{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T09:47:49Z","timestamp":1766137669474,"version":"3.48.0"},"reference-count":19,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Strasbourg University Hospital"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Background\/Objectives: Dental caries prevalence remains high in France, but data are scarce. In Strasbourg, a local program aims at improving oral health of all school children, from primary to tertiary prevention. We evaluated the oral health of Strasbourg\u2019s children over five repeated cross-sectional screenings. Methods: We analyzed 58 287 screenings of children from 1st to 5th grade from 2018 to 2022. The presence and number of carious lesions was the main variable studied. Results: Untreated dental caries were present among 34% of the children and slightly increased from 33% in 2018 to 35% in 2022 (p = 0.002). The mean number of decayed teeth was 0.85 \u00b1 1.68 and 2.5 \u00b1 2.04 among children with at least one. Dental caries was more prevalent among children in schools from socially disadvantaged neighborhoods (43% vs. 27%, p &lt; 0.001), children from less advanced classes (27% in 5th grade vs. 37% in 1st grade, p &lt; 0.001), and children with inadequate hygiene (72% vs. 28%, p &lt; 0.001). The number of decayed teeth followed the same trend as the prevalence. Conclusion: The prevalence of dental caries diminishes throughout the schooling years. Socioeconomic and behavioral factors remain the major predictors of dental caries. A national study could help confirm if these trends are widespread in France.<\/jats:p>","DOI":"10.3390\/children13010004","type":"journal-article","created":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T09:29:16Z","timestamp":1766136556000},"page":"4","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Oral Health Status of Children in Strasbourg: An Epidemiological Study (2018\u20132022)"],"prefix":"10.3390","volume":"13","author":[{"given":"Damien","family":"Offner","sequence":"first","affiliation":[{"name":"Facult\u00e9 de Chirurgie Dentaire, Universit\u00e9 de Strasbourg, 8 rue Ste Elisabeth, F-67000 Strasbourg, France"},{"name":"H\u00f4pitaux Universitaires de Strasbourg, 1 Place de l\u2019H\u00f4pital, F-67000 Strasbourg, France"},{"name":"French National Institute of Health and Medical Research (INSERM), UMR 1260, Regenerative Nanomedicine (RNM), 1 Rue Eug\u00e8ne Boeckel, F-67000 Strasbourg, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hayat","family":"Heddoub","sequence":"additional","affiliation":[{"name":"French National Institute of Health and Medical Research (INSERM), UMR 1260, Regenerative Nanomedicine (RNM), 1 Rue Eug\u00e8ne Boeckel, F-67000 Strasbourg, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabine","family":"Chemouni","sequence":"additional","affiliation":[{"name":"Centre de Sant\u00e9 Dentaire, Ville et Communaut\u00e9 Urbaine, F-67000 Strasbourg, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6830-7592","authenticated-orcid":false,"given":"Gabriel","family":"Fernandez de Grado","sequence":"additional","affiliation":[{"name":"Facult\u00e9 de Chirurgie Dentaire, Universit\u00e9 de Strasbourg, 8 rue Ste Elisabeth, F-67000 Strasbourg, France"},{"name":"H\u00f4pitaux Universitaires de Strasbourg, 1 Place de l\u2019H\u00f4pital, F-67000 Strasbourg, France"},{"name":"French National Institute of Health and Medical Research (INSERM), UMR 1260, Regenerative Nanomedicine (RNM), 1 Rue Eug\u00e8ne Boeckel, F-67000 Strasbourg, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,12,19]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1016\/S0140-6736(07)60031-2","article-title":"Dental caries","volume":"369","author":"Selwitz","year":"2007","journal-title":"Lancet"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1111\/odi.14516","article-title":"WHO\u2019s global oral health status report 2022: Actions, discussion and implementation","volume":"30","author":"Jain","year":"2024","journal-title":"Oral Dis."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1789","DOI":"10.1016\/S0140-6736(18)32279-7","article-title":"Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990\u20132017: A systematic analysis for the Global Burden of Disease Study 2017","volume":"392","author":"James","year":"2018","journal-title":"Lancet"},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Fernandez de Grado, G., Ehlinger, V., Godeau, E., Arnaud, C., Nabet, C., Benkirane-Jessel, N., Musset, A.M., and Offner, D. (2021). Changes in tooth brushing frequency and its associated factors from 2006 to 2014 among French adolescents: Results from three repeated cross sectional HBSC studies. PLoS ONE, 16.","DOI":"10.1371\/journal.pone.0249129"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"153","DOI":"10.3917\/spub.hs1.2023.0153","article-title":"La sant\u00e9 orale, un enjeu de sant\u00e9 publique en 2023\u2014R\u00e9flexions et actions de l\u2019ASPBD","volume":"35","author":"Cohen","year":"2023","journal-title":"Sant\u00e9 Publique"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1016\/S0140-6736(19)33015-6","article-title":"Oral diseases: A global public health challenge","volume":"395","author":"Vergnes","year":"2020","journal-title":"Lancet"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/S0140-6736(19)31146-8","article-title":"Oral diseases: A global public health challenge","volume":"394","author":"Peres","year":"2019","journal-title":"Lancet"},{"key":"ref_8","unstructured":"Direction G\u00e9n\u00e9rale de la Sant\u00e9, and Union Fran\u00e7aise pour la Sant\u00e9 Bucco Dentaire (2006). 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