ArticleBMC oral health2020
Assessment of risk factors for early childhood caries at different ages in Shandong, China and reflections on oral health education: a cross-sectional study.
Article in BMC oral health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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12 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- Association Between theGenetic testing and molecular biomarkers · 2021Pooled it
- Effectiveness of online caries management platform in children's caries prevention: A randomized controlled trial.Frontiers in public health · 2023Trial
- The prevalence and associated factors of early childhood caries in 3- to 5-year-old children in Shaanxi Province, China: a cross-sectional study.Frontiers in oral health · 2026Article
- Burden and Predictions of Untreated Caries in China, 1990-2039: A Systematic Analysis for the Global Burden of Disease Study 2019.Clinical and experimental dental research · 2025Article
- Cross-sectional survey on dental caries among preschool children in Guangzhou city in 2022.BMJ open · 2025Article
- Parental health belief model constructs associated with oral health behaviors, dental caries, and quality of life among preschool children in China: a cross-sectional study.BMC oral health · 2024Article
- Every bite counts to achieve oral health: a scoping review on diet and oral health preventive practices.International journal for equity in health · 2024Article
- Relationship of dietary nutrients with early childhood caries and caries activity among children aged 3-5 years-a cross-sectional study.BMC pediatrics · 2024Article
- Can oral health care be a gateway to improve cardiovascular disease? A scoping review.Frontiers in oral health · 2024Article
- Early predictors of childhood caries among 4-year-old children: a population-based study in north-eastern France.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2021Observational
- Oral health and caries/gingivitis-associated factors of adolescents aged 12-15 in Shandong province, China: a cross-sectional Oral Health Survey.BMC oral health · 2021Article
- Dental pain associated with untreated dental caries and sociodemographic factors in 5-year-old children.Journal of clinical and experimental dentistry · 2021Article
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8 authors at 2 institutions in 1 country.
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Abstract
backgroundThe high prevalence of early childhood caries (ECC) is widespread around the world, and oral health education (OHE) plays a vital role in preventing ECC. Numerous studies on ECC risk factor assessment have assisted us in enriching the content of OHE. The objective of this study was to further assess independent risk factors for ECC at different ages to provide evidence and insights for OHE.
methodsChildren aged 3-5 years old (N = 1301) in Shandong Province were enrolled in this cross-sectional study. Data about oral health status and caregivers' oral health knowledge, attitude, and practice (KAP) were extracted from the 4th National Oral Health Survey of China. The associations between ECC prevalence and various KAP variables were tested with chi-square tests, bivariate analysis and multivariable logistic regression analyses.
resultsThe ECC prevalence in Shandong Province was 64.6%, and the dmft mean was 3.15. The independent variables with an increased risk for ECC were age, feeding method within 6 months of birth, bedtime sugar frequency, experience of toothache over the past year and dental visits (P < 0.05, chi-square tests). Complete breastfeeding within 6 months of birth primarily contributed to the high ECC risk of the 3-year-old group (OR: 3.39, 95% CI: 1.41-8.17), while high frequency bedtime sweet consumption mainly contributed to that of the 5-year-old group (OR: 3.22, 95% CI: 1.03-10.06; logistic regression analysis). Tooth brushing was not associated with ECC in this study, and some positive knowledge and attitude variables were positively correlated with a high risk of ECC.
conclusionThese data provide evidence to suggest that the ECC-related risk factors at different ages are inconsistent, which provides some insights for OHE. We should highlight the effects of feeding methods in the early stages of deciduous dentition and sugar habits in the late stages of deciduous dentition on ECC, as well as encourage preventive dental visit and supplemental training for oral health practices.
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