scholarly journals Assessment of risk factors for early childhood caries at different ages and caries levels in Shandong, China and guidance for dental health education: a cross-sectional study

2019 ◽  
Author(s):  
meng zhang ◽  
Xinyue Zhang ◽  
Yuan Zhang ◽  
Yanan Li ◽  
Chunchun Shao ◽  
...  

Abstract Background Dental health education (DHE) plays a vital role in the prevention of early childhood caries (ECC). There are a large number of studies on ECC risk factor assessment to enrich the content of DHE, but such research rarely provides some guidance and assistance for the design and optimization of DHE strategies. Therefore, this study aims to improve this information by analyzing risk factors at different ages and caries levels.Methods The children aged 3-5-year-old was enrolled in this cross-sectional study. Their oral condition was evaluated according to WHO criteria. Simultaneously, a questionnaire containing the oral health knowledge, attitude, practice (KAP) was completed by guardians. Chi-square test and regression analysis were performed to analyze the ECC difference of KAP variables in different grouping methods, and to construct models to assess the risk factors.Results A total of 1301 children’s data were included for statistical analysis. Caries prevalence was 64.6%, the dmft mean was 3.15. Independent associations with increased risk for ECC were age, some KAP variables related to feeding, sugar consumption, and brushing ( P =0.000 based on multivariable regression analysis). 3-year-old group were primarily associated with some KA variables ( P =0.000). As children grow up, practice variables became the main risk factor (4- and 5-year old age group model: P=0.014 and 0.000). And more practice variables were independently associated with the severe-caries-group than mild-caries-group (P=0.000).Conclusion This survey demonstrates that the ECC-related risk factors in different ages and different caries levels are different, which will facilitate us to design more personalized and strategic DHE content.

2020 ◽  
Author(s):  
Meng Zhang ◽  
Xinyue Zhang ◽  
Yuan Zhang ◽  
Yanan Li ◽  
Chunchun Shao ◽  
...  

Abstract Background: The high prevalence of early childhood caries (ECC) is widespread around the world, and oral health education (OHE) plays a vital role in preventing ECC. Numerous studies on ECC risk factor assessment have assisted us in enriching the content of OHE. The objective of this study was to further assess independent risk factors for ECC at different ages to provide evidence and insights for OHE.Methods: Children aged 3-5 years old (N=1301) in Shandong Province were enrolled in this cross-sectional study. Data about oral health status and caregivers’ oral health knowledge, attitude, and practice (KAP) were extracted from the 4th National Oral Health Survey of China. The associations between ECC prevalence and various KAP variables were tested with chi-square tests, bivariate analysis and multivariable logistic regression analyses.Results: The ECC prevalence in Shandong Province was 64.6%, and the dmft mean was 3.15. The independent variables with an increased risk for ECC were age, feeding method within 6 months of birth, bedtime sugar frequency, experience of toothache over the past year and dental visits (P<0.05, chi-square tests). Complete breastfeeding within 6 months of birth primarily contributed to the high ECC risk of the 3-year-old group (OR: 3.39, 95% CI: 1.41-8.17), while high frequency bedtime sweet consumption mainly contributed to that of the 5-year-old group (OR: 3.22, 95% CI: 1.03-10.06; logistic regression analysis). Tooth brushing was not associated with ECC in this study, and some positive knowledge and attitude variables were positively correlated with a high risk of ECC.Conclusion: These data provide evidence to suggest that the ECC-related risk factors at different ages are inconsistent, which provides some insights for OHE. We should highlight the effects of feeding methods in the early stages of deciduous dentition and sugar habits in the late stages of deciduous dentition on ECC, as well as encourage preventive dental visit and supplemental training for oral health practices.


2017 ◽  
Vol 27 (2) ◽  
pp. 79-84 ◽  
Author(s):  
Do Minh Huong ◽  
Le Thi Thu Hang ◽  
Vo Truong Nhu Ngoc ◽  
Le Quynh Anh ◽  
Le Hoang Son ◽  
...  

2020 ◽  
Author(s):  
Meng Zhang ◽  
Xinyue Zhang ◽  
Yuan Zhang ◽  
Yanan Li ◽  
Chunchun Shao ◽  
...  

Abstract Background: The high prevalence of early childhood caries (ECC) is widespread around the world, and oral health education (OHE) plays a vital role in preventing ECC. Numerous studies on ECC risk factor assessment have assisted us in enriching the content of OHE. The objective of this study was to further assess independent risk factors for ECC at different ages to provide evidence and insights for OHE. Methods : Children aged 3-5 years old (N=1301) in Shandong Province were enrolled in this cross-sectional study. Data about oral health status and caregivers’ oral health knowledge, attitude, and practice (KAP) were extracted from the 4th National Oral Health Survey of China. The associations between ECC prevalence and various KAP variables were tested with chi-square tests, bivariate analysis and multivariable logistic regression analyses. Results: The ECC prevalence in Shandong Province was 64.6%, and the dmft mean was 3.15. The independent variables with an increased risk for ECC were age, feeding method within 6 months of birth, bedtime sugar frequency, experience of toothache over the past year and dental visits (P <0.05, chi-square tests). Complete artificial feeding within 6 months of birth primarily contributed to the high risk of the 3-year-old group (OR: 0.28, 95% CI: 0.12-0.69), while high frequency bedtime sweet consumption mainly contributed to that of the 5-year-old group (OR: 3.22, 95% CI: 1.03-10.06; logistic regression analysis). Interestedly, tooth brushing was not associated with ECC in this study, and some positive knowledge and attitude variables were positively correlated with a high risk of ECC. Conclusion : These data provide evidence to suggest that the ECC-related risk factors at different ages are inconsistent, which provides some insights for OHE. We should highlight the effects of feeding methods in the early stages of deciduous dentition and sugar habits in the late stages of deciduous dentition on ECC, as well as encourage preventive dental visit and supplemental training for oral health practices.


2012 ◽  
Vol 06 (02) ◽  
pp. 141-152 ◽  
Author(s):  
Prashanth Prakash ◽  
Priya Subramaniam ◽  
B H Durgesh ◽  
Sapna Konde

ABSTRACTObjectives: Early childhood caries (ECC) is a devastating form of dental decay with multi-factorial origin. The aim of this cross-sectional study is to investigate the prevalence and related risk factors of ECC in preschool children of urban Bangalore (India)Methods: A random sample of 1,500 children aged between 8 and 48 months were selected from various parts of urban Bangalore. The status of dental caries was recorded according to the World Health Organization (WHO) criteria. Information regarding oral hygiene practices, feeding habits, socio-economic status, birth weight, and educational status of the mother was obtained through a structured questionnaire given to mothers of preschool children. The data was subjected to statistical analysis using the Statistical package for social sciences (SPSS) version 12Results: The prevalence of ECC in preschool children was 27.5%, while the mean deft was 0.854. ECC increased significantly with age. Children whose mothers had no schooling and those who belonged to low socioeconomic group showed higher caries prevalence. A significant increase in caries prevalence was found in children accustomed to the practice of on-demand breast feeding and bottle feeding at night. Caries also increased significantly when snacks were consumed between meals. However, increased frequency of tooth-brushing, parental supervision, use of a baby toothbrush, and fluoridated dentifrice significantly decreased caries prevalenceConclusion: ECC is a serious public health problem in this population and measures to increase awareness should be undertaken. The target candidates for oral health promotion programs should include mothers, general dentists, pediatricians, nurses, primary care health workers, care-takers at day-care centers and gynecologists. (Eur J Dent 2012;6:141-152)


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