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Mixed Dentition Cavitated Caries Incidence and Dietary Intake Frequencies
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2011 May-Jun
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Source: Pediatr Dent. 33(3):233-240.
[PDF-75.44 KB]
Details:
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Alternative Title:Pediatr Dent
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Description:Purpose
This study examined risk factors for children having new cavitated caries between 5 and 9 years old.
Methods
Subjects were Iowa Fluoride Study cohort children(mostly Caucasian and of relatively high socioeconomic status) with both primary and mixed dentition caries exams and at least 2 diet diaries recorded between 5 and 8 years old (N=198). Using surface-specific transitions, combined counts of new cavitated caries (d2-3f and/or D2-3F) were determined from 4 primary second molars, 8 permanent incisors, and 4 permanent molars. Food and beverage intake frequencies were abstracted. Other factors were assessed using periodic questionnaires. Logistic regression identified predictors of new cavitated caries.
Results
Thirty-seven percent had new cavitated caries. The mean new cavitated caries count for all children was 1.17 surfaces (±2.28 SD). In multivariable logistic regression, the following were significantly associated (P<.10) with having new cavitated caries: noncavitated caries experience at 5 years old (odds ratio [OR]=2.67, P=.03); cavitated caries experience at 5 years old (OR=3.39, P=.004); greater processed starch at snack frequency (OR=3.87, P=.07); being older (OR=1.68, P=.04); and less frequent tooth-brushing (P=.001).
Conclusion
Results suggested that increased tooth-brushing frequency and reduced consumption of processed starches as snacks may reduce caries incidence in younger school-aged children.
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Pubmed ID:21703076
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Pubmed Central ID:PMC3690298
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Funding:
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Volume:33
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Issue:3
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