Mundgesundheit von Kindern unter Berücksichtigung des Migrationshintergrundes – Eine retrospektive Daten-Analyse
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Abstract
Introduction: Early childhood oral health is a crucial factor in overall health develop-
ment, with caries prevalence and oral hygiene behavior being key indicators. Children
with migration backgrounds are particularly at risk for poorer dental outcomes due to
socioeconomic and cultural barriers. This study aimed to investigate differences in car-
ies prevalence, dental care usage, and parental support during toothbrushing between
children with and without migration backgrounds. In addition, the study examined dif-
ferences in the type and frequency of dental treatments—such as fillings, extractions,
and fluoride applications—as well as the age at first dental visit. These extended pa-
rameters provide a more comprehensive picture of early childhood oral healthcare dis-
parities in the studied population.
Research Question: What are the differences in caries prevalence, dental visit rates,
and parental support for oral hygiene between children with and without migration
backgrounds?
Methods: This retrospective analysis examined data from children aged 0–6 years
treated at a dental practice in Marburg between 2016 and 2022. Anonymized patient
records were used to collect data, including dmf-t indices, dental visit frequencies, and
parental involvement in oral hygiene. Statistical analyses, including Mann-Whitney U
and c² tests, were performed to identify significant differences.
Results: Children with migration backgrounds had a mean dmf-t score of 2.1 ± 2.9,
compared to 0.7 ± 1.9 for children without migration backgrounds (p < 0.0001). The
number of decayed teeth showed no significant difference (0.4 ± 1.1 vs. 0.2 ± 0.7; p =
0.1). Missing teeth were significantly higher in children with migration backgrounds (0.3
± 1.0 vs. 0.1 ± 0.4; p = 0.03), as were filled teeth (1.4 ± 2.2 vs. 0.4 ± 1.3; p < 0.001).
While 95.8% of dental visits for children without migration backgrounds were for routine
check-ups, this proportion was only 65.7% among children with migration backgrounds
(p < 0.001). Parents with migration backgrounds provided significantly less active sup-
port during their children's toothbrushing (34.3% vs. 71.7%; p < 0.001).
Conclusion: The findings highlight that children with migration backgrounds experi-
ence higher caries prevalence, lower rates of routine dental visits, and less parental
support in oral hygiene. This underscores the need for targeted prevention programs that address social and cultural barriers. Awareness campaigns should focus on
strengthening parental support and encouraging early prevention. Moreover, signifi-
cant disparities in therapeutic interventions, such as the number of fluoride applications
and fillings, indicate the need for culturally sensitive approaches in dental care delivery.
These results emphasize that improving access alone is not sufficient—tailored strat-
egies must address the underlying structural and behavioral determinants of oral
health to promote equity from early childhood onward.
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Dates
Issued: 2025-12-15
Faculty
FB20:Medizin
Language
de
Data types
DoctoralThesis
Keywords
MilchzähneKarieserfahrungKariesprävalenzdmf-tDMF-TECCMenschen mit Migration
DFG-subjects
2.22-28 - Zahnheilkunde; Mund-, Kiefer- und Gesichtschirurgie
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Abazeed, Mohammad: Mundgesundheit von Kindern unter Berücksichtigung des Migrationshintergrundes – Eine retrospektive Daten-Analyse. : 2025-12-15.
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