Int J Stomatol

Int J Stomatol ›› 2025, Vol. 52 ›› Issue (1): 76-81.doi: 10.7518/gjkq.2025002

• Original Articles • Previous Articles     Next Articles

Risk factors and prevention strategies of secondary caries in children

Feng Han1(),Fengjie Zhu2,Li Gao1()   

  1. 1.Dept. of Pediatric Dentistry, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
    2.Dept. of Orthodontics, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
  • Received:2024-04-28 Revised:2024-08-25 Online:2025-01-01 Published:2025-01-11
  • Contact: Li Gao E-mail:17467379@qq.com;ghlffli@163.com

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Abstract:

Objective This study aimed to explore the risk factors and prevention strategies of secondary caries in children. Methods A total of 120 children with dental caries who were re-examined 1 year after treatment in the First Affilia-ted Hospital of Zhengzhou University were divided into the secondary group (n=25) and non-secondary group (n=95). The general data, initial diagnosis data, and oral behavior data of the two groups were collected and compared. The risk factors of secondary caries in children with dental caries were analyzed by using logistic regression. Results Significant differences in age, parental education level, family income, filling materials, brushing frequency, parental help to brush teeth, mouthwash after meals, sweets intake times, regular oral review, and use of fluoride toothpaste were found between the secondary caries group and non-secondary caries group (P<0.05). Multivariate Logistic regression analysis showed that the educational level of parents, parental help to brush teeth, mouthwash after meals, brushing frequency, sweets intake times, use of fluoride toothpaste, and filling materials were independent risk factors for secondary caries in children (P<0.05). Conclusion Secondary caries in children have many risk factors. Thus, reducing secondary caries in children is important to strengthen oral health education and develop good oral health habits.

Key words: secondary caries, children, risk factors, prevention strategy

CLC Number: 

  • R788

TrendMD: 

Fig 1

The reexamination of children with dental caries after treatment"

Tab 1

Comparison of general data between groups of children with and without secondary caries"

组别总例数继发龋组/n（%）未继发龋组/n（%）χ2 值P值
年龄/岁4.8690.027
2~67320（80.00）53（55.79）
7~12475（20.00）42（44.21）
性别0.1880.664
男6713（52.00）54（56.84）
女5312（48.00）41（43.16）
父母文化水平9.6800.002
低5819（76.00）39（41.05）
高626（24.00）56（58.95）
家庭收入/（元/月）6.7780.034
≤5 0002911（44.00）18（18.95）
5 000~10 000528（32.00）44（46.31）
>10 000396（24.00）33（34.74）

Tab 2

Comparison of initial treatment between the groups of children with secondary caries and those without secondary caries"

分析项目继发龋组/n（%）未继发龋组/n（%）χ2 值P值
龋齿数量0.5640.453
≤2颗（n=55）10（40.00）46（48.42）
>2颗（n=65）15（60.00）49（51.58）
龋齿部位1.4020.496
前牙2（8.00）15（15.79）
后牙6（24.00）16（16.84）
前牙+后牙17（68.00）64（67.37）
充填材料9.0100.003
复合树脂（n=70）8（32.00）62（65.26）
玻璃离子（n=50）17（68.00）33（34.74）
患龋牙齿种类3.0460.218
乳牙（n=63）17（68.00）46（48.42）
恒牙（n=22）3（12.00）19（20.00）
混合（n=35）5（20.00）30（31.58）
牙菌斑指数2.68±0.582.49±0.691.2560.212
牙齿松动度/分1.47±0.431.37±0.351.1770.242
复诊次数/（次/年）1.76±0.662.12±0.762.1440.034

Tab 3

Comparison of oral behavioral data between the secondary caries group and the non-secondary group"

分析项目继发龋组未继发龋组χ2//t值P值
出生6月内喂养方式0.0230.881
母乳13（52.00）51（53.68）
非母乳12（48.00）44（46.32）
开始刷牙年龄/岁2.48±0712.27±0.631.4230.158
每天刷牙次数/次8.6410.003
<214（56.00）24（25.26）
≥211（44.00）71（74.74）
饭后漱口情况4.4650.035
是12（48.00）67（70.53）
否13（52.00）28（29.47）
父母帮助刷牙4.3670.037
经常10（40.00）60（63.16）
极少或没有15（60.00）35（36.84）
每天甜食使用次数/次4.9520.026
<312（48.00）68（71.58）
≥313（52.00）27（28.42）
定期复查情况4.9520.026
是12（48.00）68（71.58）
否13（52.00）27（28.42）
含氟牙膏使用情况13.5430.000
是10（40.00）74（77.89）
否15（60.00）21（22.11）
睡前进食3.0070.083
是14（56.00）35（36.84）
否11（44.00）60（63.16）

Tab 4

Multivariate analysis of factors affecting secondary dental caries in children"

变量B值SE值Wals值P值95% CI（下限~上限）
饭后漱口1.2740.6184.2550.0391.066~12.003
刷牙次数/d1.4450.6245.3580.0211.248~14.422
家长指导/帮助刷牙1.2500.6104.2020.0401.056~11.525
甜食摄入次数/d-1.2250.6213.8870.0490.087~0.993
父母文化水平1.3430.6374.4420.0351.099~13.365
含氟牙膏使用情况1.4350.6095.5590.0181.274~13.848
填充材料1.6090.6196.7630.0091.486~16.806
常量-2.6550.8888.9460.003—
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