Natural history of dental caries in very young Australian children
AuthorGussy, M; Ashbolt, R; Carpenter, L; Virgo-Milton, M; Calache, H; Dashper, S; Leong, P; de Silva, A; de Livera, A; Simpson, J; ...
Source TitleInternational Journal of Paediatric Dentistry
University of Melbourne Author/sCarpenter, Lauren; Dashper, Stuart; Simpson, Julie; de Silva, Andrea; Gussy, Mark; ASHBOLT, ROSEMARY; VIRGO-MILTON, MONICA; de Livera, Alysha; Calache, Hanny
AffiliationMelbourne Dental School
Melbourne School of Population and Global Health
Document TypeJournal Article
CitationsGussy, M., Ashbolt, R., Carpenter, L., Virgo-Milton, M., Calache, H., Dashper, S., Leong, P., de Silva, A., de Livera, A., Simpson, J. & Waters, E. (2016). Natural history of dental caries in very young Australian children. INTERNATIONAL JOURNAL OF PAEDIATRIC DENTISTRY, 26 (3), pp.173-183. https://doi.org/10.1111/ipd.12169.
Access StatusOpen Access
BACKGROUND: Whilst the global burden of caries is increasing, the trajectory of decay in young children and the point at which prevention should occur has not been well established. AIM: To identify the 'natural history' of dental caries in early childhood. DESIGN: A birth cohort study was established with 467 mother/child dyads followed at 1, 6, 12, 18, and 36 months of age. Parent-completed surveys captured demographic, social, and behavioural data, and oral examinations provided clinical and data. RESULTS: Eight per cent of children (95% confidence interval (CI): 5-12%) at 18 months and 23% (95% CI: 18-28%) at 36 months experienced decay. Interesting lesion behaviour was found between 18 and 36 months, with rapid development of new lesions on sound teeth (70% of teeth, 95% CI: 63-76%) and regression of many lesions from non-cavitated lesions to sound (23% of teeth, 95% CI: 17-30%). Significant associations were found between soft drink consumption and lesion progression. CONCLUSIONS: Findings suggest optimal time periods for screening and prevention of a disease which significantly impacts multiple health and well-being outcomes across the life course.
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