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.
Abstract

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