Early life factors and dental caries in 5-year-old children in China

Sun, Xiangyu; Bernabé, Eduardo; Liu, Xuenan; Gallagher, Jennifer E.; Zheng, Shu Guo

doi:10.1016/j.jdent.2017.06.007

Cited by 29 publications

(50 citation statements)

References 36 publications

(40 reference statements)

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“…Edward Lo even found that supplemental training in parental toothbrushing would not be benefit to the reduction of ECC for those children under 3 years of age who lived in a water fluoridated area and had been provided the OHE sufficiently [50]. To be sure, however, the earlier of oral preventive intervention, the lower risk of ECC [14,29], the present study also confirms this trend in bivariate analyses, but not to be an independent risk factor. Honestly, interpretation of the results relevant to such issues is further limited in the deficiency of information about brushing details.…”

Section: Logistic Regression Analysessupporting

confidence: 68%

“…Van Palenstein et al [28], interestingly, reported that breastfeeding during the daylight beyond the age of 12-month was not associated with ECC for 25-to 30-month old infants, the relevant factor is breastfeeding at night > 2 times, and exposing > 15 minutes per nocturnal feeding. Although the current study also provides evidence that breastfeeding has a greater adverse impact on ECC than artificial feeding, similar to the results of national studies 10 years ago [29], no more details information about the duration, frequency, time, formula were collected, so it's hard to analyze and attain those specific factors that have caused such outcomes. After all, the high cariogenic of bottle feeding has also been confirmed by many studies [30].…”

Section: Logistic Regression Analysessupporting

confidence: 54%

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Assessment of risk factors for early childhood caries at different ages in Shandong, China and reflections on oral health education: a cross-sectional study

Wang

Zhang

et al. 2019

Preprint

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Background: The high prevalence of early childhood caries (ECC) is widespread around the world, and oral health education (OHE) plays a vital role in preventing ECC. Numerous studies on ECC risk factor assessment have assisted us enrich the content of OHE. The objective of this study, while, was to further assess independent risk factors for ECC at different ages and provide evidence and insight for OHE.Methods : Data about oral health status, and oral health knowledge, attitude, practice (KAP) from the questionnaire completed by caregivers among children 3 to 5 years of age (N=1301) in Shandong province were extracted from the 4 th National Oral Health Survey in China. The association between ECC prevalence and various KAP variables was tested in Chi-square test, bivariate analysis and by multivariable logistic regression analyses.Results: The ECC prevalence in Shandong province was 64.6%, the dmft mean was 3.15. Independent associations with increased risk for ECC were age, feeding method within 6 months of birth, bedtime sugar frequency, the experience of toothache over past one year and dental visit. And feeding methods primarily contribute to the high risk of 3-year-old group, while sugar habits mainly contribute to 5-year-old group. The association between brushing and ECC was not confirmed in this study, and correct cognition was unexpectedly positively correlated with the high risk of ECC.Conclusion: These data provide evidence to suggest that the ECC-related risk factors at different ages are inconsistent, which give some insights for OHE, that is in addition to promoting preventive dental visit, we should also highlight the effect of feeding methods in the early of deciduous dentition and sugar habits in the late stage of deciduous dentition on ECC and the supplement of practice training.

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Section: Logistic Regression Analysessupporting

confidence: 68%

Section: Logistic Regression Analysessupporting

confidence: 54%

Assessment of risk factors for early childhood caries at different ages in Shandong, China and reflections on oral health education: a cross-sectional study

Wang

Zhang

et al. 2019

Preprint

View full text Add to dashboard Cite

show abstract

“…Interestingly, Van Palenstein et al [30] reported that breastfeeding during daylight hours beyond the age of 12 months was not associated with ECC for 25-to 30-month-old infants; rather, the relevant factor is that of breastfeeding at night >2 times and exposing the child to >15 minutes per nocturnal feeding. Although the current study also provides evidence that breastfeeding has a greater adverse impact on ECC than that of artificial feeding, which is similar to the results of national studies completed 10 years ago [31], no more detailed information about the duration, frequency, time, and formula type were collected; thus, it is difficult to analyse and attain those specific factors that may have caused such outcomes. After all, the high cariogenicity of bottle feeding has also been confirmed by many studies [32].…”

Section: Logistic Regression Analysessupporting

confidence: 68%

Assessment of risk factors for early childhood caries at different ages in Shandong, China and reflections on oral health education: a cross-sectional study

Zhang

et al. 2020

Preprint

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Background: The high prevalence of early childhood caries (ECC) is widespread around the world, and oral health education (OHE) plays a vital role in preventing ECC. Numerous studies on ECC risk factor assessment have assisted us in enriching the content of OHE. The objective of this study was to further assess independent risk factors for ECC at different ages to provide evidence and insights for OHE. Methods : Children aged 3-5 years old (N=1301) in Shandong Province were enrolled in this cross-sectional study. Data about oral health status and caregivers’ oral health knowledge, attitude, and practice (KAP) were extracted from the 4th National Oral Health Survey of China. The associations between ECC prevalence and various KAP variables were tested with chi-square tests, bivariate analysis and multivariable logistic regression analyses. Results: The ECC prevalence in Shandong Province was 64.6%, and the dmft mean was 3.15. The independent variables with an increased risk for ECC were age, feeding method within 6 months of birth, bedtime sugar frequency, experience of toothache over the past year and dental visits (P <0.05, chi-square tests). Complete artificial feeding within 6 months of birth primarily contributed to the high risk of the 3-year-old group (OR: 0.28, 95% CI: 0.12-0.69), while high frequency bedtime sweet consumption mainly contributed to that of the 5-year-old group (OR: 3.22, 95% CI: 1.03-10.06; logistic regression analysis). Interestedly, tooth brushing was not associated with ECC in this study, and some positive knowledge and attitude variables were positively correlated with a high risk of ECC. Conclusion : These data provide evidence to suggest that the ECC-related risk factors at different ages are inconsistent, which provides some insights for OHE. We should highlight the effects of feeding methods in the early stages of deciduous dentition and sugar habits in the late stages of deciduous dentition on ECC, as well as encourage preventive dental visit and supplemental training for oral health practices.

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“…Moreover, with regard to the habit of brushing teeth in preschool children, our study determined a lower percentage of preschool children compared to school children. Sun et al (17) showed that only 14.2% of the total study population were brushing twice per day or more in the primary dentition. The importance of parental brushing and supervision of children until the age of 7 years is also important and should be explored in future research.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of oral health status of children in pretreatment and after treatment for 18 month

Güzel¹,

Akyildiz²,

Doğusal³

et al. 2018

Cent Eur J Public Health

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Objective: Dental caries is an important public health issue worldwide. In developing countries preventive dentistry is not common; hence, oral and dental health problems continue to generate serious economic and social issues. The aim of this study was to assess oral health and the incidence of dental caries in systemically healthy children aged 3-14 years, provide education on oral hygiene motivation, conduct the necessary preventive and restorative procedures, and reassess caries development at the 6-, 12-, and 18-month post-treatment follow-up. Methods: Systemically healthy children aged 3-14 years who applied to the Paediatric Dentistry Clinic, Faculty of Dentistry, Adnan Menderes University (ADU) were included in the study. The subjects were evaluated for oral health status and incidence of dental caries based on surveys and clinical examination, motivation for oral hygiene with necessary training, completion of preventive and restorative treatments, and development of dental caries at the 6-, 12-, and 18-month post-treatment follow-up. Results: The study included 320 patients, aged 3-14 years (mean age 8.08 ± 3.45 years). In children included in the study, the average decayed (d), missing (m) and filled (f) primary teeth (dmft) value was 3.81 (min-max: 0-16), decayed (D), missing (M) and filled (F) permanent teeth (DMFT) value, 1.49 (min-max: 0-6), decayed (d), missing(m) and filled(f) primary teeth surface (dmfs) value, 10.11 (min-max: 0-40), and decayed (D), missing (M) and filled (F) permanent teeth surface (DMFS) value, 2.09 (min-max: 0-12). Conclusions: For the protection and maintenance of oral and dental health in dentistry, preventive approaches should be the first concern and conservative therapeutic methods should be given priority after occurrence of any dental pathology. In addition, one-time examinations are not sufficient, and children should be examined at least twice a year. This study showed that the incidence of dental caries declined in children who underwent periodical examination and preventive dental treatment.

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Early life factors and dental caries in 5-year-old children in China

Abstract: The early environment, especially the age when parents introduce toothbrushing to their children, can be an important factor to prevent childhood dental caries.

Cited by 29 publications

References 36 publications

Assessment of risk factors for early childhood caries at different ages in Shandong, China and reflections on oral health education: a cross-sectional study

Assessment of risk factors for early childhood caries at different ages in Shandong, China and reflections on oral health education: a cross-sectional study

Assessment of risk factors for early childhood caries at different ages in Shandong, China and reflections on oral health education: a cross-sectional study

Evaluation of oral health status of children in pretreatment and after treatment for 18 month

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