Influences on children’s oral health: A conceptual model

Fisher-Owens, Susan A.; Gansky, Stuart A.; Platt, Larry J.; Weintraub, Jane A.; Soobader, Mah-J; Bramlett, Matthew D.; Newacheck, Paul W.

doi:10.1542/peds.2006-3084

Cited by 864Dental Health and Care UtilizationOral microbiology and periodontitis researchChild and Adolescent Health

Influences on children’s oral health: A conceptual model

Fisher-Owens, Susan A., Gansky, Stuart A., Platt, Larry J., Weintraub, Jane A., Soobader, Mah-J, Bramlett, Matthew D., Newacheck, Paul W.·2007·Pediatrics

DOI 10.1542/peds.2006-3084

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Abstract

OBJECTIVES. Despite marked improvements over the past century, oral health in America is a significant problem: caries is the most common chronic disease of childhood. Much oral health research examines influences primarily in the oral cavity or focuses on a limited number of individual-level factors. The purpose of this article was to present a more encompassing conceptual model of the influences on children's oral health. METHODS. The conceptual model presented here was derived from the population health and social epidemiology fields, which have moved toward multilevel, holistic approaches to analyze the complex and interactive causes of children's health problems. It is based on a comprehensive review of major population and oral health literatures. RESULTS. A multilevel conceptual model is described, with the individual, family, and community levels of influence on oral health outcomes. This model incorporates the 5 key domains of determinants of health as identified in the population health literature: genetic and biological factors, the social environment, the physical environment, health behaviors, and dental and medical care. The model recognizes the presence of a complex interplay of causal factors. Last, the model incorporates the aspect of time, recognizing the evolution of oral health diseases (eg, caries) and influences on the child-host over time. CONCLUSIONS. This conceptual model represents a starting point for thinking about children's oral health. The model incorporates many of the important breakthroughs by social epidemiologists over the past 25 years by including a broad range of genetic, social, and environmental risk factors; multiple pathways by which they operate; a time dimension; the notion of differential susceptibility and resilience; and a multilevel approach. The study of children's oral health from a global perspective remains largely in its infancy and is poised for additional development. This work can help inform how best to approach and improve children's oral health.

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At the structural level, access barriers, poverty, rurality, and historic inequities influence both risk and the ability to complete timely treatment.
“At the structural level, access barriers, poverty, rurality, and historic inequities influence both risk and the ability to complete timely treatment.”
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Early childhood caries is a multifactorial disease shaped by biological, behavioral, and structural determinants.
“Early childhood caries (ECC) is widely understood as a multifactorial disease that arises from interactions among biological, behavioral, and structural determinants.”
From Equity or Two-Tier Care? Guardrails for Silver Diamine Fluoride and Delegated Early Childhood Caries Pathways (2026) · cites this paper as [1]

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Familial and cultural perceptions and beliefs of oral hygiene and dietary practices among ethnically and socio-economically diverse groups
Adair, P. M., Pine, C. M., Burnside, G., Nicoll, A. D., Gillett, A., Anwar, S., Broukal, Z., Chestnutt, I. G., Declerck, D., Ping, F. X., et al. (2004) · National University of Singapore · Cited by 67 · see citing works
Acculturation and dental health among Vietnamese living in Melbourne, Australia
Marino, R., Stuart, G. W., Wright, C., Minas, I. H., & Klimidis, S. (2001) · Community Dentistry And Oral Epidemiology · doi:10.1111/j.1600-0528.2001.290205.x · Cited by 55 · see citing works
Classification of dental caries patterns in the primary dentition: a multidimensional scaling analysis
Psoter, W. J., Heping Zhang, D., Pendrys, D. G., Morse, D. E., & Mayne, S. T. (2003) · Community Dentistry And Oral Epidemiology · doi:10.1034/j.1600-0528.2003.00044.x · Cited by 55 · see citing works
Cariology for the Nineties
Bowen, W. H., & Tabak, L. A. (1993) · Medical Entomology and Zoology · Cited by 53 · see citing works
Oral health behaviour and self-esteem in Swedish children
Källestål, C., Dahlgren, L., & Stenlund, H. C. (2000) · Social Science & Medicine · doi:10.1016/s0277-9536(00)00115-5 · Cited by 50 · see citing works
The life course approach: explaining the association between height and dental caries in Brazilian adolescents
Nicolau, B. F., Marcenes, W. S., Allison, P. J., & Sheiham, A. (2005) · Community Dentistry And Oral Epidemiology · doi:10.1111/j.1600-0528.2005.00213.x · Cited by 49 · see citing works
Oral health knowledge, attitudes and preventive practices of third grade school children.
Oliveira, E. R., Narendran, S., & Williamson, D. D. (2001) · PubMed · Cited by 49 · see citing works
RELATIONSHIPS BETWEEN ORAL AND SYSTEMIC HEALTH
Casamassimo, P. S. (2000) · Pediatric Clinics of North America · doi:10.1016/s0031-3955(05)70261-3 · Cited by 48 · see citing works
Effect of Acculturation on Objective Measures of Oral Health in Haitian Immigrants in New York City
da Cruz, G., Shore, R. E., Geros, R. Z. L., & Tavares, M. A. (2004) · Journal of Dental Research · doi:10.1177/154405910408300219 · Cited by 45 · see citing works
Relationship of microbiological, social, and environmental variables to caries status in young children.
Crall, J. J., Edelstein, B. L., & Tinanoff, N. (1991) · PubMed · Cited by 42 · see citing works
Oral health effects of smokeless tobacco use in Navajo Indian adolescents
Wolfe, M. D., & Carlos, J. P. (1987) · Community Dentistry And Oral Epidemiology · doi:10.1111/j.1600-0528.1987.tb00527.x · Cited by 40 · see citing works
Indications for sealant use in a community‐based preventive dentistry program
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A path analysis of the utilization of dental services
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An ecological study of caries experience, school performance and material deprivation in 5‐year‐old state primary school children
Muirhead, V., & Marcenes, W. (2004) · Community Dentistry And Oral Epidemiology · doi:10.1111/j.1600-0528.2004.00147.x · Cited by 36 · see citing works
Is trust a predictor of having a dental home?
GRAHAM, M. A., Logan, H. L., & Tomar, S. L. (2004) · The Journal of the American Dental Association · doi:10.14219/jada.archive.2004.0081 · Cited by 36 · see citing works
Intrafamily influences on health behavior
Rossow, I. M. (1992) · Journal Of Clinical Periodontology · doi:10.1111/j.1600-051x.1992.tb02169.x · Cited by 35 · see citing works
Oral health status and access to dental care for ohio head start children.
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The case for child development as a determinant of health.
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The impact of dental benefits on the utilization of dental services by low-income children in western Pennsylvania.
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The impact of a state children's health insurance program on access to dental care
Mofidi, M., Slifkin, R. T., Freeman, V. A., & Silberman, P. (2002) · The Journal of the American Dental Association · doi:10.14219/jada.archive.2002.0266 · Cited by 27 · see citing works
Health fair in a mosque: putting policy into practice
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The impact of WIC dental screenings and referrals on utilization of dental services among low-income children.
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Oral health status of children in relation to the dental anxiety of their parents.
Tuutti, H., & Lahti, S. M. (1987) · PubMed · Cited by 23 · see citing works
The State of the Nation's Oral Health: Mid‐decade Assessment of Healthy People 2000
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Effectiveness of oral health care--some Danish experiences.
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Assessment of retention rates and clinical benefits of a community sealant program.
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Orofacial injury in underserved minority populations
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New WHO diet and nutrition review:
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Predictors of the Utilization of Oral Health Services by Children of Low-income Families in the United States: Beliefs, Cost, or Provider?
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Letter From the Editor
Perrin, J. M. (2002) · Ambulatory Pediatrics · doi:10.1367/1539-4409(2002)002

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Dental caries
Pitts, N. B., Zero, D. T., Marsh, P. D., Ekstrand, K., Weintraub, J. A., Ramos-Gomez, F., Tagami, J., Twetman, S., Tsakos, G., & Ismail, A. (2017) · Nature Reviews Disease Primers · doi:10.1038/nrdp.2017.30 · Cited by 1,823 · see citing works
Self-citation
Disparities in Access to Oral Health Care
Northridge, M. E., Kumar, A., & Kaur, R. (2020) · Annual Review of Public Health · doi:10.1146/annurev-publhealth-040119-094318 · Cited by 544 · see citing works
Beyond the dmft
Casamassimo, P. S., Thikkurissy, S., Edelstein, B. L., & Maiorini, E. (2009) · The Journal of the American Dental Association · doi:10.14219/jada.archive.2009.0250 · Cited by 519 · see citing works
Parental influence and the development of dental caries in children aged 0–6 years: A systematic review of the literature
Hooley, M., Skouteris, H., Boganin, C., Satur, J. G., & Kilpatrick, N. M. (2012) · Journal of Dentistry · doi:10.1016/j.jdent.2012.07.013 · Cited by 378 · see citing works
Influence of family environment on children's oral health: a systematic review
de Castilho, A. R. F., Mialhe, F. L., Barbosa, T. D. S., & Puppin‐Rontani, R. M. (2013) · Jornal de Pediatria · doi:10.1016/j.jped.2013.03.014 · Cited by 335 · see citing works
WHO Global Consultation on Public Health Intervention against Early Childhood Caries
Phantumvanit, P., Makino, Y., Ogawa, H., Rugg-Gunn, A. J., Moynihan, P. J., Petersen, P. E., Evans, R. W., Feldens, C. A., Lo, E. C. M., Khoshnevisan, M. H., et al. (2018) · Community Dentistry And Oral Epidemiology · doi:10.1111/cdoe.12362 · Cited by 318 · see citing works
Social determinants of oral health inequalities: implications for action
Watt, R. G. (2012) · Community Dentistry And Oral Epidemiology · doi:10.1111/j.1600-0528.2012.00719.x · Cited by 223 · see citing works
A systematic review of risk factors during first year of life for early childhood caries
Leong, P., Gussy, M. G., Barrow, S. L., de Silva, A. M., & Waters, E. (2012) · International Journal of Paediatric Dentistry · doi:10.1111/j.1365-263x.2012.01260.x · Cited by 210 · see citing works
The American Dental Association Caries Classification System for Clinical Practice
Young, D. A., Nový, B. B., Zeller, G. G., Hale, R., Hart, T. C., Truelove, E. L., Ekstrand, K. R., Featherstone, J. D. B., Fontana, M., Ismail, A., et al. (2015) · The Journal of the American Dental Association · doi:10.1016/j.adaj.2014.11.018 · Cited by 237 · see citing works
Environmental, maternal, and child factors which contribute to early childhood caries: a unifying conceptual model
Seow, W. K. (2011) · International Journal of Paediatric Dentistry · doi:10.1111/j.1365-263x.2011.01186.x · Cited by 198 · see citing works
When to intervene in the caries process? An expert Delphi consensus statement
Schwendicke, F., Splieth, C., Breschi, L., Banerjee, A., Fontana, M., Paris, S., Burrow, M. F., Crombie, F., Page, L. F., Gatón-Hernández, P., et al. (2019) · Clinical Oral Investigations · doi:10.1007/s00784-019-03058-w · Cited by 217 · see citing works
Prenatal Oral Health Care and Early Childhood Caries Prevention: A Systematic Review and Meta-Analysis
Xiao, J., Alkhars, N., Kopycka‐Kędzierawski, D. T., Billings, R. J., Wu, T. T., Castillo, D. A., Rasubala, L., Malmström, H., Ren, Y., & Eliav, E. (2019) · Caries Research · doi:10.1159/000495187 · Cited by 182 · see citing works
The Generation R Study.
van der Voort, Gaillard, R., Albert Hofman, D., de Jongste, J. C., & Duijts, L. (2013) · Cited by 181 · see citing works
The Ethical Imperative of Addressing Oral Health Disparities: A Unifying Framework
Lee, J. Y., & Divaris, K. (2014) · Journal of Dental Research · doi:10.1177/0022034513511821 · Cited by 170 · see citing works
Changes in the global burden of untreated dental caries from 1990 to 2019: A systematic analysis for the Global Burden of Disease study
Qin, X., Zi, H., & Zeng, X. (2022) · Heliyon · doi:10.1016/j.heliyon.2022.e10714 · Cited by 166 · see citing works
Early Childhood Caries
Seow, W. K. (2018) · Pediatric Clinics of North America · doi:10.1016/j.pcl.2018.05.004 · Cited by 163 · see citing works
Preventing Childhood Caries
Albino, J. E. N., & Tiwari, T. (2015) · Journal of Dental Research · doi:10.1177/0022034515609034 · Cited by 156 · see citing works
Oral health of Australian children: The National Child Oral Health Study 2012–14
John Spencer, A., & Do, L. (2016) · University of Adelaide Press eBooks · doi:10.20851/ncohs · Cited by 156 · see citing works
Oral Health–related Beliefs, Behaviors, and Outcomes through the Life Course
Broadbent, J. M., Zeng, J., Page, L. A. F., Baker, S. R., Ramrakha, S., & Thomson, W. M. (2016) · Journal of Dental Research · doi:10.1177/0022034516634663 · Cited by 155 · see citing works
Distribution of Caries in Children
Do, L. (2012) · Journal of Dental Research · doi:10.1177/0022034511434355 · Cited by 150 · see citing works
Bringing the commercial determinants of health out of the shadows: a review of how the commercial determinants are represented in conceptual frameworks
Maani, N., Collin, J., Friel, S., Gilmore, A., McCambridge, J., Robertson, L., & Petticrew, M. P. (2019) · European Journal of Public Health · doi:10.1093/eurpub/ckz197 · Cited by 147 · see citing works
Advancing oral health in America
Murphy, L. (2012) · BDJ · doi:10.1038/sj.bdj.2012.660 · Cited by 184 · see citing works
Predictors of Dental Caries Progression in Primary Teeth
Ismail, A. I., Sohn, W., Lim, S., & Willem, J. M. (2009) · Journal of Dental Research · doi:10.1177/0022034508331011 · Cited by 141 · see citing works
Establishing oral health promoting behaviours in children – parents’ views on barriers, facilitators and professional support: a qualitative study
Duijster, D., de Jong‐Lenters, M., Verrips, E., & van Loveren, C. (2015) · BMC Oral Health · doi:10.1186/s12903-015-0145-0 · Cited by 133 · see citing works
Community-based population-level interventions for promoting child oral health.
de Silva, A., Hegde, S., Nwagbara, B. A., Calache, H., Gussy, M., Nasser, M., Morrice, H., Riggs, E., Leong, P., Meyenn, L. K., et al. (2016) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009837.pub2 · Cited by 132 · see citing works
Retracted
Parental Factors Influencing the Development of Early Childhood Caries in Developing Nations: A Systematic Review
Rai, N. K., & Tiwari, T. (2018) · Frontiers in Public Health · doi:10.3389/fpubh.2018.00064 · Cited by 125 · see citing works
Predicting Dental Caries Outcomes in Children: A “Risky” Concept
Divaris, K. (2016) · Journal of Dental Research · doi:10.1177/0022034515620779 · Cited by 108 · see citing works
Mothers’ Caries Increases Odds of Children’s Caries
Weintraub, J. A., Prakash, P., Shain, S. G., Laccabue, M., & Gansky, S. A. (2010) · Journal of Dental Research · doi:10.1177/0022034510372891 · Cited by 119 · see citing works
Self-citation
Social capital: theory, evidence, and implications for oral health
Rouxel, P. L., Heilmann, A., Aida, J., Tsakos, G., & Watt, R. G. (2014) · Community Dentistry And Oral Epidemiology · doi:10.1111/cdoe.12141 · Cited by 118 · see citing works
Vitamin D and Dental Caries in Children
Schroth, R. J., Rabbani, R., Loewen, G., & MOFFATT, M. E. K. (2015) · Journal of Dental Research · doi:10.1177/0022034515616335 · Cited by 113 · see citing works
Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood caries
Riggs, E., Kilpatrick, N. M., Slack-Smith, L. M., Chadwick, B. L., Yelland, J. S., Muthu, M., & Gomersall, J. S. (2019) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012155.pub2 · Cited by 107 · see citing works
Relationship among microbiological composition and presence of dental plaque, sugar exposure, social factors and different stages of early childhood caries
Parisotto, T. M., Steiner‐Oliveira, C., Duque, C., Peres, R. C. R., Rodrigues, L. K. A., & Nobre‐dos‐Santos, M. (2010) · Archives of Oral Biology · doi:10.1016/j.archoralbio.2010.03.005 · Cited by 107 · see citing works
Artificial Intelligence Its Uses and Application in Pediatric Dentistry: A Review
Vishwanathaiah, S., Fageeh, H. N., Khanagar, S. B., & Maganur, P. C. (2023) · Biomedicines · doi:10.3390/biomedicines11030788 · Cited by 107 · see citing works
The Burden of Early Childhood Caries in Canadian Children and Associated Risk Factors
Pierce, A., Singh, S., Lee, J., Grant, C. G., de Jesus, V. C., & Schroth, R. J. (2019) · Frontiers in Public Health · doi:10.3389/fpubh.2019.00328 · Cited by 105 · see citing works
Family as a health promotion setting: a scoping review of conceptual models of the health-promoting family
Michaelson, V., Pilato, K. A., & Davison, C. M. (2021) · PLOS ONE · doi:10.1371/journal.pone.0249707 · Cited by 120 · see citing works
Early childhood feeding practices and dental caries in preschool children: a multi-centre birth cohort study
Arora, A., Scott, J. A., Bhole, S., Do, L., Schwarz, E., & Blinkhorn, A. S. (2011) · BMC Public Health · doi:10.1186/1471-2458-11-28 · Cited by 102 · see citing works
Effectiveness of preventive dental programs offered to mothers by non-dental professionals to control early childhood dental caries: a review
George, A., Sousa, M. S., Kong, A., Blinkhorn, A. S., Norrie, T. P., Foster, J. P., Dahlen, H. G., Ajwani, S., & Johnson, M. (2019) · BMC Oral Health · doi:10.1186/s12903-019-0862-x · Cited by 102 · see citing works
Breastfeeding and early childhood caries. Review of the literature, recommendations, and prevention
Branger, B., Camelot, F., Droz, D., Houbiers, B., Marchalot, A., Bruel, H., Laczny, E., & Clément, C. (2019) · Archives de Pédiatrie · doi:10.1016/j.arcped.2019.10.004 · Cited by 100 · see citing works
Prevalence and socio-behavioral influence of early childhood caries, ECC, and feeding habits among 6 – 36 months old children in Uganda and Tanzania
Masumo, R. M., Bårdsen, A., Mashoto, K. O., & Åstrøm, A. N. (2012) · BMC Oral Health · doi:10.1186/1472-6831-12-24 · Cited by 93 · see citing works
Caregivers' oral health literacy and their young children's oral health-related quality-of-life
Divaris, K., Lee, J. Y., Baker, A. D., & Vann, W. F. (2011) · Acta Odontologica Scandinavica · doi:10.3109/00016357.2011.629627 · Cited by 92 · see citing works
The Association of Oral Health Status, demographic characteristics and socioeconomic determinants with Oral health-related quality of life among children: a systematic review and Meta-analysis
Moghaddam, L. F., Vettore, M. V., Bayani, A., Bayat, A.-H., Ahounbar, E., Hemmat, M., Armoon, B., & Fakhri, Y. (2020) · BMC Pediatrics · doi:10.1186/s12887-020-02371-8 · Cited by 98 · see citing works
The role of family functioning in childhood dental caries
Duijster, D., Verrips, G. H. W., & van Loveren, C. (2013) · Community Dentistry And Oral Epidemiology · doi:10.1111/cdoe.12079 · Cited by 91 · see citing works
Birth Weight, Breastfeeding, Maternal Smoking and Caries Trajectories
Bernabé, E., MacRitchie, H. M. B., Longbottom, C., Pitts, N. B., & Sabbah, W. (2016) · Journal of Dental Research · doi:10.1177/0022034516678181 · Cited by 88 · see citing works
An examination of racial/ethnic disparities in children's oral health in the United States
Fisher‐Owens, S. A., Isong, I. A., Soobader, M.-J., Gansky, S. A., Weintraub, J. A., Platt, L. J., & Newacheck, P. W. (2012) · Journal of Public Health Dentistry · doi:10.1111/j.1752-7325.2012.00367.x · Cited by 88 · see citing works
Self-citation
Impact of parent-related factors on dental caries in the permanent dentition of 6–12-year-old children: A systematic review
Kumar, S., Tadakamadla, J., Kroon, J., & Johnson, N. W. (2015) · Journal of Dentistry · doi:10.1016/j.jdent.2015.12.007 · Cited by 86 · see citing works
The association between electronic-cigarette use and self-reported oral symptoms including cracked or broken teeth and tongue and/or inside-cheek pain among adolescents: A cross-sectional study
Cho, J. H. (2017) · PLoS ONE · doi:10.1371/journal.pone.0180506 · Cited by 85 · see citing works
Effectiveness of Maternal Counseling in Reducing Caries in Cree Children
Harrison, R. L., Véronneau, J., & Leroux, B. G. (2012) · Journal of Dental Research · doi:10.1177/0022034512459758 · Cited by 84 · see citing works
Maintaining and Improving the Oral Health of Young Children
Krol, D. M., Whelan, K., & HEALTH, T. S. O. O. (2022) · PEDIATRICS · doi:10.1542/peds.2022-060417 · Cited by 81 · see citing works
Brief oral health promotion intervention among parents of young children to reduce early childhood dental decay
Arrow, P., Raheb, J., & Miller, M. (2013) · BMC Public Health · doi:10.1186/1471-2458-13-245 · Cited by 83 · see citing works
Risk factors for dental caries in Latin American and Caribbean countries
Martignon, S., Roncalli, Â. G., Vidigal, E. Á., Aránguiz, V., Feldens, C. A., & Buzalaf, M. A. R. (2021) · Brazilian Oral Research · doi:10.1590/1807-3107bor-2021.vol35.0053 · Cited by 79 · see citing works
Oral healthcare of preschool children in Trinidad: a qualitative study of parents and caregivers
Naidu, R. S., Nunn, J., & Forde, M. (2012) · BMC Oral Health · doi:10.1186/1472-6831-12-27 · Cited by 79 · see citing works
Breaking down the barriers: a qualitative study to understand child oral health in refugee and migrant communities in Australia
Riggs, E., Gibbs, L. F., Kilpatrick, N. M., Gussy, M. G., van Gemert, C. E., Ali, S., & Waters, E. (2014) · Ethnicity and Health · doi:10.1080/13557858.2014.907391 · Cited by 76 · see citing works
Burden of Oral Diseases and Access to Oral Care in an Ageing Society
Aida, J., Takeuchi, K., Furuta, M., Ito, K., Kabasawa, Y., & Tsakos, G. (2022) · International Dental Journal · doi:10.1016/j.identj.2022.06.012 · Cited by 75 · see citing works
Reflections on oral health inequalities: Theories, pathways and next steps for research priorities
Tsakos, G., Watt, R. G., & Guarnizo-Herreño, C. C. (2023) · Community Dentistry And Oral Epidemiology · doi:10.1111/cdoe.12830 · Cited by 77 · see citing works
Effectiveness evaluation of Contra Caries Oral Health Education Program for improving Spanish‐speaking parents’ preventive oral health knowledge and behaviors for their young children
Hoeft, K. S., Barker, J. C., SHIBOSKI, S. C., Guzman, E. P., & Hiatt, R. A. (2016) · Community Dentistry And Oral Epidemiology · doi:10.1111/cdoe.12250 · Cited by 75 · see citing works
Social determinants of pediatric oral health
da Fonseca, M. A., & Avenetti, D. (2017) · Dental Clinics of North America · doi:10.1016/j.cden.2017.02.002 · Cited by 69 · see citing works
Early Childhood Caries, Mouth Pain, and Nutritional Threats in Vietnam
Khanh, L. N., Ivey, S. L., Sokal‐Gutierrez, K., Barkan, H. E., Ngo, K. M., Hoang, H. T., Vuong, I., & Thai, N. (2015) · American Journal of Public Health · doi:10.2105/ajph.2015.302798 · Cited by 75 · see citing works
Pathways between parental and individual determinants of dental caries and dental visit behaviours among children: Validation of a new conceptual model.
Buldur, B. (2020) · Community Dentistry and Oral Epidemiology · doi:10.1111/cdoe.12530 · Cited by 83 · see citing works
An ethnographic study of Latino preschool children's oral health in rural California: Intersections among family, community, provider and regulatory sectors
Barker, J. C., & Horton, S. B. (2008) · BMC Oral Health · doi:10.1186/1472-6831-8-8 · Cited by 70 · see citing works
Dental Caries: A Review
Yadav, K., & Prakash, S. (2016) · Asian journal of biomedical and pharmaceutical sciences · doi:10.15272/ajbps.v6i53.773 · Cited by 69 · see citing works
Risk factors for early childhood caries in disadvantaged populations
Arora, A., Schwarz, E., & Blinkhorn, A. S. (2011) · Journal of Investigative and Clinical Dentistry · doi:10.1111/j.2041-1626.2011.00070.x · Cited by 68 · see citing works
Association of breast feeding with early childhood dental caries: Japanese population-based study
Kato, T., Yorifuji, T., Yamakawa, M., Inoue, S., Saito, K., Doi, H., & Kawachi, I. I. (2015) · BMJ Open · doi:10.1136/bmjopen-2014-006982 · Cited by 67 · see citing works
Early Childhood Dental Caries, Mouth Pain, and Malnutrition in the Ecuadorian Amazon Region
So, M., Ellenikiotis, Y., Husby, H. M., Paz, C. L., Seymour, B. A., & Sokal‐Gutierrez, K. (2017) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph14050550 · Cited by 72 · see citing works
Examining the accuracy of caregivers' assessments of young children's oral health status
Divaris, K., Vann, W. F., Baker, A. D., & Lee, J. Y. (2012) · The Journal of the American Dental Association · doi:10.14219/jada.archive.2012.0071 · Cited by 65 · see citing works
Epidemiology of dental caries: when structure and context matter
Frazão, P. (2012) · Brazilian Oral Research · doi:10.1590/s1806-83242012000700016 · Cited by 64 · see citing works
Modelling community, family, and individual determinants of childhood dental caries
Duijster, D., van Loveren, C., Dusseldorp, E., & Verrips, G. H. W. (2014) · European Journal Of Oral Sciences · doi:10.1111/eos.12118 · Cited by 63 · see citing works
Harnessing the Power of Invariant Natural Killer T Cells in Cancer Immunotherapy
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Authors: Fisher-Owens, S. A., Gansky, S. A., Platt, L. J., Weintraub, J. A., Soobader, M.-J., Bramlett, M. D., & Newacheck, P. W.
Affiliations: Department of Pediatrics
University of California, San Francisco (US)
Statworks, Boston, Massachusetts
Centers for Disease Control and Prevention (US)
ORCID: Gansky, Stuart A.
Weintraub, Jane A.
Venue: Pediatrics
Publisher: American Academy of Pediatrics (AAP)
Published: 2007-09-01
Volume: 120
Issue: 3
Pages: e510-e520
ISSN: 0031-4005 (ISSN-L)
1098-4275
DOI: 10.1542/peds.2006-3084
OpenAlex: W2039971937
Semantic Scholar: 26d7508015c25539bc2679c72746d3458dd6f669
Cited by: 864
References: 134
Citations by year: 2026: 50 · 2025: 58 · 2024: 79 · 2023: 57 · 2022: 83 · 2021: 77 · 2020: 63 · 2019: 57 · 2018: 39 · 2017: 53 · 2016: 35 · 2015: 58 · 2014: 35 · 2013: 37 · 2012: 36
FWCI: 9.76
Type: journal article
Language: en
Open access: closed
Locations: PEDIATRICS (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health
National Institute of Dental and Craniofacial Research (R03 DE165701, R03DE016571, U54DE014251)
Topics: Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
Keywords: children's oral health, dental caries, conceptual model, multilevel analysis, social determinants of health, family and community influence, social environment, physical environment, health behavior, access to dental care, health care, differential susceptibility, resilience, temporal dimension
MeSH terms: Anthropometry, Child, Child Development, Disease Susceptibility, Family, Humans, Insurance, Dental, Health Knowledge, Attitudes, Practice, Models, Biological, Oral Health, Oral Hygiene, Patient Acceptance of Health Care, Risk Factors, Sex Factors, Social Environment, Socioeconomic Factors, Health Behavior, Dental Care for Children, Racial Groups

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Influences on children’s oral health: A conceptual model

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