Factors associated with prevalence and severity of caries experience in preschool children

Declerck, Dominique; Leroy, Roos; Martens, Luc; Lesaffre, Emmanuel; Garcia-Zattera, Maria-José; Broucke, Stephan Van den; Debyser, Martine; Hoppenbrouwers, Karel

doi:10.1111/j.1600-0528.2007.00385.x

Cited by 126 publications

(138 citation statements)

References 24 publications

(28 reference statements)

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“…However, if the evaluated parameters were simultaneously adopted in multivariable models, there was only one variable that remained significant after backward selection and this in both groups considered: the presence of visible plaque accumulation. Previous reports have already indicated that the impact of visible plaque accumulation on caries development cannot be overestimated [8,[21][22][23]. Presumably, the presence of visible plaque accumulation can be considered a proxy for many different In previous reports, it was concluded that children with early caries development were at higher risk for further caries development [24,25].…”

Section: Discussionmentioning

confidence: 99%

“…According to the most recent publication, visible caries experience (at the d 3 level) was observed in 7% of 3-year-olds and 31% of 5-year-olds, randomly selected in 2003 in four geographical areas in Flanders (northern part of Belgium) [8]. So far, no prospective studies on caries incidence in preschool children have been performed in Flanders.…”

Section: Introductionmentioning

confidence: 99%

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Risk factors for caries incidence in a cohort of Flemish preschool children

Leroy

Bogaerts

Martens³

et al. 2011

Clin Oral Invest

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The main objective of this study was to identify the risk factors for the incidence of visible caries experience in a cohort of preschool children living in Flanders. Data were collected from 1,057 children; validated questionnaires on oral health-related behaviour were completed by parents at birth (2003)(2004), at age 3 (2007) and 5 years (2009). At ages 3 and 5, the children were examined by trained dentists. Logistic regression analyses were performed with the following as outcome variables: visible caries experience at age 3 and increment in visible caries experience between ages 3 and 5. At ages 3 and 5, enamel and/or dentinal caries experience was observed in 22% and 41% of the cohort, respectively. The multivariable logistic regression analyses revealed that the presence of visible plaque accumulation on at least one primary tooth was a significant risk factor for visible caries experience at age 3 and for an increment in caries experience between ages 3 and 5. Children with previous caries experience at age 3 had significantly higher odds for new caries lesions at age 5. Presence of visible plaque and previous caries experience are confirmed as significant risk factors for visible caries experience in preschool children. Interventions aimed at caries prevention should focus on very young children and on the control of plaque accumulation. The presence of visible plaque accumulation as a screening tool to identify young children at risk for future caries experience shows high potential.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Risk factors for caries incidence in a cohort of Flemish preschool children

Leroy

Bogaerts

Martens³

et al. 2011

Clin Oral Invest

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“…All subjects served as controls in an oral health promotion project called 'Smile for Life' (Tandje de Voorste) [6]. The project was embedded in the framework of the "well-baby clinics", where preventive health care and educational guidance are provided for children in the first three years of life.…”

Section: Methodsmentioning

confidence: 99%

Oral health and oral health-related behaviour in preschool children: evidence for a social gradient

et al. 2012

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Abstract.This study aims to investigate the social gradient in the reported oral health-related behaviour and oral health status of preschool children. Participants were 1,057 children born between October 2003 and July 2004 in Flanders, Belgium. Oral health examinations were performed by trained dentists when the children were three and five years old (respectively in 2007 and 2009); data on dietary habits, oral hygiene habits and dental attendance of the children were obtained through structured questionnaires completed by the parents. Maternal educational level, measured in four categories, was used as a proxy of socio-economic status. Logistic and ordinal regressions showed a social gradient for the oral health-related behaviours: a lower educational level of the mother was related to a higher consumption of sugared drinks between meals and to a lower brushing frequency and dental attendance of the child. Children from low-educated mothers also had seven times more chance to present with caries experience than children from mothers with a bachelor degree. Contrary to the expectations, there was a deviation from the gradient in three-year-olds from the highest educational group showing an increased risk for caries experience (OR=3.84, 95% CI=1.08-13.65). Conclusion. Already in very young children, a graded relationship is observed between socio-economic position, oral health and related behaviours. The results suggest that different approaches are required to promote oral health during early childhood depending on the mother's educational background. As children from the highest social group also have an increased caries risk, specific techniques may be needed.2

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“…Programas preventi vos devem incluir orientação para práti cas alimentares desde o primeiro ano de vida, especialmente para mães com menor escolaridade. A cárie é um problema de saúde pública que conti nua a afetar crianças pré-escolares em todo o mundo e pode levar a dor, difi culdades masti gatórias, problemas na função da fala, desordens gastrintesti nais e problemas psicológicos [1][2][3][4] . A transcendência da cárie em pré-escolares também se manifesta pelo alto custo de seu tratamento, por vezes exigindo anestesia geral e hospitalização 5 .…”

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“…A transcendência da cárie em pré-escolares também se manifesta pelo alto custo de seu tratamento, por vezes exigindo anestesia geral e hospitalização 5 . Estes fatores apontam para a necessidade de implementação de programas preventi vos baseados no conhecimento da rede de multi causalidade da doença, da qual parti cipam fatores socioeconômicos, comportamentais e microbiológicos, ainda não totalmente esclarecidos [2][3][4] . Entre os fatores comportamentais, os hábitos alimentares têm sido reconhecidos como um fator fundamental no processo de cárie dentária [6][7][8][9][10][11][12] .…”

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Práticas Alimentares Cariogênicas e Fatores Associados em Crianças do Sul do Brasil

Feldens¹,

Hommerding²,

Santos³

et al. 2010

Pesq Bras Odontoped Clin Integr

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RESUMO ABSTRACTObjecti ve: To identi fy cariogenic feeding habits and esti mate the factors associated with the consumpti on of snacks between meals in preschoolers from the city of Ijuí, RS, Brazil. Method:The sample was composed of 481 children aged 0 to 6 years att ending 12 preschools of this city, chosen at random. The research instrument was a structured questi onnaire fi lled out by the parents, which assessed demographic and socioeconomic data and informati on on feeding habits (age of introducti on of sugar in the diet and consumpti on of sweet and salty snacks between meals). Poisson's regression with robust variance was used to identi fy and quanti fy the factors associated with the consumpti on of snacks between meals.Results: Approximately 90% of the children had sugar introduced in their diet before 1 year of age. In additi on, 3/4 of the preschoolers consume sweets between meals, without stati sti cally signifi cant diff erence between genders, income levels and family structure. The multi variable model showed that the probability of consuming snacks between meals was 16% higher in 5-6-year-old children compared to those up to the age of 2 (PR=1.16; 95% CI= 1.00-1.34), and 14% higher when the mother's educati onal level was up to 4 years (PR=1.14; 95% CI= 1.01-1.29) compared to those with more than 8 years of school educati on. Blackmailing to receive snacks increased in 72% the probability of this behavior (PR= 1.72; 95% CI= 1.46-2.03). Conclusion:The introducti on of sugar was premature in the studied populati on, and a high percentage of the preschoolers were found to eat snacks between meals. This outcome is associated with older children, low maternal educati onal level, and child's behavior. Preventi ve programs must include diet counseling since the fi rst year of life, especially for mothers with low educati onal level.

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Factors associated with prevalence and severity of caries experience in preschool children

Cited by 126 publications

References 24 publications

Risk factors for caries incidence in a cohort of Flemish preschool children

Risk factors for caries incidence in a cohort of Flemish preschool children

Oral health and oral health-related behaviour in preschool children: evidence for a social gradient

Práticas Alimentares Cariogênicas e Fatores Associados em Crianças do Sul do Brasil

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