Development of a prognostic model for caries onset and progression from early childhood caries incidence in urban preschool children

Aim Of this prospective cohort study was to assess early childhood caries (ECC) incidence and, based on the data, build a model that not only predicts future ECC onset in clinically caries-free children, but also is prognostic for children with ECC. Methods ECC incidence was assessed at the 12-month...

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Veröffentlicht in:European archives of paediatric dentistry 2019-08, Vol.20 (4), p.303-309
Hauptverfasser: Kopycka-Kedzierawski, D. T., Billings, R. J., Feng, C.
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creator Kopycka-Kedzierawski, D. T.
Billings, R. J.
Feng, C.
description Aim Of this prospective cohort study was to assess early childhood caries (ECC) incidence and, based on the data, build a model that not only predicts future ECC onset in clinically caries-free children, but also is prognostic for children with ECC. Methods ECC incidence was assessed at the 12-month follow-up examination on a cohort of 291 preschool children. Weighted general estimation equation (WGEE) was used to estimate the effects of covariates on ds (decayed primary tooth surfaces) and dfs (decayed and filled primary tooth surfaces). Results The mean dfs at the baseline examination was 0.81. Of the 116 children who completed the study, approximately 22% examined at baseline had ECC (dfs > 0). At 12-months, 36% had ECC with a mean dfs of 2.22. Children with dfs = 0 at baseline had 2.95 fewer ds in the primary dentition at the end of the study than children who had ECC at the baseline examination (dfs > 0) (p  0) (p 
doi_str_mv 10.1007/s40368-018-0404-2
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T. ; Billings, R. J. ; Feng, C.</creator><creatorcontrib>Kopycka-Kedzierawski, D. T. ; Billings, R. J. ; Feng, C.</creatorcontrib><description>Aim Of this prospective cohort study was to assess early childhood caries (ECC) incidence and, based on the data, build a model that not only predicts future ECC onset in clinically caries-free children, but also is prognostic for children with ECC. Methods ECC incidence was assessed at the 12-month follow-up examination on a cohort of 291 preschool children. Weighted general estimation equation (WGEE) was used to estimate the effects of covariates on ds (decayed primary tooth surfaces) and dfs (decayed and filled primary tooth surfaces). Results The mean dfs at the baseline examination was 0.81. Of the 116 children who completed the study, approximately 22% examined at baseline had ECC (dfs &gt; 0). At 12-months, 36% had ECC with a mean dfs of 2.22. Children with dfs = 0 at baseline had 2.95 fewer ds in the primary dentition at the end of the study than children who had ECC at the baseline examination (dfs &gt; 0) (p &lt; 0.0001). Children with dfs = 0 at baseline had 5.49 fewer ds and dfs in the primary dentition at the end of the study than children who had ECC at the baseline examination (dfs &gt; 0) (p &lt; 0.0001). Conclusions ECC incidence at 1 year was 14%. The prevalence of ECC at the 12-month follow-up examination was approximately 36%. The model developed from these data strongly indicate that past caries experience in the primary dentition is a significant predictor of future caries activity and severity, as well as a predictor of future caries onset in clinically caries-free children.</description><identifier>ISSN: 1818-6300</identifier><identifier>EISSN: 1996-9805</identifier><identifier>DOI: 10.1007/s40368-018-0404-2</identifier><identifier>PMID: 30539339</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Age ; Cameras ; Childhood ; Children &amp; youth ; Clinical trials ; Consent ; Data analysis ; Dental care ; Dental caries ; Dentistry ; Ethnicity ; Families &amp; family life ; Gender ; Longitudinal studies ; Medicine ; Missing data ; Original Scientific Article ; Preschool children ; Questionnaires ; Teeth</subject><ispartof>European archives of paediatric dentistry, 2019-08, Vol.20 (4), p.303-309</ispartof><rights>European Academy of Paediatric Dentistry 2018</rights><rights>European Academy of Paediatric Dentistry 2018.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-6673aa1b98a9b88d3a2ff9dff0c498a0381050f591dc57f21ec580b2f8ff6ea53</citedby><cites>FETCH-LOGICAL-c372t-6673aa1b98a9b88d3a2ff9dff0c498a0381050f591dc57f21ec580b2f8ff6ea53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s40368-018-0404-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2932276833?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,21388,21389,27924,27925,33530,33531,33744,33745,41488,42557,43659,43805,51319,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30539339$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kopycka-Kedzierawski, D. T.</creatorcontrib><creatorcontrib>Billings, R. J.</creatorcontrib><creatorcontrib>Feng, C.</creatorcontrib><title>Development of a prognostic model for caries onset and progression from early childhood caries incidence in urban preschool children</title><title>European archives of paediatric dentistry</title><addtitle>Eur Arch Paediatr Dent</addtitle><addtitle>Eur Arch Paediatr Dent</addtitle><description>Aim Of this prospective cohort study was to assess early childhood caries (ECC) incidence and, based on the data, build a model that not only predicts future ECC onset in clinically caries-free children, but also is prognostic for children with ECC. Methods ECC incidence was assessed at the 12-month follow-up examination on a cohort of 291 preschool children. Weighted general estimation equation (WGEE) was used to estimate the effects of covariates on ds (decayed primary tooth surfaces) and dfs (decayed and filled primary tooth surfaces). Results The mean dfs at the baseline examination was 0.81. Of the 116 children who completed the study, approximately 22% examined at baseline had ECC (dfs &gt; 0). At 12-months, 36% had ECC with a mean dfs of 2.22. Children with dfs = 0 at baseline had 2.95 fewer ds in the primary dentition at the end of the study than children who had ECC at the baseline examination (dfs &gt; 0) (p &lt; 0.0001). Children with dfs = 0 at baseline had 5.49 fewer ds and dfs in the primary dentition at the end of the study than children who had ECC at the baseline examination (dfs &gt; 0) (p &lt; 0.0001). Conclusions ECC incidence at 1 year was 14%. The prevalence of ECC at the 12-month follow-up examination was approximately 36%. The model developed from these data strongly indicate that past caries experience in the primary dentition is a significant predictor of future caries activity and severity, as well as a predictor of future caries onset in clinically caries-free children.</description><subject>Age</subject><subject>Cameras</subject><subject>Childhood</subject><subject>Children &amp; youth</subject><subject>Clinical trials</subject><subject>Consent</subject><subject>Data analysis</subject><subject>Dental care</subject><subject>Dental caries</subject><subject>Dentistry</subject><subject>Ethnicity</subject><subject>Families &amp; family life</subject><subject>Gender</subject><subject>Longitudinal studies</subject><subject>Medicine</subject><subject>Missing data</subject><subject>Original Scientific Article</subject><subject>Preschool children</subject><subject>Questionnaires</subject><subject>Teeth</subject><issn>1818-6300</issn><issn>1996-9805</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp1kU1rFzEQxoMotlY_gBcJePGyOkk22eQo9RUKXuw5ZJNJu2U3-ZvsCr37wZt2WwWhh2GGzO95MvAQ8prBewYwfKg9CKU7YK166Dv-hBwzY1RnNMinbdZtowTAEXlR6xWAHMSgnpMjAVIYIcwx-fMJf-OcDwumleZIHT2UfJFyXSdPlxxwpjEX6l2ZsNKcKq7UpXBHFax1yonGkheKrszX1F9Oc7jMOTwopuSngMljm-hWRpeaFKtvzLzTBdNL8iy6ueKr-35Czr98_nn6rTv78fX76cezzouBr51Sg3COjUY7M2odhOMxmhAj-L69gdAMJERpWPByiJyhlxpGHnWMCp0UJ-Td7tuu_7VhXe0yVY_z7BLmrVrOpGQKmOkb-vY_9CpvJbXrLDeC80FpIRrFdsqXXGvBaA9lWly5tgzsbUR2j8i2iOxtRJY3zZt7521cMPxVPGTSAL4Dta3SBZZ_Xz_uegNi454J</recordid><startdate>20190801</startdate><enddate>20190801</enddate><creator>Kopycka-Kedzierawski, D. 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T. ; Billings, R. J. ; Feng, C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-6673aa1b98a9b88d3a2ff9dff0c498a0381050f591dc57f21ec580b2f8ff6ea53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Age</topic><topic>Cameras</topic><topic>Childhood</topic><topic>Children &amp; youth</topic><topic>Clinical trials</topic><topic>Consent</topic><topic>Data analysis</topic><topic>Dental care</topic><topic>Dental caries</topic><topic>Dentistry</topic><topic>Ethnicity</topic><topic>Families &amp; family life</topic><topic>Gender</topic><topic>Longitudinal studies</topic><topic>Medicine</topic><topic>Missing data</topic><topic>Original Scientific Article</topic><topic>Preschool children</topic><topic>Questionnaires</topic><topic>Teeth</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kopycka-Kedzierawski, D. 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T.</au><au>Billings, R. J.</au><au>Feng, C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Development of a prognostic model for caries onset and progression from early childhood caries incidence in urban preschool children</atitle><jtitle>European archives of paediatric dentistry</jtitle><stitle>Eur Arch Paediatr Dent</stitle><addtitle>Eur Arch Paediatr Dent</addtitle><date>2019-08-01</date><risdate>2019</risdate><volume>20</volume><issue>4</issue><spage>303</spage><epage>309</epage><pages>303-309</pages><issn>1818-6300</issn><eissn>1996-9805</eissn><abstract>Aim Of this prospective cohort study was to assess early childhood caries (ECC) incidence and, based on the data, build a model that not only predicts future ECC onset in clinically caries-free children, but also is prognostic for children with ECC. Methods ECC incidence was assessed at the 12-month follow-up examination on a cohort of 291 preschool children. Weighted general estimation equation (WGEE) was used to estimate the effects of covariates on ds (decayed primary tooth surfaces) and dfs (decayed and filled primary tooth surfaces). Results The mean dfs at the baseline examination was 0.81. Of the 116 children who completed the study, approximately 22% examined at baseline had ECC (dfs &gt; 0). At 12-months, 36% had ECC with a mean dfs of 2.22. Children with dfs = 0 at baseline had 2.95 fewer ds in the primary dentition at the end of the study than children who had ECC at the baseline examination (dfs &gt; 0) (p &lt; 0.0001). Children with dfs = 0 at baseline had 5.49 fewer ds and dfs in the primary dentition at the end of the study than children who had ECC at the baseline examination (dfs &gt; 0) (p &lt; 0.0001). Conclusions ECC incidence at 1 year was 14%. The prevalence of ECC at the 12-month follow-up examination was approximately 36%. The model developed from these data strongly indicate that past caries experience in the primary dentition is a significant predictor of future caries activity and severity, as well as a predictor of future caries onset in clinically caries-free children.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>30539339</pmid><doi>10.1007/s40368-018-0404-2</doi><tpages>7</tpages></addata></record>
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1996-9805
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source ProQuest Central (Alumni Edition); ProQuest Central UK/Ireland; SpringerLink Journals - AutoHoldings; ProQuest Central
subjects Age
Cameras
Childhood
Children & youth
Clinical trials
Consent
Data analysis
Dental care
Dental caries
Dentistry
Ethnicity
Families & family life
Gender
Longitudinal studies
Medicine
Missing data
Original Scientific Article
Preschool children
Questionnaires
Teeth
title Development of a prognostic model for caries onset and progression from early childhood caries incidence in urban preschool children
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