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At the state level, access to fluoridated water was significantly associated with favorable oral health for children. Despite reductions in dental caries rates over the past 25 years resulting from water fluoridation, fluoride toothpaste use, and improvements in oral hygiene and nutrition, dental caries remains the most common chronic childhood disease, overall 1 , and the cause of the vast predominance of oral health problems in children. Dental caries accounted for lost school-hours per school-age children in 3. As overall caries rates decrease, diminishing returns can be expected from applying current individual-based approaches to fight disease.

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Assessing a multilevel model of young children’s oral health with national survey data

Assessing a multilevel model of young children’s oral health with national survey data

Thank you for visiting nature. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser or turn off compatibility mode in Internet Explorer. In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript. A Nature Research Journal.

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Metrics details. Individual child-level risk factors for Early Childhood Caries ECC have been studied, but broader family- and community-level influences on child oral hygiene behaviors are less well understood. This study explored multiple levels of influence on oral hygiene behaviors for young children in Early Head Start EHS to inform a future behavioral intervention targeting children from low-income families.

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