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Oral health determinants and caries outcome among non-privileged children

Joana C Carvalho1, Eduardo F Silva, Elcio O Vieira

  • 1Faculty of Medicine and Dentistry, Catholic University of Louvain, Brussels, Belgium.

Caries Research
|June 7, 2014
PubMed

Insights

Parental habits and nursery policies significantly impact early childhood caries. Interventions targeting bottle-feeding, toothbrushing assistance, and sugary snack intake in nurseries can improve children's oral health.

Area of Science:

  • Pediatric Dentistry
  • Public Health
  • Epidemiology

Background:

  • Early childhood caries (ECC) is a significant public health issue.
  • Identifying modifiable determinants of ECC in non-privileged populations is crucial for targeted interventions.
  • Understanding the influence of institutional environments, such as nurseries, on oral health is essential.

Purpose of the Study:

  • To identify early childhood oral health determinants amenable to change.
  • To investigate the impact of nursery policies on caries progression.
  • To examine associations between parental practices, nursery policies, and caries in Brazilian children.

Main Methods:

  • A multilevel model (generalized linear mixed model) was used.
  • The study included 2,511 Brazilian children aged 1-5 years.
  • Data collected via parent interviews and nursery questionnaires.

Main Results:

  • Nighttime bottle-feeding, inadequate toothbrushing assistance, and infrequent dental visits were associated with higher caries rates.
  • Nursery policies regarding sugary product intake (2-4 times daily) showed a significant association with caries.
  • Maternal education level interacted with nursery policies and sugary intake, influencing caries risk.

Conclusions:

  • Parental practices and nursery policies significantly influence children's oral health and caries development.
  • Modifiable determinants, particularly those related to nursery policies, offer opportunities for intervention.
  • Targeted oral health promotion in early childhood settings is recommended.

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