Evaluation of Risk Factors in Caries Formation in Children

Berna Kuter 1 , Alp Abidin Atesci 2  and İlhan Uzel 2
  • 1 Department of Paediatric Dentistry, Faculty of Dentistry, Izmir Democracy University, Izmir, Turkey
  • 2 Department of Pediatric Dentistry, Faculty of Dentistry, Ege University, Izmir, Turkey


Background/Aim: The aim of this study was to evaluate the risk factors in caries formation and relationships between each other in children.

Material and Methods: A total of 84 children aged between 5-15 years were included in the study. The children were randomly selected among the patients who came to the clinic. Oral disorders and oral hygiene were evaluated with the oral examination. Examination of the children was carried out by two calibrated pediatric dentists. Plaque index, dmf-t index (decay-missed-filled primary tooth) and DMF-T index (decay-missed-filled permanent tooth) scores were evaluated by clinical examination. Plaque index was evaluated using Sillness & Loe plaque index. In addition, a questionnaire was performed about children’s age, tooth brushing habits, sweet consumption, dentist visit and dental treatment experience. Statistical analysis was conducted with Mann Whitney-U test, Chi-Square test, Independent t-test and Correlation test.

Results: When the survey data is examined, there was no significant difference between boy and girl patients regarding dmft, DMFT, frequency of tooth brushing, sweet consumption and plaque index scores (p>0,05). There was no relationship between frequency of sweet consumption and DMF-T, dmf-t and plaque index scores (p>0,05). No significant relationship was found between the frequency of tooth brushing and DMF-T and dmf-t scores (p>0,05). The examinations were revealed that there were no children with regular tooth brushing habits and the plaque index scores of children with irregular tooth brushing habit was lower than the children with no brushing habits (p<0,05). In addition, a positive correlation was also observed between age and plaque index and DMFT scores. However, a negative correlation was observed between age and dmft scores.

Conclusions: It is observed that there was a significant relationship between tooth brushing habits and plaque index values of children.

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  • 1. Shaghaghian S, Abolvardi M, Akhlaghian M. Factors Affecting Dental Caries of Preschool Children in Shiraz, 2014. J Dent (Shiraz), 2018;19:100-108.

  • 2. Silk H. Diseases of the mouth. Prim Care, 2014;41:75-90.

  • 3. Vos T, Flaxman AD, Naghavi M, Lozano R, Michaud C, Ezzati M, et al., Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet, 2012;380:2163-2196.

  • 4. Harris R, Nicoll AD, Adair PM, Pine CM. Risk factors for dental caries in young children: a systematic review of the literature. Community Dent Health, 2004;21:71-85.

  • 5. Liljemark WF, Bloomquist C. Human oral microbial ecology and dental caries and periodontal diseases. Crit Rev Oral Biol Med, 1996;7:180-198.

  • 6. Hoffmeister L, Moya P, Vidal C, Benadof D. Factors associated with early childhood caries in Chile. Gac Sanit, 2016;30:59-62.

  • 7. Yabao RN, Duante CA, Velandria FV, Lucas M, Kassu A, Nakamori M, et al. Prevalence of dental caries and sugar consumption among 6-12-y-old schoolchildren in La Trinidad, Benguet, Philippines. Eur J Clin Nutr, 2005;59:1429-1438.

  • 8. Folayan MO, Kolawole KA, Oziegbe EO, Oyedele T, Oshomoji OV, Chukwumah NM, et al. Prevalence, and early childhood caries risk indicators in preschool children in suburban Nigeria. BMC Oral Health, 2015;15:72.

  • 9. Mandel ID. Relation of saliva and plaque to caries. J Dent Res, 1974;53:246-266.

  • 10. Larmas M. Has dental caries prevalence some connection with caries index values in adults? Caries Res, 2010;44:81-84.

  • 11. Silness J, Loe H. Periodontal Disease In Pregnancy. II. Correlation Between Oral Hygiene And Periodontal Condition. Acta Odontol Scand, 1964;22:121-135.

  • 12. Selwitz RH, Ismail AI, Pitts NB. Dental caries. Lancet, 2007:369:51-59.

  • 13. Mohammadreza A, Saeed A, Arash S, Reza G, Seyed HSA, Zohre A, et al. Relation between Socioeconomic Indicators and Children Dental Caries in Iran: A Systematic Review and Meta-analysis. Int J Prev Med, 2018;9:71.

  • 14. Sistani MMN, Hataminia Z, Hajiahmadi M, Khodadadi E. Nine years’ trend of dental caries and severe early childhood caries among 3-6-year-old children in Babol, Northern Iran. Electron Physician, 2017;9:4683-4688.

  • 15. Borges HC, Garbín CA, Saliba O, Saliba NA, Moimaz SA. Socio-behavioral factors influence prevalence and severity of dental caries in children with primary dentition. Braz Oral Res, 2012;26:564-570.

  • 16. Ahmad N, Gelesko S, Shugars D, White RP Jr, Blakey G, Haug RH, et al. Caries experience and periodontal pathology in erupting third molars. J Oral Maxillofac Surg, 2008;66:948-953.

  • 17. Shugars DA, Elter JR, Jacks MT, White RP, Phillips C, Haug RH, et al., Incidence of occlusal dental caries in asymptomatic third molars. J Oral Maxillofac Surg, 2005;63:341-346.

  • 18. Ditmyer M, Dounis G, Mobley C, Schwarz E. Inequalities of caries experience in Nevada youth expressed by DMFT index vs. Significant Caries Index (SiC) over time. BMC Oral Health, 2011;11:12.

  • 19. Ismail AI, Sohn W, Lim S, Willem JM. Predictors of dental caries progression in primary teeth. J Dent Res, 2009;88:270-275.

  • 20. Dukić W, Delija B, Lulić Dukić O. Caries prevalence among schoolchildren in Zagreb, Croatia. Croat Med J, 2011;52:665-671.

  • 21. Lukacs JR. Gender differences in oral health in South Asia: metadata imply multifactorial biological and cultural causes. Am J Hum Biol, 2011;23:398-411.

  • 22. Downer MC, Drugan CS, Blinkhorn AS. Correlates of dental caries in 12-year-old children in Europe: a cross-sectional analysis. Community Dent Health, 2008;25:70-78.

  • 23. Harel-Raviv M, Laskaris M, Chu KS. Dental caries and sugar consumption into the 21st century. Am J Dent, 1996;9:184-190.

  • 24. Yoshihara A, Watanabe R, Hanada N, Miyazaki H. A longitudinal study of the relationship between diet intake and dental caries and periodontal disease in elderly Japanese subjects. Gerodontology, 2009;26:130-136.

  • 25. Adegboye AR, Twetman S, Christensen LB, Heitmann BL. Intake of dairy calcium and tooth loss among adult Danish men and women. Nutrition, 2012;28:779-784.

  • 26. Bashirian S, Shirahmadi S, Seyedzadeh-Sabounchi S, Soltanian AR, Karimi-Shahanjarini A, Vahdatinia F. Association of caries experience and dental plaque with sociodemographic characteristics in elementary school-aged children: a cross-sectional study. BMC Oral Health, 2018;18:7.

  • 27. Mulu W, Demilie T, Yimer M, Meshesha K, Abera B. Dental caries and associated factors among primary school children in Bahir Dar city: a cross-sectional study. BMC Res Notes, 2014;7:949.

  • 28. Seow WK. Early Childhood Caries. Pediatr Clin North Am, 2018;65:941-954.

  • 29. Fontana M, Jackson R, Eckert G, Swigonski N, Chin J, Zandona AF, et al. Identification of caries risk factors in toddlers. J Dent Res, 2011;90:209-214.


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