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Caries in adolescence - influence from early childhood
Kärnsjukhuset, Specialistklinken Pedodonti, Dept Paediat Dent, SE-54185 Skövde, Sweden.
Jönköping University, School of Health Science, HHJ. Oral health.
Inst Postgrad Dent Educ, Dept Paediat Dent, Jönköping, Sweden.
Gothenburg Univ, Dept Cardiol, Sahlgrenska Acad, Gothenburg, Sweden.
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2012 (English)In: Community Dentistry and Oral Epidemiology, ISSN 0301-5661, E-ISSN 1600-0528, Vol. 40, no 2, p. 125-133Article in journal (Refereed) Published
Abstract [en]

Objective: To analyse the relationship between caries determinants in early childhood and caries prevalence in proximal surfaces in adolescents at the age of 15 years. Methods: The present longitudinal study is part of a series of surveys of oral health in 671 children followed from 1 to 15 years of age. Data were selected from examinations, interviews and questionnaires at 1, 3 and 6 years and bitewing radiographs at 15 years of age. Uni- and multivariable logistic regression analyses were performed to identify caries-related determinants. The outcome variable was carious lesions and fillings (DFa) in approximal tooth surfaces at 15 years of age. Statistical comparisons were made between caries-free teenagers, DFa = 0 and teenagers with DFa > 0, DFa 4 and DFa 8, respectively. Results: In the final logistic regression analyses, caries experience at 6 years and mother's self-estimation of her oral health care as being less good to poor remained statistically significant and were related to caries in all three caries groups (i.e. DF > 0, 4 and 8) at 15 years of age. The consumption of sweets at 1 year remained statistically significant, with a caries experience of DF 4 and 8. The variables 'parents born abroad' and female gender were statistically significantly associated with DFa 4 and DFa 8, respectively. Furthermore, infrequent toothbrushing habits at 3 years of age and failure to attend the examination at 1 year were statistically significantly associated with caries at 15 years in the univariable analyses. Conclusion: Early caries experience, consumption of sweets at an early age and mother's self-estimation of her oral health care as being less good to poor are associated with approximal caries in adolescents. The study indicates that caries determinants identified during early childhood have a strong impact on approximal caries in adolescence.

Place, publisher, year, edition, pages
2012. Vol. 40, no 2, p. 125-133
Keywords [en]
adolescents, approximal caries, early childhood, oral hygiene, sweets
National Category
Dentistry
Identifiers
URN: urn:nbn:se:hj:diva-22026DOI: 10.1111/j.1600-0528.2011.00647.xISI: 000301570900004OAI: oai:DiVA.org:hj-22026DiVA, id: diva2:651015
Available from: 2013-09-24 Created: 2013-09-24 Last updated: 2017-12-06Bibliographically approved

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