Caries increment over 2 years in preschool children: a life course approach

Wong, May Chun Mei; Lu, Hai‐Xia; Lo, Ecm

doi:10.1111/j.1365-263x.2011.01159.x

Cited by 35 publications

(43 citation statements)

References 20 publications

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Section: Introductionmentioning

confidence: 99%

“…However, few longitudinal studies have described the incidence of ECC in China [13, 14]. Wong et al [14] stated that the mean caries increment over the 2 years of the children aged 3–4 years old from Hong Kong was 0.9. Ghazal, T., et al [15] reported that the two-year incidence of ECC among 1-year-old African-American children in Alabama was 39.3% and the three-year incidence was 65.8%.…”

Section: Introductionmentioning

confidence: 99%

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A longitudinal study of early childhood caries incidence in Wenzhou preschool children

Wei

Mei

2017

BMC Oral Health

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BackgroundEarly childhood caries (ECC) is a serious public health problem in China. Few studies, however, have described the incidence of ECC in China. The purpose of this study was to assess the prevalence and incidence of ECC among preschool children in Wenzhou China.MethodsPreschool children aged 3–4 years old were surveyed and followed up when they reached 5–6 years of age in the city of Wenzhou in southeast China. The rates of dental caries were determined with prevalence, and incidence density for risk of caries of a person (IDp) and of a tooth surface (IDs).ResultsThe prevalence and decayed, missing, and filled primary teeth (dmft) score of 3–4, 4–5, and 5-6 years old children were 59.8% and 2.9, 71.8% and 4.2, and 76.4% and 4.6, respectively. The IDp was 29.7 and 14.8 persons/100 person-year during the first and second year. The IDs was 5.9 and 2.7 newly affected surfaces/100 surface-year, respectively. The percentage of molars with caries experience increased obviously; the percentage of maxillary central incisors and mandibular incisors with caries experience increased during the first follow-up, whereas it declined during the second follow-up; the others increased gradually.ConclusionsThe prevalence and incidence of dental caries in Wenzhou preschool children were very high with most of the carious teeth left untreated. The molars were the most affected teeth during the observation period.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A longitudinal study of early childhood caries incidence in Wenzhou preschool children

Wei

Mei

2017

BMC Oral Health

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“…They recommended the negative binomial distribution for describing dental caries indices in populations recognizing, as did Böhning et al [1999] decades later, that caries counts tend to exhibit overdispersion, i.e., excess variation in them relative to the Poisson distribution. Subsequently, researchers [e.g., Syrjälä et al , 2003; Broffit et al 2007; Ismail et al , 2008; Maserejian et al 2008b; Thitasomakul et al , 2009; Wong, Lu and Lo, 2011] have often analyzed the effects of risk factors on dental caries indices using negative binomial regression [Hilbe, 2008]. …”

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confidence: 99%

Review and Recommendations for Zero-Inflated Count Regression Modeling of Dental Caries Indices in Epidemiological Studies

Preisser¹,

Stamm

Long³

et al. 2012

Caries Res

113

145

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Over the past 5–10 years, zero-inflated (ZI) count regression models have been increasingly applied to the analysis of dental caries indices (e.g. DMFT, dfms). The main reason for that is linked to the broad decline in children’s caries experience, such that dmf and DMF indices more frequently generate low or even zero counts. This article specifically reviews the application of ZI Poisson and ZI negative binomial regression models to dental caries, with emphasis on the description of the models and the interpretation of fitted model results given the study goals. The review finds that interpretations provided in the published caries research are often imprecise or inadvertently misleading, particularly with respect to failing to discriminate between inference for the class of susceptible persons defined by such models and inference for the sampled population in terms of overall exposure effects. Recommendations are provided to enhance the use as well as the interpretation and reporting of results of count regression models when applied to epidemiological studies of dental caries.

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“…The frequency of brushing is a protective factor for the development of dental caries. Several studies have associated a low frequency of brushing with the development of caries in the permanent dentition 13,16 . In this study, a frequency of two or more brushings per day functioned as a protective factor against the development of caries in the permanent dentition.…”

Section: Discussionmentioning

confidence: 99%

“…The American and Brazilian Associations of Pediatrics and Pediatric Dentistry recommend toothbrushing with fluoride toothpaste, beginning with the eruption of the first tooth. This promotes control of early childhood caries and does not produce an increase in the severity of fluorosis since the toothpaste is used in small quantities 16 .…”

Section: Discussionmentioning

confidence: 99%

Is severe early childhood caries predictive of caries and fluorosis in permanent teeth? Ten-year follow-up

Nunes-dos-Santos

Moura

Lima

et al. 2017

Rev. odontol. UNESP

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Is severe early childhood caries predictive of caries and fluorosis in permanent teeth? Ten-year follow-upA cárie severa da infância é um fator preditivo para cárie e fluorose na dentição permanente? Acompanhamento por 10 anos ResumoIntrodução: Cárie severa da infância (S-ECC) é definida como a presença de qualquer sinal de cárie em crianças menores de três anos. Objetivo: Este estudo observacional longitudinal retrospectivo objetivou avaliar cárie e fluorose em crianças com S-ECC de uma cidade com água fluoretada. Material e método: Foram incluídas crianças com idade inferior a três anos acompanhadas em um programa de atendimento odontológico materno e infantil entre os anos de 1997 e 2003. As crianças foram divididas em 2 grupos: grupo 1 (S-ECC) e grupo 2 (sem cárie). Os responsáveis foram contatados por telefone ou correio. Os exames clínicos dentários foram realizados no consultório odontológico para avaliar a experiência de cárie e fluorose dentária. Regressão linear múltipla foi utilizada para determinar os fatores associados ao CPOD, e análise multivariada por regressão logística múltipla foi utilizada para determinar os possíveis fatores independentes associados com a ocorrência de fluorose. Resultado: A amostra foi composta por 126 pacientes com idade entre 8 e 12 anos, dos quais 52,4% eram do sexo masculino. A presença de S-CEC aumentou o CPOD em média de 0,84 (p = 0,02). Tanto a frequência de limpeza, uso de dentifrício padrão foram fatores de proteção para desenvolvimento de cárie na dentição permanente (p <0,05). As crianças cujos pais relataram que se recusaram a escovar os dentes tinham 70% menos chance de desenvolver fluorose (p = 0,02). Conclusão: A presença de S-ECC não foi fator de risco para o desenvolvimento de fluorose, mas foi para cárie na dentição permanente.Descritores: Cárie dentária; fluorose dentária; criança. AbstractIntroduction: Severe early childhood caries is defined as the presence of any sign of decay in children younger than three years. Objective: This retrospective longitudinal observational study investigated caries and fluorosis in children with S-ECC from a city with fluoridated water. Material and method: We included children under the age of three years who followed a maternal and child dental care program between the years of 1997 and 2003. The children were divided into 2 groups: group 1 (S-ECC) and group 2 (no caries). Guardians were contacted by telephone or mail. Caregivers completed questionnaire on socio-demographic and behavioral variables. The clinical dental examinations were performed in a dental clinic to assess caries experience and dental fluorosis. Multiple linear regression was used to determine factors associated with DMFT, and multivariate analysis by multiple logistic regression was used to determine the possible independent factors associated with the occurrence of fluorosis. Result: The sample consisted of 126 patients aged 8-12 years, of whom 52.4% were male. The presence of S-ECC increased the DMFT by an average of 0.84 (p = 0.02). Both the freq...

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Caries increment over 2 years in preschool children: a life course approach

Abstract: New caries development of Hong Kong preschool children was low. Children's feeding, snaking and brushing habits, and parents' education attainment were the significant predictors for new caries development of preschool children.

Cited by 35 publications

References 20 publications

A longitudinal study of early childhood caries incidence in Wenzhou preschool children

A longitudinal study of early childhood caries incidence in Wenzhou preschool children

Review and Recommendations for Zero-Inflated Count Regression Modeling of Dental Caries Indices in Epidemiological Studies

Is severe early childhood caries predictive of caries and fluorosis in permanent teeth? Ten-year follow-up

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