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Journal of Dental Research
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Clinical

Risks for Early Childhood Caries Analyzed by Negative Binomial Models

S. Thitasomakul1,*, S. Piwat1, A. Thearmontree1, O. Chankanka1, W. Pithpornchaiyakul1 and S. Madyusoh2

1 Department of Preventive Dentistry, Faculty of Dentistry, Prince of Songkla University, Hatyai, Songkhla, 90112, Thailand; and
2 Dental Division, Thepa Hospital, Thepa, Songkhla, Thailand

Correspondence: songchai.t{at}psuac.th

Because of the high incidence of early childhood caries (ECC), a longitudinal study to identify risk factors from the prenatal period to the child’s first birthday among 9- to 18-month-old children was conducted with negative binomial modeling. Overall, 495 children had dental examinations at ages 9, 12, and 18 months. Mothers were interviewed during the 2nd trimester of pregnancy and when the children had dental examinations. The highest incidence of caries was found among children who were born to mothers with ≥ 10 decayed teeth and who never received calcium supplements during pregnancy, and children who were not fed supplementary foods at age 3 months, had sweet-tasting foods at 5 months, started snacking at 5 months, had sugary snacks, had soft drinks, and did not have their teeth brushed daily at 9 months. Thus, prenatal care and child-rearing-practices during and after birth are important risk factors for the incidence and incremental rate of ECC.

Key Words: early childhood caries • longitudinal study • negative binomial models • incidence density • crude caries increment

Journal of Dental Research, Vol. 88, No. 2, 137-141 (2009)
DOI: 10.1177/0022034508328629


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Journal of the American Dental AssociationHome page
P. M. Milgrom, C. E. Huebner, and K. A. Ly
Fluoridated Toothpaste and the Prevention of Early Childhood Caries: A Failure to Meet the Needs of Our Young
J Am Dent Assoc, June 1, 2009; 140(6): 628 - 631.
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