{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T02:29:48Z","timestamp":1790994588159,"version":"4.1.0"},"reference-count":34,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,1,6]],"date-time":"2024-01-06T00:00:00Z","timestamp":1704499200000},"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":["J Public Health Dent"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the presence of sleep disorders, obesity and anxiety associated with cavitated carious lesions in children aged 8 to 10\u2009years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>A cross\u2010sectional study was carried out in the Northeast of Brazil. The sample was comprised of 793 schoolchildren randomly selected from public and private schools. Calibrated examiners (Kappa &gt;0.80) performed the clinical examination of dental caries using the International Caries Detection and Assessment System and applied the Revised Children's Manifest Anxiety Scale and the Sleep Disturbance Scale for Children questionnaires. The anthropometric variables evaluated were weight and height. Negative binomial regressions (<jats:italic>\u03b1<\/jats:italic>\u2009\u2264\u20090.05) were performed. A Directed Acyclic Graph was prepared using DAGitty software (version 3.0), to select the co\u2010variables for the statistical fits.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The prevalence of tooth decay was 52.8%. The mean number of tooth surfaces with cavitated caries was 2.2(2.8), 58.9% of the schoolchildren had some type of sleep disorder, while 20.2% were anxious and 29.1% were obese. Sleep disturbance (RR\u2009=\u20091.38; 95% CI: 1.05\u20131.83), general anxiety (RR\u2009=\u20091.71; 95% CI: 1.32\u20132.21), obesity (RR\u2009=\u20091.48; 95% CI: 1.17\u20131.86) were associated with dental caries in the final model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The presence of carious lesions was higher in children with sleep disorders, anxiety, obesity, and those who experienced dry mouth.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jphd.12595","type":"journal-article","created":{"date-parts":[[2024,1,6]],"date-time":"2024-01-06T13:03:05Z","timestamp":1704546185000},"page":"13-20","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Sleep disorders, anxiety and obesity associated with untreated dental caries in children eight to ten years of age"],"prefix":"10.1111","volume":"84","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9351-5438","authenticated-orcid":false,"given":"Larissa Chaves Morais","family":"de Lima","sequence":"first","affiliation":[{"name":"Post\u2010Graduation Program in Dentistry, Dental School Universidade Estadual da Para\u00edba \u2013 UEPB  Campina Grande Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1187-2878","authenticated-orcid":false,"given":"Veruska Medeiros Martins","family":"Bernardino","sequence":"additional","affiliation":[{"name":"Post\u2010Graduation Program in Dentistry, Dental School Universidade Estadual da Para\u00edba \u2013 UEPB  Campina Grande Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1551-9481","authenticated-orcid":false,"given":"Tiago Ribeiro","family":"Leal","sequence":"additional","affiliation":[{"name":"Post\u2010Graduation Program in Dentistry, Dental 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