17.
Löe H, Anerud A, Boysen H, Morrison E.. Natural history of periodontal disease in man. Rapid, moderate and no loss of attachment in Sri Lankan laborers 14 to 46 years of age. J Clin Periodontol. 1986;13:431–45.
Chapple I, Van der Weijden F, Doerfer C, Herrera D, Shapira L, Dea Polak. Primary prevention of periodontitis: managing gingivitis. J Clin Periodontol. 2015;42(Suppl 1):S71–6.
Alzahrani A, Bissada N, Jurevic R, Narendran S, Nouneh I, Al-Zahrani M.. Reduced systemic inflammatory mediators after treatment of chronic gingivitis. Saudi Med J. 2013;34:415–9.
Al-Zahrani M, Alghamdi H.. Effect of periodontal treatment on serum C-reactive protein level in obese and normal-weight women affected with chronic periodontitis. Saudi Med J. 2012;33(3):309-14.
Idrees M AS, Hammad M, Kujan O.. Prevalence and severity of plaque-induced gingivitis in a Saudi adult population. Saudi Med J. 2014;35(11): 1373–7.
Al-Banyan RA, Echeverri EA, Narendran S, Keene HJ.. Oral health survey of 5–12 year old children of National Guard employees in Riyadh, Saudi Arabia. Int J Ped Dent. 2001;10(1):39-45.
Jenkins WM, Papapanou P. N.. Epidemiology of periodontal disease in children and adolescents. Periodontol 2000. 2001;26:16-32.
El Tantawi M, AlAgl A.. Association between gingivitis severity and lifestyle habits in young Saudi Arabian males. East Mediterr Health J. 2018;24(6):504-11.
Hiremath V, Mishra N, Patil A, Sheetal A, Kumar S.. Prevalence of gingivitis among children living in Bhopal. J Oral Health Comm Dent 2012;6(3):118-20.
Fischman SL. The history of oral hygiene products: how far have we come in 6000 years? Periodontol 2000. 1997;15:7-14.
Council on Dental Theraputics. Accepted Dental Therapeutics, 40th edn Section III. Chicago, USA, American Dental Association; 1984.
Ng’ang’a P, Valderhaug J.. Oral hygiene practices and periodontal health in primary school children in Nairobi, Kenya. Acta Odont Scandinavica. 1991;49(303–9).
Dummer P, Addy M, Hicks R, Kingdon A, Shaw W.. The effect of social class on the prevalence of caries, plaque, gingivitis and pocketing in 11–12-year-old children in South Wales. J Dent 1987;15:185–90.
Kolawole KA, Oziegbe EO, Bamise CT.. Oral hygiene measures and the periodontal status of school children. Int J Dent Hyg. 2011;9(2):143-8.
Al-Zahrani M, Kayal R, Bissada N.. Periodontitis and cardiovascular disease: a review of shared risk factors and new findings supporting a causality hypothesis. Quintessence Int. 2006;January;37(1):11-8.
Matthews D. Prevention and treatment of periodontal diseases in primary care. Evid Based Dent. 2014;September;15(3):68-9.
Farsi J. Dental visit patterns and periodontal treatment needs among Saudi students. East Mediterr Health J. 2010;July;16(7):801-6.
AlGhamdi A, Almarghlani A, Alyafi R, Ibraheem W, Assaggaf M, Howait M, Alsofi L, et al.. Prevalence of periodontitis in high school children in Saudi Arabia: a national study. Ann Saudi Med. 2020. Jan-Feb;40(1):7-14.
Harford J, Spencer J, Roberts-Thomson K. Oral health. In: Thomson N, editor. The health of indigenous Australians. South Melbourne: Oxford University Press; 2003. p. 313–38.
Jackson SL, Vann WF, Kotch JB, Lee JY. Impact of poor oral health on children’s school attendance and performance. Am J Public Health. 2011;101:1900–6.
Quiñonez C. A political economic history of medical and dental care in Nunavut, Canada. Int J Circumpol Health. 2006;65:101–16.
Leck V, Randall GE. The rise and fall of dental therapy in Canada: a policy analysis and assessment of equity of access to oral health care for Inuit and first nations communities. Int J Equity Health. 2017;16:131.
Schroth R. The state of dental health in the north. Int J Circumpol Health. 2006;65:98–100.
Brown AJ, Varcoe C, Lavoie J, Smye V, Wong ST, Krause M, et al. Enhancing health care equity with indigenous populations: evidence-based strategies from an ethnographic study. BMC Health Serv Res. 2016;16:544.
Turpel-Lafond ME, Johnson H. BC studies. no. 209. Spring. 2021;209:7–17.
Newlove-Heide G. What works? A literature review of effective oral health programs with indigenous populations. Personal communication. 2017.
Folayan MO, Tantawi ME, Aly NM, Al-Batayneh OB, Schroth RJ, Castillo JL, et al. Association between early childhood caries and poverty in low and middle income countries. BMC Oral Health. 2020;20:8.
Harris R, Nicoll AD, Adair PM, Pine CM. Risk factors for dental caries in young children: a systematic review of the literature. Community Dent Health. 2004;21:71–85.
Peterson PE. Global policy for improvement of oral health in the 21st century- implications to oral health research of World Health Assembly 2007. World Health Organization. Community Dent Oral Epidemiol. 37:1–8.
Canadian Dental Association. Early childhood caries position statement. 2010. https://www.cda-adc.ca/en/about/position_statements/ecc/. Accessed 17 Sep 2023.
Government of Canada. Oral health for children. 2018. Available online: https://www.canada.ca/en/public-health/topics/oral-health/caring-your-teeth-mouth/children.html#a1 Accessed 17 Sep 2023.
Canadian Institute Health Institute. Treatment of preventable dental cavities in preschoolers: a focus on day surgery under general anesthesia. 2013. https://publications.gc.ca/collections/collection_2014/icis-cihi/H118-94-2013-eng.pdf. Accessed 17 Sep 2023.
Gomes MC, Pinto-Sarmento TC, Costa EM, Martins CC, Granville-Garcia AF, Paiva SM. Impact of Oral health conditions on the quality of life of preschool children and their families: a cross-sectional study. Health Qual Life Outcomes. 2014;12:55.
Dasanayake AP. Poor periodontal health of the pregnant woman as a risk factor for low birth weight. Ann Periodontol. 1998;3:206–12.
Zachariasen RD, Dennison DK. Periodontal disease and preterm low birth weight deliveries. J Gt Houst Dent Soc. 1998;70:16–9.
Clarke M, Locker D, Berall G, Pencharz P, Kenny DJ, Judd P. Malnourishment in a population of young children with severe early childhood caries. Pediatr Dent. 2006;28:254–9.
Health Canada. Report on the findings of the oral health component of the Canadian Health Measures Survey 2007–2009. 2010. https://www.caphd.ca/sites/default/files/CHMS-E-summ.pdf. Accessed 17 Sep 2023.
Canadian Academy of Health Sciences. Improving access to oral health care for vulnerable people living in Canada. Ottawa; 2014. https://cahs-acss.ca/improving-access-to-oral-health-care-for-vulnerable-people-living-in-canada/. Accessed 17 Sep 2023.
Pechansky R, Thomas JW. The concept of access: definitions and relationship to consumer satisfaction. Med Care. 1981;19:127–40.
Levin A, Sokal-Gutierrez K, Hargrave A, Funsch E, Hoeft KS. Maintaining traditions: a qualitative study of early childhood caries risk and protective factors in an indigenous community. Int J Environ Res Public Health. 2017;14:907.
Federal, Provincial and Territorial Dental Working Group. Reducing dental disease: a Canadian oral health framework: 2013-2018. Ottawa; 2012. http://www.caphd.ca/canadian-oral-health-reports. Accessed 17 Sep 2023.
The First Nations Information Governance Centre. Report on the Findings of the First Nations Oral Health Survey (FNOHS) 2009-10. Ottawa: The First Nations Information Governance Centre; 2012. https://fnigc.ca/wp-content/uploads/2020/09/fn_oral_health_survey_national_report_2010.pdf. Accessed 17 Sep 2023.
Health Canada. Inuit oral health survey 2008-09. 2011. https://www.tunngavik.com/files/2011/05/inuitoralhealthsurveyreport_2008-09.pdf Accessed 17 Sep 2023.
Government of Canada. Children’s oral health initiative. 2016. Available online: https://www.canada.ca/en/health-canada/corporate/about-health-canada/activities-responsibilities/strategies-initiatives/first-nations-inuit-health-strategies-initiatives.html#cohi-isbde. Accessed 17 Sep 2023.
Mathu-Muju KR, McLeod J, Walker M, Chartier M, Harrison R. The Children’s Oral health initiative: an intervention to address the challenges of dental caries in early childhood in Canada’s first nation and Inuit communities. Can J Public Health. 2016;107(2):E188–93.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Ameera Ibrahim Amer, Amjad Saleh Al harthi, Hanouf Jamaan Alharbi, Sarah Mansour Alshaalan, Ayoob mutleb alnafisah, Joud Khalid Alnemari, Shuruq Bandar Alharbi, Areej Mousem Almutairi, Sarah Abdulrahman Alhassan, Omar Salih Albalwi, Abdullah Abdulrahman Alamri, Mohammed Nasser Almutairi, Bayan Jaffar Al tuhaifa, Anass Khalid Alsarah, Shuruq Mohammed Aldossary

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their published articles online (e.g., in institutional repositories or on their website, social networks like ResearchGate or Academia), as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).

Except where otherwise noted, the content on this site is licensed under a Creative Commons Attribution 4.0 International License.



According to the