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Factors associated with prevalence and severity of caries experience in preschool children / Dominique Declerck in Community Dentistry and Oral Epidemiology, 36(2008)02 ([04/01/2008])  

[article] Factors associated with prevalence and severity of caries experience in preschool children [printed text] / Dominique Declerck, Author ; Roos Leroy , Author ; L. Martens, Author ; Emmanuel Lesaffre, Author ; M.J. Garcia-Zattera, Author ; Stephan Van den Broucke, Author ; M. Debyser, Author ; K. Hoppenbrouwers, Author . - 2008 . - p. 168-178. Languages : English (eng) in Community Dentistry and Oral Epidemiology > 36(2008)02 [04/01/2008] . - p. 168-178 Descriptors: Classification W 1 Serials. Periodicals Indexation Belgium ; Dental Caries ; Diet ; Epidemiology ; Health Behavior ; Journal Article ; Logistic Models ; Peer Review ; Questionnaires ; Risk Factors Abstract: OBJECTIVES: The aim of the present study was to examine the prevalence and severity of caries experience in the primary dentition of preschool children and to assess the association of disease distribution with oral hygiene levels, reported oral health behaviours and socio-demographic factors. METHODS: Study samples comprised 1250 3-year-old and 1283 5-year-old pre-school children from four distinct geographical areas in Flanders. Information on oral hygiene and dietary habits, oral health behaviours and socio-demographic variables was collected using questionnaires completed by the parents. Clinical examinations were performed using standardized criteria. Caries experience was recorded at the level of cavitation (d(3) level). Simple as well as multivariable logistic regression analyses were performed in order to identify factors associated with prevalence and severity of caries experience. RESULTS: Visible plaque was present in 31% of 3-year-olds and 37% of 5-year-olds. In 3-year-olds, 7% presented with caries experience while this was the case in 31% of 5-year-olds. Multivariable logistic regression revealed significant associations, in 3-year-olds, of caries experience with presence of dental plaque (OR = 7.93; 95% CI: 2.56-24.55) and reported consumption of sugared drinks at night (OR = 7.96; 95% CI: 1.57-40.51). In 5-year-olds, significant associations were seen with age (OR = 7.79; 95% CI: 2.38-25.43), gender (OR = 0.37 with 95% CI: 0.19-0.71 for girls), presence of visible dental plaque (OR = 3.36; 95% CI: 1.64-6.89) and reported habit of having sugar-containing drinks in between meals (OR = 2.60 with 95% CI: 1.16-5.84 and OR = 3.18 with 95% CI: 1.39-7.28, respectively for 1x/day and > 1x/day versus not every day). In 5-year-olds with caries experience (30.8% of total sample), the severity of disease was further analysed (d(3)mft between 1 and 4 versus d(3)mft 5 or higher). Multivariable analyses showed a significant association with gender [girls more likely to have higher disease levels; OR = 4.67 (95% CI: 1.65-13.21)] and with presence of plaque (OR = 3.91 with 95% CI: 1.23-12.42). CONCLUSIONS: Presence of visible plaque accumulation and reported consumption of sugared drinks were associated with prevalence of caries experience in Flemish preschool children. Severity of disease was associated with gender and with presence of plaque. Results underline the importance of plaque control and diet management from very young age on. Link for e-copy: https://doi.org/10.1111/j.1600-0528.2007.00387.x Format of e-copy: PDF [Requires Subscription] Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4068 [article]

Impact of caries experience in the deciduous molars on the emergence of the successors / Roos Leroy in European Journal of Oral Sciences, 111(2003)02 ([04/01/2003])  

[article] Impact of caries experience in the deciduous molars on the emergence of the successors [printed text] / Roos Leroy , Author ; Kris Bogaerts, Author ; Emmanuel Lesaffre, Author ; Dominique Declerck, Author . - 2003 . - p. 106-110. Languages : English (eng) in European Journal of Oral Sciences > 111(2003)02 [04/01/2003] . - p. 106-110 Descriptors: Classification W 1 Serials. Periodicals Indexation Child ; Dental Caries ; Humans ; Journal Article ; Molar, Third ; Peer Review ; physiopathology [Subheading] ; Tooth extraction Abstract: The purpose of this study was to evaluate the effect of caries experience in a primary molar (decayed and/or restored vs. extracted) on the timing of emergence of its successor. Data were obtained from a longitudinal epidemiological study in a sample of 4468 Flemish children. Survival analyses with log-logistic distribution were performed to calculate median emergence ages and 95% confidence intervals (CI); caries experience was added as a covariate. The results indicate that the emergence of the maxillary and mandibular premolars was accelerated by 2-8 months when its predecessor had been decayed and or restored but had not been extracted. Premature loss of maxillary primary molars resulted in a significant acceleration of the emergence of the premolars; this was not observed in the mandible. In conclusion, when considering permanent tooth emergence ages, caries experience in the primary dentition should be taken into account. Link for e-copy: https://doi.org/10.1034/j.1600-0722.2003.00011.x Format of e-copy: PDF [Requires Subscription] Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4085 [article]

Multivariate survival analysis for the identification of factors associated with cavity formation in permanent first molars / Roos Leroy in European Journal of Oral Sciences, 113(2005)02 ([04/01/2005])  

[article] Multivariate survival analysis for the identification of factors associated with cavity formation in permanent first molars [printed text] / Roos Leroy , Author ; Kris Bogaerts, Author ; Emmanuel Lesaffre, Author ; Dominique Declerck, Author . - 2005 . - p. 145-152. Languages : English (eng) in European Journal of Oral Sciences > 113(2005)02 [04/01/2005] . - p. 145-152 Descriptors: Classification W 1 Serials. Periodicals Indexation Belgium ; Child ; Dental Caries ; Epidemiology ; Follow-Up Studies ; Incidence ; Journal Article ; Models, Statistical ; Molar, Third ; Pathology ; Peer Review ; statistics and numerical data [Subheading] Abstract: This investigation used a multivariate survival model, which allowed for dependent caries data with possible censoring, to analyse the impact of timing of tooth emergence, gender and several reported oral hygiene and dietary habits on the incidence of cavity formation in permanent first molars (PFM) in young children. A 6-yr prospective oral health screening project in Flanders, Belgium, provided clinical and questionnaire data on 4,468 children. The results revealed that PFM in children who reported frequent brushing, who had no visible caries experience in the primary dentition, and who presented without occlusal plaque on the PFM had the best survival estimates. Girls had a higher incidence than boys of cavity formation in mandibular molars. The multiple survival analysis confirmed the major impact of the caries status of the deciduous dentition and self-reported oral hygiene habits on the incidence of cavities in permanent first molars. Link for e-copy: https://doi.org/10.1111/j.1600-0722.2005.00199.x Format of e-copy: PDF [Requires Subscription] Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4086 [article]

Oral health and oral health-related behaviour in preschool children / Sigrid Van den Branden in European journal of pediatrics, 172(2013)02 ([02/01/2013])  

[article] Oral health and oral health-related behaviour in preschool children : Evidence for a social gradient [printed text] / Sigrid Van den Branden, Author ; Stephan Van den Broucke, Author ; Roos Leroy , Author ; Dominique Declerck, Author ; K. Hoppenbrouwers, Author . - 2013 . - p. 231-237. Languages : English (eng) German (ger) in European journal of pediatrics > 172(2013)02 [02/01/2013] . - p. 231-237 Descriptors: Classification W 1 Serials. Periodicals Indexation Belgium ; Child ; Dental Caries ; Dentistry ; Educational Status ; Health Behavior ; Journal Article ; Peer Review Abstract: This study aims to investigate the social gradient in the reported oral health-related behaviour and oral health status of preschool children. Participants were 1,057 children born between October 2003 and July 2004 in Flanders, Belgium. Oral health examinations were performed by trained dentists when the children were 3 and 5 years old (respectively, in 2007 and 2009); data on dietary habits, oral hygiene habits and dental attendance of the children were obtained through structured questionnaires completed by the parents. Maternal educational level, measured in four categories, was used as a proxy of socio-economic status. Logistic and ordinal regressions showed a social gradient for the oral health-related behaviours: a lower educational level of the mother was related to a higher consumption of sugared drinks between meals and to a lower brushing frequency and dental attendance of the child. Children from low-educated mothers also had seven times more chance to present with caries experience than children from mothers with a bachelor degree. Contrary to the expectations, there was a deviation from the gradient in 3-year-olds from the highest educational group showing an increased risk for caries experience (OR = 3.84, 95 % CI = 1.08-13.65). Conclusion. Already in very young children, a graded relationship is observed between socio-economic position, oral health and related behaviours. The results suggest that different approaches are required to promote oral health during early childhood depending on the mother's educational background. As children from the highest social group also have an increased caries risk, specific techniques may be needed. Link for e-copy: https://doi.org/10.1007/s00431-012-1874-6 Format of e-copy: PDF [Requires Subscription] Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4090 [article]

Parental smoking behavior and caries experience in preschool children / Roos Leroy in Community Dentistry and Oral Epidemiology, 36(2008)03 ([06/01/2008])  

[article] Parental smoking behavior and caries experience in preschool children [printed text] / Roos Leroy , Author ; K. Hoppenbrouwers, Author ; A. Jara, Author ; Dominique Declerck, Author . - 2008 . - p. 249-257. Languages : English (eng) in Community Dentistry and Oral Epidemiology > 36(2008)03 [06/01/2008] . - p. 249-257 Descriptors: Classification W 1 Serials. Periodicals Indexation Belgium ; Child, Preschool ; Cross-Sectional Studies ; Dental Caries ; Journal Article ; Models, Statistical ; Parents ; Peer Review ; Questionnaires ; Smoking Abstract: Objectives: The study aimed to explore the association between parental smoking behavior and caries experience in young children, taking into account the socioeconomic status and oral health-related behavior. Methods: Cross-sectional data from 1250 3-year-old and 1283 5-year-old children from four geographical areas in Flanders (Belgium) were analyzed. Children were examined at school by trained dentist-examiners, using standard criteria and calibrated examination methodology. Data on oral hygiene and dietary habits, oral health behavior, sociodemographic variables, and parental smoking behavior were obtained through structured questionnaires, completed by the parents. Results: Visible caries experience (i.e. d3mft > 0) was seen in 7% of 3-year olds and 31% of 5-year olds. In both age groups, 30% of the parents reported smoking behavior. Univariable logistic regression analysis with caries prevalence as the dependent variable, revealed that parental smoking was a significant independent variable. After controlling for age, gender, sociodemographic characteristics, oral hygiene, and dietary habits, the effect of family smoking status was no longer significant in 3-year-old children (OR = 1.98; 95% CI: 0.68-5.76). In 5-year olds the significant relationship between parental smoking behavior and caries experience persisted after adjusting for the other evaluated variables (OR = 3.36; 95% CI: 1.49-7.58). Conclusion: The results of this study illustrate the existence of a significant association between parental smoking behavior and caries experience in 5-year-old children. Link for e-copy: https://doi.org/10.1111/j.1600-0528.2007.00393.x Format of e-copy: PDF [Requires Subscription] Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4073 [article]

Risk factors for caries incidence in a cohort of Flemish preschool children / Roos Leroy in Clinical oral investigations, 16(2012)03 ([06/01/2012])  

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The effect of fluorides and caries in primary teeth on permanent tooth emergence / Roos Leroy in Community Dentistry and Oral Epidemiology, 31(2003)06 ([12/01/2003])  

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The oral health status of special olympics athletes in Belgium / Roos Leroy in Community Dental Health, 29(2012)01 ([03/01/2012])  

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The socio-economic gradient in health: a never ending story? / Sara Willems / Ghent : Ghent University . Department of General Practice and Primary Health Care (2005)

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