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Family factors associated with dental caries among 5-year-old preschool children
Giovanna Torqueto Castilho1, Marília Narducci Pessoa1, Caroline Correa de Oliveira1
1Department of Morphology and Children's Clinic, São Paulo State University (UNESP), School of Dentistry, Araraquara, Brazil.
Insights
Family factors significantly impact children's dental caries (tooth decay) risk. Caregiver attitudes and practices, including assistance with brushing and prioritizing dental visits, are crucial for preventing cavities in young children.
Area of Science:
- Pediatric Dentistry
- Public Health
- Family Medicine
Background:
- Dental caries remains a prevalent childhood disease despite being largely preventable.
- Understanding family influences is key to addressing pediatric oral health disparities.
Purpose of the Study:
- To evaluate family factors associated with the prevalence of dental caries in 5-year-old children.
- To identify specific caregiver behaviors and perceptions linked to childhood tooth decay.
Main Methods:
- Cross-sectional study of 578 preschool children in Brazil.
- Data collected via caregiver questionnaires on sociodemographic factors, routines, and oral health practices.
- Clinical dental examinations using dmft and SiC indexes (World Health Organization criteria).
Main Results:
- 67.3% of children were caries-free; mean dmft index was 1.14.
- Significant associations found between caries and income, caregiver toothbrushing assistance, caregiver oral health perception, and dental visit prioritization.
- The Significant Caries index (SiC) was 3.46.
Conclusions:
- Low overall prevalence of dental caries in this population.
- Family factors, particularly caregiver attitudes and involvement in oral hygiene, significantly influence children's caries experience.
- Targeting family-centered interventions can improve pediatric oral health outcomes.
Background:
Although dental caries is largely preventable, it remains highly prevalent among children.
Aim:
Evaluate family factors associated with the prevalence of dental caries in 5-year-old children.
Design:
This cross-sectional study recruited 5-year-old children from public preschools in Araraquara, São Paulo, Brazil. Data on sociodemographic factors, family routines, and oral health practices were gathered via a self-administered questionnaire completed independently by caregivers. Children received a dental clinical examination at school and caries experience was recorded using the dmft and SiC (Significant Caries index) indexes following the World Health Organization (WHO) criteria.
Results:
Data analysis was performed using Chi-square and multiple logistic regression using a significance level of 5%. Of the 578 children in the study, 67.3% were caries-free. The mean dmft index was 1.14 (SD = 2.24), while the SiC index stood at 3.46 (2.69). Factors such as income, caregiver assistance with toothbrushing, caregiver perception of child and parent oral health, and prioritization of dental visits within the family were associated with caries presence.
Conclusions:
Overall, dental caries prevalence was low in this population, with family factors demonstrating significant associations with dental caries. The attitudes of caregivers regarding oral health appear to wield considerable influence over the dental health of their children.
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