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. 2024 Feb 11;24(1):218.
doi: 10.1186/s12903-024-04004-3.

Evaluation of possible associated factors for early childhood caries: are preterm birth and birth weight related?

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Evaluation of possible associated factors for early childhood caries: are preterm birth and birth weight related?

Merve Bilmez Selen et al. BMC Oral Health. .

Abstract

Background: This study aimed to evaluate the oral and dental health of preschool children aged 12-71 months living in the Eastern Anatolia Region of Turkey, and to examine the effects of low birth weight (LBW) and preterm, early term and term birth on dental caries.

Methods: 475 participants were included in the study. Intraoral examinations were performed and evaluated for the presence of early childhood caries (ECC). These values ​​are; Relationships such as age, gender, birth weight, week of birth, tooth brushing frequency, cariogenic nutrition, and parental education levels were examined. The obtained data were analyzed statistically (chi-square, t-test, artificial neural network (ANN)).

Results: Of the 475 participants, whose parents agreed to fill out the questionnaire, 250 were female and 225 were male. While the mean age was 49.78 ± 14.78 months for those with ECC, it was 38.93 ± 17.96 months for those without. Higher duration of breastfeeding (p = 0.04), education level of parents (p = 0.001), lower socioeconomic level (p = 0.001), and lower brushing frequency (p = 0.001) were also found to be significantly associated with ECC. ECC was seen in 90% of 77 children with a history of preterm birth. In LBW, this rate was 83%. According to the ANN result, in preterm birth; 12.9% affected ECC by LBW.

Conclusion: According to the results of our study, both LBW and preterm delivery were found to be associated with ECC and S-ECC (severe early childhood caries). An additional study on parents of preterm/LBW infants would be beneficial. In the early period, regular dental examination, implementation of preventive and preventive treatments, and nutrition education to parents can make a significant difference in the prevention of ECC.

Keywords: Birth weight; Dental caries; Infant; Low birth weight; Premature birth; Term birth.

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Conflict of interest statement

Author Merve Bilmez Selen, Pinar Demir, and Feyza Inceoglu declare that they have no conflict of interest.

The authors declare no competing interests.

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