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Untreated dental caries and visible plaque of mothers are not determinant for the incidence of caries in dentin among children: evidence from a 3-year prospective cohort study

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Abstract

Objectives

To evaluate whether characteristics related to mother’s oral health, trajectory of family income, and maternal education are associated with the incidence of caries in dentin in preschool children.

Materials and methods

One hundred fifty-eight mothers and their children were evaluated at baseline and re-evaluated after 3 years. Sociodemographic variables, dental caries, and biofilm of the mothers and children and daily sugar intake of the children were evaluated. Poisson regression was used to evaluate what factor represents risk for the incidence of caries in dentin at four to 6 years of age.

Results

The risk of the incidence of caries in dentin was 54% higher in children whose mothers had a low level of education at both baseline and follow-up. Children from families with an income lower at baseline and follow-up (RR 2.49; 95% CI 1.62–3.83) and those whose families experienced a reduction in income in this period (RR 2.05; 95% CI 1.29–3.26) had a greater risk of the incidence of caries in dentin. Moreover, children who increased their daily sugar intake (RR 1.67; 95% CI 1.09–2.52), those that maintained high sugar intake (RR 1.81; 95% CI 1.14–2.87), and those with cavitated caries at baseline (RR 1.53; 95% CI 1.19–1.97) had a greater risk of the incidence of caries in dentin.

Conclusions

Low mother’s education, a lower family income, a reduction in family income, a high frequency of daily sugar intake, and a history of cavitated caries were risk factors for the incidence of caries in dentin.

Clinical relevance

The results could help in the targeting of improved prevention and control strategies for dental caries.

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Funding

This study received funding from the following Brazilian fostering agencies: Coordenação de Ensino Superior (CAPES (Coordination for the Advancement of Higher Education Personnel)), Fundação de Amparo à Pesquisa do Estado de Minas Gerais (FAPEMIG (State of Minas Gerais Research Assistance Foundation)), Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq (National Council of Scientific and Technological Development)), and Pró-Reitoria de Pesquisa da Universidade Federal de Minas Gerais.

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Authors and Affiliations

  1. Department of Pediatric Dentistry, School of Dentistry, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Rua da Gloria, 187 Centro, Diamantina, MG, CEP: 39.100-000, Brazil

    Rafaela Lopes-Gomes, Maria Letícia Ramos-Jorge, Izabella Barbosa Fernandes & Joana Ramos-Jorge

  2. Department of Pediatric Dentistry, School of Dentistry, Universidade Federal de Minas Gerais, Rua Professor Moacir Gomes de Freitas, 688 Pampulha, Belo Horizonte, MG, CEP: 31270-901, Brazil

    Izabella Barbosa Fernandes, Elisa Marotta Vieira, Isabela Almeida Pordeus & Joana Ramos-Jorge

Authors
  1. Rafaela Lopes-Gomes
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  2. Maria Letícia Ramos-Jorge
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  3. Izabella Barbosa Fernandes
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  4. Elisa Marotta Vieira
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  5. Isabela Almeida Pordeus
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  6. Joana Ramos-Jorge
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Corresponding authors

Correspondence to Maria Letícia Ramos-Jorge or Joana Ramos-Jorge.

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Ethics approval and consent to participate

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.

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The authors declare no competing interest.

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Lopes-Gomes, R., Ramos-Jorge, M.L., Fernandes, I.B. et al. Untreated dental caries and visible plaque of mothers are not determinant for the incidence of caries in dentin among children: evidence from a 3-year prospective cohort study. Clin Oral Invest 25, 5431–5439 (2021). https://doi.org/10.1007/s00784-021-03851-6

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  • DOI: https://doi.org/10.1007/s00784-021-03851-6

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