Professional Documents
Culture Documents
Key words
Caries activity,
Caries-risk
grouping,
Changes in
behavior,
Dietary habit,
Introduction
11
118
Questionnaires
Questionnaires
Cariostat testing
Cariostat testing
Mar. 2005
6)
8)
9-11)
119
18-mo
0.5
1.0
1.5
0
0.5
1.0
1.5
Low caries-risk
2.0
2.5
3.0
Moderate caries-risk
(MR)
n=261
n=538
n=145
(LR)
2.0
2.5
3.0
Progressive
border caries-risk
(PB)
Moderately high
caries-risk
(MHR)
n=60
Improved
border caries-risk
(IB) n=124
High caries-risk
(HR)
n=78
Fig. 2 Predicted caries-risk assessment at 42 months based on the 18- and 24-month cutof
points
Local city health oficers completely sealed and brush your child's teeth?
2) How many times
subjects private information and released the data
a day does your child
ingest sucrose-containing
to us in coded form.
foods? 3) Do you determine the total time of your
child's sucrose-containing foods intake? 4) Does
Six caries-risk groups
your child continue to breast feed or drink a liquids
The 42-month-old predicted cutof points based
other than water
through a bottle? These questionon the 18- and 24-month-old Cariostat test results
naires were sent to
individual subjects by mail along
were 1.5 and 2.0, respectively . The 6 caries-risk with a notification of their
examination date. The
groups used in the present study were as follows:
parents completed and
brought it to Kurashiki City
(1) Low risk (LR): children who had a Cariostat Public Health Center on
the day of their child's score at or lower than the 18-month-old cutof point,
scheduled examination.
and a score lower than the 24-month-old cutof
point. (2) Moderate risk (MR): children who had a Oral health
instructions
Cariostat score higher than the 18-month-old cutof The same Kurashiki
City public dental hygienists
point but had scores lower than the 24-month-old provided the parents with
instructions for caries
cutof point. (3) Progressive border (PB): children prevention. The results of
the oral examinations
who had a Cariostat score at or lower than the 18and the Cariostat tests
as well as completed quesmonth-old cutof point but reaching the 24-month- tionnaires were
computerized and provided to us as
old cutof point. (4) Improved border (I13): children coded data. These results
6)
120
LR
Q.3**
MR
Q.4***
Q.4*** Q.4*
Q.3*
PB
IB
Q.4***
Q.4*
LR
MR
Q.4**
Q.4*
Q.2*, Q.3*,
Q.4*
PB
IB
MHR
MHR
HR
HR
Q.1 Do you check and brush your child's teeth?Q.1 Do you check and brush your child's teeth?
Q.2 How many times a day does your child ingest sucroseQ.2 How many times a day
does your child ingest sucrosecontaining food?
containing food?
Q.3 Do you determine the total time of your child's sucroseQ.3 Do you determine the
total time of your child's sucrosecontaining foods intake?
containing foods intake?
Q.4 Does your child continue to breast feed or drink liquids
Q.4 Does your child continue to
breast feed or drink liquids
other than water through a bottle?
other than water through a bottle?
LR
n=
MR
n
261
PB
jjjj
n=
145
IB
n=1
MHR
n=
60
HR
n=
78
100%
*: P<0.05, **: P<0.01, ***: P<0.001
From more than 3 times to From less than 2 times toMore than 3 times at both
l e s s t h a n 2 t i m e s m o r e t h a n 3 t i m e s ___ages
LR
(Yes or No)
n = 538
MR
n = 261
PB
n =145
IB
n
MH
R
n=
HR
n=
78
100%
*: P<0.05, **: P<0.01, ***: P<0.001
Yes at both
From no to
Table 2 shows the influence of lifestyle on Cariostat 4) Does your child continue
to breast feed or drink
test results of the 24-month-old children. Againliquids other than water
through a bottle?
breast-feeding or liquid intake other than water had Changes in the
behavior of children in HR group
a significant relationship with increased risk for were significantly worse as
compared to those in
caries, at 24 months old.
LR, MR, and PB groups from 18 to 24 months old.
Changes in behavior of children belonging to the IB
Changes in parent behavior from 18- to
and MR groups were significantly
worse as compared
24-month examination
to LR group from 18 to 24 months old. Changes in
1) Do you check and brush your child's teeth? children's behavior belonging
to moderate cariesThere were no data released from the Kurashiki City risk group were
significantly worse than children Public Health Center.belonging to low-cariesrisk group (Fig. 5).
2) How many times a day does your child ingest
sucrose-containing foods?
Discussion
Changes in the behavior of children in the HR group
were significantly worse as compared to those in the Caries is a multi-factorial
disease " and the most
LR, MR, PB, and IB groups from 18 to 24 months important dietary
component contributing to cariesold (Fig. 3).
risk without any doubt is ingestion of fermentable
.
MR
n=2
61
PB
n=1
45
**
TB
n=1
24
MH
R
n=
H
R
n=7
100%
*: P<0.05, **: P<0.01, ***:
P<0.001
0
No at both
"K
4
From yes
to no
19-21)
References
123
to caries-risk grouping of their children in order toof high caries risk groups and
individuals. Int Dent
data and that what we analyzed was just the datacaries. Int Dent J 38: 219-225.
4) AAPD.: Policy on use of a caries-risk assessment
released by Kurashiki City. As a result, we couldtool (CAT) for infants, children,
and adolescents.
not analyze the data associated with the efects onPediatr Dent 27 (7 Suppl): 25-27,
2005-2006.
mothers regarding brushing their children's teeth.
periodicity of examination,
(7 Suppl):
5) AAPD.: Guideline on
preventive dental service,
6)