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Published on: August 25, 2014
Child temperament and risk factors for early childhood caries
Amanda Seiser Spitz1, Karin Weber-Gasparoni, Michael J Kanellis
1College of Dentistry, Department of Pediatric Dentistry, University of Iowa, Iowa City, USA.
Insights
Mothers perceiving their child as "easy" may be linked to fewer early childhood caries (ECC) risk factors. Conversely, "difficult" temperaments correlate with increased ECC risks, like bottle-feeding to sleep.
Area of Science:
- Pediatric Dentistry
- Child Psychology
- Public Health
Background:
- Early childhood caries (ECC) is a significant public health concern.
- Understanding risk factors is crucial for prevention strategies.
- Maternal perception of child temperament is an under-explored area in ECC research.
Purpose of the Study:
- To investigate the association between maternal perception of child temperament and ECC risk factors.
- To identify specific temperament-child characteristics linked to ECC.
- To inform targeted interventions for ECC prevention.
Main Methods:
- Analysis of 629 patient records (ages 0-4) from the University of Iowa's Infant Oral Health Program.
- Data collection included maternal reports on child temperament, ECC knowledge, diet, hygiene, and clinical oral examination findings.
- Statistical analysis employed Chi-square tests and logistic regression models.
Main Results:
- Children perceived as "easy" were more likely to be younger, breast-fed to sleep, breast-fed throughout the night, and have teeth brushed twice daily.
- Children perceived as "difficult" showed higher likelihoods of being bottle-fed to sleep and having noncavitated lesions.
- Logistic regression confirmed "easy" temperament associated with night breastfeeding (OR=1.77) and "difficult" temperament with bottle-feeding to sleep (OR=1.74).
Conclusions:
- Maternal perception of a child's temperament is potentially associated with key early childhood caries risk factors.
- Temperament may influence behaviors like feeding practices and oral hygiene, impacting ECC risk.
- Further research is warranted to explore this relationship and its clinical implications.
Purpose:
The purpose of this study was to determine if a relationship existed between a mother's perception of her child's temperament and the child's risk factors for early childhood caries (ECC).
Methods:
Data was collected from 629 records of children ages 0 to 4 who were patients of the University of Iowa's Infant Oral Health Program. Data included: (1) maternal report of child's temperament; (2) knowledge of ECC; (3) dietary and oral hygiene habits; and (4) clinical evidence of cavitated and noncavitated lesions and visible plaque on maxillary incisors. Chi-square tests and logistic regression models were used to analyze the data.
Results:
Bivariate analyses showed that children reported as "easy" were more likely to: (1) be younger (P=.001); (2) be breast-fed to sleep (P=.046); (3) be breast-fed throughout the night (P=.012); and (4) have their teeth brushed twice daily (P=.006). Children reported as "difficult" were more likely to: (1) be bottle-fed to sleep (P=.002); and (2) have noncavitated lesions (P=.044). Final logistic regression analysis indicated that children perceived as "easy" were more likely to breast-fed throughout the night (odds ratio [OR]= 1.77; P=.016), while those perceived as "difficult" were more likely to be bottle-fed to sleep (OR=1.74; P=.016).
Conclusions:
Maternal reported child temperament may be related to important early childhood caries risk factors.
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