Introduction: This cross-sectional study assessed the association between sense of coherence (SoC) and caries activity (number of active caries lesions) and caries experience (DMFT index) among 18–19-year-old male adolescents who joined the Brazilian Army as draftees for mandatory military service (n = 507). Methods: Data collection included a questionnaire (level of education, family income, and tooth brushing frequency), the Brazilian short version of the SoC scale (SOC-13), and clinical caries examination (noncavitated/cavitated, inactive/active). The main predictor variable was SoC, categorized as low, moderate, or high. Poisson regression models were used for statistical analysis. Results: A high SoC was significantly associated with a lower number of active lesions (adjusted rate ratio = 0.85; 95% CI = 0.74–0.98). No association between SoC and DMFT was detected. Conclusion: A high SoC was found to be a protective factor to caries activity in this population.

1.
Kassebaum
NJ
,
Smith
AGC
,
Bernabé
E
,
Fleming
TD
,
Reynolds
AE
,
Vos
T
, et al;
GBD 2015 Oral Health Collaborators
.
Global, regional, and national prevalence, incidence, and disability-adjusted life years for oral conditions for 195 countries, 1990-2015: a systematic analysis for the global burden of diseases, injuries, and risk factors
.
J Dent Res
.
2017
;
96
(
4
):
380
7
.
2.
Brazil. Ministry of Health
.
[Projeto SB Brasil 2010 - condições de saúde bucal da população brasileira 2010 - resultados principais
.
Brasília
:
Ministry of Health
;
2012
.
3.
Antonovsky
A
.
The salutogenic model as a theory to guide health promotion
.
Health Promot Int
.
1996
;
11
(
1
):
11
8
.
4.
Antonovsky
A
.
Health, stress and coping
.
London
:
Jossey-Bass
;
1979
.
5.
Eriksson
M
,
Lindström
B
.
Antonovsky’s sense of coherence scale and the relation with health: a systematic review
.
J Epidemiol Community Health
.
2006
;
60
(
5
):
376
81
.
6.
Lyra
MCA
,
Cruz
M
,
Menezes
V
,
Heimer
MV
.
Association between sense of coherence and dental caries experience in adolescents
.
Pesqui Bras Odontopediatria Clín Integr
.
2015
;
15
(
1
):
235
41
.
7.
Lage
CF
,
Fulgencio
LB
,
Correa-Faria
P
,
Serra-Negra
JM
,
Paiva
SM
,
Pordeus
IA
.
Association between dental caries experience and sense of coherence among adolescents and mothers
.
Int J Paediatr Dent
.
2017
;
27
(
5
):
412
9
.
8.
Tomazoni
F
,
Vettore
MV
,
Mendes
FM
,
Ardenghi
TM
.
The association between sense of coherence and dental caries in low social status schoolchildren
.
Caries Res
.
2019
;
53
(
3
):
314
21
.
9.
Mrudhula
KJN
,
Vinay
C
,
Uloopi
KS
,
RojaRamya
KS
,
Chandrasekhar
R
.
A cross-sectional study on sense of coherence and its relationship with caries experience and socioeconomic status in 11–16-year-old schoolchildren
.
Int J Clin Pediatr Dent
.
2020
;
13
(
5
):
493
6
.
10.
Baxevanos
K
,
Menexes
G
,
Lazaridou
A
,
Coolidge
T
,
Topitsoglou
V
,
Kalfas
S
.
Dental caries and psychosocial factors: testing a conceptual model in adolescents
.
Community Dent Oral Epidemiol
.
2021
;
49
(
4
):
314
21
.
11.
Freire
MC
,
Sheiham
A
,
Hardy
R
.
Adolescents’ sense of coherence, oral health status, and oral health-related behaviours
.
Community Dent Oral Epidemiol
.
2001
;
29
(
3
):
204
12
.
12.
Shilpa
M
,
Naik
SP
,
Potdar
S
,
Reddy
SG
,
Patwardhan
PK
,
Shree
SS
.
Sense of coherence and oral health status among 16 to 17-year-old preuniversity students of virajpet taluk: a cross-sectional study
.
J Contemp Dent Pract
.
2016
;
17
(
5
):
388
93
.
13.
Tondolo Junior
J
,
Ortiz
FR
,
Ramadan
YH
,
Maroneze
MC
,
Agostini
BA
,
Ardenghi
TM
.
Direct relations between sense of coherence and oral healthrelated quality of life in adolescents
.
Oral Dis
.
2023
;
29
(
3
):
1367
75
.
14.
Poursalehi
R
,
Najimi
A
,
Tahani
B
.
Effect of sense of coherence on oral health behavior and status: a systematic review and meta-analysis
.
J Educ Health Promot
.
2021
;
10
:
361
.
15.
Maltz
M
,
Leal
FL
,
Wagner
MB
,
Zenkner
JEDA
,
Brusius
CD
,
Alves
LS
.
Can we diagnose a patient's caries activity based on lesion activity assessment? Findings from a cohort study
.
Caries Res
.
2020
;
54
(
3
):
218
25
.
16.
Brusius
CD
,
Alves
LS
,
Maltz
M
.
Is patient's caries activity associated with caries increment among adolescents, regardless of caries experience
.
Caries Res
.
2023
;
57
(
5–6
):
613
8
.
17.
Bonanato
K
,
Branco
DBT
,
Mota
JPT
,
Ramos-Jorge
ML
,
Paiva
SM
,
Pordeus
IA
, et al
.
Trans-cultural adaptation and psychometric properties of the “Sense of Coherence Scale” in mothers of preschool children
.
Interam J Psychol
.
2009
;
43
:
144
53
.
18.
Maltz
M
,
Barbachan e Silva
B
,
Carvalho
DQ
,
Volkweis
A
.
Results after two years of nonoperative treatment of occlusal surface in children with high caries prevalence
.
Braz Dent J
.
2003
;
14
(
1
):
48
54
.
19.
WHO
.
Oral health surveys, basic methods
.
Geneva
:
World Health Organization
;
1997
. Vol.
Vol. 4
.
20.
Braga
MM
,
Martignon
S
,
Ekstrand
KR
,
Ricketts
DNJ
,
Imparato
JCP
,
Mendes
FM
.
Parameters associated with active caries lesions assessed by two different visual scoring systems on occlusal surfaces of primary molars: a multilevel approach
.
Community Dent Oral Epidemiol
.
2010
;
38
(
6
):
549
58
.
21.
Nyvad
B
,
Machiulskiene
V
,
Baelum
V
.
Reliability of a new caries diagnostic system differentiating between active and inactive caries lesions
.
Caries Res
.
1999
;
33
(
4
):
252
60
.
22.
Rup
AG
,
Izquierdo
CM
,
Rios
FS
,
Costa
RDSA
,
Jardim
JJ
,
Haas
AN
, et al
.
Classification of a patient's caries activity based on lesion activity assessment among adults: findings from a prospective cohort study
.
Clin Oral Investig
.
2023
;
27
(
3
):
1123
31
.
23.
da-Silva-Domingues
H
,
del-Pino-Casado
R
,
Palomino-Moral
PA
,
López Martínez
C
,
Moreno-Cámara
S
,
Frías-Osuna
A
.
Relationship between sense of coherence and health-related behaviours in adolescents and young adults: a systematic review
.
BMC Public Health
.
2022
;
22
(
1
):
477
.
24.
Ayo-Yusuf
OA
,
Reddy
PS
,
van den Borne
BW
.
Longitudinal association of adolescents’ sense of coherence with tooth-brushing using an integrated behaviour change model
.
Community Dent Oral Epidemiol
.
2009
;
37
(
1
):
68
77
.
25.
Dorri
M
,
Sheiham
A
,
Hardy
R
,
Watt
R
.
The relationship between sense of coherence and toothbrushing behaviours in Iranian adolescents in Mashhad
.
J Clin Periodontol
.
2010
;
37
(
1
):
46
52
.
26.
Peker
K
,
Bermek
G
,
Uysal
O
.
Factors related to sense of coherence among dental students at Istanbul university
.
J Dent Educ
.
2012
;
76
(
6
):
774
82
.
27.
Bernabé
E
,
Kivimäki
M
,
Tsakos
G
,
SuominenTaipale
AL
,
Nordblad
A
,
Savolainen
J
, et al
.
The relationship among sense of coherence, socio-economic status, and oral health-related behaviours among Finnish dentate adults
.
Eur J Oral Sci
.
2009
;
117
(
4
):
413
8
.
28.
Lindmark
U
,
Hakeberg
M
,
Hugoson
A
.
Sense of coherence and its relationship with oral health-related behaviour and knowledge of and attitudes towards oral health
.
Community Dent Oral Epidemiol
.
2011
;
39
(
6
):
542
53
.
29.
Thylstrup
A
,
Bruun
C
,
Holmen
L
.
In vivo caries models-mechanisms for caries initiation and arrestment
.
Adv Dent Res
.
1994
;
8
(
2
):
144
57
.
30.
Nyvad
B
,
Machiulskiene
V
,
Baelum
V
.
Construct and predictive validity of clinical caries diagnostic criteria assessing lesion activity
.
J Dent Res
.
2003
;
82
(
2
):
117
22
.
31.
Carvalho
JC
,
Dige
I
,
Machiulskiene
V
,
Qvist
V
,
Bakhshandeh
A
,
Fatturi-Parolo
C
, et al
.
Occlusal caries: biological approach for its diagnosis and management
.
Caries Res
.
2016
;
50
(
6
):
527
42
.
32.
Ekstrand
KR
,
Martignon
S
,
Ricketts
DJN
,
Qvist
V
.
Detection and activity assessment of primary coronal caries lesions: a methodologic study
.
Oper Dent
.
2007
;
32
(
3
):
225
35
.
33.
Braga
MM
,
Mendes
FM
,
Ekstrand
KR
.
Detection activity assessment and diagnosis of dental caries lesions
.
Dental Clin
.
2010b
;
54
(
3
):
479
93
.
34.
Oliveira
RS
,
Zenkner
JEA
,
Maltz
M
,
Rodrigues
JA
.
Association between two visual criteria in assessing non-cavitated caries lesion activity on occlusal surfaces of permanent molars
.
Clin Oral Invest
.
2015
;
19
(
2
):
565
8
.
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