Journal article
Predicting Dental Caries in Young Children in Primary Health Care Settings
Journal of dental research, Vol.102(9), pp.988-998
08/2023
DOI: 10.1177/00220345231173585
PMCID: PMC10477774
PMID: 37329133
Abstract
Young children need increased access to dental prevention and care. Targeting high caries risk children first helps meet this need. The objective of this study was to develop a parent-completed, easy-to-score, short, accurate caries risk tool for screening in primary health care settings to identify children at increased risk for cavities. A longitudinal, prospective, multisite, cohort study enrolled (primarily through primary health care settings) and followed 985 (out of 1,326) 1-y-old children and their primary caregivers (PCGs) until age 4. The PCG completed a 52-item self-administered questionnaire, and children were examined using the International Caries Detection and Assessment Criteria (ICDAS) at 12 ± 3 mo (baseline), 30 ± 3 mo (80% retention), and 48 ± 3 mo of age (74% retention). Cavitated caries lesion (dmfs = decayed, missing, and filled surfaces; d = ICDAS ≥3) experience at 4 y of age was assessed and tested for associations with questionnaire items using generalized estimating equation models applied to logistic regression. Multivariable analysis used backward model selection, with a limit of 10 items. At age 4, 24% of children had cavitated-level caries experience; 49% were female; 14% were Hispanic, 41% were White, 33% were Black, 2% were other, and 10% were multiracial; 58% enrolled in Medicaid; and 95% lived in urban communities. The age 4 multivariable prediction model, using age 1 responses (area under the receiver operating characteristic curve = 0.73), included the following significant (
< 0.001) variables (odds ratios): child participating in public assistance programs such as Medicaid (1.74), being non-White (1.80-1.96), born premature (1.48), not born by caesarean section (1.28), snacking on sugary snacks (3 or more/d, 2.22; 1-2/d or weekly, 1.55), PCG cleaning the pacifier with juice/soda/honey or sweet drink (2.17), PCG daily sharing/tasting food with child using same spoon/fork/glass (1.32), PCG brushing their teeth less than daily (2.72), PCG's gums bleeding daily when brushing or PCG having no teeth (1.83-2.00), and PCG having cavities/fillings/extractions in past 2 y (1.55). A 10-item caries risk tool at age 1 shows good agreement with cavitated-level caries experience by age 4.
Details
- Title: Subtitle
- Predicting Dental Caries in Young Children in Primary Health Care Settings
- Creators
- M Fontana - University of MichiganG J Eckert - Indiana University – Purdue University IndianapolisB P Katz - Duke UniversityM A Keels - Duke UniversityB T Levy - University of IowaS M Levy - University of IowaA R Kemper - Nationwide Children's HospitalE Yanca - University of MichiganR Jackson - Indiana University – Purdue University IndianapolisJ Warren - University of IowaJ L Kolker - University of IowaJ M Daly - University of IowaS Kelly - Duke UniversityJ Talbert - University of IowaP McKnight - George Mason University
- Resource Type
- Journal article
- Publication Details
- Journal of dental research, Vol.102(9), pp.988-998
- DOI
- 10.1177/00220345231173585
- PMID
- 37329133
- PMCID
- PMC10477774
- NLM abbreviation
- J Dent Res
- ISSN
- 0022-0345
- eISSN
- 1544-0591
- Grant note
- DOI: 10.13039/100000072, name: National Institute of Dental and Craniofacial Research, award: U01 DE021412
- Language
- English
- Electronic publication date
- 06/16/2023
- Date published
- 08/2023
- Academic Unit
- Preventive and Community Dentistry; Epidemiology; Family and Community Medicine; Operative Dentistry
- Record Identifier
- 9984438759502771
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