5% and specificity of 72.9%. The mean average plaque index was 1.3 ± 0.8. The average plaque score was significantly associated with the presence of dental decay (P < 0.0005), dt (P < 0.0005), and ds (P < 0.0005). Information on child-feeding practices revealed that 23.8% (n = 45) of the children were never breastfed.
Of those who were breastfed, the mean age of weaning from breastfeeding was 4.8 ± 6.9 months (range: ATR inhibitor 0–36 months). Majority of parents (90%) reported that their child was still using the bottle regularly for milk consumption after the age of 1 year. At the time of the study, 33 children (17%) still fell asleep while breastfeeding or with a bottle containing milk, formula, or juice. Significantly higher number of Malay parents reported that their child
was breastfed for a longer period of time (P = 0.002) and fell asleep while breastfeeding or with a bottle containing cariogenic substrate (P = 0.006) as compared to other ethnic groups. Approximately, one in four children (27%) consumed 2 to 3 between-meal snacks per day, whereas 4% (n = 8) snacked ≥4 times a day. Majority of the children (90%) had their teeth brushed at least once a day. Of these, 38% brushed their teeth without supervision, whereas the remaining children had their teeth brushed by their parents, grandparents, or maids. FK506 purchase Six children (3%) were using fluoride supplements regularly. Most parents (n = 158, 83%) agreed that baby teeth were important for their child’s overall health Thymidylate synthase and well-being. One hundred and thirty-four (71%) parents strongly agreed or agreed that they made the effort to ensure that their child’s teeth were brushed even when they were very busy. However, only 50% of the parents strongly agreed or agreed that they could withhold snacks when their child fussed for a snack. Most parents (82%) were knowledgeable about ECC. The top two sources of information were from books/health magazines (14%) and health education (12%). Only 5% (n = 9) received information about ECC from their dentist or doctor. More than half of the parents (n = 123, 65%) were aware
of the detrimental effects of allowing their child to sleep with a bottle throughout the night. Only 3% of the children in this study had visited the dentist. The average age that parents (n = 153) felt appropriate for their child to visit the dentist was 5.2 ± 1.6 years. Twenty-seven (14%) parents did not know the appropriate age for their child’s first dental visit. Only two (1%) felt that their child should have his/her first dental visit at 1 year of age. The reasons given by parents for not bringing their child to the dentist are listed in Table 1. Using the backward Poisson regression with robust estimator, the presence of dental caries was significantly associated with the child’s race (P = 0.044), consumption of sweet snacks ≥4 times a day (P = 0.011, RR = 1.91 95% CI 1.16–3.15), parental valuation of the importance of baby teeth (P = 0.007, RR = 1.51, 95% CI 1.12–2.
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