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  • Title: Caries patterns and their relationship to infant feeding and socio-economic status in 2-4-year-old Chinese children.
    Author: Du M, Bian Z, Guo L, Holt R, Champion J, Bedi R.
    Journal: Int Dent J; 2000 Dec; 50(6):385-9. PubMed ID: 11197198.
    Abstract:
    AIMS: To describe the prevalence, severity and patterns of caries in 2-4-year-old children and to evaluate the association between caries experience of the children and their feeding patterns and socio-economic background in terms of mothers' education and family income. DESIGN: Cross-sectional survey. SETTING: Suburban area of Hanchuan in Hubei province, China. PARTICIPANTS: A sample of 426 children (250 boys and 176 girls). METHODS: Dental-examinations were undertaken in kindergartens using World Health Organization diagnostic criteria for dental caries. Mothers completed a short questionnaire. OUTCOME MEASURES: Prevalence of caries; rampant caries; caries in incisors; caries in incisors and/or canines and molars; mean number of decayed, missing and filled teeth/surfaces (dmft/s). RESULTS: 36% of the children had caries, 7% had rampant caries. The more extensive pattern of caries involving primary molars as well as incisors and/or canines was seen in 12% of children. Children who had been wholly bottle-fed had five times the risk of having rampant caries compared to children who were breast-fed. CONCLUSIONS: The results indicated that infant feeding practice might be a key risk factor for the development of caries at an early age in this country as elsewhere.
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