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International Journal of Dentistry
Volume 2012, Article ID 325475, 7 pages
Research Article

Individual and Contextual Determinants of Periodontal Health in 12-Year-Old Schoolchildren in a Brazilian Capital City

1School of Dentistry, Federal University of Goias, 74605-220 Goiania, GO, Brazil
2Department of Public Health, Aggeu Magalhães Institute, Oswaldo Cruz Foundation, Ministry of Health, 50670-420 Recife, PE, Brazil

Received 12 July 2012; Accepted 21 August 2012

Academic Editor: Jose Roberto Cortelli

Copyright © 2012 Lidia Moraes Ribeiro Jordão et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The study aimed to describe periodontal health status and its association with individual and contextual factors among 12-year-old schoolchildren in a midwest Brazilian capital city. This cross-sectional study included data from an oral health survey carried out in 2010 in the city of Goiania, Brazil and secondary data obtained from the local health authority. Data were collected through oral clinical examinations and interviews. For assessment of periodontal status two components of the community periodontal index (CPI) were used: calculus and bleeding after probing. Dependent variable was presence of any periodontal condition. Independent individual variables were the children’s sex and color/race, and their mother’s level of schooling. Contextual variables were related to the schools (type and existence of toothbrushing program) and its geographic location in the health districts. Rao-Scott test and multilevel Poisson analysis were performed. The prevalence of calculus and/or bleeding was 7%. Brown color, public schools, and those located in health district with intermediate socioeconomic indicators were associated to a higher prevalence of this condition. The prevalence of adverse periodontal condition was low and the inequalities in its distribution were determined by individual as well as contextual factors related to the schools and the geographic area.