Caries increment in primary teeth from 3 to 6 years of age: a longitudinal study in Swedish children.
Eur Arch Paediatr Dent
; 15(3): 167-73, 2014 Jun.
Article
em En
| MEDLINE
| ID: mdl-24008371
ABSTRACT
AIM:
To longitudinally follow and analyse caries prevalence and development in primary dentition in Swedish preschool children from 3 to 6 years of age. STUDYDESIGN:
A longitudinal clinical study.METHODS:
Three hundred 3-year-old children in the Public Dental Service were consecutively included. The children underwent annual clinical examinations at 3, 4, 5 and 6 years of age, performed by four calibrated dentists in clinical settings. Initial (d1-2) and manifest (d3-5) lesions were registered at surface and tooth level. Radiographs were taken when indicated and possible. STATISTICS Chi-squared test was used for group comparisons. Friedman's test, Wilcoxon non-parametric test and logistic regression analyses explored caries development over the years.RESULTS:
The parents of 271 children agreed to their children participating in the study (total dropout rate at 6 years, 10.3%). At baseline, 27.3% of the children had carious lesions (d1-5 mean 0.98, SD ± 2.44), and only 50.6% of the children were totally caries-free at 6 years (d1-5 mean 1.88, SD ± 2.81). Initial carious lesions made up the greater share at all ages. The greater part of the caries increment occurred between 3 and 4 years of age (p < 0.001). Having initial and/or manifest carious lesions at 3 years of age was a significant explanatory factor for new lesions at 6 years of age (OR 2.29; 95% CI 1.58-3.31).CONCLUSION:
Children with an early caries experience had a high risk of further disease progression. Oral health promotion and prevention programmes should target small children and their carers.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Dente Decíduo
/
Índice CPO
/
Cárie Dentária
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Child
/
Child, preschool
/
Female
/
Humans
/
Male
País como assunto:
Europa
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article