High caries prevalence and risk factors among young preschool children in an urban community with water fluoridation
Identifieur interne : 001396 ( Istex/Corpus ); précédent : 001395; suivant : 001397High caries prevalence and risk factors among young preschool children in an urban community with water fluoridation
Auteurs : Catherine H. L. Hong ; Robert A. Bagramian ; S. M. Hashim Nainar ; Lloyd H. Straffon ; Liang Shen ; Chin-Ying S. HsuSource :
- International Journal of Paediatric Dentistry [ 0960-7439 ] ; 2014-01.
Abstract
Singapore is unique in that it is a 100% urban community with majority of the population living in a homogeneous physical environment. She, however, has diverse ethnicities and cultures as such; there may be caries risk factors that are unique to this population.
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DOI: 10.1111/ipd.12023
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L. Hong</name><affiliation><mods:affiliation>Discipline of Orthodontics and Paediatric Dentistry, Faculty of Dentistry, National University of Singapore, Singapore</mods:affiliation></affiliation><affiliation><mods:affiliation>:Catherine H. L. Hong, Discipline of Orthodontics and Pediatric Dentistry, Faculty of Dentistry, National University of Singapore, 5 Lower Kent Ridge Road, Singapore 11907, Singapore. E‐mail:</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: denchhl@nus.edu.sg</mods:affiliation></affiliation></author><author><name sortKey="Bagramian, Robert A" sort="Bagramian, Robert A" uniqKey="Bagramian R" first="Robert A." last="Bagramian">Robert A. Bagramian</name><affiliation><mods:affiliation>Department of Periodontics and Oral Medicine, School of Dentistry, The University of Michigan, MI, Ann Arbor, USA</mods:affiliation></affiliation></author><author><name sortKey="Hashim Nainar, S M" sort="Hashim Nainar, S M" uniqKey="Hashim Nainar S" first="S. M." last="Hashim Nainar">S. M. Hashim Nainar</name><affiliation><mods:affiliation>Division of Pediatric Dentistry, Faculty of Dentistry, The University of Toronto, ON, Toronto, Canada</mods:affiliation></affiliation></author><author><name sortKey="Straffon, Lloyd H" sort="Straffon, Lloyd H" uniqKey="Straffon L" first="Lloyd H." last="Straffon">Lloyd H. Straffon</name><affiliation><mods:affiliation>Department of Orthodontics and Pediatric Dentistry, School of Dentistry, The University of Michigan, MI, Ann Arbor, USA</mods:affiliation></affiliation></author><author><name sortKey="Shen, Liang" sort="Shen, Liang" uniqKey="Shen L" first="Liang" last="Shen">Liang Shen</name><affiliation><mods:affiliation>Department of Biostatistics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore</mods:affiliation></affiliation></author><author><name sortKey="Hsu, Chin Ing S" sort="Hsu, Chin Ing S" uniqKey="Hsu C" first="Chin-Ying S." last="Hsu">Chin-Ying S. Hsu</name><affiliation><mods:affiliation>Discipline of Oral Sciences, Faculty of Dentistry, National University of Singapore, Singapore</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">International Journal of Paediatric Dentistry</title><title level="j" type="alt">INTERNATIONAL JOURNAL OF PAEDIATRIC DENTISTRY</title><idno type="ISSN">0960-7439</idno><idno type="eISSN">1365-263X</idno><imprint><biblScope unit="vol">24</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="32">32</biblScope><biblScope unit="page" to="42">42</biblScope><biblScope unit="page-count">11</biblScope><date type="published" when="2014-01">2014-01</date></imprint><idno type="ISSN">0960-7439</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0960-7439</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract">Singapore is unique in that it is a 100% urban community with majority of the population living in a homogeneous physical environment. 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L.</forename><surname>Hong</surname></persName><affiliation><orgName>Discipline of Orthodontics and Paediatric Dentistry</orgName><orgName>Faculty of Dentistry</orgName><orgName>National University of Singapore</orgName><address><country key="SG">Singapore</country></address></affiliation><affiliation>Correspondence to: Catherine H. L. Hong, Discipline of Orthodontics and Pediatric Dentistry, Faculty of Dentistry, National University of Singapore, 5 Lower Kent Ridge Road, Singapore 11907, Singapore. E‐mail: denchhl@nus.edu.sg</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Robert A.</forename><surname>Bagramian</surname></persName><affiliation><orgName>Department of Periodontics and Oral Medicine</orgName><orgName>School of Dentistry</orgName><orgName>The University of Michigan</orgName><address><settlement type="city">Ann Arbor</settlement><region>MI</region><country key="SG">USA</country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">S. M.</forename><surname>Hashim Nainar</surname></persName><affiliation><orgName>Division of Pediatric Dentistry</orgName><orgName>Faculty of Dentistry</orgName><orgName>The University of Toronto</orgName><address><settlement type="city">Toronto</settlement><region>ON</region><country key="SG">Canada</country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Lloyd H.</forename><surname>Straffon</surname></persName><affiliation><orgName>Department of Orthodontics and Pediatric Dentistry</orgName><orgName>School of Dentistry</orgName><orgName>The University of Michigan</orgName><address><settlement type="city">Ann Arbor</settlement><region>MI</region><country key="SG">USA</country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">Liang</forename><surname>Shen</surname></persName><affiliation><orgName>Department of Biostatistics</orgName><orgName>Yong Loo Lin School of Medicine</orgName><orgName>National University of Singapore</orgName><address><country key="SG">Singapore</country></address></affiliation></author><author xml:id="author-0005"><persName><forename type="first">Chin‐Ying S.</forename><surname>Hsu</surname></persName><affiliation><orgName>Discipline of Oral Sciences</orgName><orgName>Faculty of Dentistry</orgName><orgName>National University of Singapore</orgName><address><country key="SG">Singapore</country></address></affiliation></author><idno type="istex">28CFFE6C9162CA6BF8633BDC5C021A25AABD4260</idno><idno type="ark">ark:/67375/WNG-T2ZGHKF6-2</idno><idno type="DOI">10.1111/ipd.12023</idno><idno type="unit">IPD12023</idno><idno type="toTypesetVersion">file:IPD.IPD12023.pdf</idno></analytic><monogr><title level="j" type="main">International Journal of Paediatric Dentistry</title><title level="j" type="alt">INTERNATIONAL JOURNAL OF PAEDIATRIC DENTISTRY</title><idno type="pISSN">0960-7439</idno><idno type="eISSN">1365-263X</idno><idno type="book-DOI">10.1111/(ISSN)1365-263X</idno><idno type="book-part-DOI">10.1111/ipd.2013.24.issue-1</idno><idno type="product">IPD</idno><imprint><biblScope unit="vol">24</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="32">32</biblScope><biblScope unit="page" to="42">42</biblScope><biblScope unit="page-count">11</biblScope><date type="published" when="2014-01"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract style="main" xml:id="ipd12023-abs-0001">
Background
<p>Singapore is unique in that it is a 100% urban community with majority of the population living in a homogeneous physical environment. She, however, has diverse ethnicities and cultures as such; there may be caries risk factors that are unique to this population.</p>
Aim
<p>The aims were to assess the oral health of preschool children and to identify the associated caries risk factors.</p>
Design
<p>An oral examination and a questionnaire were completed for each consenting child–parent pair.</p>
Results
<p>One hundred and ninety children (mean age: 36.3 ± 6.9 months) were recruited from six community medical clinics. Ninety‐two children (48.4%) were caries active. The mean d<hi rend="subscript">123</hi>t and d<hi rend="subscript">123</hi>s scores were 2.2 ± 3.3 and 3.0 ± 5.6, respectively. Higher plaque scores were significantly (<hi rend="italic">P</hi> < 0.0005) associated with all measures of decay (presence of decay, dt, ds). The risk factors for severity of decay (i.e., dt and ds) include child's age, breastfeeding duration, and parents' ability to withhold cariogenic snacks from their child.</p>
Conclusions
<p>The high caries rate suggests that current preventive methods to reduce caries in Singapore may have reached their maximum effectiveness, and other risk factors such as child's race, and dietary and breastfeeding habits need to be addressed.</p></abstract><textClass><keywords rend="articleCategory"><term>Original Article</term></keywords><keywords rend="tocHeading1"><term>Original Articles</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component type="serialArticle" version="2.0" xml:id="ipd12023" xml:lang="en"><header><publicationMeta level="product"><doi origin="wiley" registered="yes">10.1111/(ISSN)1365-263X</doi><issn type="print">0960-7439</issn><issn type="electronic">1365-263X</issn><idGroup><id type="product" value="IPD"></id></idGroup><titleGroup><title sort="INTERNATIONAL JOURNAL OF PAEDIATRIC DENTISTRY" type="main">International Journal of Paediatric Dentistry</title><title type="short">Int J Paediatr Dent</title></titleGroup></publicationMeta><publicationMeta level="part" position="10"><doi origin="wiley">10.1111/ipd.2013.24.issue-1</doi><copyright ownership="publisher">International Journal of Paediatric Dentistry © 2014 BSPD, IAPD and John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</copyright><numberingGroup><numbering type="journalVolume" number="24">24</numbering><numbering type="journalIssue">1</numbering></numberingGroup><coverDate startDate="2014-01">January 2014</coverDate></publicationMeta><publicationMeta level="unit" position="50" status="forIssue" type="article"><doi>10.1111/ipd.12023</doi><idGroup><id type="unit" value="IPD12023"></id></idGroup><countGroup><count number="11" type="pageTotal"></count></countGroup><titleGroup><title type="articleCategory">Original Article</title><title type="tocHeading1">Original Articles</title></titleGroup><copyright ownership="joint">© 2013 John Wiley & Sons Ltd, BSPD and IAPD</copyright><eventGroup><event agent="SPS" date="2013-01-17" type="xmlCreated"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.2.7 mode:FullText" date="2013-12-06"></event><event type="publishedOnlineEarlyUnpaginated" date="2013-02-04"></event><event type="firstOnline" date="2013-02-04"></event><event type="publishedOnlineFinalForm" date="2013-12-06"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.6.4 mode:FullText" date="2015-10-08"></event></eventGroup><numberingGroup><numbering type="pageFirst">32</numbering><numbering type="pageLast">42</numbering></numberingGroup><correspondenceTo><lineatedText><line><i>Correspondence to</i>:
</line><line>Catherine H. L. Hong, Discipline of Orthodontics and Pediatric Dentistry, Faculty of Dentistry, National University of Singapore, 5 Lower Kent Ridge Road, Singapore 11907, Singapore. E‐mail: <email>denchhl@nus.edu.sg</email></line></lineatedText></correspondenceTo><selfCitationGroup><citation type="self" xml:id="ipd12023-cit-1001"><journalTitle>International Journal of Paediatric Dentistry</journalTitle> <pubYear year="2013">2013</pubYear>; <vol>00</vol>: <pageFirst>000</pageFirst>–<pageLast>000</pageLast></citation></selfCitationGroup><linkGroup><link type="toTypesetVersion" href="file:IPD.IPD12023.pdf"></link></linkGroup></publicationMeta><contentMeta><titleGroup><title type="main">High caries prevalence and risk factors among young preschool children in an urban community with water fluoridation</title><title type="shortAuthors"><i>C. H. L. Hong</i> et al.</title></titleGroup><creators><creator affiliationRef="#ipd12023-aff-0001" corresponding="yes" creatorRole="author" xml:id="ipd12023-cr-0001"><personName><givenNames>Catherine H. L.</givenNames> <familyName>Hong</familyName></personName></creator><creator affiliationRef="#ipd12023-aff-0002" creatorRole="author" xml:id="ipd12023-cr-0002"><personName><givenNames>Robert A.</givenNames> <familyName>Bagramian</familyName></personName></creator><creator affiliationRef="#ipd12023-aff-0003" creatorRole="author" xml:id="ipd12023-cr-0003"><personName><givenNames>S. M.</givenNames> <familyName>Hashim Nainar</familyName></personName></creator><creator affiliationRef="#ipd12023-aff-0004" creatorRole="author" xml:id="ipd12023-cr-0004"><personName><givenNames>Lloyd H.</givenNames> <familyName>Straffon</familyName></personName></creator><creator affiliationRef="#ipd12023-aff-0005" creatorRole="author" xml:id="ipd12023-cr-0005"><personName><givenNames>Liang</givenNames> <familyName>Shen</familyName></personName></creator><creator affiliationRef="#ipd12023-aff-0006" creatorRole="author" xml:id="ipd12023-cr-0006"><personName><givenNames>Chin‐Ying S.</givenNames> <familyName>Hsu</familyName></personName></creator></creators><affiliationGroup><affiliation countryCode="SG" type="organization" xml:id="ipd12023-aff-0001"><orgDiv>Discipline of Orthodontics and Paediatric Dentistry</orgDiv> <orgDiv>Faculty of Dentistry</orgDiv> <orgName>National University of Singapore</orgName> <address><country>Singapore</country></address></affiliation><affiliation countryCode="SG" type="organization" xml:id="ipd12023-aff-0002"><orgDiv>Department of Periodontics and Oral Medicine</orgDiv> <orgName>School of Dentistry</orgName> <orgName>The University of Michigan</orgName> <address><city>Ann Arbor</city> <countryPart>MI</countryPart> <country>USA</country></address></affiliation><affiliation countryCode="SG" type="organization" xml:id="ipd12023-aff-0003"><orgDiv>Division of Pediatric Dentistry</orgDiv> <orgDiv>Faculty of Dentistry</orgDiv> <orgName>The University of Toronto</orgName> <address><city>Toronto</city> <countryPart>ON</countryPart> <country>Canada</country></address></affiliation><affiliation countryCode="SG" type="organization" xml:id="ipd12023-aff-0004"><orgDiv>Department of Orthodontics and Pediatric Dentistry</orgDiv> <orgName>School of Dentistry</orgName> <orgName>The University of Michigan</orgName> <address><city>Ann Arbor</city> <countryPart>MI</countryPart> <country>USA</country></address></affiliation><affiliation countryCode="SG" type="organization" xml:id="ipd12023-aff-0005"><orgDiv>Department of Biostatistics</orgDiv> <orgName>Yong Loo Lin School of Medicine</orgName> <orgName>National University of Singapore</orgName> <address><country>Singapore</country></address></affiliation><affiliation countryCode="SG" type="organization" xml:id="ipd12023-aff-0006"><orgDiv>Discipline of Oral Sciences</orgDiv> <orgDiv>Faculty of Dentistry</orgDiv> <orgName>National University of Singapore</orgName> <address><country>Singapore</country></address></affiliation></affiliationGroup><abstractGroup><abstract type="main" xml:id="ipd12023-abs-0001"><section xml:id="ipd12023-sec-0001"><title type="main">Background</title><p>Singapore is unique in that it is a 100% urban community with majority of the population living in a homogeneous physical environment. She, however, has diverse ethnicities and cultures as such; there may be caries risk factors that are unique to this population.</p></section><section xml:id="ipd12023-sec-0002"><title type="main">Aim</title><p>The aims were to assess the oral health of preschool children and to identify the associated caries risk factors.</p></section><section xml:id="ipd12023-sec-0003"><title type="main">Design</title><p>An oral examination and a questionnaire were completed for each consenting child–parent pair.</p></section><section xml:id="ipd12023-sec-0004"><title type="main">Results</title><p>One hundred and ninety children (mean age: 36.3 ± 6.9 months) were recruited from six community medical clinics. Ninety‐two children (48.4%) were caries active. The mean d<sub>123</sub>t and d<sub>123</sub>s scores were 2.2 ± 3.3 and 3.0 ± 5.6, respectively. Higher plaque scores were significantly (<i>P</i> < 0.0005) associated with all measures of decay (presence of decay, dt, ds). The risk factors for severity of decay (i.e., dt and ds) include child's age, breastfeeding duration, and parents' ability to withhold cariogenic snacks from their child.</p></section><section xml:id="ipd12023-sec-0005"><title type="main">Conclusions</title><p>The high caries rate suggests that current preventive methods to reduce caries in Singapore may have reached their maximum effectiveness, and other risk factors such as child's race, and dietary and breastfeeding habits need to be addressed.</p></section></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>High caries prevalence and risk factors among young preschool children in an urban community with water fluoridation</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>High caries prevalence and risk factors among young preschool children in an urban community with water fluoridation</title></titleInfo><name type="personal"><namePart type="given">Catherine H. L.</namePart><namePart type="family">Hong</namePart><affiliation>Discipline of Orthodontics and Paediatric Dentistry, Faculty of Dentistry, National University of Singapore, Singapore</affiliation><affiliation>:Catherine H. L. Hong, Discipline of Orthodontics and Pediatric Dentistry, Faculty of Dentistry, National University of Singapore, 5 Lower Kent Ridge Road, Singapore 11907, Singapore. E‐mail:</affiliation><affiliation>E-mail: denchhl@nus.edu.sg</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Robert A.</namePart><namePart type="family">Bagramian</namePart><affiliation>Department of Periodontics and Oral Medicine, School of Dentistry, The University of Michigan, MI, Ann Arbor, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">S. M.</namePart><namePart type="family">Hashim Nainar</namePart><affiliation>Division of Pediatric Dentistry, Faculty of Dentistry, The University of Toronto, ON, Toronto, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Lloyd H.</namePart><namePart type="family">Straffon</namePart><affiliation>Department of Orthodontics and Pediatric Dentistry, School of Dentistry, The University of Michigan, MI, Ann Arbor, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Liang</namePart><namePart type="family">Shen</namePart><affiliation>Department of Biostatistics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Chin‐Ying S.</namePart><namePart type="family">Hsu</namePart><affiliation>Discipline of Oral Sciences, Faculty of Dentistry, National University of Singapore, Singapore</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><dateIssued encoding="w3cdtf">2014-01</dateIssued><dateCreated encoding="w3cdtf">2013-01-17</dateCreated><edition>International Journal of Paediatric Dentistry 2013; 00: 000–000</edition><copyrightDate encoding="w3cdtf">2014</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract>Singapore is unique in that it is a 100% urban community with majority of the population living in a homogeneous physical environment. She, however, has diverse ethnicities and cultures as such; there may be caries risk factors that are unique to this population.</abstract><abstract>The aims were to assess the oral health of preschool children and to identify the associated caries risk factors.</abstract><abstract>An oral examination and a questionnaire were completed for each consenting child–parent pair.</abstract><abstract>One hundred and ninety children (mean age: 36.3 ± 6.9 months) were recruited from six community medical clinics. Ninety‐two children (48.4%) were caries active. The mean d123t and d123s scores were 2.2 ± 3.3 and 3.0 ± 5.6, respectively. Higher plaque scores were significantly (P < 0.0005) associated with all measures of decay (presence of decay, dt, ds). The risk factors for severity of decay (i.e., dt and ds) include child's age, breastfeeding duration, and parents' ability to withhold cariogenic snacks from their child.</abstract><abstract>The high caries rate suggests that current preventive methods to reduce caries in Singapore may have reached their maximum effectiveness, and other risk factors such as child's race, and dietary and breastfeeding habits need to be addressed.</abstract><relatedItem type="host"><titleInfo><title>International Journal of Paediatric Dentistry</title></titleInfo><titleInfo type="abbreviated"><title>Int J Paediatr Dent</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>article-category</genre><topic>Original Article</topic></subject><identifier type="ISSN">0960-7439</identifier><identifier type="eISSN">1365-263X</identifier><identifier type="DOI">10.1111/(ISSN)1365-263X</identifier><identifier type="PublisherID">IPD</identifier><part><date>2014</date><detail type="volume"><caption>vol.</caption><number>24</number></detail><detail type="issue"><caption>no.</caption><number>1</number></detail><extent unit="pages"><start>32</start><end>42</end><total>11</total></extent></part></relatedItem><identifier type="istex">28CFFE6C9162CA6BF8633BDC5C021A25AABD4260</identifier><identifier type="ark">ark:/67375/WNG-T2ZGHKF6-2</identifier><identifier type="DOI">10.1111/ipd.12023</identifier><identifier type="ArticleID">IPD12023</identifier><accessCondition type="use and reproduction" contentType="copyright">International Journal of Paediatric Dentistry © 2014 BSPD, IAPD and John Wiley & Sons A/S. Published by John Wiley & Sons Ltd© 2013 John Wiley & Sons Ltd, BSPD and IAPD</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/28CFFE6C9162CA6BF8633BDC5C021A25AABD4260/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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