ArticleBMC oral health2021
Association between mental health, caries experience and gingival health of adolescents in sub-urban Nigeria.
Article in BMC oral health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 4 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 4 syntheses or guidelines pooled it, 12 citations in OpenAlex.
- Dental Biofilm-Induced Gingivitis in Children and Adolescents Without Known Systemic Involvement: A Systematic Review.Journal of clinical periodontology · 2026Pooled it
- Prevalence of dental caries in the primary, mixed and permanent dentitions in Nigeria: A systematic review and meta-analysis.PloS one · 2026Pooled it
- Dental caries prevalence, preventive behaviour and related factors among adolescents in Nigeria: a 10-year systematic review and meta-analysis.BMC oral health · 2025Pooled it
- A systematic review and meta-analysis of the association between sugar intake and dental caries in Nigeria.BMC oral health · 2024Pooled it
- Exploratory Grouping Along a Shared Oral-Health Burden Continuum in Children and Adolescents: An Age-Stratified Cluster Analysis.Medicina (Kaunas, Lithuania) · 2026Article
- Age-Stratified Association Between CPI Screening Categories and Caries Experience in the Permanent Dentition of Children and Adolescents from Southwest Romania: A Multicenter Cross-Sectional Clinical Study.Children (Basel, Switzerland) · 2026Article
- Oral health and behavioral problems in children living with and without HIV in South Africa.AIDS care · 2025Article
- Periodontal health status and influencing factors among 12- and 15-year-old adolescents: evidence from a cross-sectional study in Guizhou province, China (2019-2020).BMC oral health · 2025Article
- Risk indicators for dental caries among preschoolers, school children/adolescents and adults in Nigeria: a scoping review.BMC oral health · 2025Article
- Access to adolescent-responsive oral, mental, sexual, and reproductive healthcare services in Africa through dental clinics.Frontiers in oral health · 2025Article
- Development of the oral, mental, and sexual reproductive health assessment tool for adolescents in Nigeria.Frontiers in oral health · 2025Article
- Risk factors and prediction model of peri-implantitis in post operative periodontitis patients.American journal of translational research · 2024Article
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Corrections and comments
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Authors and funding
8 authors at 5 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study assessed the association of mental health problems and risk indicators of mental health problems with caries experience and moderate/severe gingivitis in adolescents.
methodsA cross-sectional household survey was conducted in Osun State, Nigeria. Data collected from 10 to 19-years-old adolescents between December 2018 and January 2019 were sociodemographic variables (age, sex, socioeconomic status); oral health indicators (tooth brushing, use of fluoridated toothpaste, consumption of refined carbohydrates in-between-meals, dental services utilization, dental anxiety and plaque); mental health indicators (smoking habits, intake of alcohol and use of psychoactive drugs) and mental health problems (low and high). Gingival health (healthy gingiva/mild gingivitis versus moderate/severe gingivitis) and caries experience (present or absent) were also assessed. A series of five logistic regression models were constructed to determine the association between presence of caries experience and presence of moderate/severe gingivitis) with blocks of independent variables. The blocks were: model 1-sociodemographic factors; model 2-oral health indicators; model 3-mental health indicators and model 4-mental health problems. Model 5 included all factors from models 1 to 4.
resultsThere were 1234 adolescents with a mean (SD) age of 14.6 (2.7) years. Also, 21.1% of participants had high risk of mental health problems, 3.7% had caries experience, and 8.1% had moderate/severe gingivitis. Model 5 had the best fit for the two dependent variables. The use of psychoactive substances (AOR 2.67; 95% CI 1.14, 6.26) was associated with significantly higher odds of caries experience. The frequent consumption of refined carbohydrates in-between-meals (AOR: 0.41; 95% CI 0.25, 0.66) and severe dental anxiety (AOR0.48; 95% CI 0.23, 0.99) were associated with significantly lower odds of moderate/severe gingivitis. Plaque was associated with significant higher odds of moderate/severe gingivitis (AOR 13.50; 95% CI 8.66, 21.04). High risk of mental health problems was not significantly associated with caries experience (AOR 1.84; 95% CI 0.97, 3.49) or moderate/severe gingivitis (AOR 0.80; 95% CI 0.45, 1.44).
conclusionThe association between mental problems and risk indicators with oral diseases in Nigerian adolescents indicates a need for integrated mental and oral health care to improve the wellbeing of adolescents.
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