Early Life Professional and Layperson Support Reduce Poor Oral Hygiene Habits in Toddlers—A Prospective Birth Cohort Study
Abstract
:1. Introduction
2. Methods
3. Results
4. Discussion
Supplementary Materials
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
- Drury, T.F.; Horowitz, A.M.; Ismail, A.I.; Maertens, M.P.; Rozier, R.G.; Selwitz, R.H. Diagnosing and reporting early childhood caries for research purposes. A report of a workshop sponsored by the National Institute of Dental and Craniofacial Research, the Health Resources and Services Administration, and the Health Care Financing Administration. J. Public Health Dent. 1999, 59, 192–197. [Google Scholar] [PubMed]
- Fisher-Owens, S.A.; Gansky, S.A.; Platt, L.J.; Weintraub, J.A.; Soobader, M.J.; Bramlett, M.D.; Newacheck, P.W. Influences on children’s oral health: a conceptual model. Pediatrics 2007, 120, 510–520. [Google Scholar] [CrossRef] [PubMed]
- Armfield, J.M.; Roberts-Thomson, K.F.; Spencer, A.J. The Child Dental Health Survey, Australia 1999. Trend across the 1990s; Australian Research Centre for Population Oral Health: Adelaide, Australia, 2003. [Google Scholar]
- Ha, D.H.; Roberts-Thomson, K.F.; Armfield, J.M. The Child Dental Health Survey Australia, 2005 and 2006; Australian Institute of Health and Welfare: Bruce, Australian, 2011. [Google Scholar]
- Plutzer, K.; Spencer, A.J. Efficacy of an oral health promotion intervention in the prevention of early childhood caries. Community Dent. Oral Epidemiol. 2008, 36, 335–346. [Google Scholar] [CrossRef] [PubMed]
- Jackson, S.L.; Vann, W.F.J.; Kotch, J.B.; Pahel, B.T.; Lee, J.Y. Impact of poor oral health on children’s school attendance and performance. Am. J. Public Health 2011, 101, 1900–1906. [Google Scholar] [CrossRef] [PubMed]
- Jordan, A.R.; Becker, N.; Johren, H.P.; Zimmer, S. Early Childhood Caries and Caries Experience in Permanent Dentition: A 15-year Cohort Study. Swiss Dent. J. 2016, 126, 114–119. [Google Scholar] [PubMed]
- Leong, P.M.; Gussy, M.G.; Barrow, S.Y.; Silva-Sanigorski, A.; Waters, E. A systematic review of risk factors during first year of life for early childhood caries. Int. J. Paediatr. Dent. 2013, 23, 235–250. [Google Scholar] [CrossRef] [PubMed]
- Fleming, P. Timetable for oral prevention in childhood—A current opinion. Prog. Orthod. 2015, 16, 27. [Google Scholar] [CrossRef] [PubMed]
- Kumar, S.; Tadakamadla, J.; Johnson, N.W. Effect of Toothbrushing Frequency on Incidence and Increment of Dental Caries: A Systematic Review and Meta-Analysis. J. Dent. Res. 2016, 95, 1230–1236. [Google Scholar] [CrossRef] [PubMed]
- Rugg-Gunn, A.J. Introduction: Guidelines for Fluoride Intake—Are They Appropriate? Adv. Dent. Res. 2018, 29, 142–143. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Finlayson, T.L.; Siefert, K.; Ismail, A.I.; Sohn, W. Maternal self-efficacy and 1–5-year-old children’s brushing habits. Community Dent. Oral Epidemiol. 2007, 35, 272–281. [Google Scholar] [CrossRef] [PubMed]
- Spencer, A.J. The use of fluorides in Australia: Guidelines. Aust. Dent. J. 2006, 51, 195–199. [Google Scholar] [CrossRef] [Green Version]
- Do, L.; Spencer, A. Oral Health of Australian Hhildren. In The National Child Oral Health Study 2012–2014; University Press: Adelaide, Australian, 2016. [Google Scholar]
- Douglass, J.M.; Tinanoff, N.; Tang, J.M.; Altman, D.S. Dental caries patterns and oral health behaviors in Arizona infants and toddlers. Community Dent. Oral Epidemiol. 2001, 29, 14–22. [Google Scholar] [CrossRef] [PubMed]
- Van Palenstein Helderman, W.H.; Soe, W.; Van Hof, M.A. Risk factors of early childhood caries in a Southeast Asian population. J. Dent. Res. 2006, 85, 85–88. [Google Scholar] [CrossRef] [PubMed]
- Wan, A.K.; Seow, W.K.; Purdie, D.M.; Bird, P.S.; Walsh, L.J.; Tudehope, D.I. A longitudinal study of Streptococcus mutans colonization in infants after tooth eruption. J. Dent. Res. 2003, 82, 504–508. [Google Scholar] [CrossRef] [PubMed]
- Peltzer, K.; Mongkolchati, A. Severe early childhood caries and social determinants in three-year-old children from Northern Thailand: A birth cohort study. BMC Oral Health 2015, 15, 108. [Google Scholar] [CrossRef] [PubMed]
- Pieper, K.; Dressler, S.; Heinzel-Gutenbrunner, M.; Neuhauser, A.; Krecker, M.; Wunderlich, K.; Jablonski-Momeni, A. The influence of social status on pre-school children’s eating habits, caries experience and caries prevention behavior. Int. J. Public Health 2012, 57, 207–215. [Google Scholar] [CrossRef] [PubMed]
- Bhaskar, V.; McGraw, K.A.; Divaris, K. The importance of preventive dental visits from a young age: systematic review and current perspectives. Clin. Cosmet. Investig. Dent. 2014, 6, 21–27. [Google Scholar] [PubMed]
- AAPD. Perinatal and Infant Oral Health Care. Pediatr. Dent. 2017, 39, 208–212. [Google Scholar]
- Sheiham, A.; Alexander, D.; Cohen, L.; Marinho, V.; Moyses, S.; Petersen, P.E.; Weyant, R. Global oral health inequalities: Task group—Implementation and delivery of oral health strategies. Adv. Dent. Res. 2011, 23, 259–267. [Google Scholar] [CrossRef] [PubMed]
- Ismail, A.; Razak, I.A.; Ab-Murat, N. The impact of anticipatory guidance on early childhood caries: a quasi-experimental study. BMC Oral Health 2018, 18, 126. [Google Scholar] [CrossRef] [PubMed]
- Seow, W.K.; Cheng, E.; Wan, V. Effects of oral health education and tooth-brushing on mutans streptococci infection in young children. Pediatr. Dent. 2003, 25, 223–228. [Google Scholar] [PubMed]
- Popo, E.; Kenyon, S.; Dann, S.A.; MacArthur, C.; Blissett, J. Effects of lay support for pregnant women with social risk factors on infant development and maternal psychological health at 12 months postpartum. PLoS ONE 2017, 12, e0182544. [Google Scholar] [CrossRef] [PubMed]
- Do, L.G.; Scott, J.A.; Thomson, W.M.; Stamm, J.W.; Rugg-Gunn, A.J.; Levy, S.M.; Spencer, A.J. Common risk factor approach to address socioeconomic inequality in the oral health of preschool children—A prospective cohort study. BMC Public Health 2014, 14, 429. [Google Scholar] [CrossRef] [PubMed]
- Marshman, Z.; Ahern, S.M.; McEachan, R.R.C.; Rogers, H.J.; Gray-Burrows, K.A.; Day, P.F. Parents’ Experiences of Toothbrushing with Children: A Qualitative Study. JDR Clin. Trans. Res. 2016, 1, 122–130. [Google Scholar] [CrossRef] [PubMed]
- Kobayashi, M.; Chi, D.; Coldwell, S.E.; Domoto, P.; Milgrom, P. The effectiveness and estimated costs of the access to baby and child dentistry program in Washington State. J. Am. Dent. Assoc. 2005, 136, 1257–1263. [Google Scholar] [CrossRef] [PubMed]
- Medeiros, P.B.; Otero, S.A.; Frencken, J.E.; Bronkhorst, E.M.; Leal, S.C. Effectiveness of an oral health program for mothers and their infants. Int. J. Paediatr. Dent. 2015, 25, 29–34. [Google Scholar] [CrossRef] [PubMed]
Variables | Total (n = 1183) * | % | 95% CI | Sample at Birth n = 2112 (%) | Population + |
---|---|---|---|---|---|
OUTCOMES | |||||
Put child to bed with bottle | |||||
No | 741 | 63.4 | 60.7–66.2 | -- | -- |
Yes | 427 | 36.6 | 33.8–39.3 | -- | -- |
Brushing child’s teeth before bed | |||||
No | 299 | 25.6 | 23.1–28.1 | -- | -- |
Yes | 868 | 74.4 | 71.9–76.9 | -- | -- |
EXPLANATORY VARIABLES | |||||
Early dental visit for advice | |||||
No | 749 | 70.7 | 67.9–73.4 | -- | -- |
Yes | 311 | 29.3 | 26.6-32.1 | -- | -- |
Lay support | |||||
Yes | 840 | 81.6 | 79.2–83.9 | -- | -- |
No | 190 | 18.5 | 16.1–20.8 | -- | -- |
COVARIATES | |||||
Family income at birth | |||||
Q1 (<AU$80,000) | 539 | 46.1 | 43.1–49.0 | 53.9 | 43.8 |
Q2 (AU$80,000–120,000) | 353 | 30.2 | 27.5–32.9 | 27.6 | 31.8 |
Q3 (>AU120,000) | 278 | 23.7 | 21.3–26.3 | 18.5 | 24.4 |
Mother’s COB | |||||
Other | 73 | 6.2 | 4.9–7.6 | 6.7 | 8.2 |
Asia except India | 132 | 11.3 | 9.5–13.1 | 11.4 | 8.8 |
India | 90 | 7.7 | 6.2–9.2 | 8.9 | 4.0 |
Aust., NZ, UK | 875 | 74.8 | 72.3–77.3 | 73.0 | 79.0 |
Mother’s age groups | |||||
<25 year old | 124 | 10.7 | 8.9–12.5 | 16.3 | 17.8 |
25–34 | 787 | 68.1 | 65.5–70.9 | 64.2 | 62.4 |
>=35 year old | 244 | 21.1 | 18.7–23.4 | 19.5 | 19.8 |
Mother’s education | |||||
School/Vocational | 626 | 54.1 | 51.2–56.9 | 54.0 | 59.2 |
Tertiary | 532 | 45.9 | 43.1–48.8 | 46.0 | 40.8 |
Variables | Put Child to Bed with a Bottle | Did Not Brush Child’s Teeth before Bed |
---|---|---|
% (95% CI) | % (95% CI) | |
Early dental visit for advice | ||
Yes | 29.4 (24.3–34.4) | 20.9 (16.4–25.4) |
No | 37.5 (34.0–41.0) | 27.3 (24.1–30.5) |
Lay support | ||
Yes | 33.6 (30.4–36.8) | 23.4 (20.5–26.3) |
No | 40.2 (33.2–47.2) | 30.7 (24.1–37.3) |
Family income at birth | ||
Q1 (<AU$80,000) | 38.7 (34.6–42.9) | 29.2 (25.3–33.1) |
Q2 (AU$80,000–120,000) | 39.8 (34.7–45.0) | 24.4 (19.9–28.9) |
Q3 (>AU120,000) | 27.7 (22.4–32.9) | 20.0 (15.3–24.7) |
Mother’s COB | ||
Other | 35.6 (24.6–46.6) | 30.1 (19.6–40.7) |
Asia except India | 42.4 (34.0–50.9) | 25.2 (17.8–32.6) |
India | 44.4 (34.2–54.7) | 58.4 (48.2–68.7) |
Aust., NZ, UK | 35.1 (31.9–38.3) | 21.9 (19.2–24.7) |
Mother’s age group | ||
<25 years old | 47.1 (38.2–56.0) | 24.6 (17.0–32.2) |
25–34 years old | 35.4 (32.1–38.8) | 24.4 (21.4–27.4) |
≥35 years old | 35.4 (29.4–41.4) | 31.0 (25.2–36.8) |
Mother’s education | ||
School/vocational | 40.7 (36.4−44.9) | 26.0 (22.2−29.8) |
Tertiary | 33.5 (29.9−37.1) | 25.2 (21.9−28.6) |
Variables | Putting Child to Bed with a Bottle | Did Not Brush Child’s Teeth before Bed | ||
---|---|---|---|---|
Adj. PR | 95% CI | Adj. PR | 95% CI | |
Early dental visit for advice | ||||
Yes | Ref | Ref | ||
No | 1.30 | 1.04–1.64 | 1.37 | 1.02–1.84 |
Lay support | ||||
Yes | Ref | Ref | ||
No | 1.21 | 0.97–1.49 | 1.20 | 0.93–1.55 |
Family income | ||||
Q1 (<AU$80,000) | 1.15 | 0.87–1.51 | 0.99 | 0.73–1.34 |
Q2 (AU$80,000–120,000) | 1.30 | 0.99–1.70 | 1.02 | 0.74–1.41 |
Q3 (>AU120,000) | Ref | Ref | ||
Mother’s COB | ||||
Others | 1.08 | 0.72–1.62 | 1.17 | 0.73–1.85 |
Asia except India | 1.44 | 1.07–1.93 | 1.26 | 0.86–1.83 |
India | 1.63 | 1.20–2.21 | 2.69 | 1.99–3.62 |
Aust., NZ, UK | Ref | Ref | ||
Mother’s age group | ||||
<25 year old | 1.26 | 0.91–1.76 | 0.61 | 0.38–1.00 |
25–34 | 0.99 | 0.78–1.24 | 0.63 | 0.49–0.81 |
>=35 year old | Ref | Ref | ||
Mother’s education | ||||
School/vocational | 1.26 | 1.02–1.56 | 1.25 | 0.97–1.60 |
Tertiary | Ref | Ref |
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Ha, D.H.; Do, L.G. Early Life Professional and Layperson Support Reduce Poor Oral Hygiene Habits in Toddlers—A Prospective Birth Cohort Study. Dent. J. 2018, 6, 56. https://doi.org/10.3390/dj6040056
Ha DH, Do LG. Early Life Professional and Layperson Support Reduce Poor Oral Hygiene Habits in Toddlers—A Prospective Birth Cohort Study. Dentistry Journal. 2018; 6(4):56. https://doi.org/10.3390/dj6040056
Chicago/Turabian StyleHa, Diep Hong, and Loc Giang Do. 2018. "Early Life Professional and Layperson Support Reduce Poor Oral Hygiene Habits in Toddlers—A Prospective Birth Cohort Study" Dentistry Journal 6, no. 4: 56. https://doi.org/10.3390/dj6040056