Accuracy of Maternal Reports of Young Children’s Dental Disease Status: Avon Longitudinal Study of Parents and Children

Akinkugbe, Aderonke A.; Brickhouse, Tegwyn H.; Bandyopadhyay, Dipankar; Nascimento, Marcelle M.

doi:10.3390/dj8010008

Cited by 3 publications

(3 citation statements)

References 22 publications

(36 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Accuracy may be higher for younger children and children with dental insurance (Snell et al 2019). Poor oral health ratings more accurately reflect treatment needs than good oral health ratings, and parents commonly fail to consider the possibility of poor oral health for their children or ignore caries experience that would prompt concern from dental professionals (Talekar et al 2005;Divaris et al 2012;Akinkugbe et al 2020). Parental ratings often also differ from child self-ratings.…”

Section: Introductionmentioning

confidence: 99%

A Causative Approach to Demographic and Socioeconomic Factors Affecting Parental Ratings of Child Oral Health

Foley

Spencer

Lalloo

et al. 2020

JDR Clinical & Translational Research

View full text Add to dashboard Cite

Introduction: Many studies have investigated associations between demographic, socioeconomic status (SES), behavioral, and clinical factors and parental ratings of child oral health. Caries experience, pain, missing teeth, malocclusions, and conditions and treatments likely to negatively affect the child or family in the future have been consistently associated with poorer parental ratings. In contrast, effect sizes for associations between demographic and SES indicators (race/ethnicity, country of birth, family structure, household income, employment status, and parental education levels) and parental ratings vary greatly. Objectives: The primary objectives of this study were to estimate effect sizes for associations between demographic and SES variables and parental ratings of child oral health and then to consider possible causal implications. Methods: This article uses a nationally representative data set from 24,664 Australian children aged 5 to 14 y, regression analyses guided by a directed acyclic graph causal model, and sensitivity analyses to investigate effects of demographic and SES factors on parental ratings of oral health. Results: One in 8 children had oral health rated as fair or poor by a parent. Indigenous children, older boys, young children with a migrant parent, children from single-parent families, low-income households and families where no parent worked full-time, and children whose parents had lower education levels were much more likely to receive a fair or poor parental oral health rating in crude and adjusted models. Conclusion: This cross-sectional study helps to clarify inconsistent findings from previous research and shows many demographic and SES variables to be strong determinants of parental ratings of child oral health, consistent with the effects of these variables on other health outcomes. Sensitivity analyses and consideration of the potential for chance and bias to have affected these findings suggest that many of these associations may be causal. Knowledge Transfer Statement: Based on regression analyses driven by a directed acyclic graph causal model, this research shows a strong impact of demographic and socioeconomic determinants on parental ratings of child oral health, consistent with associations between these variables and other oral and general health outcomes. Many of these associations may be causal. We demonstrate the value of causal models and causal thinking when analyzing complex multilevel observational data.

show abstract

Section: Introductionmentioning

confidence: 99%

A Causative Approach to Demographic and Socioeconomic Factors Affecting Parental Ratings of Child Oral Health

Foley

Spencer

Lalloo

et al. 2020

JDR Clinical & Translational Research

View full text Add to dashboard Cite

show abstract

“…Subjective ratings of oral health can be used as valid surrogates of permanent caries experience [Thomson et al, 2012] or used as a caries risk assessment tool in the case were no clinical dental data (dmfs/dmft) are available. Some studies have shown modest associations between parents' ratings and children's oral disease status [Divaris et al, 2012;Akinkugbe et al, 2020]. Such findings might be explained by the fact that subjective health ratingssubject to personal and sociocultural factorscan taint by either magnifying or diminishing the individual perceptions of health and wellbeing [Jylhä, 2009].…”

Section: Discussionmentioning

confidence: 99%

Differential Unmet Needs and Experience of Restorative Dental Care in Trajectories of Dental Caries Experience: A Birth Cohort Study

Ruiz¹,

Broadbent²,

Thomson³

et al. 2023

Caries Res

View full text Add to dashboard Cite

Dental caries is a chronic and cumulative disease but little has been reported on the continuity of the disease and its treatment through life. Group-based multi-trajectory modeling was used to identify developmental trajectories of untreated carious tooth surfaces (DS), restored tooth surfaces (FS), and teeth extracted due to caries (MT) from ages 9 to 45 years in a New Zealand longitudinal birth cohort, the Dunedin Multidisciplinary Health and Development Study (<i>n</i> = 975). Associations between early-life risk factors and trajectory group membership were examined by specifying the probability of group membership according to a multinomial logit model. Six trajectory groups were identified and labeled: “low caries rate”; “moderate caries rate, maintained”; “moderate caries rate, unmaintained”; “high caries rate, restored”; “high caries rate, tooth loss”; and “high caries rate, untreated caries”. The two moderate-caries-rate groups differed in count of FS. The three high-caries-rate groups differed in the relative proportion of accumulated DS, FS, and MT. Early childhood risk factors associated with less favorable trajectories included higher dmfs scores at age 5, lack of exposure to community water fluoridation during the first 5 years of life, lower childhood IQ, and low childhood socioeconomic status. Parent self-ratings of their own or their child’s oral health as “poor” were associated with less favorable caries experience trajectories. Children who had clinical signs of dental caries together with a parent rating of child’s oral health as poor were more likely to follow a less favorable caries trajectory. Higher deciduous dentition caries experience at age 5 years was associated with less favorable caries trajectories, as were children whose parents gave “poor” ratings of their own or their child’s oral health. These findings highlight the considerable intergenerational continuity in dental caries experience from early childhood to midlife. Subjective measures of child oral health are informative and might aid as predictors of adult caries experience in cases where childhood dental clinical data were not available.

show abstract

“…Insufficient weight gain during gestation has been correlated with an elevated likelihood of preterm birth and reduced birth weight among infants [18]. Furthermore, infants affected by these conditions have been observed to be at an augmented risk of developing enamel defects in their primary dentition [13,19]. Throughout pregnancy, it is imperative for expectant mothers to maintain a well-rounded and nutritionally balanced diet to adequately address both maternal and fetal nutritional requirements.…”

Section: Discussionmentioning

confidence: 99%

The Association Between Maternal Nutritional Status During Pregnancy and Caries Experience in Their Offspring: A Literature Review

Rafisa,

Balafif,

Najmi

et al. 2023

ejmhr

View full text Add to dashboard Cite

Previous studies have discovered intergenerational linkage between maternal nutritional status and the subsequent health of their offspring. This literature review aimed to explore the connection between the nutritional status of mothers during pregnancy and the occurrence of dental caries in their children. PubMed and Scopus were used for searching articles, adhering to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) protocol. The process involved eliminating duplicate articles, and further refinement included articles published within the timeframe of 2013-2023 and those published in the English language. Review articles, studies involving animals, letters to the editor, book sections, and conference proceedings were excluded. Articles that did not provide information on the variables of interest and sample details were also excluded. Data extraction included author names, article titles, publication years, study designs, indicators of maternal nutritional status, type of dentition under consideration, and the reported outcomes. After meticulous removal of duplicate articles and careful application of the inclusion and exclusion criteria, 7 articles met the study's eligibility criteria. The study results collectively indicated that lower levels and intake of maternal plasma vitamin D, reduced maternal plasma folate levels, inadequate gestational weight gain, and overall poor maternal nutritional status were associated with an increased risk of dental caries in their children. It is crucial for mothers to maintain a diet that guarantees the adequate nutrition of the developing fetus.

show abstract

Accuracy of Maternal Reports of Young Children’s Dental Disease Status: Avon Longitudinal Study of Parents and Children

Cited by 3 publications

References 22 publications

A Causative Approach to Demographic and Socioeconomic Factors Affecting Parental Ratings of Child Oral Health

A Causative Approach to Demographic and Socioeconomic Factors Affecting Parental Ratings of Child Oral Health

Differential Unmet Needs and Experience of Restorative Dental Care in Trajectories of Dental Caries Experience: A Birth Cohort Study

The Association Between Maternal Nutritional Status During Pregnancy and Caries Experience in Their Offspring: A Literature Review

Contact Info

Product

Resources

About