Västervik Public Dental Service, Kalmar County Council, Kalmar, Sweden.
Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Acta Odontol Scand. 2021 Mar;79(2):103-111. doi: 10.1080/00016357.2020.1795247. Epub 2020 Jul 22.
The aim was to identify caries risk factors in 1-year-olds predicting dentine caries in 6-year-olds.
Caries risk assessment was performed in 804 one-year-olds. Their parents answered a questionnaire, regarding family factors, general health, food habits and oral hygiene. Clinical examinations and caries risk assessments at 1, 3 and 6 years of age were performed. Simple and multiple regression analyses were used for identification of caries-associated factors.
Caries risk was found in 5% of the 1-year-olds, and 12% of the 3-year-olds. Dentine caries was found in 3% of the 3-year-olds and in 16% of the 6-year-olds. Caries risk assessment was associated with caries at 6 years of age (OR = 5.1, < .001). Multiple logistic regression analysis found the following variables associated with caries at 6 years of age: Caries in sibling (OR = 2.1, = .012), Beverage other than water (OR = 2.1, < .001), Night meal (OR = 1.9, = .002), Presence of mutans streptococci (MS) (OR = 1.6, = .033) and Male gender (OR = 1.5, = .053). An overall caries risk assessment was more reliable than any single caries risk factor.
Caries risk assessment for 1-year-olds in a region with low caries prevalence has limited accuracy to predict dental caries at 6 years of age. Caries risk often changes over time and should be reassessed on a regularly basis. The presence of MS in 1-year-olds did not increase the prognostic accuracy at 6 years of age.
本研究旨在确定 1 岁幼儿的龋齿风险因素，以预测其 6 岁时的牙本质龋齿情况。
对 804 名 1 岁幼儿进行了龋齿风险评估。其父母回答了一份关于家庭因素、一般健康状况、饮食习惯和口腔卫生的问卷。在 1、3 和 6 岁时进行了临床检查和龋齿风险评估。采用简单和多元回归分析来确定与龋齿相关的因素。
5%的 1 岁儿童和 12%的 3 岁儿童存在龋齿风险。3 岁儿童中有 3%出现牙本质龋齿，6 岁儿童中有 16%出现牙本质龋齿。龋齿风险评估与 6 岁时的龋齿有关（OR=5.1，<0.001）。多元逻辑回归分析发现以下变量与 6 岁时的龋齿有关：兄弟姐妹中有龋齿（OR=2.1，=0.012）、除水以外的饮料（OR=2.1，<0.001）、夜餐（OR=1.9，=0.002）、变形链球菌（MS）存在（OR=1.6，=0.033）和男性性别（OR=1.5，=0.053）。总体龋齿风险评估比任何单一的龋齿风险因素都更可靠。
在低龋齿流行地区对 1 岁儿童进行龋齿风险评估，预测其 6 岁时的龋齿情况准确性有限。龋齿风险随时间而变化，应定期重新评估。1 岁儿童中 MS 的存在并不能提高 6 岁时的预后准确性。
