Prevalence and factors associated with early loss of the first permanent molar in Peruvian schoolchildren

Authors

Keywords:

dental caries, dentition permanent, molar, oral hygiene index

Abstract

Introduction: The first permanent molar is considered an important tooth in the oral cavity. Its early loss could have important consequences, such as decreased chewing efficiency and migration of adjacent teeth

Objective: To determine the prevalence and factors associated with the early loss of the first permanent molar in Peruvian schoolchildren.

Methods: A descriptive and correlational cross-sectional study, the sample consisted of 208 schoolchildren aged 6 to 12 years from an educational institution in Peru. The associated factors evaluated were age, sex, caries of the first molars present and oral hygiene index, and the absent first molar was determined according to its position in the arch. Correlation was determined using chi-square and Mann Whitney U test.

Results: The prevalence of early loss of permanent first molars was 22.1%; the factors associated with early loss of the first molar were the age of 11 to 12 years, the presence of caries in the first molars present and the oral hygiene index (p< 0.05). The highest frequency of absent first molar type was 3.6 with 43.5%.

Conclusions: The prevalence of early loss of the first permanent molar affects less than a quarter of the schoolchildren evaluated. The main factors associated with this condition include age, the presence of caries in the remaining first molars and the oral hygiene index.

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Author Biographies

Victoria Roxana Paico Saavedra, Universidad César Vallejo

Cirujano dentista

Raúl Antonio Rojas Ortega, Universidad César Vallejo

Cirujano dentista

Catherin Angélica Ruiz Cisneros, Universidad César Vallejo

Cirujano dentista

References

Alexander L, Doulath AS, Arun V. Influence of maxillary first molar rotation on the severity of dental class II malocclusion: A cross-sectional study [Internet]. J Orthod Sci. 2023 [acceso: 10/10/2023];12(52):1-6. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10597379/

Godoi J, Da Silva Y, Soares W, Brandão P, García P, Quedevez A, et al. Perda precoce do primeiro molar permanente [Internet]. Revista Eletrónica Acervo Científico. 2019[acceso: 16/11/2023];4:e729:1-6. Disponible en: https://acervomais.com.br/index.php/cientifico/article/view/729/396

Stoica S, Moraru S, Nimigean V, Nimigean V. Dental Caries in the First Permanent Molar during the Mixed Dentition Stage [Internet]. Maedica (Bucur). 2023; 18(2):246-56. DOI: 10.26574/maedica.2023.18.2.246

Organización Mundial de la Salud. Salud bucodental [Internet]. Ginebra: OMS; 2022. [acceso: 05/11/2024]. [aprox: 4p.]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/oral-health

Almugla YM. Prevalence of Missing First Permanent Molars in a Selected Population in a University Dental Clinic Setting: A Retrospective Radiographic Study [Internet]. Int J Clin Pediatr Dent. 2021; 14(2):269-72. DOI: 10.5005/jp-journals-10005-1941

Raducanu, A, Feraru V, Herteliu C, Rãducanu, M. Prevalence of Loss of Permanent First Molars in a Group of Romanian Children and Adolescents [Internet]. OHDMBSC. 2009 [acceso: 25/08/2024]; 3(3): 3-9. Disponible en: https://www.walshmedicalmedia.com/open-access/prevalence-of-loss-of-permanent-first-molars-in-a-group-of-romanian-children-and-adolescents-2247-2452-8-383.pdf

León A, Bertrán G, López P, Lugo Y. Premature Loss of the First Permanent Molar. School Solidarity with Panama. 2020-2022 [Internet]. AJBSR. 2023;19(2):141-5. DOI: 10.34297/AJBSR.2023.19.002562

Ríos K. Prevalencia de pérdida prematura de las primeras molares permanentes, en escolares de nivel secundario en las instituciones educativas de la zona norte del distrito de Chancay [Internet]. [Tesis título cirujano dentista]. Chancay, Perú: Universidad Alas Peruanas; 2017. [acceso: 23/11/2024]. Disponible en: https://repositorio.uap.edu.pe/xmlui/handle/20.500.12990/4519

Benavides V. Caries dental y otros factores de riesgo de la pérdida prematura de los primeros molares permanentes en niños de 8 a 12 años del Centro Poblado "Tierra Prometida" [Internet]. [Tesis título cirujano dentista]. Ica, Perú: Universidad San Luis Gonzaga; 2022. [acceso: 23/11/2024]. Disponible en: https://repositorio.unica.edu.pe/items/06b614c0-1877-49e6-9644-bbed401f4e0a

Ministerio de Salud. Minsa: la caries dental es la enfermedad más común entre la población infantil [Internet]. Lima: Minsa; 2023. [acceso: 20/04/2024]. [aprox: 4p.]. Disponible en: https://www.gob.pe/institucion/minsa/noticias/741092-minsa-la-caries-dental-es-la-enfermedad-mas-comun-entre-la-poblacion-infantil

Northridge M, Kumar A, Kaur R. Disparities in Access to Oral Health Care [Internet]. Annu Rev Public Health. 2020; 41:513-535. DOI: 10.1146/annurev-publhealth-040119-094318

Saheb S, Najmuddin M, Nakhran A, Mashhour N, Moafa M, Zangoti A. Parents' Knowledge and Attitudes toward Preschool's Oral Health and Early Childhood Caries [Internet]. Int J Clin Pediatr Dent. 2023;16(2):371-5. DOI: 10.5005/jp-journals-10005-2522

Norma técnica de salud para el uso del odontograma [Internet]. Lima: Ministerio de Salud; 2022. [acceso: 20/09/2023]. Disponible en: https://cdn.www.gob.pe/uploads/document/file/3456674/NTS%20N%-C2%BA%20188-MINSA/DGIESP-2022.pdf

Montenegro F, Molina C, Cacuango T. Evaluación del Índice de Higiene Oral Simplificado en Estudiantes de 6 a 13 Años, del Cantón Riobamba, Provincia de Chimborazo- Ecuador 2024 [Internet]. Ciencia Latina Revista Científica Multidisciplinar. 2024 [acceso: 10/04/2024]; 8:6198-6212. Disponible en: https://ciencialatina.org/index.php/cienciala/article/view/11042/16211

Mora K, Calle D, Sacoto F. Índice de higiene oral simplificado en escolares de 6 años de edad, Ecuador, 2016 [Internet]. Odontología Vital. 2020 [acceso: 15/05/2024]; 2(33):73-78. Disponible en: https://www.scielo.sa.cr/pdf/odov/n33/1659-0775-odov-33-73.pdf

World Medical Association. WMA Declaration of Helsinki - Ethical Principles for Medical Research Involving Human Subjects [Internet]. WMA; 2022. [acceso: 26/01/2024]. Disponible en: https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects

Cuyac M, Reyes B, Mirabal M, Villegas I, Alfonso B, Duque M. Pérdida prematura del primer molar permanente en niños de la escuela primaria "Antonio López" [Internet]. México. Rev Med Electrón. 2017 [acceso:3/02/2023]; 39(3): 607-14. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1684-18242017000300020&lng=es

Ozmen B. Evaluation of Permanent First Molar Tooth Loss in Young Population from North Turkey [Internet]. Balkan Journal of Dental Medicine. 2022 [acceso: 15/09/2024];23(1): 20-23. Disponible en: https://scindeks-clanci.ceon.rs/data/pdf/2335-0245/2019/2335-02451901020O.pdf

Morales-Chávez M, Mendoza-Hernández Y. Caries and premature loss of the first permanent molar in grade school children, and parents' knowledge level, in Vargas state, Venezuela [Internet]. J Oral Res 2019;8(2):166-72. DOI: 10.17126/joralres.2019.026

Haddi R, Radhi N. Mortality of First Permanent Molars among 6-12 Years Old Children Attending Dental Hospital / College of Dentistry, University of Baghdad [Internet]. International Journal of Science and Research. 2017 [acceso: 27/02/2023]; 6(12): 1012-14. Disponible en: https://www.ijsr.net/get_count.php?paper_id=ART20178765

Zafar R, Bukhari J, Maryam Z, Khan M, Rehman S, Khalid B. Frequency and causes of extraction of first permanent molar tooth in patients presented to a teaching hospital, Multan. Pakistan [Internet]. Professional Med J. 2022 [acceso: 03/07/2024]; 29(8):1132-6. Disponible en: https://www.theprofesional.com/index.php/tpmj/article/view/6973/4927

Northridge ME, Kumar A, Kaur R. Disparities in Access to Oral Health Care [Internet]. Annu Rev Public Health. 2020; 2(41):513-35. DOI: 10.1146/annurev-publhealth-040119-094318

Yousaf M, Aslam T, Saeed S, Sarfraz A, Sarfraz Z, Cherrez-Ojeda I. Individual, Family, and Socioeconomic Contributors to Dental Caries in Children from Low- and Middle-Income Countries [Internet]. Int J Environ Res Public Health. 2022; 10;19(12):7114. DOI: 10.3390/ijerph19127114

Khoramrooz M, Mirrezaie SM, Emamian MH, Golbabaei Pasandi H, Dadgari A, Hashemi H, et al. Economic inequalities in decayed, missing, and filled first permanent molars among 8-12 years old Iranian schoolchildren [Internet]. BMC Oral Health. 2023;23(1):728. DOI: 10.1186/s12903-023-03471-4

De Albuquerque LS, de Queiroz RG, Abanto J, Strazzeri Bönecker MJ, Soares Forte FD, Sampaio FC. Dental Caries, Tooth Loss and Quality of Life of Individuals Exposed to Social Risk Factors in Northeast Brazil [Internet]. Int J Environ Res Public Health. 2023; 28;20(17):6661. DOI: 10.3390/ijerph20176661

Hong H, Zhou J, Fan Q, Ruijie J. Characteristics of spatial changes in molars and alveolar bone resorption among patients with loss of mandibular first molars: a CBCT-based morphometric study. Journal of Clinical Medicine [Internet]. 2023;12(5):1932. DOI: 10.3390/jcm12051932

Alqanas S, Alsahiem J, Aljami A, Alsudairi N, Ahmad S, Sharma S, et al. Factors related to spontaneous space closure following early first permanent molar extraction: a systematic review. International Journal of Paediatric Dentistry. 2024. DOI: 10.1111/ipd.13273

Almahdi H, Alabdrabulridha Z , AlAbbas J, Saad A, Alarka I, Alghatm S, Alqasem H. Permanent First Mandibular Molar: Loss Prevalence and Pattern among Saudis in Al-Ahsa Arabia Saudita [Internet]. European Journal of Dentistry. 2022;10:1055. DOI: 10.1055/s-0042-1757904

Xian-Mei Z, Chun-Mei J, Yi-Feng D, Xiao-Qin Y, Xiao Q. An epidemiological investigation of caries status of the first permanent molars of children aged 7-9 year in Taizhou City [Internet]. Shanghai J Stomatol. 2017 [acceso: 28/05/2023]; 26(3):328. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29098258/

Zhu F, Chen Y, Yu Y, Xie Y, Zhu H, Wang H. Caries prevalence of the first permanent molars in 6-8 years old children [Internet]. PLoS One. 2021; 16(1):e0245345. DOI: 10.1371/journal.pone.0245345

Reyna K, Paredes S, Flores M, Ríos C, Paredes S, Anderson Neil. Caries en primeros molares permanentes y factores asociados a esta en escolares de Acapulco [Internet]. Revista Cubana de Estomatología. 2021 [acceso: 02/03/2023]; 58(2): e3156. Disponible en: https://revestomatologia.sld.cu/index.php/est/article/view/3156/1898

López-Gómez SA, Villalobos-Rodelo JJ, Ávila-Burgos L, Casanova-Rosado JF, Vallejos-Sánchez AA, Lucas-Rincón SE, et al. Relationship between premature loss of primary teeth with oral hygiene, consumption of soft drinks, dental care, and previous caries experience [Internet]. Sci Rep. 2016 [acceso: 02/05/2024];6:21147. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC4768248/

Khawaja Khail AA, Ronis K, Mureed S. Dental caries and Oral hygiene status among primary school children in Quetta, Pakistan: A quantitative approach [Internet] . J Pak Med Assoc. 2023 [acceso: 08/07/2024];73(1):143-6. Disponible en: https://www.archive.jpma.org.pk/PdfDownload/11745

Spatafora G, Li Y, He X, Cowan A, Tanner ACR. The Evolving Microbiome of Dental Caries. Microorganisms [Internet]. 2024;12(1):121. DOI: 10.3390/microorganisms12010121

Mahboobi Z, Pakdaman A, Yazdani R, Azadbakht L, Shamshiri A, Babaei A. Caries incidence of the first permanent molars according to the Caries Assessment Spectrum and Treatment (CAST) index and its determinants in children: a cohort study [Internet]. BMC Oral Health. 2021; 21: 259. DOI: 10.1186/s12903-021-01612-1

Agrawal SK, Bhagat T, Shrestha A. Dental Caries in Permanent First Molar and Its Association with Carious Primary Second Molar among 6-11-Year-Old School Children in Sunsari [Internet]. Nepal. Int J Dent. 2023:9192167. DOI: 10.1155/2023/9192167

Published

2025-02-19

How to Cite

1.
Paico Saavedra VR, Rojas Ortega RA, Ruiz Cisneros CA, Herrera Plasencia PM. Prevalence and factors associated with early loss of the first permanent molar in Peruvian schoolchildren. Rev Cubana Med Milit [Internet]. 2025 Feb. 19 [cited 2025 Apr. 18];54(1):e025060213. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/60213

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Research Article