ASSESSMENT OF CARIES RISK IN TODDLERS, ACTA UNIVERSITATIS OULUENSIS D Medica 1059

Dental caries in toddlers was studied in relation to several risk factors which were also determined\nby salivary tests in a longitudinal design. Another specific aim was to reveal the effect of\nprolonged pacifier sucking on caries development.\nThe study population consisted of 183 pre-school children. At the baseline, salivary\nmicrobiological tests were taken from children whose average age was 2.5 years. Risk factors for\ncolonisation of salivary lactobacilli and yeasts were determined from a questionnaire filled in by\nthe parents. At the 2-year follow-up, caries in primary teeth was studied against the possible risk\nfactors recorded at the baseline. At the 7-year follow-up, the risk factors identified at the age of\ntwo were analysed against caries development in primary molars and in first permanent molars.\nAlso the long-term predictive value of salivary microbiological tests was investigated.\nAt the baseline, the use of pacifier and nocturnal use of nursing bottle were associated with\ncolonisation of salivary lactobacilli and yeasts. Prolonged pacifier sucking and use of nursing\nbottle at nights were shown to be associated with caries development in children at the 2-year\nfollow-up. Consumption of sweets, lack of daily tooth brushing and nocturnal use of nursing bottle\nat the age of two were associated with caries onset in both primary and permanent molars at the\nseven-year follow-up. The use of fluoride tablets reduced the risk of caries onset in primary\nmolars. Children who were colonised by salivary lactobacilli or yeasts at the baseline were\nsusceptible to caries in primary molars. Early colonisation of lactobacilli was associated with\ncaries in permanent molars.\nThe results suggest that the risk of caries is possible to assess in toddlers by identifying cariesrelated\nhabits early, already at the age of two. Microbiological tests may also have some value.\nAssessment of caries risk in toddlers enables both prevention and early intervention, and thereby\nprevention of caries development in children.

ISBN-10:
978-951-42-6221-0
Kieli:
eng.
Sivumäärä:
120 s.
Tekijät:
Ollila Päivi
Tuotekoodi 013979
20,00 €