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Published in: BMC Oral Health 1/2017

Open Access 01-12-2017 | Research article

Dental caries risk indicators in early childhood and their association with caries polarization in adolescence: a cross-sectional study

Authors: Migle Zemaitiene, Ruta Grigalauskiene, Vilija Andruskeviciene, Zivile Kristina Matulaitiene, Jurate Zubiene, Julija Narbutaite, Egle Slabsinskiene

Published in: BMC Oral Health | Issue 1/2017

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Abstract

Background

Based on the hypothesis that biological and social risks accumulate during life, it is important to identify possible dental caries risk indicators from the life course of early childhood and assess their association with caries polarization in adolescence.

Methods

A cross-sectional design was applied to the study, and a multistage cluster sampling method used to draw a representative sample of 1063 18-year-old Lithuanian adolescents. The dental examinations were performed according to the methodology for oral status evaluation recommended by the World Health Organization. Parents of the participating adolescents completed a self-administered questionnaire about their children’s life course during early childhood. The interdependence of characteristics was evaluated by chi-square (χ2) and Student’s (t) criteria. A multivariate logistic regression model with the Significant Caries (SiC) index as an outcome was performed.

Results

The mean scores for the number of decayed, missing, and filled teeth (DMFT) and decayed teeth (DT) in the SiC positive group were higher than the corresponding values in the SiC negative group (6.14 [SD, 2.30] and 1.67 [SD, 2.02] vs 1.28 [SD, 1.11] and 0.34 [SD, 0.69], p < 0.001, respectively). Three dental caries risk indicators were identified that were independently associated with a SiC positive outcome: gender(OR = 1.32 [95 % CI: 1.01–1.73]), earlier eruption of the first primary tooth(OR = 1.43 [95 % CI: 1.03–1.97]), and past caries experience in the primary dentition (OR = 1.62 [95 % CI:1.22–2.14]).

Conclusions

These study findings provide reliable evidence that gender, earlier eruption of the first primary tooth, and past caries experience in the primary dentition should be considered to be dental caries risk indicators and may have an adverse effect on caries polarization in adolescence.
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Metadata
Title
Dental caries risk indicators in early childhood and their association with caries polarization in adolescence: a cross-sectional study
Authors
Migle Zemaitiene
Ruta Grigalauskiene
Vilija Andruskeviciene
Zivile Kristina Matulaitiene
Jurate Zubiene
Julija Narbutaite
Egle Slabsinskiene
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2017
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-016-0234-8

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