European Archives of Paediatric Dentistry

, Volume 14, Issue 3, pp 147–153 | Cite as

Association of socio-economic status and dietary habits with early childhood caries among 3- to 5-year-old children of Belgaum city

  • R. M. SankeshwariEmail author
  • A. V. Ankola
  • P. S. Tangade
  • M. I. Hebbal
Original Scientific Article



To ascertain if there were any association of socio-demographic factors and dietary habits with early childhood caries (ECC).


A cross-sectional study was conducted on 1,250 children 3–5 years of age. A self-designed validated questionnaire was prepared comprising two parts, one pertaining to socio-demographic data and the other related to a 3-day diet diary. Socio-economic stratification was based on Kuppuswamy’s classification. Diet history was obtained via a 3-day diet diary completed by the parents. A calibrated examiner conducted the oral examinations of the preschool children. Dental caries was assessed by using WHO criteria. Chi-square test and logistic regressions described the strength of the associations.


The prevalence rate of ECC was 63.17 %. Significant associations were obtained between ECC and age of the child, number of siblings in the family, mother’s education, sucrose exposure in between meals, sucrose exposure at meals, total frequency of sucrose exposure, and total sweet score. However, non-significant association of ECC was observed with socio-economic status.


Many of the socio-demographic and dietary factors were significantly associated with ECC. It would be appropriate to plan health education strategies for parents and care takers by inculcating socio-demographic factors with emphasis on reduced sucrose intake. ECC should be regarded as a serious public health problem.


Diet history Early childhood caries Preschool children Socio-economic status Sucrose intake 



The authors would like to thank Dr. Ashok Kumar Nayak, Professor of the Dept. of Public Health Dentistry, KLES VK Institute of Dental Sciences, Belgaum for his valuable suggestions and Dr. Javali, biostatistician at SDM Dental College, for performing the statistical analyses.


  1. Al-Hosani E, Rugg Gunn A. Combination of low parental educational attainment and high parental income related to high caries experience in preschool children in Abu Dhabi. Community Dent Oral Epidemiol. 1998;26:31–6.PubMedCrossRefGoogle Scholar
  2. American Academy of Paediatric Dentistry Reference Manual. Oral health policies. Pediatric Dent 2003;22:22.Google Scholar
  3. Azevedo TDP, Bezerra ACB, de Toledo OA. Feeding habits and severe early childhood caries in Brazilian preschool children. Pediatr Dent. 2005;27:28–33.PubMedGoogle Scholar
  4. Bargramian R, Russel AL. Epidemiologic study of dental caries experience and between meal eating patterns. J Dent Res. 1973;52:342–7.CrossRefGoogle Scholar
  5. Bharati S, Pal M, Chakrabarty S, Bharati P. Trends in socioeconomic and nutritional status of children younger than 6 years in India. Asia Pac J Public Health. 2011;23:324–40.PubMedCrossRefGoogle Scholar
  6. Birkhed D, Topitsaglou V, Edwardsson S. Frostellg. Cariogenicity of invert sugar in long term rat experiments. Caries Res. 1981;15:302–7.PubMedCrossRefGoogle Scholar
  7. Chen MS. Oral health of disadvantaged populations. In: Cohen L, Gift H, editors. Disease prevention and oral health promotion. Copenhagen: Munksgaard, 1995. p. 153–212.Google Scholar
  8. Clarke M, Locker D, Berall G, et al. Malnourishment in a population of young children with severe early childhood caries. Pediatr Dent. 2006;28:254–9.PubMedGoogle Scholar
  9. Ferro R, Cecchin C, Besostri A, et al. Social differences in tooth decay occurrence in a sample of children aged 3–5 in north-east Italy. Community Dent Health. 2010;27:163–6.PubMedGoogle Scholar
  10. Gibson S, Williams S. Dental caries in preschool children: associations with social class, tooth brushing habit and consumption of sugars and sugar containing foods. Caries Res. 1999;33:101–13.PubMedCrossRefGoogle Scholar
  11. Hallett KB, Rourke PK. Social and behavioral determinants of early childhood caries. Aust Dent J. 2003;48:27–33.PubMedCrossRefGoogle Scholar
  12. Hattab F, Al Omari M, Mansson B, Daoud N. The prevalence of nursing caries in one to four year old children in Jordan. J Dent Child 1999;66:53–58.Google Scholar
  13. Hedge P. Relationship of sugar consumption, microbiological and salivary parameters with dental caries experience among high school children of Belgaum city. Master of Dental Surgery dissertation submitted to Rajiv Gandhi University, 2002.Google Scholar
  14. Hussain AW, Joseph O, Taqib S, Khan N. Feeding and socioeconomic characteristics of nursing caries in Saudi population. Pediatric Dent 1995;17(7):451–4.Google Scholar
  15. Jini B, Sang MA, Moon H, et al. Early childhood caries prevalence and risk factors Seoul, Korea. J Public Health Dent. 2003;63:183–8.CrossRefGoogle Scholar
  16. Jose B, King NM. Early childhood caries lesions in preschool children in Kerala, India. Pediatr Dent. 2003;25:594–600.PubMedGoogle Scholar
  17. Manji F, Ferjeskov O, Baleum V, Luan W, Chen X. The epidemiological features of dental caries in African and Chinese populations: implications for risk assessment. In: Johnson NW, editor. Risk markers for oral diseases, Dental caries, vol. 11. Cambridge: Cambridge University Press; 1991. p. 62–99.Google Scholar
  18. Masiga M, Holt RD. The prevalence of dental caries and gingivitis and their relationship to social class amongst nursery school children in Nairobi, Kenya. Int J Paed Dent. 1993;3:135–40.CrossRefGoogle Scholar
  19. Mishra D, Singh HP. Kuppuswamy’s socioeconomic status scale: a revision. Indian J Pediatr. 2003;70:273–4.PubMedCrossRefGoogle Scholar
  20. Newbrun E. Cariology. 3rd ed. Chicago: Quintessence books; 1999. p. 13–9.Google Scholar
  21. Nizel A, Papas A. Nutrition in clinical dentistry. 3rd ed. Philadelphia: Saunders Company; 1989. p. 277–306.Google Scholar
  22. Perera I, Ekanayake L. Conventional versus asset approaches: comparative appraisal of socioeconomic indicators for oral health research among adolescents in a developing country. Asia Pac J Public Health. 2010;22:407–14.PubMedCrossRefGoogle Scholar
  23. Pine CM. Community Oral Health. Butter Worth Heinemann: Publication; 1997.Google Scholar
  24. Reisine ST, Walter P. Socio economic status and selected behavioural determinants as risk factors for dental caries. J Dent Educ 2001;65(10):1009–16.Google Scholar
  25. Rugg Gunn AJ. Nutrition and dental health. Oxford: Oxford University Press; 1993. p. 113.Google Scholar
  26. Sahoo P, Tewari A, Chawla H, Sachdev V. Interrelationship between sugar and dental caries a study in child population of Orissa. J Indian Soc Pedo Prev Dent. 1992;10:37–44.Google Scholar
  27. Sankeshwari RM, Ankola AV, Tangade PS, Hebbal MI. Feeding habits and oral hygiene practices as determinants of early childhood caries in 3–5-year-old children of Belgaum City, India. Oral Health Prev Dent. 2012;10:283–90.PubMedGoogle Scholar
  28. Sethi B, Tandon S. Caries pattern in preschool children. J Indian Dent Assoc. 1996;67:141–5.Google Scholar
  29. Tinanoff N, Plmaer CA. Dietary determinants of dental caries and dietary recommendations for preschool children. J Publ Health Dent. 2000;60:197–206.CrossRefGoogle Scholar
  30. WHO. Oral Health Surveys Basic Methods. 4th ed. Geneva: WHO; 1997.Google Scholar

Copyright information

© European Academy of Paediatric Dentistry 2013

Authors and Affiliations

  • R. M. Sankeshwari
    • 1
    Email author
  • A. V. Ankola
    • 1
  • P. S. Tangade
    • 2
  • M. I. Hebbal
    • 1
  1. 1.Department of Public Health DentistryKLE VK Institute of Dental SciencesBelgaumIndia
  2. 2.Department of Community DentistryKothiwal Dental CollegeMoradabadIndia

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