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Clinical Oral Investigations
Published in: Clinical Oral Investigations 8/2015

01-11-2015 | Original Article

Association of caries increment in preschool children with nutritional and preventive variables

Authors: Julia Winter, Marion Glaser, Monika Heinzel-Gutenbrunner, Klaus Pieper

Published in: Clinical Oral Investigations | Issue 8/2015

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Abstract

Objectives

The aim of the present study was to evaluate the influence of various risk factors on dental caries increment in deciduous teeth of preschool children over 2.5 years.

Materials and methods

A longitudinal study was carried out in kindergartens in two German counties in Northern Hesse. At baseline examination in 2006–2007, the mean age of the children was 3.5 years. Caries experience was recorded according to WHO standards. Information about feeding practices during early childhood and preventive measures were collected by a structured questionnaire for each child.

Results

Three hundred ninety-five (69.8 %) of the 566 children showed no caries increment. A caries increase of 1 to 10 dmf-teeth was exhibited by 171 children (30.2 %). The mean dmf-t increment amounted to 0.75. The bivariate analysis revealed that the consumption of sugary food and beverages had a negative impact on oral health. Early start of toothbrushing, use of fluoridated children’s toothpaste, and frequent toothbrushing exerted a positive influence on dental health. Stepwise backward logistic regression analysis confirmed that a high social status has a significant positive impact on dental health (p = 0.028), whereas the consumption of sugary food and beverages was significantly associated with a higher dental caries increment (p = 0.004).

Conclusion

Obviously, it is not possible to limit the caries increment in children of low socioeconomic status as successfully as in children of high socioeconomic status.

Clinical relevance

There must be a stronger focus on families of low socioeconomic status when preventive measures are performed on groups or individuals.
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Metadata
Title
Association of caries increment in preschool children with nutritional and preventive variables
Authors
Julia Winter
Marion Glaser
Monika Heinzel-Gutenbrunner
Klaus Pieper
Publication date
01-11-2015
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 8/2015
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-015-1419-2

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