Use of caries prevention tools and associated caries risk in a suburban population of children in Nigeria

Use of caries prevention tools and associated caries risk in a suburban population of children in Nigeria

Author by Dr. Folayan Mo

Journal/Publisher: Eur Arch Paediatr Dent

Volume/Edition: 5

Language: English

Pages: 12 - 21

Abstract

 Aims To determine the association between use of recommended

oral self-care (ROSC) caries prevention tools

and presence of dental caries in children resident in suburban

Nigeria.

 Methodology Secondary analysis was conducted for a

dataset generated for 1–12 years old children recruited

through a household survey. Information on use of ROSC

caries prevention tools (brushing more than once a day, use

of fluoridated toothpaste always, and eating sugary snacks

between main meals less than once a day), use of oral

health adjuncts (dental floss, mouth rinses, other tooth

cleansing agents) and presence of caries were extracted.

The odds of having caries when ROSC caries prevention

tools were used singly or in combination, were determined

using multivariate logistic regression adjusted for age and

sex.

 Results The single or combined use of ROSC caries prevention

tools had no statistically significant association

with presence of caries. Brushing more than once a day

reduced the odds of having caries while consumption of

sugar between meals once a day or more increased the odds

of having caries after adjusting for age and gender. The use

of two ROSC caries prevention tools reduced the risk for

caries (AOR 0.28; 95 % CI 0.05–1.53) when adjusted for

age. The converse was observed when adjusted for gender

(AOR 1.15; 95 % CI 0.38–3.45). The largest effect size

was observed when sugary snacks were taken once a day or

more between meals after adjusting for age (AOR 5.74;

95 % CI 0.34–96.11).

 Conclusion The use of a combination of fluoridated

toothpaste and twice-daily tooth brushing had the largest

effect on reducing the chance for caries in children resident

in Ile-Ife, Nigeria.5


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