Cent Eur J Public Health 2020, 28(4):279-285 | DOI: 10.21101/cejph.a6126

Identifying risk factors of severe early childhood caries in infants from Bosnia and Herzegovina

Marija Obradović1, Olivera Dolić1, Slava Sukara1, Nataša Knežević2, Željka Kojić3
1 Department of Paediatric and Preventive Dentistry, Medical Faculty, University of Banja Luka, Banja Luka, Republic of Srpska, Bosnia and Herzegovina
2 Department of Endodontics and Restorative Dentistry, Medical Faculty, University of Banja Luka, Banja Luka, Republic of Srpska, Bosnia and Herzegovina
3 Department of Periodontology and Oral Medicine, Medical Faculty, University of Banja Luka, Banja Luka, Republic of Srpska, Bosnia and Herzegovina

Objective: The aim of the study was to investigate risk factors for S-ECC among infants under 24 months of age living in Banja Luka, Bosnia and Herzegovina.

Methods: A cross-sectional population-based study was carried out. Considering inclusion criteria, the total sample consisted of 192 examined infants under 24 months of age. Parents/caregivers were interviewed ahead of each dental examination of children. Following data collection, outcome measures were: the presence/absence of S-ECC (children with at least one active early carious lesion on the smooth surfaces of the maxillary anterior teeth/caries-free children) and the severity of dental caries (no caries, initial caries and cavitated caries lesion).

Results: Overall results of the study indicated that 22.9% of infants had initial caries, while 12.0% (95% CI: 8.1-17.3) of infants had at least one cavitated carious lesion. Multivariate logistic regression analysis showed that the age of infants (p < 0.001) and family monthly income (p = 0.003) variables were statistically significant predictors for the development of caries.

Conclusions: This research found that the most important risk predictors for the development and severity (intensity) of S-ECC in infants under 24 months of age were low monthly income of parents and the infant's age.

Keywords: severe, early childhood caries, risk factor, age of infants, family monthly income

Received: February 5, 2020; Revised: November 13, 2020; Accepted: November 13, 2020; Published: December 18, 2020  Show citation

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Obradović M, Dolić O, Sukara S, Knežević N, Kojić Ž. Identifying risk factors of severe early childhood caries in infants from Bosnia and Herzegovina. Cent Eur J Public Health. 2020;28(4):279-285. doi: 10.21101/cejph.a6126. PubMed PMID: 33338363.
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