{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T18:55:12Z","timestamp":1787943312222,"version":"build-2784847793"},"reference-count":38,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,11,28]],"date-time":"2022-11-28T00:00:00Z","timestamp":1669593600000},"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":["Comm Dent Oral Epid"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This study investigated the association between the decline of the decayed, missing, and filled teeth (DMFT) index and several family\u2010level and individual\u2010level factors among 6\u2010 to 18\u2010year\u2010old Taiwanese children from 2012 to 2020.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study used data from the 2012 and 2020 Taiwan National Oral Health Survey of Children and Adolescents. Both surveys used similar methods and were performed in the same study age group. A structured questionnaire was used to collect data on parents' sociodemographic background; the number of children in the family; oral health\u2010related knowledge, attitudes, and behaviours; and children's dietary habits. Dental caries was recorded through standardized oral examinations. Multivariable multilevel zero\u2010inflated negative binomial regression models were used to determine the association between family\u2010level and individual\u2010level factors and the DMFT index from 2012 to 2020.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 10\u00a0217 and 10\u00a0436 schoolchildren completed the oral examinations and questionnaires in the 2012 and 2020 surveys, respectively. The adjusted mean DMFT index of 12\u2010year\u2010old Taiwanese schoolchildren in 2020 was 2.01, denoting a significant decline from 2.50 in 2012 (adjusted mean ratio\u00a0=\u00a00.20, 95% confidence interval [CI]\u00a0=\u00a00.17, 0.23, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.0001). Furthermore, children who often consumed sugar\u2010rich drinks had a significantly higher risk (mean ratio\u00a0=\u00a01.05, 95% CI\u00a0=\u00a01.01, 1.10) of having DMFT than those who seldom consumed such drinks (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.017).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In the period of 2012\u20132020, the DMFT index among Taiwanese children significantly declined. Children who often consumed sugar\u2010rich drinks had a higher DMFT index than those who seldom consumed such drinks. Our findings are valuable to paediatricians, dentists, nutritionists, and public health policymakers.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cdoe.12823","type":"journal-article","created":{"date-parts":[[2022,11,28]],"date-time":"2022-11-28T10:07:27Z","timestamp":1669630047000},"page":"519-526","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Decline in dental caries experience among schoolchildren in Taiwan, 2012\u20132020"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8391-4558","authenticated-orcid":false,"given":"Po\u2010Yen","family":"Lin","sequence":"first","affiliation":[{"name":"Department of Dentistry, School of Dentistry National Yang Ming Chiao Tung University  Taipei Taiwan"},{"name":"Association of Family Dentistry  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yao\u2010Hui","family":"Huang","sequence":"additional","affiliation":[{"name":"Association of Family Dentistry  Taipei Taiwan"},{"name":"School of Oral Hygiene, College of Oral Medicine Taipei Medical University  Taipei Taiwan"},{"name":"School of Dentistry National Defense Medical Center  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hsiu\u2010Hsien","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Dentistry, School of Dentistry National Yang Ming Chiao Tung University  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jui","family":"Wang","sequence":"additional","affiliation":[{"name":"Institute of Epidemiology and Preventive Medicine, College of Public Health National Taiwan University  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shao\u2010Ching","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Oral Health Ministry of Health and Welfare  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong\u2010Ji","family":"Chang","sequence":"additional","affiliation":[{"name":"Association of Family Dentistry  Taipei Taiwan"},{"name":"Department of Dentistry Cheng Hsin General Hospital  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1000-8172","authenticated-orcid":false,"given":"Lin\u2010Yang","family":"Chi","sequence":"additional","affiliation":[{"name":"Department of Dentistry, School of Dentistry National Yang Ming Chiao Tung University  Taipei Taiwan"},{"name":"Association of Family Dentistry  Taipei Taiwan"},{"name":"Department of Stomatology Kaohsiung Veteran General Hospital  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,11,28]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.4814259"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-7325.2007.00036.x"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2010.200915"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/eos.12188"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/ipd.12692"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034511434355"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40496-015-0064-9"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0722.1996.tb00113.x"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1159\/000442899"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0909-8836.2004.00099.x"},{"key":"e_1_2_9_12_1","first-page":"181","article-title":"Permanent teeth caries status of 12\u2010 to 15\u2010year\u2010olds in China: Findings from the 4th National Oral Health Survey","volume":"21","author":"Quan JK","year":"2018","journal-title":"Chin J Dent Res"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1875-595x.2012.00124.x"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000021767"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12538"},{"key":"e_1_2_9_16_1","unstructured":"Research Center for Humanities and Social Sciences Academia Sinica. 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