Dentin caries risk indicators in 1-year-olds. A two year follow-up study.
BACKGROUND
Early childhood caries (ECC) risk factors are suspected to vary between regions with different caries prevalence.


OBJECTIVE
Identify ECC risk factors for 1-year-olds predicting dentin caries at 3 years of age in a region with low caries prevalence.


METHODS
Caries risk was assessed by dental hygienist or dental assistant in 779 one-year-olds. The oral mutans streptococci (MS) score was performed from a tooth surface or (in pre-dentate children) from oral mucosa. A parental questionnaire with questions regarding family factors (siblings with or without caries), general health, food habits (night meals, breastfeeding, other beverage than water), oral hygiene habits and emerged teeth were answered by parents of the 1-year-olds. Dentin caries was assessed when the children were 3-year-olds. Simple and multiple logistic regression analyses were used for identification of caries-associated factors.


RESULTS
An increased caries risk was assessed in 4.4% of the 1-year-olds. Dentin caries was found in 2.6% of the 3-year-olds. Caries risk at 1 year was associated with caries at 3 years (OR = 6.5, p = .002). Multiple regression analysis found the variables Beverages other than water (OR = 7.1, p < 0.001), Caries in sibling (OR = 4.8, p = .002), High level of MS (score 2-3) (OR = 3.4, p = .03) and Night meal (OR = 3.0, p = .03) to be associated with caries. The single variables Beverage other than water between meals and Caries in sibling were more reliable than Caries risk assessed performed by dental personnel.


CONCLUSIONS
Behavioural, family and microbial factors are important when assessing caries risk among 1-year-olds in a region with low caries experience.
a Västervik Public Dental Service, Kalmar County Council , Kalmar , Sweden.
Ann Ingemansson
AI
Hultquist
b Centre for Orthodontics and Paediatric Dentistry, Public Dental Service , Linköping , Sweden.|c Department of Medical and Health Sciences and Department of Clinical and Experimental Medicine , Linköping University , Linköping , Sweden.
Mats
M
Bågesund
D002675:Child, Preschool; D003731:Dental Caries / Q000453:epidemiology / Q000382:microbiology*; D003773:Dental Plaque / Q000453:epidemiology / Q000382:microbiology*; D005247:Feeding Behavior; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009055:Mouth / Q000382:microbiology*; D009910:Oral Hygiene / Q000706:statistics & numerical data*; D010290:Parents; D015995:Prevalence; D012307:Risk Factors; D013295:Streptococcus mutans / Q000302:isolation & purification; D013548:Sweden
Risk factors; children; dental caries