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01-06-2013 | Original Article

Is there a relationship between hyperactivity/inattention symptoms and poor oral health? Results from the GINIplus and LISAplus study

Authors: Gabriele Kohlboeck, Daniela Heitmueller, Claudia Neumann, Carla Tiesler, Joachim Heinrich, Roswitha Heinrich-Weltzien, Reinhard Hickel, Sibylle Koletzko, Olf Herbarth, Jan Kühnisch, the GINIplus Study Group, LISAplus Study Group

Published in: Clinical Oral Investigations | Issue 5/2013

Abstract

Objectives

A few clinical observations reported that children with attention deficit hyperactivity disorder (ADHD) have poor oral health compared to children without ADHD. However, evidence is not conclusive. We assess the association between hyperactivity/inattention and oral health in a population-based study.

Material and methods

As part of the ongoing birth cohort studies German Infant Nutritional Intervention-plus (GINIplus) and Influences of lifestyle-related factors on the immune system and the development of allergies in childhood-plus (LISAplus), 1,126 children at age 10 years (±10.2) from Munich (Germany) were included in the present analysis. During the dental examination, oral hygiene, non-cavitated and cavitated caries lesions, dental trauma, and enamel hypomineralization (EH) in the permanent dentition (MIH/1) were recorded. Children with a Molar-Incisor-Hypomineralization were subcategorized into those with EH on at least one first permanent molar (MIH/1A), and on at least one first permanent molar and permanent incisor (MIH/1B). Data on children’s hyperactivity/inattention symptoms were collected by parent-reported Strength and Difficulties Questionnaire. Logistic regressions and zero-inflated Poisson regression models were applied adjusted for gender, parental education, parental income, and methylphenidate or atomoxetine medication.

Results

Logistic regressions showed that non-cavitated caries lesions were positively related with the presence of hyperactivity/inattention (OR_adj = 1.51,CI_95% = 1.08–2.11). When adjusted for parental background, an association showed between hyperactivity/inattention symptoms and MIH/1A but did not reach statistical significance (OR_adj = 1.59,CI_95% = 1.00–2.53).

Conclusions

Children with borderline and abnormal values of hyperactivity/inattention symptoms showed more non-cavitated caries lesions. Severe levels of hyperactivity/inattention may contribute to a higher risk for MIH/1A in school age.

Clinical relevance

Adequate dental preventive care for children with hyperactivity/inattention, especially from a low social background, is of importance for optimal caries prevention.

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Title: Is there a relationship between hyperactivity/inattention symptoms and poor oral health? Results from the GINIplus and LISAplus study
Authors: Gabriele Kohlboeck
Daniela Heitmueller
Claudia Neumann
Carla Tiesler
Joachim Heinrich
Roswitha Heinrich-Weltzien
Reinhard Hickel
Sibylle Koletzko
Olf Herbarth
Jan Kühnisch
the GINIplus Study Group, LISAplus Study Group
Publication date: 01-06-2013
Publisher: Springer-Verlag
Published in: Clinical Oral Investigations / Issue 5/2013
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-012-0829-7

At a glance: The STEP trials

Springer Medicine

Is there a relationship between hyperactivity/inattention symptoms and poor oral health? Results from the GINIplus and LISAplus study

Abstract

Objectives

Material and methods

Results

Conclusions

Clinical relevance

At a glance: The STEP trials

Springer Medicine

Abstract

Objectives

Material and methods

Results

Conclusions

Clinical relevance

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