{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T07:30:36Z","timestamp":1761895836497},"reference-count":31,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2014,2,4]],"date-time":"2014-02-04T00:00:00Z","timestamp":1391472000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian Dental Journal"],"published-print":{"date-parts":[[2014,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The highest prevalence of protein\u2010energy undernutrition is observed during early childhood, being also a time in which the presence of dental caries can be unusually aggressive. The present study aimed to verify if different levels of undernutrition could influence the risk of early childhood caries (<jats:styled-content style=\"fixed-case\">ECC<\/jats:styled-content>), in the presence of other predisposing factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>One hundred and twenty undernourished 12\u201370\u00a0month old children, with or without <jats:styled-content style=\"fixed-case\">ECC<\/jats:styled-content>, were selected. Undernourished children were classified as being mildly, moderately or severely undernourished. All children were examined for determination of decayed, missing and filled surfaces (dmfs). Total protein concentration in saliva was analysed by the Bradford method. For microbiological analysis, mitis salivarius\u2010bacitracin agar medium was used. A binary logistic regression model was applied to test the simultaneous influence of different variables over caries experience.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The risk of <jats:styled-content style=\"fixed-case\">ECC<\/jats:styled-content> was significantly higher with an increase in age (p\u00a0=\u00a00.000) and mutans streptococci counts (p\u00a0=\u00a00.032). Comparisons with the normal\u2010weight group showed that mildly (p\u00a0=\u00a00.004) and severely undernourished children (p\u00a0=\u00a00.037) had a higher risk of experiencing <jats:styled-content style=\"fixed-case\">ECC<\/jats:styled-content>, but this risk was not significantly elevated among moderately undernourished children (p\u00a0=\u00a00.158).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our results suggest that mildly and severely undernourished children have an increased risk of experiencing dental caries. Age is highly associated with the disease in this population.<\/jats:p><\/jats:sec>","DOI":"10.1111\/adj.12145","type":"journal-article","created":{"date-parts":[[2014,2,4]],"date-time":"2014-02-04T21:44:50Z","timestamp":1391550290000},"page":"106-113","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Caries experience, mutans streptococci and total protein concentrations in children with protein\u2010energy undernutrition"],"prefix":"10.1111","volume":"59","author":[{"given":"T Rodrigues","family":"Ribeiro","sequence":"first","affiliation":[{"name":"Federal University of Cear\u00e1 Fortaleza Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K Shangela da Silva","family":"Alves","sequence":"additional","affiliation":[{"name":"Federal University of Cear\u00e1 Fortaleza Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"AC","family":"de Miranda Mota","sequence":"additional","affiliation":[{"name":"Federal University of Cear\u00e1 Fortaleza Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D Pereira","family":"Costa","sequence":"additional","affiliation":[{"name":"Federal University of Cear\u00e1 Fortaleza Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C Barreto Mano","family":"de Carvalho","sequence":"additional","affiliation":[{"name":"Federal University of Cear\u00e1 Fortaleza Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"CF","family":"Santos","sequence":"additional","affiliation":[{"name":"State University of Cear\u00e1 Fortaleza Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"AJ","family":"Monteiro","sequence":"additional","affiliation":[{"name":"Federal University of Cear\u00e1 Fortaleza Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"CSR","family":"Fonteles","sequence":"additional","affiliation":[{"name":"Federal University of Cear\u00e1 Fortaleza Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,2,4]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Nutritional science","author":"Dutra\u2010De\u2010Oliveira JE","year":"2003"},{"key":"e_1_2_8_3_1","unstructured":"World Health Organization.Department of Nutrition for Health and Development 2010. 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