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Early childhood caries and associated determinants: a cross-sectional study on Italian preschool children

Congiu, Giovanna and Campus, Guglielmo Giuseppe and Sale, Silvana and Spano, Giovanni and Cagetti, Maria Grazia and Lugliè, Pietrina Francesca (2014) Early childhood caries and associated determinants: a cross-sectional study on Italian preschool children. Journal of public health dentistry, Vol. 74 (2), p. 147-152. ISSN 0022-4006. eISSN 1752-7325. Article.

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DOI: 10.1111/jphd.12038

Abstract

Objectives This study evaluates the influence of several determinants on the presence of early childhood caries (ECC) in preschool children living in northern Sardinia, Italy. These determinants include the educational level and occupational status of the parents as a proxy for the socioeconomical level (SES) and behavioral factors (dietary and oral hygiene).
Methods An observational cross-sectional study was designed with a dental examination and a standardized questionnaire. Five hundred forty-four subjects (260 girls and 284 boys) were enrolled and categorized into two age groups: 359 children were aged 18-47 months and 185 children were aged 48-60 months.
Results The total caries prevalence was 15.99%. Caries risk increased with lower parents' educational level (P = 0.01), increased number of siblings (P< 0.01), the use of bottle feeding (P = 0.02), and the use of a sweetened baby's pacifier at night (P = 0.01). In robust multivariate analysis, a high parental educational level played a protective role on the presence of caries lesion [odds ratio (OR) = 0.51, 95% confidence interval (CI) 0.34-0.78]; the mother's being employed had a positive statistically significant association with the child having decayed, missing, filled tooth surfaces = 0 (OR = 0.64, 95% CI 0.23-0.97). The presence of more than one sibling in the family was associated with caries (OR = 1.70, 95% CI 1.20-2.40).
Conclusion ECC prevalence evaluated was similar to other western countries, and SES and behavioral habits influence the development of ECC.

Item Type:Article
ID Code:9948
Status:Published
Refereed:Yes
Uncontrolled Keywords:Dental caries, early childhood caries, socioeconomic status, background factors, public health
Subjects:Area 06 - Scienze mediche > MED/28 Malattie odontostomatologiche
Divisions:001 Università di Sassari > 01-a Nuovi Dipartimenti dal 2012 > Scienze Chirurgiche, Microchirurgiche e Mediche
ISSN:0022-4006
eISSN:1752-7325
Copyright Holders:© 2013 American Association of Public Health Dentistry
Deposited On:03 Jul 2014 12:02

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