Association of parental attitudes at mealtime and snack limits with the prevalence of untreated dental caries among preschool children

Bonotto, Danielle Veiga; Montes, Gisele Ristow; Ferreira, Fernanda Morais; Assunção, Luciana Reichert da Silva; Fraiz, Fabián Calixto

doi:10.1016/j.appet.2016.11.007

Cited by 18 publications

(23 citation statements)

References 23 publications

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“…The results are in line with previous longitudinal studies showing that dietary habits in the early years can have a significantly detrimental effect on children's dental health in the early years, and that children from families of low socioeconomic status are at higher risk of tooth decay compared to those from high socioeconomic backgrounds (Winter et al 2015;Anil & Anand 2017;Cabral et al 2017). Research on snacking and dental health in young children is limited; however, Skafida and Chambers' (2017) findings are consistent with other studies showing that frequent consumption of high fat, sugars and salt snack foods between meals was associated with an increased risk of tooth decay (Johansson et al 2010;Bonotto et al 2017).…”

Section: The Study Behind the Headlinessupporting

confidence: 63%

Young children and snacks – is tooth brushing alone not enough to prevent tooth decay?

Gibson‐Moore

Benelam

2018

Nutrition Bulletin

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Section: The Study Behind the Headlinessupporting

confidence: 63%

Young children and snacks – is tooth brushing alone not enough to prevent tooth decay?

Gibson‐Moore

Benelam

2018

Nutrition Bulletin

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“…The results on snacking were consistent with other studies. 28 – 30 In Scotland, parents are advised to limit sugary foods to mealtimes, however, our results suggest that snacking generally may be detrimental to children’s teeth. This is an area where oral health programmes could strengthen their impact.…”

Section: Discussionmentioning

confidence: 76%

Positive association between sugar consumption and dental decay prevalence independent of oral hygiene in pre-school children: a longitudinal prospective study

Skafida

Chambers

2017

Journal of Public Health

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BackgroundFew studies explore how the longitudinal cumulative and combined effects of dietary habits and oral hygiene habits relate to dental decay in very young children.MethodsUsing longitudinal survey data, logistic regression models were specified to predict dental decay by age 5. Predictor variables included questions on diet and oral hygiene from ages 2 to 5.ResultsCompared to mainly eating meals, children who snacked all day but had no real meals had a higher chance of dental decay (odds ratios (OR) = 2.32). There was an incremental association between a decreasing frequency of toothbrushing at age 2 and higher chances of dental decay at age 5 (OR range from 1.39 to 2.17). Among children eating sweets or chocolate more frequently (once/day or more), toothbrushing more often (once/day; twice/day or more) reduced the chance of decay (OR of 2.11–2.26 compared to OR 3.60 for the least frequent brushing group). Compared to mothers in managerial and professional occupations, those who had never worked had children with a much higher chance of decay (OR = 3.47).ConclusionThis study has shown that toothbrushing can only in part attenuate the association between snacking and long term sugar consumption on dental decay outcomes in children under 5.

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“…Our study identified a second factor for ECC occurrence: the presence of plaque at age 3. Dental plaque has long been known as a risk factor for developing dental caries [ 31 ]. In our study, although the proportion of children with high levels of accumulated plaque decreased from 7.2% to 0% over 2 years, our analysis showed that children with even low levels of plaque were still 2.41 more likely to develop ECC compared to children who had no accumulated plaque.…”

Section: Discussionmentioning

confidence: 99%

Homecare protective and risk factors for early childhood caries in Japan

Nishide

Mizutani

Tanimura

et al. 2018

Environ Health Prev Med

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BackgroundEarly childhood caries (ECC) affects children across Japan and throughout the world. Thus, it is important to identify dietary and dental care habits that either promote oral health or cause ECC. The objective of this study was to identify protective and risk factors associated with ECC in Japan.MethodsIn a typical rural Japanese community, we selected children born between 2004 and 2008 who had received checkups at their community health center including oral examinations conducted by dentists. We obtained data from children’s records and from a questionnaire filled out by parents. We enrolled only children who at their checkup for 18-month-olds had no caries, and we obtained data about them at their checkup for 3-year-olds. We classified children as either having caries (treated or untreated) or being caries-free. We conducted bivariate analyses using data on child/family demographic characteristics, child’s dietary habits, and child/parental oral health habits. We also conducted logistic regression analysis to control for variables and identify predictors of the presence/absence of caries.ResultsFive hundred sixty six children (278 boys, 288 girls) were enrolled and followed. After 2 years, 173 children (30.6%) presented with caries. Logistic regression analysis predicting caries at follow-up identified the interaction term “bottlefed overnight and brushed irregularly” at 18 months of age as a highly significant predictor of developing caries—adjusted odds ratio (AOR) of 14.27, 95% confidence interval (CI) 1.02–199.71. Two variables measured at follow-up were also significant predictors: having low levels of dental plaque (AOR 2.41, 95% CI 1.34–4.35) and having a mother who had untreated caries (AOR 1.84, 95% CI 1.09–3.12).ConclusionPublic health efforts should encourage parents to eliminate bottle feeding overnight and promote brushing twice daily as children’s teeth begin to erupt. Greater efforts should be made to teach parents and daytime caregivers how to brush effectively to remove all plaque. Health professionals should pay close attention to mothers’ oral health status. Mothers with caries should receive prompt treatment and be assisted in developing better dietary and oral health habits that will benefit themselves and their children. Policies and programs should focus more on family oral health rather than just child oral health.

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Association of parental attitudes at mealtime and snack limits with the prevalence of untreated dental caries among preschool children

Cited by 18 publications

References 23 publications

Young children and snacks – is tooth brushing alone not enough to prevent tooth decay?

Young children and snacks – is tooth brushing alone not enough to prevent tooth decay?

Positive association between sugar consumption and dental decay prevalence independent of oral hygiene in pre-school children: a longitudinal prospective study

Homecare protective and risk factors for early childhood caries in Japan

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