[Oral health behaviour of children and adolescents in Germany. First results of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS)]. 2007

L Schenk, and H Knopf
Charité-Universitätsmedizin Berlin, BRD. liane.schenk@charite.de

Despite successful prevention and the possibility to directly control oral health by individual behaviour, children are still affected by caries. Aim of this article is to determine the prevalence and the social factors influencing selected aspects of oral health behaviour based on data of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). Over a period of three years, 17,641 children and adolescents aged 0 to 17 years - a representative sample for Germany - were examined in the nationwide KiGGS study. Based on a written survey and a medical interview, data on oral health behaviour were also collected. 29 % of the surveyed children and adolescents brushed their teeth only once daily or less frequently. This type of teeth brushing behaviour shows a social status gradient (low: 39 %, middle: 28 %, high: 22 %) and is more frequently found in children with a migration background (45 %) than in those without a migration background (26 %). Differences were also found between girls and boys (girls: 25 %; boys: 33 %). In only 8 % of cases, parents stated that their children have a dental check-up less than once a year. However, this information substantially differs from the actual visits to dentists. Here again, differences regarding social status (low: 12 %; high: 6 %) and migration status (migrants: 16 %; non-migrants: 6 %) were found. According to the parents, 43 % of the 0-to-2-year-olds and 7 % of the 3-to-6-year-olds use pharmaceutical preparations for caries prevention. Relevant differences were found between migrants (5 %) and non-migrants (8 %). These results show that there is primarily a need for social status-specific and culture-specific prevention. To identify starting points for effectively offering preventative measures, a systematic study into the factors causing these behavioural differences is needed.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D008297 Male Males
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D003729 Dental Care The total of dental diagnostic, preventive, and restorative services provided to meet the needs of a patient (from Illustrated Dictionary of Dentistry, 1982). Care, Dental
D003731 Dental Caries Localized destruction of the tooth surface initiated by decalcification of the enamel followed by enzymatic lysis of organic structures and leading to cavity formation. If left unchecked, the cavity may penetrate the enamel and dentin and reach the pulp. Caries, Dental,Carious Lesions,Dental Cavities,Dental Cavity,Dental Decay,Dental White Spots,Carious Dentin,Decay, Dental,Dental White Spot,White Spot, Dental,White Spots, Dental,Carious Dentins,Carious Lesion,Cavities, Dental,Cavity, Dental,Dentin, Carious,Dentins, Carious,Lesion, Carious,Lesions, Carious,Spot, Dental White,Spots, Dental White
D003753 Dental Health Surveys A systematic collection of factual data pertaining to dental or oral health and disease in a human population within a given geographic area. Dental Health Survey,Health Survey, Dental,Health Surveys, Dental,Survey, Dental Health,Surveys, Dental Health
D004245 DMF Index "Decayed, missing and filled teeth," a routinely used statistical concept in dentistry. Decayed, Missing, and Filled Teeth,DMF Indexes,DMF Indexe,DMF Indices,Index, DMF,Indexe, DMF,Indexes, DMF,Indices, DMF
D004641 Emigration and Immigration The process of leaving one's country to establish residence in a foreign country. Immigration,Labor Migration,Border Crossing,Chain Migration,Emigration,In-Migration,International Migration,Out-Migration,Return Migration,Settlement and Resettlement,Temporary Migration,Turnaround Migration,Border Crossings,Chain Migrations,Crossing, Border,Crossings, Border,Emigrations,Immigration and Emigration,Immigrations,In Migration,In-Migrations,International Migrations,Labor Migrations,Migration, Chain,Migration, International,Migration, Labor,Migration, Return,Migration, Temporary,Migration, Turnaround,Migrations, Chain,Migrations, International,Migrations, Labor,Migrations, Return,Migrations, Temporary,Migrations, Turnaround,Out Migration,Out-Migrations,Resettlement and Settlement,Return Migrations,Temporary Migrations,Turnaround Migrations
D005260 Female Females

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