{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T20:40:35Z","timestamp":1789245635365,"version":"build-2803163510"},"reference-count":40,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T00:00:00Z","timestamp":1737331200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Dent. Med"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Although dental caries is largely preventable, it remains highly prevalent among children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>Evaluate family factors associated with the prevalence of dental caries in 5-year-old children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>This cross-sectional study recruited 5-year-old children from public preschools in Araraquara, S\u00e3o Paulo, Brazil. Data on sociodemographic factors, family routines, and oral health practices were gathered via a self-administered questionnaire completed independently by caregivers. Children received a dental clinical examination at school and caries experience was recorded using the dmft and SiC (Significant Caries index) indexes following the World Health Organization (WHO) criteria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Data analysis was performed using Chi-square and multiple logistic regression using a significance level of 5%. Of the 578 children in the study, 67.3% were caries-free. The mean dmft index was 1.14 (SD\u2009=\u20092.24), while the SiC index stood at 3.46 (2.69). Factors such as income, caregiver assistance with toothbrushing, caregiver perception of child and parent oral health, and prioritization of dental visits within the family were associated with caries presence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Overall, dental caries prevalence was low in this population, with family factors demonstrating significant associations with dental caries. The attitudes of caregivers regarding oral health appear to wield considerable influence over the dental health of their children.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fdmed.2024.1473194","type":"journal-article","created":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T04:11:14Z","timestamp":1737346274000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":10,"title":["Family factors associated with dental caries among 5-year-old preschool children"],"prefix":"10.3389","volume":"5","author":[{"given":"Giovanna Torqueto","family":"Castilho","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00edlia Narducci","family":"Pessoa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline Correa","family":"de Oliveira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Let\u00edcia Santos Alves","family":"de Melo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elaine Pereira Silva","family":"Tagliaferro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa","family":"Pardi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,1,20]]},"reference":[{"key":"B1","article-title":"Global oral health status report: towards universal health coverage for oral health by 2030","year":""},{"key":"B2","first-page":"116 p","volume-title":"SB Brasil 2010: National Oral Health Survey: Main Results","year":"2012"},{"key":"B3","doi-asserted-by":"publisher","first-page":"17030","DOI":"10.1038\/nrdp.2017.30","article-title":"Dental caries","volume":"3","author":"Pitts","year":"2017","journal-title":"Nat Rev Dis Primers"},{"key":"B4","doi-asserted-by":"publisher","first-page":"519","DOI":"10.1159\/000320717","article-title":"Factors associated with caries increment: a longitudinal study from 18 months to 5 years of age","volume":"44","author":"Meurman","year":"2010","journal-title":"Caries Res"},{"key":"B5","doi-asserted-by":"publisher","first-page":"953","DOI":"10.1111\/cdoe.12794","article-title":"Maternal factors and risk of early childhood caries: a prospective cohort study","volume":"51","author":"Foxman","year":"2023","journal-title":"Community Dent Oral Epidemiol"},{"key":"B6","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1186\/s12903-017-0374-5","article-title":"The basic research factors questionnaire for studying early childhood caries","volume":"17","author":"Albino","year":"2017","journal-title":"BMC Oral Health"},{"key":"B7","doi-asserted-by":"publisher","first-page":"e510","DOI":"10.1542\/peds.2006-3084","article-title":"Influences on children's Oral health: a conceptual model","volume":"120","author":"Fisher-Owens","year":"2007","journal-title":"Pediatrics"},{"key":"B8","doi-asserted-by":"publisher","first-page":"64","DOI":"10.3389\/fpubh.2018.00064","article-title":"Parental factors influencing the development of early childhood caries in developing nations: a systematic review","volume":"6","author":"Rai","year":"2018","journal-title":"Front Public Health"},{"key":"B9","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1542\/peds.2009-2887","article-title":"Impact of caregiver literacy on children's Oral health outcomes","volume":"126","author":"Miller","year":"2010","journal-title":"Pediatrics"},{"key":"B10","doi-asserted-by":"publisher","first-page":"459","DOI":"10.1111\/ipd.12378","article-title":"Is parental oral health literacy a predictor of children\u2019s oral health outcomes? 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