Risk indicators and potential risk factors for caries in 5‐year‐olds of different ethnic groups in Amsterdam

Verrips, G.H.W.; Frencken, J.E.F.M.; Kalsbeek, H.; Horst, G. ter; Kok-Weimar, T.L. Filedt

doi:10.1111/j.1600-0528.1992.tb01694.x

Cited by 41 publications

(37 citation statements)

References 5 publications

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“…Male children had higher scores of dmfs compared to female children in the study; this observed gender difference was also found in some other studies examining prevalence of dental caries in preschool children in First Nation communities in Canada [27], a cross sectional study in Brazil [28] and another study studying different ethnic groups in Amsterdam [29]. None of the studies suggested any reason for the gender differences, however it has been postulated that female adolescents consider oral appearance more important than males and perhaps this may be a motivating factor in younger children as well [30].…”

Section: Discussionsupporting

confidence: 85%

Factors Associated with Oral Health Status in American Indian Children

Tiwari

Quissell

Henderson

et al. 2014

J. Racial and Ethnic Health Disparities

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The literature reports psychosocial, environmental, and cultural factors related to Early Childhood Caries (ECC), but few studies have included American Indian/Alaska Native (AI/AN) populations. AI/AN children have the highest prevalence of ECC among any population group in the United States. This study examined socio-demographic characteristics of children and their parents/caregivers and psychosocial characteristics of parents/caregivers as risk factors for baseline oral health status of preschool children in the Navajo Nation, as part of a 3-year cluster randomized clinical trial to evaluate the effectiveness of trained community workers providing a fluoride varnish and oral health promotion intervention to. The study recruited 1,015 children at 52 Head Start Centers. Baseline ECC data were collected by calibrated dental hygienists for 981 of the children ages of 3-5 years, and a Basic Research Factors Questionnaire (BRFQ) was completed by their parents/caregivers. Bivariable analysis revealed that dmfs was higher in older children; in males; in children with male parents/caregivers; and when the parent/caregiver had less education and income, worse oral health behavior in caring for their children's teeth, and higher scores for external powerful others and external chance locus of control, greater perceived susceptibility and barriers, and lower scores for community risky behavior. In a multiple linear regression model, the variables that remained statistically significant were child's age and gender, and oral health behavior score of the parent/caregiver. Intervening to improve parent/caregiver oral health behavior in caring for the teeth of children potentially could in AI/AN children.

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Section: Discussionsupporting

confidence: 85%

Factors Associated with Oral Health Status in American Indian Children

Tiwari

Quissell

Henderson

et al. 2014

J. Racial and Ethnic Health Disparities

View full text Add to dashboard Cite

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“…Secondly, we do not know for how long the parents had practised the stated regimen. The age of the child when the parents started to brush its teeth is no doubt equally or even more important [Verrips et al, 1992] and, unfortunately, that was not asked for. Notably, little is known about the actual toothbrushing habits in preschool children.…”

Section: Discussionmentioning

confidence: 99%

Detection of Approximal Caries in 5-Year-Old Swedish Children

et al. 2005

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The aim was to assess how accurately some commonly used risk factors/risk markers (predictors) for caries development could identify children with and without approximal caries as judged from bitewing radiography. Two hundred and sixty-seven consecutive 5-year-old children from two Swedish cities participated. Three experienced dentists examined the children. The predictors were the overall dmfs (decayed, missing and filled surfaces) value (canines and molars), the number of occlusal dmfs, the frequency of intake of between-meal sugary products, visible plaque on free smooth surfaces of second primary molars, toothbrushing habits and (before bitewing examination) an overall judgement by the examining dentist. The mean dmfs value without bitewing examination was 0.40 (SD = 1.22). Twelve percent of the children had at least one dentin lesion and 33% at least one enamel lesion that were detected from bitewing examination only. The gain from adding bitewing examination to clinical examination amounted to a mean of 1.2 approximal enamel and/or dentin lesions. The ability to correctly identify children with approximal caries from the predictors was limited; sensitivity ranged from 0.27 to 0.75 and specificity ranged from 0.41 to 0.93. The single best predictor was the dentist’s overall judgement with an average precision of 73%; average sensitivity for the presence of enamel and dentin lesions was 0.48 and for the presence of dentin lesions 0.66. The rest of the predictors added little to the predictive power. It is concluded that 33% of the 5-year-olds, representing a low caries prevalence population, benefited from bitewing examination. The ability to identify these children from the predictors was, however, limited.

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“…Such findings raise provocative research questions about the underlying basis for increased risks that could be associated with cultural norms including concern for oral health, prenatal diet that could contribute to enamel hypoplasia, care of primary teeth, child rearing practices, and access to dental and medical care. The studies also suggest that ethnic minorities may experience significant barriers to dental care, including cost of care and availability of accessible services (45,52,54).…”

Section: Race and Ethnicitymentioning

confidence: 98%

Psychosocial and behavioral issues in early childhood caries

Reisine

Douglass

1998

Comm Dent Oral Epid

186

135

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Rampant caries in infants and young children has long been recognized as a clinical syndrome referred to by various names, including nursing caries, nursing bottle syndrome, night bottle mouth, and baby bottle tooth decay. The common theme among these terms is the perceived central role of inappropriate use of the baby bottle in the etiology and progression of carious lesions. Use of the baby bottle is not the only, and may not be the most important, factor in caries development. Because of questions about the role of the baby bottle in caries among young children, the Centers for Disease Control and Prevention recently suggested that the term for this clinical syndrome be replaced with early childhood caries (ECC). The purpose of this paper is to evaluate the literature on the influence of psychosocial and behavioral factors in early childhood caries. Prevalence of caries and maxillary anterior decay varies greatly in developed and undeveloped countries and among socioeconomic groups in developed countries. However, relatively little is known about the onset and progression of the disease or the antecedents of ECC, such as high risk behaviors, cultural norms, health beliefs and attitudes, or health care delivery factors. Furthermore, studies that do exist are limited by small and possibly biased samples and a lack of clear case definition. Future research should aim to develop a clear case definition of ECC, differentiate patterns of caries and conduct community-based epidemiological studies in order to obtain accurate estimates of the etiology and epidemiology of ECC in the general population, as well as in high risk groups.

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Risk indicators and potential risk factors for caries in 5‐year‐olds of different ethnic groups in Amsterdam

Cited by 41 publications

References 5 publications

Factors Associated with Oral Health Status in American Indian Children

Factors Associated with Oral Health Status in American Indian Children

Detection of Approximal Caries in 5-Year-Old Swedish Children

Psychosocial and behavioral issues in early childhood caries

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