TY - JOUR

T1 - Tooth brushing habits and prevalence of early childhood caries

T2 - a prospective cohort study

AU - Boustedt, K.

AU - Dahlgren, J.

AU - Twetman, S.

AU - Roswall, J.

PY - 2020

Y1 - 2020

N2 - Purpose: To study the relationship between the tooth-brushing habits during the preschool ages and caries prevalence at the age of 5 years and to investigate a possible association with the mode of delivery. Methods: The study population consisted of 336 children that were orally examined at 2, 3 and 5 years. All stages of caries were scored on tooth and surface level. Data on tooth brushing behaviour were collected through semi-structured interviews. Results: At 5 years, the attrition rate was 13.1%. The total caries prevalence (cavitated and non-cavitated lesions) was 18.9%. The vast majority of the parents assisted their child with the brushing and 98% used fluoride toothpaste. The relative risk (RR) for caries was significantly (p < 0.05) increased for “tooth brushing less than twice daily” at two (RR 2.1, 95% CI 1.3–3.3, p < 0.01) and 3 years (RR 3.6, 95% CI 2.0–6.7; p < 0.001). Likewise, reporting “major/minor difficulties to perform tooth brushing” at 2 and 3 years was significantly related to caries development at the age of five (RR 1.5, 95% CI 1.0–2.4, p < 0.05 and RR 2.5, 95% CI 1.4–4.3; p < 0.01). We found no significant association between the tooth brushing habits and the mode of delivery. Conclusions: Less than twice daily tooth-brushing and difficulties to perform the procedure during the first preschool years were significant determinants of caries prevalence at the age of 5 years. Health professionals should, therefore, give special attention and assist parents to improve and optimize their tooth brushing behaviour during the preschool years.

AB - Purpose: To study the relationship between the tooth-brushing habits during the preschool ages and caries prevalence at the age of 5 years and to investigate a possible association with the mode of delivery. Methods: The study population consisted of 336 children that were orally examined at 2, 3 and 5 years. All stages of caries were scored on tooth and surface level. Data on tooth brushing behaviour were collected through semi-structured interviews. Results: At 5 years, the attrition rate was 13.1%. The total caries prevalence (cavitated and non-cavitated lesions) was 18.9%. The vast majority of the parents assisted their child with the brushing and 98% used fluoride toothpaste. The relative risk (RR) for caries was significantly (p < 0.05) increased for “tooth brushing less than twice daily” at two (RR 2.1, 95% CI 1.3–3.3, p < 0.01) and 3 years (RR 3.6, 95% CI 2.0–6.7; p < 0.001). Likewise, reporting “major/minor difficulties to perform tooth brushing” at 2 and 3 years was significantly related to caries development at the age of five (RR 1.5, 95% CI 1.0–2.4, p < 0.05 and RR 2.5, 95% CI 1.4–4.3; p < 0.01). We found no significant association between the tooth brushing habits and the mode of delivery. Conclusions: Less than twice daily tooth-brushing and difficulties to perform the procedure during the first preschool years were significant determinants of caries prevalence at the age of 5 years. Health professionals should, therefore, give special attention and assist parents to improve and optimize their tooth brushing behaviour during the preschool years.

KW - Caries

KW - Fluoride toothpaste

KW - Parenting

KW - Prevention

U2 - 10.1007/s40368-019-00463-3

DO - 10.1007/s40368-019-00463-3

M3 - Journal article

C2 - 31338770

AN - SCOPUS:85069445480

VL - 21

SP - 155

EP - 159

JO - European archives of paediatric dentistry

JF - European archives of paediatric dentistry

SN - 1818-6300

IS - 1

ER -