A Longitudinal Study on the Relationship of Oral Health at 4 Years of Age with That in Adulthood.

Sho Yamada,Eiko Nakanishi,Reiko Sakashita,Takuichi Sato,Mikinori Ogura

doi:10.3390/dj9020017

Sho Yamada, Eiko Nakanishi + Show 3 more

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https://doi.org/10.3390/dj9020017

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Abstract

This longitudinal study aimed to clarify the relationship of oral health in infancy with that in adulthood among participants who were the subjects of the oral health promotion project (OHPP) conducted in Miyako Island, Okinawa Prefecture, Japan, since 1984. Twenty-seven subjects, around 35 years of age, were examined for dental caries, periodontal diseases (community periodontal index), dental plaque, occlusion, and bite-force and compared with those at 4 and 13–15 years of age. The dental caries status and maximum bite force in adulthood was significantly reflected for those at 4 and 13–15 years of age (p < 0.05). CPI in adulthood was related to the dental caries status at 4 and 13–15 years of age but not to the gingival score at 4 years of age, and it was weakly related to the gingival score at 13–15 years (r = 0.264, p > 0.05). Most of the normal occlusion at 4 years of age became normal permanent occlusion in adulthood (88.9%). Most of the cases involving the discrepancy factor retained the same condition in both the deciduous and permanent dentitions (83.3%) (p < 0.001). Those who participated in the OHPP soon after birth showed significantly fewer DMFT (p < 0.05) compared with those who did not. This study revealed that oral health at 4 years of age was related to that in adulthood, suggesting that fostering good oral health soon after birth is of great importance.

Highlights

It has been suggested that the underdevelopment of the masticatory system will increase among young Japanese population [1,2]
The subjects who participated in the Oral Health Promotion Project (OHPP) had records at two periods, namely at 4 years of age and at 13–15 years
As in a previous study [12], differences in dental caries prevalence were found in those born before the onset of the OHPP compared to those born after the onset of the OHPP, and these conditions continued through adolescence into adulthood (Table 3)

Summary

Introduction

It has been suggested that the underdevelopment of the masticatory system will increase among young Japanese population [1,2]. A diet of liquidized or pureed food reduces the height of the mandible, the length of the body of the mandible, and the condylar width, and widens the gonial angle [7]. It reduces the size of the masseter and temporal muscles as well as of the salivary glands [8]. Experiments with rats have shown that the feeding of a liquid diet after being weaned may alter the motor output of jaw and tongue muscles and obstruct the functional transition from suckling to mastication, and jaw elevators that develop without motor learning of mastication are inefficiency when performing functionally [9]

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