The VicGeneration study - a birth cohort to examine the environmental, behavioural and biological predictors of early childhood caries: background, aims and methods

de Silva-Sanigorski, Andrea M.; Calache, Hanny; Gussy, Mark; Dashper, Stuart; Gibson, Jane; Waters, Elizabeth
January 2010
BMC Public Health;2010, Vol. 10 Issue 1, p97
Academic Journal
Background: Dental caries (decay) during childhood is largely preventable however it remains a significant and costly public health concern, identified as the most prevalent chronic disease of childhood. Caries in children aged less than five years (early childhood caries) is a rapid and progressive disease that can be painful and debilitating, and significantly increases the likelihood of poor child growth, development and social outcomes. Early childhood caries may also result in a substantial social burden on families and significant costs to the public health system. A disproportionate burden of disease is also experienced by disadvantaged populations. Methods/Design: This study involves the establishment of a birth cohort in disadvantaged communities in Victoria, Australia. Children will be followed for at least 18 months and the data gathered will explore longitudinal relationships and generate new evidence on the natural history of early childhood caries, the prevalence of the disease and relative contributions of risk and protective biological, environmental and behavioural factors. Specifically, the study aims to: 1. Describe the natural history of early childhood caries (at ages 1, 6, 12 and 18 months), tracking pathways from early bacterial colonisation, through non-cavitated enamel white spot lesions to cavitated lesions extending into dentine. 2. Enumerate oral bacterial species in the saliva of infants and their primary care giver. 3. Identify the strength of concurrent associations between early childhood caries and putative risk and protective factors, including biological (eg microbiota, saliva), environmental (fluoride exposure) and socio-behavioural factors (proximal factors such as: feeding practices and oral hygiene; and distal factors such as parental health behaviours, physical health, coping and broader socio-economic conditions). 4. Quantify the longitudinal relationships between these factors and the development and progression of early childhood caries from age 1-18 months. Discussion: There is currently a lack of research describing the natural history of early childhood caries in very young children, or exploring the interactions between risk and protective factors that extend to include contemporary measures of socio-behavioural factors. This study will generate knowledge about pathways, prevalence and preventive opportunities for early childhood caries, the most prevalent child health inequality.


Related Articles

  • The effect of xylitol on dental caries and oral flora. Nayak, Prathibha Anand; Nayak, Ullal Anand; Khandelwal, Vishal // Clinical, Cosmetic & Investigational Dentistry;2014, Vol. 6, p89 

    Dental caries, the most chronic disease affecting mankind, has been in the limelight with regard to its prevention and treatment. Professional clinical management of caries has been very successful in cases of different severities of disease manifestations. However, tertiary management of this...

  • International Caries Detection and Assessment System (ICDAS): A New Concept. Gugnani, Neeraj; Pandit, I. K.; Srivastava, Nikhil; Gupta, Monika; Sharma, Megha // International Journal of Clinical Pediatric Dentistry;May-Aug2011, Vol. 4 Issue 2, p93 

    Dental caries is a complex multifactorial disease of the calcified tissues of the teeth, caused by interaction of various factors including the host, agent, substrate and time as demonstrated by the Keyes circle. Detecting carious lesion at the earliest possible stage of its development is...

  • Atraumatic restorative treatment to control dental caries: history, characteristics, and contributions of the technique. Tascón, Jorge // Revista Panamericana de Salud Publica;Feb2005, Vol. 17 Issue 2, p110 

    This paper presents relevant scientific information on the history, characteristics, and contributions of atraumatic restorative treatment (ART) for use in preventing and controlling dental caries. Within the area of oral public health, ART has been for years an economical, effective method for...

  • Inferences from Natural Occurring Variations in Caries Prevalence. BIBBY, BASIL G. // Journal of Dental Research;Nov1970, Vol. 49 Issue 6, p1194 

    The article discusses natural occurring variations in dental caries prevalence. The author examines the role of food in causing caries by making a general survey of food relationships to recognized variations in caries prevalence. The relationship of time, geography, and cultural status to...

  • Dental caries vaccine. Shivakumar, K. M.; Vidya, S. K.; Chandu, G. N. // Indian Journal of Dental Research;Jan2009, Vol. 20 Issue 1, p99 

    Dental caries is one of the most common diseases in humans. In modern times, it has reached epidemic proportions. Dental caries is an infectious microbiologic disease of the teeth that results in localized dissolution and destruction of the calcified tissue. Dental caries is a mulitifactorial...

  • HEALTH INDEX OF THE TEETH. EAST, BION R.; POHLEN, KURT // Journal of Dental Research;Dec1941, Vol. 20 Issue 6, p533 

    The article discusses a health index for teeth. The authors state that there is a need for a simple and comprehensive formula that will describe the state of health or illness of groups. The DMF, which is a formula that describes health status as it is related to dental caries in public health...

  • Dental Health Estimation for Children Age Twelve and Fifteen. Davidović, Bojana; Ivanović, Mirjana; Janković, Svjetlana // Serbian Dental Journal / StomatoloÅ¡ki Glasnik Srbije;2012, Vol. 59 Issue 1, p35 

    Introduction The problem of chronic diseases such as caries is very complex because it appears very early in life, often during childhood. The number of involved people is growing as well as the number of affected teeth and surfaces that eventually lead to teeth loss. The aim of this study was...

  • Medicine in pictures Dental Problems. Watkins, Jean // Update;9/15/2005, Vol. 71 Issue 3, p47 

    The article presents information on various dental problems. Dental injury is not uncommon and may result in a fractured, displaced, avulsed tooth. Occasionally, the tooth may be inhaled. Damage to a tooth is often associated with other injuries, such as fractured facial or jaw hones, soft...

  • An oral health education video game for high caries risk children: study protocol for a randomized controlled trial. Aljafari, Ahmad; Rice, Colm; Gallagher, Jennifer Elizabeth; Hosey, Marie Therese // Trials;2015, Vol. 16 Issue 1, p1 

    Background: Tooth decay is the most common chronic disease of childhood in the world. Many children develop caries early in their lives, and go on to develop further caries and sepsis as they grow up, indicating failure in prevention. As a result, many end up requiring general anaesthesia to...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics