Case-control study of early childhood caries in Australia

Seow, W. K., Clifford, H., Battistutta, D., Morawska, A. and Holcombe, T. (2009) Case-control study of early childhood caries in Australia. Caries Research, 43 1: 25-35. doi:10.1159/000189704

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Author Seow, W. K.
Clifford, H.
Battistutta, D.
Morawska, A.
Holcombe, T.
Title Case-control study of early childhood caries in Australia
Journal name Caries Research   Check publisher's open access policy
ISSN 0008-6568
Publication date 2009-01-09
Year available 2009
Sub-type Article (original research)
DOI 10.1159/000189704
Open Access Status Not yet assessed
Volume 43
Issue 1
Start page 25
End page 35
Total pages 11
Editor R. P. Shellis
Place of publication Switzerland
Publisher S. Kargar AG
Language eng
Subject C1
110507 Paedodontics
920402 Dental Health
170106 Health, Clinical and Counselling Psychology
Abstract The aim of this case-control study of 617 children was to investigate early childhood caries (ECC) risk indicators in a non-fluoridated region in Australia. ECC cases were recruited from childcare facilities, public hospitals and private specialist clinics to source children from different socioeconomic backgrounds. Non-ECC controls were recruited from the same childcare facilities. A multinomial logistic modelling approach was used for statistical analysis. The results showed that a large percentage of children tested positive for Streptococcus mutans if their mothers also tested positive. A common risk indicator found in ECC children from childcare facilities and public hospitals was visible plaque (OR 4.1, 95% CI 1.0-15.9, and OR 8.7, 95% CI 2.3-32.9, respectively). Compared to ECC-free controls, the risk indicators specific to childcare cases were enamel hypoplasia (OR 4.2, 95% CI 1.0-18.3), difficulty in cleaning child's teeth (OR 6.6, 95% CI 2.2-19.8), presence of S. mutans (OR 4.8, 95% CI 0.7-32.6), sweetened drinks (OR 4.0, 95% CI 1.2-13.6) and maternal anxiety (OR 5.1, 95% CI 1.1-25.0). Risk indicators specific to public hospital cases were S. mutans presence in child (OR 7.7, 95% CI 1.3-44.6) or mother (OR 8.1, 95% CI 0.9-72.4), ethnicity (OR 5.6, 95% CI 1.4-22.1), and access of mother to pension or health care card (OR 20.5, 95% CI 3.5-119.9). By contrast, a history of chronic ear infections was found to be protective for ECC in childcare children (OR 0.28, 95% CI 0.09-0.82). The biological, socioeconomic and maternal risk indicators demonstrated in the present study can be employed in models of ECC that can be usefully applied for future longitudinal studies.
Keyword Early childhood caries
Enamel hypoplasia
Primary teeth
Streptococcus mutans
Tooth brushing
Theoretical Development of Triple P
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

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Created: Sat, 15 Aug 2009, 22:06:52 EST by Margot Dallinger on behalf of School of Dentistry