title: Caries prevalence and patterns and their relationship to social class, infant feeding and oral hygiene in 4-5-year-old children in Amman, Jordan.
abstract: OBJECTIVE
  To investigate the relationship between social class, infant feeding, oral hygiene, and prevalence and patterns of caries in 4-5-year-old Jordanian children.
  
  
  METHODS
  Two-stage random sampling procedure was used to select children enrolled in kindergartens in Amman, Jordan. Clinical examinations were carried out by one examiner. Mothers completed questionnaires relating to social class, infant feeding and the oral hygiene habits of the children.
  
  
  RESULTS
  Sixty-seven per cent of the children had caries; 30% had the more extensive pattern involving molars and incisors. When the significant variables were taken into account, age, social class, sleeping with the mother, use of comforter and confectionery at bed/night time were shown to be independent risk factors for caries experience. Bottle-feeding at nap/bed/night time was associated with caries in incisors and caries in incisors and/or canines. Never being breast-fed, being breast-fed for more than 18 months, being breast-fed at nap/bed/night time showed a negative association with caries confined to molars although this showed a positive association with the more extensive pattern of the disease.
  
  
  CONCLUSIONS
  Education for mothers about appropriate breast and bottle-feeding practices should be considered in health promotion strategies.
authors.affiliation: University of Jordan.
authors.forename: A
authors.initials: A
authors.lastname: Sayegh
authors.forename: E L
authors.initials: EL
authors.lastname: Dini
authors.forename: R D
authors.initials: RD
authors.lastname: Holt
authors.forename: R
authors.initials: R
authors.lastname: Bedi
mesh_terms: D001903:Bottle Feeding / Q000009:adverse effects* / Q000191:economics / Q000706:statistics & numerical data*; D001942:Breast Feeding / Q000706:statistics & numerical data*; D016009:Chi-Square Distribution; D002675:Child, Preschool; D004245:DMF Index; D003731:Dental Caries / Q000453:epidemiology* / Q000209:etiology; D019422:Dietary Sucrose / Q000008:administration & dosage / Q000009:adverse effects; D005260:Female; D006267:Health Education, Dental; D006801:Humans; D007223:Infant; D007227:Infant Nutritional Physiological Phenomena; D007597:Jordan / Q000453:epidemiology; D016015:Logistic Models; D008297:Male; D009035:Mothers / Q000193:education; D015999:Multivariate Analysis; D041361:Pacifiers / Q000706:statistics & numerical data; D015995:Prevalence; D012494:Sampling Studies; D012923:Social Class; D011795:Surveys and Questionnaires; D014099:Toothbrushing / Q000706:statistics & numerical data
chemical_list: D019422:Dietary Sucrose