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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.
Objective:
This study assesses the prevalence of caries and some background factors in 4-year-old children in the city of Umeå, northern Sweden, and compares this with data from earlier studies to reveal changes over time.
Materials And Methods:
Children from the catchment areas of three Public Dental Health Service clinics in Umeå (n = 224) born during the third quarter of 2008 were invited to undergo a clinical dental examination. Decayed surfaces (including both dentine and enamel, except for enamel lesions on buccal and lingual surfaces), missing and filled surfaces (dmfs) were recorded using the same methods and criteria as in a series of earlier studies performed between 1980-2007. Background data were collected in a case-history and a questionnaire. Results. The proportion of children with caries significantly decreased from 2007 (38%) to 2012 (22%) (p < 0.05). In addition, the distribution of dmfs differed significantly between these years (p < 0.05). More immigrant children had caries (42%) than non-immigrant children (15%) (p < 0.05). For children with caries, there were no significant changes in the distribution of dmfs between 1980-2012 (p > 0.05). An immigrant background was associated with a lower frequency of tooth brushing and a higher intake of ice cream, sweets and chocolate drinks (p < 0.05).
Conclusion:
Although the proportion of children with caries declined between 2007-2012, this decline was limited to non-immigrant children. Since 1980 the distribution of dmfs remained unchanged among children with caries. More research on interventions for changing oral health behaviours is needed, specifically for immigrant children.
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