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Cited by 145Dental Health and Care UtilizationOral microbiology and periodontitis researchPediatric health and respiratory diseases

A longitudinal study of dental caries risk among very young low SES children

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Warren, John J., Weber‐Gasparoni, Karin, Marshall, Teresa A., Drake, David R., Dehkordi‐Vakil, Farideh, Dawson, Deborah V., Tharp, Katie M.·2009·Community Dentistry and Oral Epidemiology
DOI 10.1111/j.1600-0528.2008.00447.xPMC PMC2661009
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Abstract

Abstract – Objectives: Early childhood caries (ECC) is a challenging public health problem in the United States and elsewhere; however, there is limited information concerning risk factors in very young children. The purpose of this study was to assess baseline risk factors for 18‐month caries prevalence as part of a longitudinal study of high‐risk children. Methods: About 212 children, 6–24 months of age were recruited from a rural community in Iowa. Subjects were enrolled in the WIC program, which provides nutritional support for low‐income families with children. Dental examinations using d1, d2–3 criteria were conducted at baseline and after 18 months. Caries prevalence was determined at the frank decay level (d2–3 or filled surfaces), as well as at the noncavitated level (d1), and combined (d1, d2–3 or f surfaces). Risk factor data were collected at baseline and after 9‐ and 18‐ months. These data included beverage consumption data, presence of visible plaque, and use of fluoride toothpaste for children as well as mutans streptococci (MS) levels of mothers and children and family sociodemographic factors. Results: About 128 children (60%) remained in the study after 18 months. Among these children, prevalence of d1,d2–3/f level caries increased from 9% to 77%, while d2–3/f level caries increased from 2% to 20%. Logistic regression models for baseline predictors of d2–3f caries at the 18‐month follow‐up found the presence of MS in children (OR = 4.4; 95% CI: 1.4, 13.9) and sugar‐sweetened beverages (OR = 3.0; 95% CI: 1.1, 8.6) to be the only significant risk factors. Sociodemographic factors and the use of fluoride toothpaste were not significant in these models. Conclusions: Results suggest that early colonization by MS and consumption of sugar‐sweetened beverages are significant predictors of ECC in high‐risk populations.

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Authors
Warren, J. J., Weber‐Gasparoni, K., Marshall, T. A., Drake, D. R., Dehkordi‐Vakil, F., Dawson, D. V., & Tharp, K. M.
Affiliations
University of Iowa (US)
Corresponding author
Warren, John J.
ORCID
Venue
Community Dentistry and Oral Epidemiology
Publisher
Wiley
Published
2009-03-12
Volume
37
Issue
2
Pages
116-122
ISSN
  • 0301-5661 (ISSN-L)
  • 1600-0528
DOI
10.1111/j.1600-0528.2008.00447.x
PMC
PMC2661009
OpenAlex
W1966257200
Cited by
145
References
41
Citations by year
2026: 1 · 2025: 3 · 2024: 3 · 2023: 10 · 2022: 3 · 2021: 7 · 2020: 9 · 2019: 11 · 2018: 6 · 2017: 10 · 2016: 12 · 2015: 11 · 2014: 12 · 2013: 19 · 2012: 8
FWCI
7.50
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Community Dentistry And Oral Epidemiology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health
  • National Institute of Dental and Craniofacial Research (R21DE015008)
Topics
  • Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
  • Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
  • Health Sciences › Health Professions › Emergency Medical Services › Pediatric health and respiratory diseases
Keywords
early childhood caries, caries risk factors, low socioeconomic status, infants and toddlers, mutans streptococci, sugar-sweetened beverages, fluoride toothpaste, dental plaque, WIC program, caries prevalence, rural children
MeSH terms
Bottle Feeding, Cariostatic Agents, Dental Caries, Dental Plaque, Fluorides, Humans, Infant, Longitudinal Studies, Poverty, Risk Factors, Saliva, Streptococcus mutans, Toothpastes, United States, Prevalence, Logistic Models, Statistics, Nonparametric, Dietary Sucrose

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