Hultquist Ann Ingemansson, Bågesund Mats
a Västervik Public Dental Service, Kalmar County Council , Kalmar , Sweden.
b Centre for Orthodontics and Paediatric Dentistry, Public Dental Service , Linköping , Sweden.
Acta Odontol Scand. 2016 Nov;74(8):613-619. doi: 10.1080/00016357.2016.1227085. Epub 2016 Sep 14.
Early childhood caries (ECC) risk factors are suspected to vary between regions with different caries prevalence.
Identify ECC risk factors for 1-year-olds predicting dentin caries at 3 years of age in a region with low caries prevalence.
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.
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.
Behavioural, family and microbial factors are important when assessing caries risk among 1-year-olds in a region with low caries experience.
儿童早期龋（ECC）的风险因素在龋病患病率不同的地区可能存在差异。
确定在龋病患病率较低地区，1岁儿童3岁时发生牙本质龋的ECC风险因素。
由口腔保健员或口腔助理对779名1岁儿童进行龋病风险评估。通过牙面或（在无牙儿童中）口腔黏膜进行口腔变形链球菌（MS）评分。1岁儿童的家长回答一份关于家庭因素（有或无龋病的兄弟姐妹）、一般健康状况、饮食习惯（夜餐、母乳喂养、除水以外的其他饮料）、口腔卫生习惯和已萌出牙的家长问卷。当儿童3岁时评估牙本质龋。采用单因素和多因素逻辑回归分析来确定与龋病相关的因素。
4.4%的1岁儿童被评估为龋病风险增加。2.6%的3岁儿童发现有牙本质龋。1岁时的龋病风险与3岁时的龋病相关（比值比[OR]=6.5，p=0.002）。多因素回归分析发现，除水以外的饮料（OR=7.1，p<0.001）、兄弟姐妹患龋（OR=4.8，p=0.002）、MS高水平（评分2 - 3）（OR=3.4，p=0.03）和夜餐（OR=3.0，p=0.03）与龋病相关。餐间除水以外的饮料和兄弟姐妹患龋这两个单一变量比牙科人员进行的龋病风险评估更可靠。
在龋病患病率较低的地区，评估1岁儿童的龋病风险时，行为、家庭和微生物因素很重要。
