{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T14:32:35Z","timestamp":1763389955012,"version":"3.37.0"},"reference-count":45,"publisher":"Scientific Scholar","content-domain":{"domain":["nmji.in"],"crossmark-restriction":true},"short-container-title":["NMJI"],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background<\/jats:title>\n<jats:p>Several risk factors have been associated with early childhood caries (ECC). However, conclusive data are not available about the socio-demographic and behavioural factors which are associated with severe ECC (S-ECC). We assessed the severity and pattern of ECC in young children. We also looked for association of S-ECC with various sociobehavioural risk factors in a hospital-based setting.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Methods<\/jats:title>\n<jats:p>We included 200 children, 1\u20136 years old, who reported with dental caries to a paediatric dental outpatient in a tertiary care hospital. Information about socio-demographics and various behavioural factors was recorded in a structured proforma using an interview method. The American Academy of Paediatric Dentistry (AAPD) criteria were used for categorizing children into ECC and severe ECC groups (S-ECC). Qualitative variables were analysed by chi-square test. Multiple logistic regression analysis was done to find the predictors of severe S-ECC. All statistical tests were done at a significance level of p&lt;0.05.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Results<\/jats:title>\n<jats:p>The majority of children (85%) had S-ECC and anterior-posterior (AP) caries pattern (77%). A significant association was found between the age of the child (p&lt;0.001), absence of siblings (p=0.009), continuation of bottle feed or mother\u2019s milk till the age of reporting to the hospital (p=0.007), frequency of night-time feed (p=0.048) and S-ECC.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st4\">\n<jats:title>Conclusions<\/jats:title>\n<jats:p>A continued habit of milk feed from bottle\/mother till the time of dental visit seeking treatment and night time-feeds more than twice had a significant association with S-ECC.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/nmji_374_2022","type":"journal-article","created":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T06:43:15Z","timestamp":1739256195000},"page":"241-247","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Severe early childhood caries among young children and its association with behavioural factors: A hospital-based cross-sectional study"],"prefix":"10.25259","volume":"37","author":[{"given":"BEENU","family":"SINGH","sequence":"first","affiliation":[{"name":"Department of Pedodontics and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"KALPANA","family":"BANSAL","sequence":"additional","affiliation":[{"name":"Department of Pedodontics and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"PAVITHRA","family":"DEVI K.","sequence":"additional","affiliation":[{"name":"Department of Pedodontics and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"VIJAY PRAKASH","family":"MATHUR","sequence":"additional","affiliation":[{"name":"Department of Pedodontics and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"NITESH","family":"TEWARI","sequence":"additional","affiliation":[{"name":"Department of Pedodontics and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"RENU","family":"SHARMA","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Centre for Dental Education and Research, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2025,2,7]]},"reference":[{"key":"10.25259\/NMJI_374_2022\/ref-1","doi-asserted-by":"publisher","first-page":"238","DOI":"10.1111\/ipd.12484","article-title":"Early childhood caries epidemiology, aetiology, risk assessment, societal burden, management, education, and policy: Global perspective","volume":"29","author":"Tinanoff","year":"2019","journal-title":"Int J Paediatr Dent"},{"key":"10.25259\/NMJI_374_2022\/ref-2","doi-asserted-by":"publisher","first-page":"256","DOI":"10.1111\/j.1600-0528.2005.00233.x","article-title":"Cariogram--a multifactorial risk assessment model for a multifactorial disease","volume":"33","author":"Bratthall","year":"2005","journal-title":"Community Dent Oral Epidemiol"},{"key":"10.25259\/NMJI_374_2022\/ref-3","first-page":"231","article-title":"Association between early childhood caries and clinical, microbiological, oral hygiene and dietary variables in rural Turkish children","volume":"45","author":"Olmez","year":"2003","journal-title":"Turk J Pediatr"},{"key":"10.25259\/NMJI_374_2022\/ref-4","doi-asserted-by":"publisher","first-page":"439","DOI":"10.1111\/j.1365-263X.2004.00569.x","article-title":"Breast-feeding and early childhood caries: An assessment among Brazilian infants","volume":"14","author":"Rosenblatt","year":"2004","journal-title":"Int J Paediatr Dent"},{"key":"10.25259\/NMJI_374_2022\/ref-5","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1177\/154405910608500115","article-title":"Risk factors of early childhood caries in a Southeast Asian population","volume":"85","author":"van Palenstein Helderman","year":"2006","journal-title":"J Dent Res"},{"key":"10.25259\/NMJI_374_2022\/ref-6","first-page":"72","article-title":"Early childhood caries: IAPD Bangkok Declaration","volume":"86","author":"Pitts","year":"2019","journal-title":"J Dent Child (Chic)"},{"key":"10.25259\/NMJI_374_2022\/ref-7","first-page":"79","article-title":"Policy on early childhood caries (ECC): Classifications, consequences, and preventive strategies. 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