title: [Relationship between first molar caries and eating and tooth brushing habits in elementary school children].
abstract: OBJECTIVE
  The aim of the present study was to elucidate the relationship between eating and tooth brushing habits in the second grade of elementary school with first molar caries in the third to sixth grades.
  
  
  METHODS
  Subjects were 130 students at one elementary school in the Tokai region who were in the second grade in 2002, for which eating and tooth-brushing habits were ascertained by a self-administered questionnaire survey. A follow-up survey was conducted based on the 2002 to 2006 school dental examination record and analyses were performed on data from 104 students without first molar dental caries in the second grade.
  
  
  RESULTS
  The incidences of first molar caries in the third grade were higher among students who ate cookies at least once daily or every 2 to 3 days, compared with those who ate cookies once a week or not at all in the second grade. Incidences were also higher among those whose daily frequency of tooth brushing was once or sometimes compared with twice or three times or more. Furthermore, the incidences of first molar caries in the fourth, fifth and sixth grades were higher among students who ate candy at least once daily or every 2 to 3 days, compared with those who ate candy once a week or not at all in the second grade.
  
  
  CONCLUSIONS
  The intake frequency of cookies was related to the first molar caries in the third grade, and of candy for that in the fourth to sixth grades. Moreover, first molar caries in the third grade were also related to the daily frequency of second-grade tooth brushing. These findings suggest the importance of measures encouraging lower-grade elementary students to establish and maintain habits of tooth brushing and of limiting consumption of sweets, such as cookies and candy, in order to prevent caries in their permanent teeth during elementary school.
authors.affiliation: Human-care Science, University of Tsukuba Graduate School of Comprehensive Human.
authors.forename: Aiko
authors.initials: A
authors.lastname: Fujiwara
authors.forename: Fumi
authors.initials: F
authors.lastname: Takeda
mesh_terms: D002648:Child; D003731:Dental Caries / Q000453:epidemiology*; D005247:Feeding Behavior; D006801:Humans; D008963:Molar; D014099:Toothbrushing / Q000706:statistics & numerical data*