Prevalence and severity of carious lesions in children from 5 to 9 years old of the Remigio Crespo Toral Basic Education School, Cayambe, Ecuador*
DOI:
https://doi.org/10.17533/udea.rfo.v37n1e359426Keywords:
Dental caries, Dental Health Surveys, Epidemiology, ChildAbstract
Introduction: Dental caries is a chronic non-communicable disease and a global public health problem that affects human well-being and development. Its multifactorial origin involves biological, psychological and social factors. In Ecuador, data on its prevalence are limited. The aim of the present study was to determine the prevalence and severity of carious lesions in children aged 5 to 9 years from the “Remigio Crespo Toral” elementary school in Cayambe, Ecuador, using the International Caries Detection and Assessment System (ICDAS II). Methods: A cross-sectional study was carried out in 229 children, with prior authorization from CEISH - UNIANDES, Ecuador, whose parents authorized their participation by means of informed consent. Intraoral clinical examinations were carried out using portable equipment and following biosafety standards. Data were collected using alphanumeric cards, recording age, sex, presence and severity of carious lesions according to ICDAS II codes. Statistical analysis was performed with R software (v4.4.4.1) using median tests and 95 % confidence intervals. Results: There was an increase in carious lesions in the primary teeth with age. ICDAS code 2 was the most prevalent. Temporal molars and first permanent molars were the most affected teeth. Conclusion: The prevalence of dental caries increases with age in the primary dentition, with ICDAS code 2 being the most prevalent. In the permanent dentition, the first molars were the most affected. No significant differences were observed according to sex.
* This manuscript is derived from dissertations or theses, which are in the process of being entered into the repository of the Universidad Hemisferios, Quito, Ecuador.
Downloads
References
Nath S, Sethi S, Bastos JL, Constante HM, Mejia G, Haag D et al. The global prevalence and severity of dental caries among racially minoritized children: a systematic review and meta-analysis. Caries Res. 2023; 57(4): 485-508. DOI: https://doi.org/10.1159/000533565
Chaffee BW, Rodrigues PH, Kramer PF, Vítolo MR, Feldens CA. Oral health-related quality-of-life scores differ by socioeconomic status and caries experience. Community Dent Oral Epidemiol. 2017; 45(3): 216-24. DOI: https://doi.org/10.1111/cdoe.12279
Singh S, Talmale P. Impact of dental caries and nutritional status on oral health related quality of life in young Indian adoles-cents. J Oral Biol Craniofac Res. 2023; 13(4): 506-10. DOI: https://doi.org/10.1016/j.jobcr.2023.05.002
Mathur MR, Tsakos G, Millett C, Arora M, Watt R. Socioeconomic inequalities in dental caries and their determinants in adoles-cents in New Delhi, India. BMJ Open. 2014; 4(12): e006391. DOI: https://doi.org/10.1136/bmjopen-2014-006391
Organización MS. Poner fin a la caries dental en la infancia. Ginebra: OMS; 2021. Available in https://www.paho.org/es/documentos/poner-fin-caries-dental-infancia-manual-aplicacion-oms
Thwin KM, Tun TZ, Kaneko N, Nohno K, Ogawa H. Clinical and microbial evaluation of dental caries status and associated fac-tors among primary schoolchildren in Myanmar: a cross-sectional study. Asia Pac J Public Health. 2023; 35(1): 42-9. DOI: https://doi.org/10.1177/10105395221139347
Zhang, JS, Chun Ch, Yu OY. Oral microbiome and dental caries development. Dento J. 2022; 10(10): 184. DOI: https://doi.org/10.3390/dj10100184
Simón-Soro A, Mira A. Solving the etiology of dental caries. Trends Microbiol. 2015; 23(2): 76-82. DOI: https://doi.org/10.1016/j.tim.2014.10.010
Sun HB, Zhang W, Zhou XB. Risk factors associated with early childhood caries. Chin J Dent Res. 2017; 20(2): 97-104. DOI: https://doi.org/10.3290/j.cjdr.a38274
Tsang C, Sokal-Gutierrez K, Patel P, Lewis B, Huang D, Ronsin K. Early childhood oral health and nutrition in urban and rural nepal. Int J Environ Res Public Health. 2019; 16(14): 2456. DOI: https://doi.org/10.3390/ijerph16142456
Walsh T, Macey R, Riley P, Glenny AM, Schwendicke F, Worthington HV et al. Imaging modalities to inform the detection and diagnosis of early caries. Cochrane Database Syst Rev. 2021; 3(3): CD014545. DOI: https://doi.org/10.1002/14651858.cd014545
Foros P, Oikonomou E, Koletsi D, Rahiotis C. Detection methods for early caries diagnosis: a systematic review and meta-analysis. Caries Res. 2021; 55(4): 247-59. DOI: https://doi.org/10.1159/000516084
Saccomanno S, De Luca M, Saran S, Petricca MT, Caramaschi E, Mastrapasqua RF et al. The importance of promoting oral health in schools: a pilot study. Eur J Transl Myol. 2023; 33(1): 11158. DOI: https://doi.org/10.4081/ejtm.2023.11158
Rai A, Sundas S, Dhakal N, Khapung A. Assessment of dental caries based on ICDAS and WHO criteria: a comparative study. Int J Paediatr Dent. 2024; 34(1): 77-84. DOI: https://doi.org/10.1111/ipd.13099
Martignon S, Pitts NB, Goffin G, Mazevet M, Douglas GVA, Newton JT et al. CariesCare practice guide: consensus on evidence into practice. Br Dent J. 2019; 227(5): 353-62. DOI: https://doi.org/10.1038/s41415-019-0678-8
Winning L, Lundy FT, Blackwood B, McAuley DF, El Karim I. Oral health care for the critically ill: a narrative review. Crit Care. 2021; 25(1): 353. DOI: https://doi.org/10.1186/s13054-021-03765-5
Aung YM, Jelleyman T, Ameratunga S, Tin Tin S. Body mass index and dental caries in New Zealand pre-school children: a popu-lation-based study. J Paediatr Child Health. 2021; 57(9): 1432-7. DOI: https://doi.org/10.1111/jpc.15500
Tenelanda-López D, Valdivia-Moral P, Castro-Sánchez M. Eating habits and their relationship to oral health. Nutrients. 2020; 12(9): 2619. DOI: https://doi.org/10.3390/nu12092619
Vélez León EM, Albaladejo Martínez A, Preciado Sarmiento MA, Cordero López MA, Armas ADC, Encalada Verdugo LS et al. Caries experience in preschoolers in three Ecuadorian communities. Children (Basel). 2023; 10(7): 1123. DOI: https://doi.org/10.3390/children10071123
Viteri-García A, Parise-Vasco JM, Cabrera-Dávila MJ, Zambrano-Bonilla MC, Ordonez-Romero I, Maridueña-León MG et al. Preva-lence and incidence of dental caries associated with the effect of tooth brushing and fluoride varnishing in schoolchildren at Ga-lapagos Islands, Ecuador: protocol of the EESO-Gal study. Medwave. 2020; 20(6): e7974. DOI: https://doi.org/10.5867/medwave.2020.06.7974
Jarrin-Peñafiel MJ, Toalombo-Puma OV, Carrera Robalino AE, Quintana-Carrillo EA, Ribadeneira-Morales LA, Armas-Vega ADC. Riesgo cariogenico y su relacion con el factor socio económico, en niños de 8 a 10 años de una zona agrícola del Ecuador. Rev Cient Odontol. 2018; 14(1).
Armas-Vega A, Parise-Vasco JM, Díaz-Segovia MC, Arroyo-Bonilla DA, Cabrera-Dávila MJ, Zambrano-Bonilla MC et al. Prevalence of dental caries in schoolchildren from the Galapagos Islands: ESSO-Gal Cohort Report. Int J Dent. 2023; 2023: 6544949. DOI: https://doi.org/10.1155/2023/6544949
Vélez-León E, Albaladejo A, Cuenca-León K, Jiménez-Romero M, Armas-Vega A, Melo M. Prevalence of caries according to the ICDAS II in children from 6 and 12 years of age from southern Ecuadorian regions. Int J Environ Res Public Health. 2022; 19(12): 7266. DOI: https://doi.org/10.3390/ijerph19127266
So M, Ellenikiotis YA, Husby HM, Paz CL, Seymour B, Sokal-Gutierrez K. Early childhood dental caries, mouth pain, and malnutrition in the Ecuadorian Amazon region. Int J Environ Res Public Health. 2017; 14(5): 550. DOI: https://doi.org/10.3390/ijerph14050550
Martignon S, Roncalli AG, Alvarez E, Aránguiz V, Feldens CA, Buzalaf MAR. Risk factors for dental caries in Latin American and Caribbean countries. Braz Oral Res. 2021; 35(suppl 01): e053. DOI: https://doi.org/10.1590/1807-3107bor-2021.vol35.0053
Samec T, Amaechi BT, Jan J. Influence of childhood asthma on dental caries: a longitudinal study. Clin Exp Dent Res. 2021; 7(6): 957-67. DOI: https://doi.org/10.1002/cre2.436
Lam PPY, Chua H, Ekambaram M, Lo ECM, Yiu CKY. Risk predictors of early childhood caries increment-a systematic review and meta-analysis. J Evid Based Dent Pract. 2022; 22(3): 101732. DOI: https://doi.org/10.1016/j.jebdp.2022.101732
Fernández-Pesantez HE, Romo-Cardoso AB, Cabrera-Cabrera GE. [Correlation between the number of brushes per day and the dmft index in 12-year-old school children from the El Vecino parish in Cuenca, Ecuador 2016]. Rev Cient Odontol (Lima). 2021; 9(1): e042. DOI: https://doi.org/10.21142/2523-2754-0901-2021-042
Vera-Virrueta CG, Sansores-Ambrosio F, Casanova-Rosado JF, Minaya-Sánchez MI, Casanova-Rosado AJ, Casanova-Sarmiento JA et al. Experience, prevalence, and severity of dental caries in Mexican preschool and school-aged children. Cureus. 2023; 15(12): e51079. DOI: https://doi.org/10.7759/cureus.51079
Caceda JH, Jiang S, Calderon V, Villavicencio-Caparo E. Sensitivity and specificity of the ICDAS II system and bitewing radio-graphs for detecting occlusal caries using the Spectra™ caries detection system as the reference test in children. BMC Oral Health. 2023; 23(1): 896. DOI: https://doi.org/10.1186/s12903-023-03615-6
Chinnakotla B, Susarla SM, Mohan DC, Turton B, Husby HM, Morales CP, Sokal-Gutierrez K. Associations between Maternal Education and Child Nutrition and Oral Health in an Indigenous Population in Ecuador. Int J Environ Res Public Health. 2022; 20(1): 473. DOI: https://doi.org/10.3390/ijerph20010473
Krishnan N, Manresa-Cumarin K, Klabak J, Krupa G, Gudsoorkar P. Assessing the impact of oral health disease on quality of life in Ecuador: a mixed-methods study. Front Oral Health. 2024; 5: 1431726. DOI: https://doi.org/10.3389/froh.2024.1431726
Medina W, Hurtig AK, San Sebastián M, Quizhpe E, Romero C. Dental caries in 6-12-year-old indigenous and non-indigenous schoolchildren in the Amazon basin of Ecuador. Braz Dent J. 2008; 19(1): 83-6. DOI: https://doi.org/10.1590/s0103-64402008000100015
Michel-Crosato E, Raggio DP, Coloma-Valverde ANJ, Lopez EF, Alvarez-Velasco PL, Medina MV et al. Oral health of 12-year-old children in Quito, Ecuador: a population-based epidemiological survey. BMC Oral Health. 2019; 19(184). DOI: https://doi.org/10.1186/s12903-019-0863-9
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2025 Revista Facultad de Odontología Universidad de Antioquia

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Copyright Notice
Copyright comprises moral and patrimonial rights.
1. Moral rights: are born at the moment of the creation of the work, without the need to register it. They belong to the author in a personal and unrelinquishable manner; also, they are imprescriptible, unalienable and non negotiable. Moral rights are the right to paternity of the work, the right to integrity of the work, the right to maintain the work unedited or to publish it under a pseudonym or anonymously, the right to modify the work, the right to repent and, the right to be mentioned, in accordance with the definitions established in article 40 of Intellectual property bylaws of the Universidad (RECTORAL RESOLUTION 21231 of 2005).
2. Patrimonial rights: they consist of the capacity of financially dispose and benefit from the work trough any mean. Also, the patrimonial rights are relinquishable, attachable, prescriptive, temporary and transmissible, and they are caused with the publication or divulgation of the work. To the effect of publication of articles in the journal Revista de la Facultad de Odontología, it is understood that Universidad de Antioquia is the owner of the patrimonial rights of the contents of the publication.
The content of the publications is the exclusive responsibility of the authors. Neither the printing press, nor the editors, nor the Editorial Board will be responsible for the use of the information contained in the articles.
I, we, the author(s), and through me (us), the Entity for which I, am (are) working, hereby transfer in a total and definitive manner and without any limitation, to the Revista Facultad de Odontología Universidad de Antioquia, the patrimonial rights corresponding to the article presented for physical and digital publication. I also declare that neither this article, nor part of it has been published in another journal.
Open Access Policy
The articles published in our Journal are fully open access, as we consider that providing the public with free access to research contributes to a greater global exchange of knowledge.
Creative Commons License
The Journal offers its content to third parties without any kind of economic compensation or embargo on the articles. Articles are published under the terms of a Creative Commons license, known as Attribution – NonCommercial – Share Alike (BY-NC-SA), which permits use, distribution and reproduction in any medium, provided that the original work is properly cited and that the new productions are licensed under the same conditions.
![]()
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.



