Association between Short Stature at Grade 1 and Permanent Teeth Caries at Grade 6 in Elementary School Children in

Ayako Suzuki1, Yukako Tani2, Tatsuhiko Anzai3

  • 1Department of Maxillofacial Orthognathics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo 113-8519, Japan.

Insights

Children with short stature in first grade showed a higher risk of developing dental caries by sixth grade. This finding highlights the link between early growth and oral health outcomes.

Area of Science:

  • Pediatric Health
  • Oral Epidemiology
  • Nutritional Science

Background:

  • Short stature in children can indicate poor nutritional status.
  • Previous research suggests a potential link between short stature and dental caries, but longitudinal data are limited.
  • Understanding this association is crucial for early identification and intervention strategies.

Purpose of the Study:

  • To investigate the longitudinal association between short stature in elementary school children and the development of dental caries.
  • To determine if early-life short stature serves as a predictor for future dental caries.

Main Methods:

  • A longitudinal study analyzed data from 3576 elementary school children in Adachi City, Tokyo, Japan.
  • Height-for-age data from grade 1 and dental caries (DMFT) data from grade 6 were collected.
  • Multivariable Poisson regression with robust standard error was used to examine the association, adjusting for confounders.

Main Results:

  • Children identified with short stature at grade 1 exhibited a significantly higher number of decayed, missing, or filled permanent teeth (DMFT) by grade 6.
  • The mean ratio of DMFT was 1.17 for children with height-for-age between -2.01 and -3.00 SD, and 2.18 for those with height-for-age below -3.00 SD.
  • These results remained significant after adjusting for potential confounding factors.

Conclusions:

  • Short stature in the early elementary school years may serve as a valuable marker for predicting the risk of future dental caries.
  • The findings underscore the importance of monitoring growth alongside oral health in children.
  • Further research could explore underlying mechanisms connecting nutritional status, growth, and dental health.

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