Caries and background factors in Swedish 4-year-old children with special reference to immigrant status

Christina Stecksén-Blicks1, Pamela Hasslöf, Catarina Kieri

  • 1Pediatric Dentistry, Department of Odontology, Faculty of Medicine, Umeå University , Umeå , Sweden.

Insights

Childhood caries prevalence decreased in Umeå, Sweden, but this improvement was not seen in immigrant children. Oral health behaviors require targeted interventions for this group.

Area of Science:

  • Pediatric Dentistry
  • Public Health
  • Epidemiology

Background:

  • Dental caries remains a significant public health issue in early childhood.
  • Understanding trends and risk factors is crucial for effective prevention strategies.
  • Previous studies in Umeå provide a baseline for assessing changes in caries prevalence.

Purpose of the Study:

  • To assess the prevalence of dental caries in 4-year-old children in Umeå.
  • To identify background factors associated with caries.
  • To compare current data with historical studies to track changes over time.

Main Methods:

  • Clinical dental examinations of 224 children born in Q3 2008.
  • Recording of decayed, missing, and filled surfaces (dmfs) using established criteria.
  • Collection of background data via case-history and questionnaires.

Main Results:

  • Caries prevalence decreased from 38% in 2007 to 22% in 2012.
  • Immigrant children had significantly higher caries rates (42%) than non-immigrant children (15%).
  • No significant change in dmfs distribution among children with caries since 1980; immigrant background linked to poorer oral hygiene habits.

Conclusions:

  • The decline in childhood caries is primarily among non-immigrant children.
  • Interventions are needed to address oral health disparities in immigrant children.
  • Further research on targeted oral health behavior interventions is essential.
Abstract

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