{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T17:00:48Z","timestamp":1790096448598,"version":"4.0.1"},"reference-count":32,"publisher":"S. Karger AG","license":[{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Caries Res"],"abstract":"<jats:p>Introduction: The aim of the study was to examine differences in the occurrence of consequences of untreated dental caries (pulpal involvement, ulceration, fistula, and abscess-PUFA) across intersectional social positions defined by sex, skin color, and household income among adolescents. Methods: This study analyzed data from the Brazilian National Oral Health Survey (SB Brasil 2023), using a multistage stratified probability sampling design to represent adolescents aged 15\u201319 years. Social variables were combined into 8 intersectional groups based on sex, skin color, and family income. Outcomes included PUFA prevalence \u22651 and counts of its components. Survey-adjusted Poisson regression with robust variance and a three-way interaction term was applied. Results: The sample comprised 4,892 adolescents. Compared to high-income White males, prevalence was higher among low-income Black males (PR = 5.93; 95% CI: 2.60\u201313.51) and low-income Black females (PR = 4.06; 95% CI: 1.85\u20138.90). The predicted prevalence of PUFA \u22651 ranged from 4.0% (95% CI: 2.0\u20137.0) among high-income White males to 21.0% (95% CI: 11.0\u201332.0) among low-income Black males. Among females, prevalence estimates were 15.0% (95% CI: 9.0\u201320.0) in high-income Black, 16.0% (95% CI: 5.0\u201328.0) in low-income White, and 18.0% (95% CI: 12.0\u201324.0) in low-income Black individuals. Conclusion: Marked differences in PUFA occurrence were observed across intersectional social positions, with the highest burden observed among low-income Black adolescents, particularly males for prevalence ratios, although females also presented high absolute prevalence. These findings reinforce the need for policies addressing structural social inequalities in oral health.<\/jats:p>","DOI":"10.1159\/000553636","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T16:01:12Z","timestamp":1786032072000},"page":"1-10","source":"Crossref","is-referenced-by-count":0,"title":["Social Intersectional Differences in Pulpal Clinical Consequences of Untreated Dental Caries among Brazilian Adolescents: Analysis of the SB Brasil 2023 Survey"],"prefix":"10.1159","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0286-493X","authenticated-orcid":false,"given":"Gabriela Scortegagna","family":"de Souza","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5548-7408","authenticated-orcid":false,"given":"Maria Laura","family":"Braccini Fagundes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2222-7719","authenticated-orcid":false,"given":"Fernando Neves","family":"Hugo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2204-1634","authenticated-orcid":false,"given":"Juliana Balbinot","family":"Hilgert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3825-9734","authenticated-orcid":false,"given":"Jessye Melgarejo do Amaral","family":"Giordani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6611-3871","authenticated-orcid":false,"given":"Orlando Luiz","family":"do Amaral 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