Risk factors for caries in children from south-western Nigeria. 2008

Morenike Folayan, and Ayomide Sowole, and Aderonke Kola-Jebutu
Department of Child Dental Health, Obafemi Awolowo University, Ile-Ife. toyinukpong@yahoo.co.uk

OBJECTIVE The objective of this study was to understand the relationship between relevant socio-economic, biological and behavioral indicators and dental caries experience of Nigerian children. METHODS A cross sectional study design was utilized. The study population consisted of children who visited two Child Dental Health Clinics in South Western Nigeria. Information collected include demographic data, feeding practices, dietary habit, use of medications and daily frequency of tooth brushing. The number of decayed, filled and missing teeth (dmft/DMFT) was noted for children with caries. A stepwise logistic regression analysis was carried to select the best predictor for the presence of caries and for high caries levels (a dmft/DMFT greater than 3). RESULTS The only predictor for caries was age with the possibility of having caries being 0.89 (11% reduced odds) for every year increase in age (95% CI 0.82 to 0.97) p = 0.008. However, the predictor for a high caries level was age and gender; the odds of having a dmft/DMFT equal to or higher than 3 was 0.80 (20% reduced odds) for every year increase in age (95% CI 0.72 to 0.88) p < 0.001 and 0.57 (43% reduced odds) for every female child (95% CI 0.33 to 0.98) p= 0.04 compared to a male child. CONCLUSIONS Children from this study population who consumed sugar once a day are at risk of developing caries. Also, male children whose daily consumption of sugar was equal to or greater than three times daily, were at risk for having a dmft/DMFT higher than 3.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D008297 Male Males
D009549 Nigeria A republic in western Africa, south of NIGER between BENIN and CAMEROON. Its capital is Abuja. Federal Republic of Nigeria
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
D003430 Cross-Sectional Studies Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time. Disease Frequency Surveys,Prevalence Studies,Analysis, Cross-Sectional,Cross Sectional Analysis,Cross-Sectional Survey,Surveys, Disease Frequency,Analyses, Cross Sectional,Analyses, Cross-Sectional,Analysis, Cross Sectional,Cross Sectional Analyses,Cross Sectional Studies,Cross Sectional Survey,Cross-Sectional Analyses,Cross-Sectional Analysis,Cross-Sectional Study,Cross-Sectional Surveys,Disease Frequency Survey,Prevalence Study,Studies, Cross-Sectional,Studies, Prevalence,Study, Cross-Sectional,Study, Prevalence,Survey, Cross-Sectional,Survey, Disease Frequency,Surveys, Cross-Sectional
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
D004037 Diet, Cariogenic A consistent pattern of food and drink consumption that contributes to the development and advancement of DENTAL CARIES. Cariogenic Diet,Cariogenic Diets,Diets, Cariogenic
D004040 Dietary Carbohydrates Carbohydrates present in food comprising digestible sugars and starches and indigestible cellulose and other dietary fibers. The former are the major source of energy. The sugars are in beet and cane sugar, fruits, honey, sweet corn, corn syrup, milk and milk products, etc.; the starches are in cereal grains, legumes (FABACEAE), tubers, etc. (From Claudio & Lagua, Nutrition and Diet Therapy Dictionary, 3d ed, p32, p277) Carbohydrates, Dietary,Carbohydrate, Dietary,Dietary Carbohydrate
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

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