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Published on: March 31, 2021
Dental caries and externalizing behaviour problems in a high-risk child population
Maddelon de Jong-Lenters1,2, Denise Duijster3, Annemarie Schuller1,4
1TNO, Netherlands Organisation for Applied Scientific Research, Leiden, The Netherlands.
Child behavior problems are linked to dental caries, particularly through toothbrushing habits. Family factors like maternal education and parenting style also play an indirect role in children's oral health.
Area of Science:
- Pediatric Dentistry
- Child Psychology
- Public Health
Background:
- Externalizing behavior problems in children are a significant concern.
- Dental caries remains a prevalent issue in pediatric populations.
- Understanding the interplay between behavior and oral health is crucial for effective interventions.
Purpose of the Study:
- To investigate the association between externalizing behavior problems and dental caries in children.
- To explore direct and indirect pathways linking sociodemographic, family, and behavioral factors to dental caries.
- To utilize structural equation modeling to elucidate complex relationships.
Main Methods:
- Cross-sectional study of 251 children aged 5-8 years.
- Data collection included dental records (dmft scores) and validated questionnaires.
- Structural equation modeling was employed to analyze direct and indirect effects.
Main Results:
- Initial analysis showed a significant association between externalizing behavior and higher dmft scores (IRR=1.19).
- This association lost significance after adjusting for sociodemographic factors (IRR=1.11).
- The path model indicated a direct link between behavior problems and caries via toothbrushing, and indirect effects through maternal education, parenting, and family communication.
Conclusions:
- Child externalizing behavior problems may directly impact dental caries through oral hygiene practices like toothbrushing.
- Maternal education, parenting dimensions (restrictiveness, warmth), and family communication indirectly influence the relationship between behavior problems and caries.
- These findings highlight the importance of a holistic approach considering behavioral and family factors in pediatric dental health.
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