期刊
CLINICAL ORAL INVESTIGATIONS
卷 25, 期 11, 页码 6147-6158出版社
SPRINGER HEIDELBERG
DOI: 10.1007/s00784-021-03914-8
关键词
Caries; Early childhood caries (ECC); Parental-reported vitamin D supplementation; Preschool children; Severe early childhood caries (S-ECC)
资金
- Ministry of Health [11/1/2017/1210/641]
The study aimed to evaluate the association between parental-reported vitamin D supplementation and caries in 3-year-old children in Poland. Results showed that children receiving vitamin D supplementation had lower prevalence of ECC/S-ECC and lower mean dmft/dmfs scores. However, after controlling for confounding factors, the association between supplementation and caries was not significant.
Objective The study aimed to assess the association between parental-reported vitamin D supplementation and caries in a national sample of 3-year-olds in Poland. Materials and methods A total of 1900 children, representing all provinces of Poland, were invited. The questionnaires concerned vitamin D supplementation, socio-demographics, and oral health behaviours. Based on dental examination, caries scores (dmft/dmfs), prevalence of early childhood caries (ECC) and severe ECC (S-ECC) were calculated. The Spearman's correlation, linear regression and logistic regression were used to assess the association between various factors and caries (p < 0.05). Results A total of 1638 children were tested. Of this number, 99.1% infants were supplemented with vitamin D. Supplementation had been continued seasonally in 55.2% children. ECC/S-ECC prevalence were significantly lower in children receiving vitamin D (ECC 38.3% vs. 44.7%, OR = 0.77; S-ECC 20.5% vs. 27.1%, OR = 0.69; p < 0.05). Mean dmft/dmfs were lower in those with supplementation (1.54 +/- 2.72 vs. 2.24 +/- 3.55; 2.40 +/- 5.56 vs. 3.72 +/- 7.56, respectively; p < 0.001). After controlling for confounding factors, supplementation was not significantly associated with caries; only dt/ds were still associated. Maternal education, sweetened beverages before bedtime, bottle use were significantly associated with S-ECC. Conclusions Lower caries prevalence was observed in those with vitamin D supplementation. The association between parental-reported vitamin D and ECC/S-ECC was not significant in Polish children. Decayed teeth and supplementation were still associated. Dietary habits can modify the association with caries.
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