{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:54:16Z","timestamp":1787320456377,"version":"build-2736575974"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,10,9]],"date-time":"2013-10-09T00:00:00Z","timestamp":1381276800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Public Health Dent"],"published-print":{"date-parts":[[2014,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      This study evaluates the influence of several determinants on the presence of early childhood caries (\n                      <jats:styled-content style=\"fixed-case\">ECC<\/jats:styled-content>\n                      ) in preschool children living in northern\n                      <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>\n                      ardinia,\n                      <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>\n                      taly. These determinants include the educational level and occupational status of the parents as a proxy for the socioeconomical level (\n                      <jats:styled-content style=\"fixed-case\">SES<\/jats:styled-content>\n                      ) and behavioral factors (dietary and oral hygiene).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An observational cross\u2010sectional study was designed with a dental examination and a standardized questionnaire. Five hundred forty\u2010four subjects (260 girls and 284 boys) were enrolled and categorized into two age groups: 359 children were aged 18\u201047 months and 185 children were aged 48\u201060 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The total caries prevalence was 15.99%. Caries risk increased with lower parents' educational level (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.01), increased number of siblings (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.01), the use of bottle feeding (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.02), and the use of a sweetened baby's pacifier at night (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.01). In robust multivariate analysis, a high parental educational level played a protective role on the presence of caries lesion [odds ratio (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      )\u2009=\u20090.51, 95% confidence interval (\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      ) 0.34\u20100.78]; the mother's being employed had a positive statistically significant association with the child having decayed, missing, filled tooth surfaces\u2009=\u20090 (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      \u2009=\u20090.64, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      0.23\u20100.97). The presence of more than one sibling in the family was associated with caries (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      \u2009=\u20091.70, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      1.20\u20102.40).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      <jats:styled-content style=\"fixed-case\">ECC<\/jats:styled-content>\n                      prevalence evaluated was similar to other western countries, and\n                      <jats:styled-content style=\"fixed-case\">SES<\/jats:styled-content>\n                      and behavioral habits influence the development of\n                      <jats:styled-content style=\"fixed-case\">ECC<\/jats:styled-content>\n                      .\n      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