Biological vs. Psychophysiological Risk(s) for the Pathway Determinants of Early-childhood-caries
Objectives: The potential influence of early childhood-caries (ECC) on psychomotor development remains elusive, with which the different cohorts of pre-school kindergarteners aged 4-to-6-yr via dmft and (co)-variables on their growth and development measures were explored for a new hypothesis. Methods: To evaluate the risks of ECC on psychomotor development, the bi-township cross-sectional analyses was designed to assess the kindergarteners from the urban cities vs. rural townships of southern (n=433) and central Taiwan (n=353) with lower vs. higher dmft rates were employed for analyses. The demographic, dietary and hygiene records, summed dmft scores and amended comprehensive scales (CCDI/MCDI) for psychomotor development were collected to compute their co-relationships, where children with parents’ consents and pre-test power-analyses were used for the justified recruits. One-way ANOVA vs. multiple linear-regression and Chi-square analyses were set off to compare the differences of variables between age, gender & dmft vs. the relationship among co-variables and CCDI measures to address the potential risks, respectively. Results: The data yielded that there were both positive relationships among all 4-to-6-yr kindergarteners with higher ECC (i.e., when dmft ≥4 & 5, etc.), but not with lower (<3) or very high (>9) ones, and the psychomotor development (i.e., expressive language, comprehension-concept & personal social; p >0.00126 - <0.0257), where oral hygiene was independently involved over time. A similar trend on dmft (scored >6.88±5.17) and CCDI on the psychomotor deficiency was comparatively identified in rural township with significantly higher caries experience. Conclusions: Our findings, when fully revealed, will be critical to dental/medical professional, as ECC may give rise to child’s psychomotor deficiency. Herein, we proposed a new working hypothesis of ECC for the growing children (i.e., behaviors or/and environmental measures), where the biological vs. psycho-physiological risks of the pathway determinants will be presented and discussed accordingly.
Division:IADR/AADR/CADR General Session
Meeting:2020 IADR/AADR/CADR General Session (Washington, D.C., USA) Location:Washington, D.C., USA
Year: 2020 Final Presentation ID:2128 Abstract Category|Abstract Category(s):Behavioral, Epidemiologic and Health Services Research
Authors
Liu, Yen Chun
( Kaohsiung Medical University
, Kaohsiung City
, Kaohsiung county
, Taiwan
; Kaohsiung Medical University
, Kaohsiung City
, Kaohsiung county
, Taiwan
)
Liang, Chen-yi
( Kaohsiung Medical University
, Kaohsiung City
, Kaohsiung county
, Taiwan
; Chia Nan University of Pharmacy & Science
, Tainan city
, Tainan county
, Taiwan
)
Teng, Andy
( Kaohsiung Medical University
, Kaohsiung City
, Kaohsiung county
, Taiwan
; Institute for Oral Health, School of Medicine & Dentistry, University of Rochester
, Rochester
, New York
, United States
)
Support Funding Agency/Grant Number: The Global Center of Excellence for Oral Health Research & Development, Kaohsiung Medical University, Taiwan and EIOH of University of Rochester, Rochester, New York, USA.
Financial Interest Disclosure: NONE
SESSION INFORMATION
ePoster Discussion Session
Oral Health Status, Dental Prescriptions & Case Management