Journal of Isfahan Dental School

Relationship between the Maternal Depression Score and DMF Index of Their Children in Isfahan

Document Type : مقاله‌های پژوهشی

Authors

1 Associate Professor, Dental Research Center, Department of Pediatrics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.

2 Dental Student, Student Research Committee, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.

3 Assistant Professor, Dental Research Center, Department of Oral Health, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.

Abstract

Introduction: Depression is one of the most prevalent diseases in the world, with a heavy socioeconomic burden on the society. Dental caries, too, is a prevalent disease and is related with many factors such as the socioeconomic and demographic statuses of the family. The aim of this study was to investigate the relationship between maternal depression and the child’s dental caries. 
Materials & Methods: This analytical cross-sectional study was performed using two-step sampling in a dental clinic and a football school in Isfahan in summer, 2017. Ninety children under 12 years of age were examined to record the number of decayed, missing/extracted or filled deciduous (dmft) and permanent (DMFT) teeth. Their mothers were asked to answer Beck inventory for determining their depression score. The relationship between maternal depression and caries status was investigated using Pearson’s correlation coefficient, and the mean dmft and DMFT scores were compared among different levels of maternal depression using ANOVA, followed by post hoc Tukey tests (α = 0.05).
Results: The mean depression score of mothers was 7.38 ± 2.41 and the means of dmft and DMFT were 2.89 ± 2.13 and 0.69 ± 1.03, respectively. An increase in the maternal depression score was correlated with a significant increase in dmft of children. The only significant item in comparison of dmft among maternal depression groups was a higher dmft in children who had mothers with 17‒30 score compared to the 0-10 score group. 
Conclusion: There was a significant relationship between maternal depression and dmft and DMFT of children, and the relationship was stronger for deciduous teeth. Furthermore, mothers with higher levels of depression, who needed psychological consultation, had children with higher dmft.
Key words: Dental caries, Depression, DMF Index, Primary health care.

1. Nelson S, Lee W, Albert JM, Singer LT. Early maternal psychosocial factors are predictors for adolescent caries. J Dent Res 2012; 91(9): 859-64.
2. Costa FDS, Azevedo MS, Ardenghi TM, Pinheiro RT, Demarco FF, Goettems ML. Do maternal depression and anxiety influence children's oral health-related quality of life? Community Dent Oral Epidemiol 2017; 4 5(5): 398-406.
3. da Silva AN, Mendonça MH, Vettore MV. The association between low‐socioeconomic status mother’s Sense of Coherence and their child’s utilization of dental care. Community Dent Oral Epidemiol 2011; 39(2): 115-26.
4. Anil S, Anand PS. Early childhood caries: prevalence, risk factors, and prevention. Front Pediatr 2017; 5: 157.
5. Hooley M, Skouteris H, Boganin C, Satur J, Kilpatrick N. Parental influence and the development of dental caries in children aged 0-6 years: a systematic review of the literature. J Dent 2012; 40(11): 873-85.
6. Avila WM, Pordeus IA, Paiva SM, Martins CC. Breast and bottle feeding as risk factors for dental caries: a systematic review and meta-analysis. PLoS One 2015; 10(11): e0142922.
7. Seow WK, Clifford H, Battistutta D, Morawska A, Holcombe T. Case-control study of early childhood caries in Australia. Caries Res 2009; 43(1): 25-35.
8. Fernandez MR, Goettems ML, Ardenghi TM, Demarco FF, Correa MB. The role of school social environment on dental caries experience in 8-to 12-year-old Brazilian children: a multilevel analysis. Caries Res 2015; 49(5): 548-56.
9. Al-Jewair TS, Leake JL. The prevalence and risks of early childhood caries (ECC) in Toronto, Canada. J Contemp Dent Pract 2010; 11(5): 1-9.
10. Maneze D, Salamonson Y, Poudel C, DiGiacomo M, Everett B, Davidson PM. Health-seeking behaviors of Filipino migrants in Australia: The influence of persisting acculturative stress and depression. J Immigrant Minor Health 2016; 18(4): 779-86.
11. Anttila S, Knuuttila M, Ylöstalo P, Joukamaa M. Symptoms of depression and anxiety in relation to dental health behavior and self‐perceived dental treatment need. Eur J Oral Sci 2006; 114(2): 109-14.
12. dos Santos Pinto G, de Ávila Quevedo L, Correa MB, Azevedo MS, Goettems ML, Pinheiro RT, et al. Maternal depression increases childhood dental caries: a cohort study in Brazil. Caries Res 2017; 51(1): 17-25.
13. Anagnostopoulos F, Buchanan H, Frousiounioti S, Niakas D, Potamianos G. Self-efficacy and oral hygiene beliefs about toothbrushing in dental patients: a model-guided study. Behavior Med 2011; 37(4): 132-9.
14. de Paula JS, Leite ICG, de Almeida AB, Ambrosano GMB, Mialhe FL. The impact of socioenvironmental characteristics on domains of oral health-related quality of life in Brazilian schoolchildren. BMC Oral Health 2013; 13: 10.
15. Okada M, Kawamura M, Kaihara Y, Matsuzaki Y, Kuwahara S, Ishidori H, et al. Influence of parents' oral health behaviour on oral health status of their school children: an exploratory study employing a causal modelling technique. Int J Paediatr Dent 2002; 12(2): 101-8.
16. Srilatha A, Doshi D, Reddy MP, Kulkarni S, Reddy BS. Self-reported behavioral and emotional difficulties in relation to dentition status among school going children of Dilsukhnagar, Hyderabad, India. J Indian Soc Pedodont Prevent Dent 2016; 34(2): 128-33.
17. D'Alessandro G, Cremonesi I, Alkhamis N, Piana G. Correlation between oral health in disabled children and depressive symptoms in their mothers. Eur J Paediatr Dent 2014; 15(3): 303-8.
18. LaValle PS, Glaros A, Bohaty B, McCunniff M. The effect of parental stress on the oral health of children. J Clin Psychol Med Set 2000; 7(4): 197-201.
19. Menon I, Nagarajappa R, Ramesh G, Tak M. Parental stress as a predictor of early childhood caries among preschool children in India. Int J Paediatr Dent 2013; 23(3): 160-5.
Journal of Isfahan Dental School
Volume 14, Issue 2 - Serial Number 2
March 2018
Pages 199-206