Risk factors for dental caries in children
https://doi.org/10.33925/1683-3031-2025-872
Abstract
Relevance. The high prevalence of dental caries underscores the importance of identifying risk factors for its development in childhood. The objective of this study was to identify the risk factors associated with dental caries in children from key age groups.
Materials and methods. The study involved parents of children aged 3 and 6 years, as well as schoolchildren aged 12 and 15 years. Caries risk factors were assessed using the World Health Organization’s oral health questionnaire. Participation was voluntary and anonymous.
Results. The risk of developing dental caries in children was linked to inadequate attention to oral hygiene and dietary habits. Many children brushed their teeth only once a day, did not use fluoride toothpaste, and lacked additional oral hygiene measures. Cariogenic foods and beverages were frequently included in their diets. Most children visited the dentist less than twice a year. Preventive measures, such as fissure sealing of molars, were not commonly performed.
Conclusion. A high prevalence of risk factors for dental caries was observed among children, highlighting the need for comprehensive oral health education and preventive care programs.
About the Authors
L. F. OnishchekoRussian Federation
Lyubov F. Onishchenko, DMD, PhD, Associate Professor, Department of the Pediatric Dentistry
1 Pavshih Bortsov Sq., Volgograd, 400066
N. V. Shakavets
Belarus
Natalía V. Shakavets, DMD, PhD, DSc, Professor, Head of the Department of Pediatric Dentistry
Minsk
References
1. Kuzmina EM, Yanushevich OO, Kuzmina IN, Lapatina AV. Tendency in the prevalence of dental caries among the russian population over a 20-year period. Dental Forum. 2020;3(78):2-8 (In Russ.). Available from: https://www.elibrary.ru/item.asp?id=43825063
2. Kazeminia M, Abdi A, Shohaimi S, Jalali R, VaisiRaygani A, Salari N, Mohammadi M. Dental caries in primary and permanent teeth in children's worldwide, 1995 to 2019: a systematic review and meta-analysis. Head Face Med. 2020;16(1):22. doi: 10.1186/s13005-020-00237-z
3. Voronin PA, Voronin VA, Koparzova OA, Sagitdinova TN, Smirnova DA, Rassadina SS. Prevalence and intensity of dental caries in children of different age groups living in the Solntsevo district, Moscow. Medical alphabet. 2024;1:25-28 (In Russ.). doi: 10.33667/2078-5631-2024-1-25-28
4. Pesaressi E, Villena RS, Frencken JE. Dental caries and oral health-related quality of life of 3-year-olds living in Lima, Peru. Int J Paediatr Dent. 2020;30(1):57-65. doi: 10.1111/ipd.12582
5. Phantumvanit P, Makino Y, Ogawa H, Rugg-Gunn A, Moynihan P, Petersen PE, et al. WHO Global Consultation on Public Health Intervention against Early Childhood Caries. Community Dent Oral Epidemiol. 2018;46(3):280-287. doi: 10.1111/cdoe.12362
6. Pitts NB, Twetman S, Fisher J, Marsh PD. Understanding dental caries as a non-communicable disease. Br Dent J. 2021;231(12):749-753. doi: 10.1038/s41415-021-3775-4
7. Spatafora G, Li Y, He X, Cowan A, Tanner ACR. The evolving microbiome of dental caries. Microorganisms. 2024;12(1):121. doi: 10.3390/microorganisms12010121
8. Whelton HP, Spencer AJ, Do LG, Rugg-Gunn AJ. Fluoride revolution and dental caries: evolution of policies for global use. J Dent Res. 2019;98(8):837-846. doi: 10.1177/0022034519843495
9. Walsh T, Worthington HV, Glenny AM, Marinho VC, Jeroncic A. Fluoride toothpastes of different concentrations for preventing dental caries. Cochrane Database Syst Rev. 2019;3(3):CD007868. doi: 10.1002/14651858.CD007868.pub3
10. Gao SS, Zhang S, Mei ML, Lo EC, Chu CH. Caries remineralisation and arresting effect in children by professionally applied fluoride treatment – a systematic review. BMC Oral Health. 2016;16:12. doi: 10.1186/s12903-016-0171-6
11. Leite KLF, Rodrigues GF, Chevitarese AB, Magno MB, Marañón-Vásquez GA, Pintor AVB, et al. Are pit and fissure sealants effective in preventing and arresting occlusal caries in primary and permanent teeth? An overview of systematic reviews. J Evid Based Dent Pract. 2024;24(3):102010. doi: 10.1016/j.jebdp.2024.102010
12. Shaymieva NI. The remote efficiency of dental cavity prevention programs among children in Tatarstan Republic. Public Health and Health Care. 2020;1(65):38- 43 (In Russ.). Available from: https://www.elibrary.ru/item.asp?id=43844008
13. Fraihat N, Madae'en S, Bencze Z, Herczeg A, Varga O. Clinical effectiveness and cost-effectiveness of oral-health promotion in dental caries prevention among children: Systematic review and meta-analysis. Int J Environ Res Public Health. 2019;16(15):2668. doi: 10.3390/ijerph16152668
14. Maslak E, Sokolovich N, Fomenko I, Osokina A, Ogrina N, Naumova V. The patient and the dentist. Trust and consent to treatment. International Journal of Pharmaceutical Research. 2019;11(1):722-731. Available from: http://ijprjournals.com/abstractt.php?id=379
15. Oral Health Surveys. Basic Methods. 5th Edition. WHO, 2013:137. Available from: https://www.who.int/publications/i/item/9789241548649
16. Kamalova MK, Maslak EE. Oral hygiene in children aged 3-6 years (according to the survey of parents). Dental Forum. 2023;4(91):31-33 (In Russ.). Available from: https://elibrary.ru/item.asp?id=57880605
17. Gund MP, Bucher M, Hannig M, Rohrer TR, Rupf S. Oral hygiene knowledge versus behavior in children: A questionnaire-based, interview-style analysis and on-site assessment of toothbrushing practices. Clin Exp Dent Res. 2022;8(5):1167-1174. doi: 10.1002/cre2.607
18. Nordström A, Birkhed D. Attitudes and behavioural factors relating to toothbrushing and the use of fluoride toothpaste among caries-active Swedish adolescents – a questionnaire study. Acta Odontol Scand. 2017;75(7):483-487. doi: 10.1080/00016357.2017.1344876
19. Hong J, Whelton H, Douglas G, Kang J. Consumption frequency of added sugars and UK children's dental caries. Community Dent Oral Epidemiol. 2018;46(5):457-464. doi: 10.1111/cdoe.12413
20. Gorbatova MA, Pochinkova PA, Simakova AA, Utkina EI, Grjibovski AM. Associations between dietary factors and caries among 12-year-old children in Arkhangelsk region. Russian Journal of Dentistry. 2023;27(1):41-50 (In Russ.). doi: 10.17816/dent181610
21. Fidler Mis N, Braegger C, Bronsky J, Campoy C, Domellöf M, Embleton ND, et al. Sugar in infants, children and adolescents: a position paper of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition Committee on Nutrition. J Pediatr Gastroenterol Nutr. 2017;65(6):681-696. doi: 10.1097/MPG.0000000000001733
22. Rédua RB, Rédua PCB, de Oliveira Lira Ortega A. Importance of dental clinic recalls for caries prevention in children: practice-based research. J Clin Pediatr Dent. 2019;43(6):376-381. doi: 10.17796/1053-4625-43.6.3
23. Chen Z, Zhu J, Zhao J, Sun Z, Zhu B, Lu H, Zheng Y. Dental caries status and its associated factors among schoolchildren aged 6-8 years in Hangzhou, China: a cross-sectional study. BMC Oral Health. 2023;23(1):94. doi: 10.1186/s12903-023-02795-5
24. Sæthre-Sundli HB, Løken SY, Wang NJ, Wigen TI. Fissure sealing and caries development in Norwegian children. Eur Arch Paediatr Dent. 2022;23(6):905-910. doi: 10.1007/s40368-022-00729-3
25. AlEissa EE, Catania JA. Implementation problems and adaptations among organizations delivering school-based dental sealant programs. J Public Health Dent. 2022;82(1):105-112 (In Russ.). doi: 10.1111/jphd.12498
26. Shkhagosheva AA, Maslak EE. Children’s need and parents’ compliance with fissure sealing of primary and permanent molars in private dental clinic. Dental Forum. 2019;4(75):120-121. Available from: https://elibrary.ru/item.asp?id=41325854
Review
For citations:
Onishcheko L.F., Shakavets N.V. Risk factors for dental caries in children. Pediatric dentistry and dental prophylaxis. 2025;25(1):67-72. (In Russ.) https://doi.org/10.33925/1683-3031-2025-872