@article{PAR00025126,
  title = {{C}aries incidence is associated with wasting among {C}ambodian children},
  author = {{T}urton, {B}. and {S}ullivan, {S}. and {C}hher, {T}. and {H}ak, {S}. and {S}okal-{G}utierrez, {K}. and {W}ieringa, {F}ranck and {S}ingh, {A}.},
  editor = {},
  language = {{ENG}},
  abstract = {{E}vidence suggests that dental caries is associated with chronic and acute malnutrition, manifested as stunting and wasting in children. {H}owever, studies have not always appropriately accounted for confounding factors or for the temporal ordering between exposure and outcome. {T}his study examined relationships between the development of caries lesions with subsequent stunting and wasting outcomes using data from a population-based cohort in {C}ambodia. {C}aries incidence was assessed based on the presence of a new cavitated carious lesion or a new pulpally involved lesion across a 6-mo observation period. {A}nthropometric measurements were taken at regular intervals. {E}ffects of carious lesions on stunting and wasting were assessed using inverse probability treatment weighting, adjusting for potential confounders, using z scores for height-for-age ({HAZ}) and weight-for-height ({WHZ}) as outcomes. {I}n total, 894 children (mean age 20 mo at baseline) were followed over 2 y. {A}t baseline, 350 (39.1%) were identified as having stunting malnutrition. {A}t follow-up, 58 (6.5%) had a new pulpally involved lesion. {T}here was no association between incidence of cavitated or pulpally involved carious lesions at follow-up and stunting (relative risk [{RR}] = 1.06; 95% confidence interval [{CI}]: 0.75, 1.50). {T}he incidence of pulpally involved carious lesions had an effect on wasting prevalence ({WHZ} <-2; {RR} = 1.35; 95% {CI}: 0.70, 2.62) and {WHZ} scores (average treatment effect = -0.294; 95% {CI}: -0.538, -0.050). {T}his study offers evidence that the development of pulpally involved carious lesions has an effect on {WHZ} scores. {O}ral health promotion and clinical prevention and management of dental caries should be explored as interventions to promote normal growth and development among preschool children, particularly in low-income settings.},
  keywords = {growth ; development ; child dentistry ; dental health surveys ; dental ; public health ; epidemiology ; {CAMBODGE}},
  booktitle = {},
  journal = {{J}ournal of {D}ental {R}esearch},
  volume = {[{E}arly access]},
  numero = {},
  pages = {[7 p.]},
  ISSN = {0022-0345},
  year = {2022},
  DOI = {10.1177/00220345221126713},
  URL = {https://www.documentation.ird.fr/hor/{PAR}00025126},
}