Sociobehavioral Factors Associated with Caries Increment:  A Longitudinal Study from 24 to 36 Months Old Children  in Thailand

Peltzer, Karl; Mongkolchati, Aroonsri; Satchaiyan, Gamon; Rajchagool, Sunsanee; Pimpak, Taksin

doi:10.3390/ijerph111010838

Cited by 29 publications

(59 citation statements)

References 26 publications

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“…The incidence was even greater among children who had caries at the first examination (61.1%). The high incidence of dental caries in the primary dentition is in agreement with studies conducted on children in Thailand 18 and Sweden.…”

Section: Discussionsupporting

confidence: 89%

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Incidence of dental caries in primary dentition and risk factors: a longitudinal study

et al. 2016

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Incidence of dental caries in primary dentition and risk factors: a longitudinal study Abstract: The objectives of this prospective, longitudinal, population-based study were to estimate the incidence of dental caries in the primary dentition, identify risk factors and determine the proportion of children receiving dental treatment, through a two-year follow up. The first dental exam was conducted with 381 children aged one to five years, at health centers during immunization campaigns; 184 of them had dental caries and 197 had no caries experience. The second exam was carried out two years later at a nursery or at home with the same individuals who participated in the first exam. The diagnosis of dental caries was performed using the dmft criteria. Parents were interviewed regarding socioeconomic indicators. Descriptive, bivariate and adjusted Poisson regression analyses were performed. Among the 381 children, 234 were reexamined after two years (non-exposed: 139; exposed: 95). The overall incidence of dental caries was 46.6%. The greatest incidence of dental caries was found in the group of children with previous caries experience (61.1%). Among the children without dental caries in the first exam, 36.7% exhibited caries in the second exam. The majority of children (72.6%) received no treatment for carious lesions in the two-year interval between examinations. Children with previous dental caries (RR: 1.52, 95%CI: 1.12-2.05) had a greater risk of developing new lesions, compared with the children without previous dental caries. The incidence of dental caries was high and most of children's caries were untreated. Previous caries experience is a risk factor for developing new carious lesions in children.

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Section: Discussionsupporting

confidence: 89%

“…However, information on the incidence of caries in the primary dentition remains scant. 18,19 Incidence data are important to assessing the magnitude of the health problem and the effectiveness of preventive measures, as well as to enabling access to health services.…”

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confidence: 99%

Incidence of dental caries in primary dentition and risk factors: a longitudinal study

et al. 2016

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“…According to the Sixth Thai National Oral Health Survey, ECC prevalence ranged from 56 % to over 95 % among Thai preschool children [2, 3] and was 89 % in the northeastern region, with an increasing trend being observed during the past two decades [4]. The lack of effective public health preventive measures, limited dental care providers, low household income, lack of oral health education, and frequent consumption of sweet foods are reported to be the primary contributing factors [4–6]. Therefore, ECC continues to be a major public health problem for Thai young children [7].…”

Section: Introductionmentioning

confidence: 99%

Streptococcus mutans and Streptococcus sobrinus colonization and caries experience in 3- and 5-year-old Thai children

et al. 2015

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Objectives The aim of this study was to examine the colonization of Streptococcus mutans and Streptococcus sobrinus in supra-gingival plaque samples and to determine their correlation with the prevalence of early childhood caries (ECC) in Thai children. Materials and methods A total of 344 Thai children, ages 3 and 5 years, were invited to participate in this study. Caries status of the children was examined. Supra-gingival plaque samples were collected. Quantitative real-time PCR was performed to evaluate DNA levels of S. mutans and S. sobrinus. Results Eighty-five percent of the children were colonized by S. mutans and 50.9 % of them were colonized by S. sobrinus. The prevalence of ECC was 43.8 % and 56.2 % among 3- and 5-year-old children, respectively, and was significantly associated with the presence of S. mutans and S. sobrinus. The severity of ECC was significantly correlated with increased DNA levels of the two bacteria. Children who were positive for S. mutans and S. sobrinus (Sm+/Sb+) were 8 times or 44 times more likely to experience ECC than children who were Sm−/Sb+or were Sm−/Sb−. Conclusions The study evidence further suggest that children colonized by both S. mutans and S. sobrinus are at the higher risk for ECC. Clinical relevance Molecular-based qPCR can be used to detect and quantify S. mutans and S. sobrinus colonization for epidemiological and clinical studies for ECC risk assessment.

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“…There is substantial evidence supporting the role of free sugars as the primary necessary factor in the development of dental caries; however, cariogenesis is observed even at very low sugar intake levels, whereas eradicating simple sugars at the population level is a noble but distant goal. Prospective studies provide additional evidence on potential ECC risk factors, including feeding practices (Chaffee et al 2014;Chaffee et al 2015), consumption of sugar-sweetened beverages (Park et al 2015), and other sociobehavioral factors (Peltzer et al 2014). However, these population-derived determinants are conceptually and practically different from the causes of individual cases (Rose 1985).…”

Section: Ecc: Fundamental Considerationsmentioning

confidence: 99%

Predicting Dental Caries Outcomes in Children

Divaris

2015

J Dent Res

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In recent years, unprecedented gains in the understanding of the biology and mechanisms underlying human health and disease have been made. In the domain of oral health, although much remains to be learned, the complex interactions between different systems in play have begun to unravel: host genome, oral microbiome with its transcriptome, proteome and metabolome, and more distal influences, including relevant behaviors and environmental exposures. A reasonable expectation is that this emerging body of knowledge can help improve the oral health and optimize care for individuals and populations. These goals are articulated by the National Institutes of Health as "precision medicine" and the elimination of health disparities. Key processes in these efforts are the discovery of causal factors or mechanistic pathways and the identification of individuals or population segments that are most likely to develop (any or severe forms of) oral disease. This article critically reviews the fundamental concepts of risk assessment and outcome prediction, as they relate to early childhood caries (ECC)-a common complex disease with significant negative impacts on children, their families, and the health system. The article highlights recent work and advances in methods available to estimate caries risk and derive person-level caries propensities. It further discusses the reasons for their limited utility in predicting individual ECC outcomes and informing clinical decision making. Critical issues identified include the misconception of defining dental caries as a tooth or surface-level condition versus a person-level disease; the fallacy of applying population-level parameters to individuals, termed privatization of risk; and the inadequacy of using frequentist versus Bayesian modeling approaches to derive individual disease propensity estimates. The article concludes with the notion that accurate caries risk assessment at the population level and "precision dentistry" at the person level are both desirable and achievable but must be based on high-quality longitudinal data and rigorous methodology.

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Sociobehavioral Factors Associated with Caries Increment: A Longitudinal Study from 24 to 36 Months Old Children in Thailand

Cited by 29 publications

References 26 publications

Incidence of dental caries in primary dentition and risk factors: a longitudinal study

Incidence of dental caries in primary dentition and risk factors: a longitudinal study

Streptococcus mutans and Streptococcus sobrinus colonization and caries experience in 3- and 5-year-old Thai children

Predicting Dental Caries Outcomes in Children

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