{"doi":"10.1177/00220345231173585","title":"Predicting Dental Caries in Young Children in Primary Health Care Settings","abstract":"Young children need increased access to dental prevention and care. Targeting high caries risk children first helps meet this need. The objective of this study was to develop a parent-completed, easy-to-score, short, accurate caries risk tool for screening in primary health care settings to identify children at increased risk for cavities. A longitudinal, prospective, multisite, cohort study enrolled (primarily through primary health care settings) and followed 985 (out of 1,326) 1-y-old children and their primary caregivers (PCGs) until age 4. The PCG completed a 52-item self-administered questionnaire, and children were examined using the International Caries Detection and Assessment Criteria (ICDAS) at 12 ± 3 mo (baseline), 30 ± 3 mo (80% retention), and 48 ± 3 mo of age (74% retention). Cavitated caries lesion (dmfs = decayed, missing, and filled surfaces; d = ICDAS ≥3) experience at 4 y of age was assessed and tested for associations with questionnaire items using generalized estimating equation models applied to logistic regression. Multivariable analysis used backward model selection, with a limit of 10 items. At age 4, 24% of children had cavitated-level caries experience; 49% were female; 14% were Hispanic, 41% were White, 33% were Black, 2% were other, and 10% were multiracial; 58% enrolled in Medicaid; and 95% lived in urban communities. The age 4 multivariable prediction model, using age 1 responses (area under the receiver operating characteristic curve = 0.73), included the following significant ( P < 0.001) variables (odds ratios): child participating in public assistance programs such as Medicaid (1.74), being non-White (1.80–1.96), born premature (1.48), not born by caesarean section (1.28), snacking on sugary snacks (3 or more/d, 2.22; 1–2/d or weekly, 1.55), PCG cleaning the pacifier with juice/soda/honey or sweet drink (2.17), PCG daily sharing/tasting food with child using same spoon/fork/glass (1.32), PCG brushing their teeth less than daily (2.72), PCG’s gums bleeding daily when brushing or PCG having no teeth (1.83–2.00), and PCG having cavities/fillings/extractions in past 2 y (1.55). A 10-item caries risk tool at age 1 shows good agreement with cavitated-level caries experience by age 4.","journal":"Journal of Dental Research","year":2023,"id":338506,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":17,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9525,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":331708,"name":"George J. Eckert","orcid":"0000-0001-7798-7155","position":1,"is_corresponding":false},{"id":421451,"name":"Barry P. Katz","orcid":null,"position":2,"is_corresponding":false},{"id":609957,"name":"Martha Ann Keels","orcid":"0000-0003-2761-4785","position":3,"is_corresponding":false},{"id":741201,"name":"Barcey T. Levy","orcid":"0000-0002-3315-4116","position":4,"is_corresponding":false},{"id":399802,"name":"Steven M. Levy","orcid":"0000-0001-9150-4199","position":5,"is_corresponding":false},{"id":360937,"name":"Alex R. Kemper","orcid":"0000-0001-5491-3997","position":6,"is_corresponding":false},{"id":967901,"name":"Emily Yanca","orcid":null,"position":7,"is_corresponding":false},{"id":1036877,"name":"Richard Jackson","orcid":"0000-0001-7400-2306","position":8,"is_corresponding":false},{"id":399803,"name":"John J. Warren","orcid":"0000-0002-0090-9973","position":9,"is_corresponding":false},{"id":400999,"name":"Justine L. Kolker","orcid":null,"position":10,"is_corresponding":false},{"id":741202,"name":"Jeanette M. Daly","orcid":"0000-0001-7130-4552","position":11,"is_corresponding":false},{"id":1071392,"name":"Sue Kelly","orcid":null,"position":12,"is_corresponding":false},{"id":513825,"name":"Jeffery Talbert","orcid":"0000-0002-4304-5167","position":13,"is_corresponding":false},{"id":404138,"name":"Patrick E. McKnight","orcid":"0000-0002-9067-9066","position":14,"is_corresponding":false},{"id":512328,"name":"Margherita Fontana","orcid":"0000-0003-2357-7534","position":0,"is_corresponding":true}],"reference_count":38,"raw_metadata":null,"created_at":"2026-07-19T01:10:35.973121Z","pmid":"37329133","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}