Determinants of early childhood caries in a group of inner-city children.
OBJECTIVE
This study aimed to determine the prevalence of early childhood caries (ECC) and severe early childhood caries (s-ECC) in inner-city children in Ghent, Belgium, and to investigate the independent impact of its determinants.


METHODS
In a non-randomized cross-sectional research design, all children between 24 and 34 months of age attending the final consultation at a participating Child and Family Health Clinic were included (n = 385). Data on oral hygiene and caries were collected by oral examination. Caries prevalence and oral hygiene were determined according to established criteria. Data on oral health habits and socioeconomic status were obtained by a validated questionnaire. All analyses were performed with ECC and s-ECC as response variables.


RESULTS
The mean DMFS was 0.83 (SEM = 0.14). ECC was diagnosed in 18.5% of the children and s-ECC was found in 12.2%. Treatment need was 100%. From the multiple regression analysis it became clear that ethnicity and neighborhood significantly determined ECC. From all oral health-related behavioral variables, only daily use of a bottle with sweetened drinks other than milk or water, frequency of brushing, and quality of oral hygiene as expressed by Plaque Index scores remained significantly associated with ECC.


CONCLUSIONS
Children whose mothers had an Eastern European nationality at birth and who live in a deprived neighborhood, daily use a bottle with sweetened drinks other than milk or water, brush less than once a day, and have plaque are at higher risk for ECC and s-ECC.
Martens
Luc
L
Department of Pediatric Dentistry and Centre for Special Care (PaeCaMed), Ghent University, Belgium. luc.martens@ugent.be
Vanobbergen
Jacques
J
Willems
Sara
S
Aps
Johan
J
De Maeseneer
Jan
J
D001530:Belgium / Q000453:epidemiology; D001903:Bottle Feeding / Q000009:adverse effects / Q000706:statistics & numerical data; D016009:Chi-Square Distribution; D003731:Dental Caries / Q000453:epidemiology* / Q000209:etiology; D003773:Dental Plaque / Q000150:complications; D003774:Dental Plaque Index; D004037:Diet, Cariogenic; D005006:Ethnicity / Q000706:statistics & numerical data; D005061:Europe, Eastern / Q000208:ethnology; D006801:Humans; D016015:Logistic Models; D011204:Poverty Areas; D015995:Prevalence; D012307:Risk Factors; D012923:Social Class; D011795:Surveys and Questionnaires; D014099:Toothbrushing / Q000706:statistics & numerical data