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Published on: March 29, 2018
Factors associated with caries increment: a longitudinal study from 18 months to 5 years of age
1Institute of Dentistry, University of Turku, Turku, Finland. pia.meurman@utu.fi
Insights
Early childhood caries risk is linked to mutans streptococci (MS) and caretaker lifestyle. Factors like sugar intake and parental oral health significantly influence a child's cavity development.
Area of Science:
- Pediatric Dentistry
- Oral Microbiology
- Public Health
Background:
- Dental caries is a prevalent childhood disease.
- Early identification of risk factors is crucial for primary prevention strategies.
Purpose of the Study:
- To identify early determinants of dental caries risk in young children.
- To investigate the association between oral bacteria and lifestyle factors with caries development.
Main Methods:
- Screening for mutans streptococci (MS) in 18-month-old children.
- Clinical examination for caries increment at 5 years of age.
- Caretaker interviews on lifestyle and oral health habits.
Main Results:
- A caries increment of >0 was observed in 21.6% of children by age 5.
- Mutans streptococci in oral biofilm showed the strongest correlation with caries.
- Caretaker occupation, child's sugar consumption, night feeding, non-water beverages, and father's oral health were significant risk factors.
Conclusions:
- Childhood oral health is significantly influenced by caretaker lifestyle and habits.
- Early screening for MS and addressing lifestyle factors can aid in caries prevention.
Background:
Identifying the early determinants of risk for dental caries would be useful in its primary prevention.
Subjects And Methods:
All children at the age of 18 months in one health care area were invited in the screening test for mutans streptococci (MS) and their caretakers interviewed for the study purposes. The 366 children who met the inclusion criteria were clinically examined after 42 months.
Results:
At the age of 5 years ± 6 months, in 79 (21.6%) children the 42-month caries increment was >0. In the multivariate regression analysis, the strongest correlation was found with MS detected in the oral biofilm. Of the reported background factors the blue-collar occupation of the caretaker, child's sugar use, night feeding, use of other thirst quenchers than water and father's reported poor oral health were significantly correlated with the child's caries increment.
Conclusion:
The oral health of a child is strongly related to the lifestyle and the oral health habits of the caretakers during the first years.
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