ID | 60287 |
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Yokoi, Aya
Department of Preventive Dentistry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
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Takeuchi, Noriko
Department of Preventive Dentistry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Ekuni, Daisuke
Department of Preventive Dentistry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
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Morita, Manabu
Department of Preventive Dentistry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
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Abstract | Objective
The purpose of this study was to investigate the association between the incidence of early childhood caries (ECC) and factors of the daytime childcare environment among toddlers in a rural area of Japan.
Material and methods
This was a prospective cohort study. Data collected from 2011 to 2015 were obtained for initially caries-free, 18-month-old toddlers (N = 640). Dentists recorded the numbers of decayed, missing and filled teeth (caries incidence) of toddlers at baseline (age 18 months) and follow-up (age 3 years). In addition, a questionnaire survey was conducted on guardians at baseline to record data on lifestyle.
Results
In total, 159 (24.8%) toddlers had newly identified ECC at follow-up. Logistic regression analyses indicated that the incidence of ECC was significantly associated with receiving daytime care at a nursery school (odds ratio [OR], 1.55; 95% confidence interval [CI], 1.05–2.30; p = .029), prolonged breastfeeding (OR, 1.71; 95%CI, 1.15–2.55; p = .008), and snacking ≥3 times a day (OR, 2.39; 95%CI, 1.53–3.74; p < .001).
Conclusion
These findings suggest that receiving daytime care at a nursery school, prolonged breastfeeding, and frequent snacking are associated with an increased risk of ECC among Japanese toddlers in rural areas.
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Keywords | Dental caries
toddler
nursery school
early childhood caries
childcare
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Note | This is an Accepted Manuscript of an article published by Taylor & Francis in Acta Odontologica Scandinavica on 21 Jul. 2020, available online: http://www.tandfonline.com/10.1080/00016357.2020.1795249.
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Published Date | 2020-07-21
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Publication Title |
Acta Odontologica Scandinavica
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Volume | volume79
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Issue | issue2
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Publisher | Taylor and Francis
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Start Page | 118
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End Page | 123
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ISSN | 0001-6357
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NCID | AA00509080
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Content Type |
Journal Article
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language |
English
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OAI-PMH Set |
岡山大学
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File Version | author
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Related Url | isVersionOf https://doi.org/10.1080/00016357.2020.1795249
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