Dental Health of 6-year-old Children in Alpes Maritimes, France

Eur Arch Paediatr Dent. 2011 Oct;12(5):256-63. doi: 10.1007/BF03262818.


Aim: To describe the dental health status of 6-year-old children using the ICDAS-II advanced method and to evaluate the association between the known caries risk factors with the cavitated caries lesion (WHO basic method) or with both non-cavitated and cavitated caries lesion caries (ICDAS II).

Methods: In this cross-sectional study, a questionnaire was used to evaluate oral health and dietary habits of children. A clinical examination and a Cario analysis test (Pierre Fabre Oral care) were performed.

Statistics: Logistic regression analyses were used to assess the association between caries and daily tooth-brushing, dietary habits, visible plaque and salivary factors.

Results: There were 341 children (52% female and 6.25+/-0.46 years of age) in this study. Using the ICDAS-II advanced method, 39% of the children were caries-free. This proportion was larger (67.2%) using the WHO method. In multivariate models, visible dental plaque and Streptococcus mutans count were associated with caries experience registered as ICDAS-II codes 1-6 or codes 3-6. The absence of daily tooth-brushing with fluoridated toothpaste was associated only with caries experience ICDAS-II codes 3-6.

Conclusion: The use of WHO or ICDAS-II method changed the proportion of caries-free children but not the clinical caries risk factors associated with caries experience.

Publication types

  • Comparative Study

MeSH terms

  • Bacterial Load
  • Beverages / statistics & numerical data
  • Candy / statistics & numerical data
  • Cariostatic Agents / therapeutic use
  • Child
  • Cross-Sectional Studies
  • DMF Index
  • Dental Caries / classification
  • Dental Caries / epidemiology*
  • Dental Plaque / epidemiology
  • Dietary Sucrose / administration & dosage
  • Feeding Behavior
  • Female
  • Fluorides / therapeutic use
  • France / epidemiology
  • Health Status
  • Humans
  • Lactobacillus acidophilus / isolation & purification
  • Male
  • Oral Health
  • Risk Factors
  • Rural Health / statistics & numerical data
  • Saliva / microbiology
  • Saliva / physiology
  • Socioeconomic Factors
  • Streptococcus mutans / isolation & purification
  • Surveys and Questionnaires
  • Toothbrushing / statistics & numerical data
  • Toothpastes / therapeutic use
  • Urban Health / statistics & numerical data


  • Cariostatic Agents
  • Dietary Sucrose
  • Toothpastes
  • Fluorides