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Cited by 165Dental Health and Care UtilizationOral microbiology and periodontitis researchdental development and anomalies

Factors associated with prevalence and severity of caries experience in preschool children

Declerck, Dominique, Leroy, Roos, Martens, Luc, Lesaffre, Emmanuel, Garcia‐Zattera, Maria‐José, Broucke, Stephan Vanden, Debyser, Martine, Hoppenbrouwers, Karel·2008·Community Dentistry and Oral Epidemiology
DOI 10.1111/j.1600-0528.2007.00385.x
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Abstract

Abstract – Objectives: The aim of the present study was to examine the prevalence and severity of caries experience in the primary dentition of preschool children and to assess the association of disease distribution with oral hygiene levels, reported oral health behaviours and socio‐demographic factors. Methods: Study samples comprised 1250 3‐year‐old and 1283 5‐year‐old pre‐school children from four distinct geographical areas in Flanders. Information on oral hygiene and dietary habits, oral health behaviours and socio‐demographic variables was collected using questionnaires completed by the parents. Clinical examinations were performed using standardized criteria. Caries experience was recorded at the level of cavitation (d 3 level). Simple as well as multivariable logistic regression analyses were performed in order to identify factors associated with prevalence and severity of caries experience. Results: Visible plaque was present in 31% of 3‐year‐olds and 37% of 5‐year‐olds. In 3‐year‐olds, 7% presented with caries experience while this was the case in 31% of 5‐year‐olds. Multivariable logistic regression revealed significant associations, in 3‐year‐olds, of caries experience with presence of dental plaque (OR = 7.93; 95% CI: 2.56–24.55) and reported consumption of sugared drinks at night (OR = 7.96; 95% CI: 1.57–40.51). In 5‐year‐olds, significant associations were seen with age (OR = 7.79; 95% CI: 2.38–25.43), gender (OR = 0.37 with 95% CI: 0.19–0.71 for girls), presence of visible dental plaque (OR = 3.36; 95% CI: 1.64–6.89) and reported habit of having sugar‐containing drinks in between meals (OR = 2.60 with 95% CI: 1.16–5.84 and OR = 3.18 with 95% CI: 1.39–7.28, respectively for 1×/day and > 1×/day versus not every day). In 5‐year‐olds with caries experience (30.8% of total sample), the severity of disease was further analysed (d 3 mft between 1 and 4 versus d 3 mft 5 or higher). Multivariable analyses showed a significant association with gender [girls more likely to have higher disease levels; OR = 4.67 (95% CI: 1.65–13.21)] and with presence of plaque (OR = 3.91 with 95% CI: 1.23–12.42). Conclusions: Presence of visible plaque accumulation and reported consumption of sugared drinks were associated with prevalence of caries experience in Flemish preschool children. Severity of disease was associated with gender and with presence of plaque. Results underline the importance of plaque control and diet management from very young age on.

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  • The vast majority of cross-sectional studies found evidence for a positive association between SSB consumption and dental caries.

    “The vast majority of cross-sectional studies found evidence for a positive association between SSB consumption and dental caries [67, 69–82].”

    From The negative impact of sugar-sweetened beverages on children’s health: an update of the literature (2018) · cites this paper as [69]

  • Another study found an association between dental caries and SSBs consumed at nighttime among 3-year-olds.

    “Some studies examined how specific timing of SSB consumption affects dental caries, with one study [72] finding an association with dental caries and SSBs consumed at bedtime and another [69] finding an association with dental caries and SSBs consumed at nighttime among 3 year-olds and for SSBs consumed between meals among 5-year olds.”

    From The negative impact of sugar-sweetened beverages on children’s health: an update of the literature (2018) · cites this paper as [69]

  • Another study found an association between dental caries and SSBs consumed between meals among 5-year-olds.

    “Some studies examined how specific timing of SSB consumption affects dental caries, with one study [72] finding an association with dental caries and SSBs consumed at bedtime and another [69] finding an association with dental caries and SSBs consumed at nighttime among 3 year-olds and for SSBs consumed between meals among 5-year olds.”

    From The negative impact of sugar-sweetened beverages on children’s health: an update of the literature (2018) · cites this paper as [69]

  • The majority of studies examining SSB intake and dental caries are cross-sectional, with several longitudinal studies and one intervention study.

    “While the majority of studies examining SSB intake and dental caries are cross-sectional [67–82], there have been several longitudinal studies [83–88] and one intervention study [89].”

    From The negative impact of sugar-sweetened beverages on children’s health: an update of the literature (2018) · cites this paper as [69]

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Authors
Declerck, D., Leroy, R., Martens, L., Lesaffre, E., Garcia‐Zattera, M., Broucke, S. V., Debyser, M., & Hoppenbrouwers, K.
Affiliations
  • KU Leuven (BE)
  • Ghent University (BE)
Corresponding author
Declerck, Dominique
ORCID
Venue
Community Dentistry and Oral Epidemiology
Publisher
Wiley
Published
2007-08-10
Volume
36
Issue
2
Pages
168-178
ISSN
  • 0301-5661 (ISSN-L)
  • 1600-0528
DOI
10.1111/j.1600-0528.2007.00385.x
OpenAlex
W2088549414
Cited by
165
References
31
Citations by year
2025: 2 · 2024: 3 · 2023: 6 · 2022: 8 · 2021: 6 · 2020: 6 · 2019: 3 · 2018: 8 · 2017: 10 · 2016: 13 · 2015: 9 · 2014: 15 · 2013: 14 · 2012: 23
FWCI
10.04
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Community Dentistry And Oral Epidemiology (publishedVersion)
  • PubMed (publishedVersion)
  • Ghent University Academic Bibliography (Ghent University) (submittedVersion)
  • DIAL (Catholic University of Leuven) (submittedVersion)
  • KCE repository (Belgian Health Care Knowledge Centre) (submittedVersion)
Topics
  • Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
  • Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › dental development and anomalies
Keywords
dental caries, preschool children, primary teeth, caries prevalence, caries severity, dental plaque, oral hygiene, sugar consumption, dietary habits, sociodemographic factors, caries risk factors, Flanders, age and gender differences, oral health behavior, parent questionnaires
MeSH terms
Belgium, Child, Preschool, Dental Caries, Dental Plaque, Female, Humans, Male, Oral Hygiene, Surveys and Questionnaires, Risk Factors, Sensitivity and Specificity, Severity of Illness Index, Sex Factors, Socioeconomic Factors, Tooth, Deciduous, Health Behavior, Prevalence, Logistic Models, Dietary Sucrose

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