Clinical Oral Investigations

, Volume 17, Issue 5, pp 1329–1338

Is there a relationship between hyperactivity/inattention symptoms and poor oral health? Results from the GINIplus and LISAplus study

  • Gabriele Kohlboeck
  • Daniela Heitmueller
  • Claudia Neumann
  • Carla Tiesler
  • Joachim Heinrich
  • Roswitha Heinrich-Weltzien
  • Reinhard Hickel
  • Sibylle Koletzko
  • Olf Herbarth
  • Jan Kühnisch
  • the GINIplus Study Group, LISAplus Study Group
Original Article

Abstract

Objectives

A few clinical observations reported that children with attention deficit hyperactivity disorder (ADHD) have poor oral health compared to children without ADHD. However, evidence is not conclusive. We assess the association between hyperactivity/inattention and oral health in a population-based study.

Material and methods

As part of the ongoing birth cohort studies German Infant Nutritional Intervention-plus (GINIplus) and Influences of lifestyle-related factors on the immune system and the development of allergies in childhood-plus (LISAplus), 1,126 children at age 10 years (±10.2) from Munich (Germany) were included in the present analysis. During the dental examination, oral hygiene, non-cavitated and cavitated caries lesions, dental trauma, and enamel hypomineralization (EH) in the permanent dentition (MIH/1) were recorded. Children with a Molar-Incisor-Hypomineralization were subcategorized into those with EH on at least one first permanent molar (MIH/1A), and on at least one first permanent molar and permanent incisor (MIH/1B). Data on children’s hyperactivity/inattention symptoms were collected by parent-reported Strength and Difficulties Questionnaire. Logistic regressions and zero-inflated Poisson regression models were applied adjusted for gender, parental education, parental income, and methylphenidate or atomoxetine medication.

Results

Logistic regressions showed that non-cavitated caries lesions were positively related with the presence of hyperactivity/inattention (ORadj = 1.51,CI95% = 1.08–2.11). When adjusted for parental background, an association showed between hyperactivity/inattention symptoms and MIH/1A but did not reach statistical significance (ORadj = 1.59,CI95% = 1.00–2.53).

Conclusions

Children with borderline and abnormal values of hyperactivity/inattention symptoms showed more non-cavitated caries lesions. Severe levels of hyperactivity/inattention may contribute to a higher risk for MIH/1A in school age.

Clinical relevance

Adequate dental preventive care for children with hyperactivity/inattention, especially from a low social background, is of importance for optimal caries prevention.

Keywords

Hyperactivity Inattention ADHD Oral health Dental caries Molar-Incisor-Hypomineralization 

Supplementary material

784_2012_829_MOESM1_ESM.doc (23 kb)
ESM 1(DOC 23 kb)

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Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • Gabriele Kohlboeck
    • 1
  • Daniela Heitmueller
    • 2
  • Claudia Neumann
    • 2
  • Carla Tiesler
    • 1
    • 3
  • Joachim Heinrich
    • 1
  • Roswitha Heinrich-Weltzien
    • 4
  • Reinhard Hickel
    • 2
  • Sibylle Koletzko
    • 3
  • Olf Herbarth
    • 5
  • Jan Kühnisch
    • 2
  • the GINIplus Study Group, LISAplus Study Group
  1. 1.German Research Center for Environmental Health, Institute of Epidemiology IHelmholtz Zentrum MuenchenNeuherbergGermany
  2. 2.Department of Conservative Dentistry and PeriodontologyLudwig Maximilians University of MunichMunichGermany
  3. 3.Division of Metabolic and Nutritional MedicineUniversity of Munich Medical Center, Dr von Hauner Children’s HospitalMunichGermany
  4. 4.Department of Preventive Dentistry and Dentistry for Children, University HospitalFriedrich-Schiller-University of JenaJenaGermany
  5. 5.Faculty of Medicine, Environmental Medicine and HygieneUniversity LeipzigLeipzigGermany

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