What risk factors determine tooth caries today? A scoping review





Dental caries; Dental assistance for children; Oral health; Epidemiology.


Due to its multifactorial etiology, caries disease is associated with several factors, including behavioral, environmental and socioeconomic factors, eating habits, family history of dental and past medical, previous experience of caries, as well as lack of dental services. Against the large number of factors that exist today that may be related to the onset of injury and the onset of caries disease, it is necessary to investigate the most recent scientific evidence on this subject. Therefore, the aim of this scoping review was to evidence the scientific literature on the risk factors currently related to the development of caries disease. A bibliographic research was carried out in March 2021 using the descriptors "Dental Caries"" Dental Care for Children"; "Health Education, Dental" and "Epidemiology", in electronic databases. After the selection of the articles, the data extracted from the selected articles were included in a standardized table, and the information obtained, synthesized in a table for better interpretation of the available results. Although there are several predisposing factors, most indicate that socioeconomic status, lack of dental access and eating habits are the most prevalent conditions for the onset of the disease. Due to the diversity of articles and conclusions found, comparations are difficult to be well defined. However, it is notorious the emergence of new risk factors associated with dental caries, because it is a complex disease of multifactorial etiology. Despite the variety of associated factors, it is concluded that the main predisposing factors associated with dental caries are sociodemographic and behavioral factors.


Associação Brasileira de Odontopediatria. Diretrizes para Procedimentos Clínicos em Odontopediatria. Rio de Janeiro: Santos; 2020.

Baker, S. R., Foster Page, L., Thomson, W. M., Broomhead, T., Bekes, K., Benson, P. E., ... & Gibson, B. J. (2018). Structural determinants and children’s oral health: a cross-national study. Journal of dental research, 97(10), 1129-1136.

Bashirian, S., Shirahmadi, S., Seyedzadeh-Sabounchi, S., Soltanian, A. R., Karimi-Shahanjarini, A., & Vahdatinia, F. (2018).

Association of caries experience and dental plaque with sociodemographic characteristics in elementary school-aged children: a cross-sectional study. BMC oral health, 18(1), 1-12.

Bhayade, S. S., Mittal, R., Chandak, S., & Bhondey, A. (2016). Assessment of social, demographic determinants and oral hygiene practices in relation to dental caries among the children attending Anganwadis of Hingna, Nagpur. Journal of Indian Society of Pedodontics and Preventive Dentistry, 34(2), 124.

Biscaglia, L., di Caccamo, P., Terrenato, I., Arrica, M. A., Seita, A., & Campus, G. (2019). Oral health status and caries trend among 12-year old Palestine refugee students: results from the UNRWA’s oral health surveys 2011 and 2016. BMC oral health, 19(1), 1-10.

Caruso, S., Gatto, R., Cinque, B., Cifone, M. G., & Mattei, A. (2018). Association between salivary cortisol level and caries in early childhood. European journal of paediatric dentistry, 19(1), 10-15.

Chen, K. J., Gao, S. S., Duangthip, D., Li, S. K. Y., Lo, E. C. M., & Chu, C. H. (2017). Dental caries status and its associated factors among 5-year-old Hong Kong children: a cross-sectional study. BMC oral health, 17(1), 1-8.

Cianetti, S., Lombardo, G., Lupatelli, E., Rossi, G., Abraha, I., Pagano, S., & Paglia, L. (2017). Dental caries, parents educational level, family income and dental service attendance among children in Italy. Eur J Paediatr Dent, 18(1), 15-8.

Correa-Faria, P., Paixao-Goncalves, S., Paiva, S. M., & Pordeus, I. A. (2016). Incidence of dental caries in primary dentition and risk factors: a longitudinal study. Brazilian oral research, 30(1).

Cortines, A. A. D. O., Corrêa‐Faria, P., Paulsson, L., Costa, P. S., & Costa, L. R. (2019). Developmental defects of enamel in the deciduous incisors of infants born preterm: Prospective cohort. Oral diseases, 25(2), 543-549.

Costa, D. P., Mota, A. C. D. M., Bruno, G. D. B., Almeida, M. E. L. D., & Fonteles, C. S. R. (2010). Desnutrição energético-protéica e cárie dentária na primeira infância. Revista de Nutrição, 23(1), 119-126.

Devenish, G., Mukhtar, A., Begley, A., Spencer, A. J., Thomson, W. M., Ha, D., ... & Scott, J. A. (2020). Early childhood feeding practices and dental caries among Australian preschoolers. The American journal of clinical nutrition, 111(4), 821-828.

Dias, T., & Viveiros, I. (2014). Associação entre Cárie Dentária e Obesidade numa Amostra da População Pediátrica em Vila Franca do Campo. Revista Nutrícias, (23), 14-17.

Diniz, M. B., Coldebella, C. R., Zuanon, A. C. C., & Cordeiro, R. D. C. L. (2011). Oral abnormalities in preterm and low birth weight infants: the importance of the relationship between pediatricians and pediatric dentists. Revista Paulista de Pediatria, 29(3), 440-453.

Do, L. G., Ha, D. H., & Spencer, A. J. (2015). Factors attributable for the prevalence of dental caries in Queensland children. Community dentistry and oral epidemiology, 43(5), 397-405.

Engelmann, J. L., Tomazoni, F., Oliveira, M. D. M., & Ardenghi, T. M. (2016). Association between dental caries and socioeconomic factors in schoolchildren-a multilevel analysis. Brazilian dental journal, 27(1), 72-78.

Ferreira, S. H., Beria, J. U., Kramer, P. F., Feldens, E. G., & Feldens, C. A. (2007). Dental caries in 0‐to 5‐year‐old Brazilian children: prevalence, severity, and associated factors. International Journal of Paediatric Dentistry, 17(4), 289-296.

Foulds, H. (2017). Developmental defects of enamel and caries in primary teeth. Evidence-based dentistry, 18(3), 72-73.

Hoover, J., Vatanparast, H., & Uswak, G. (2017). Risk determinants of dental caries and oral hygiene status in 3–15 year-old recent immigrant and refugee children in Saskatchewan, Canada: a pilot study. Journal of immigrant and minority health, 19(6), 1315-1321.

Jain, M., Namdev, R., Bodh, M., Dutta, S., Singhal, P., & Kumar, A. (2015). Social and behavioral determinants for early childhood caries among preschool children in India. Journal of dental research, dental clinics, dental prospects, 9(2), 115.

Joury, E., Khairallah, M., Sabbah, W., Elias, K., & Bedi, R. (2016). Inequalities in the frequency of free sugars intake among Syrian 1-year-old infants: a cross-sectional study. BMC oral health, 16(1), 1-7.

Julihn, A., Soares, F. C., Hjern, A., & Dahllöf, G. (2018). Socioeconomic determinants, maternal health, and caries in young children. JDR Clinical & Translational Research, 3(4), 395-404.

Kramer, A. C. A., Petzold, M., Hakeberg, M., & Östberg, A. L. (2018). Multiple socioeconomic factors and dental caries in Swedish children and adolescents. Caries research, 52(1-2), 42-50.

Lam, C. U., Khin, L. W., Kalhan, A. C., Yee, R., Lee, Y. S., Chong, M. F., ... & Hsu, C. Y. (2017). Identification of caries risk determinants in toddlers: results of the GUSTO birth cohort study. Caries research, 51(4), 271-282.

Magalhães, A.C., Rios, D., Wang, L., & Buzalaf, M.A.R.B., Cariologia: da base à clínica/ [Alberto Carlos Botazzo Delbem] – 1. Ed – Barueri [SP]: Manole, 2021. ISBN: 9786555761078.

Martello, R. P., Junqueira, T. P., & Leite, I. C. G. (2012). Cárie dentária e fatores associados em crianças com três anos de idade cadastradas em Unidades de Saúde da Família do Município de Rondonópolis, Mato Grosso, Brasil. Epidemiologia e Serviços de Saúde, 21(1), 99-108.

Martignon, S., Usuga-Vacca, M., Cortés, F., Cortes, A., Gamboa, L. F., Jacome-Lievano, S., ... & Ramos, N. (2018). Risk factors for early childhood caries experience expressed by ICDAS criteria in Anapoima, Colombia: a cross-sectional study. Acta odontologica latinoamericana: AOL, 31(1), 58-66.

Mathur, M. R., Tsakos, G., Millett, C., Arora, M., & Watt, R. (2014). Socioeconomic inequalities in dental caries and their determinants in adolescents in New Delhi, India. BMJ open, 4(12).

Newbrun, E. (1983). Microflora. Cariology, 2nd ed., Baltimore: Williams and Wilkins, 50-85.

Paisi, M., Kay, E., Kaimi, I., Witton, R., Nelder, R., Potterton, R., & Lapthorne, D. (2018). Obesity and caries in four-to-six year old English children: a cross-sectional study. BMC Public Health, 18(1), 1-9.

Paula, J. S. D., Ambrosano, G. M. B., & Mialhe, F. L. (2015). The impact of social determinants on schoolchildren’s oral health in Brazil. Brazilian oral research, 29(1).

Paula, J. S., Lisboa, C. M., de Castro Meneghim, M., Pereira, A. C., Ambrosano, G. M. B., & Mialhe, F. L. (2016). School performance and oral health conditions: analysis of the impact mediated by socio‐economic factors. International journal of paediatric dentistry, 26(1), 52-59.

Peltzer, K., & Mongkolchati, A. (2015). Severe early childhood caries and social determinants in three-year-old children from Northern Thailand: a birth cohort study. BMC Oral Health, 15(1), 1-7.

Pesaressi, E., Villena, R. S., & Frencken, J. E. (2020). Dental caries and oral health‐related quality of life of 3‐year‐olds living in Lima, Peru. International journal of paediatric dentistry, 30(1), 57-65.

Peters, M. D., Godfrey, C. M., Khalil, H., McInerney, P., Parker, D., & Soares, C. B. (2015). Guidance for conducting systematic scoping reviews. JBI Evidence Implementation, 13(3), 141-146.

Pitts, N. B., Baez, R. J., Diaz-Guillory, C., Donly, K. J., Feldens, C. A., McGrath, C., ... & Twetman, S. (2019). Early childhood caries: IAPD Bangkok declaration. Journal of dentistry for children (Chicago, Ill.), 86(2), 72.

Rajab, L. D., & Abdullah, R. B. (2020). Impact of dental caries on the quality of life of preschool children and families in Amman, Jordan. Oral Health Prev. Dent, 18, 571-582.

Rapôso, N. M. L. Cárie na primeira infância e fatores associados em pré-escolares de duas creches distintas: estudo transversal. (2018) [Dissertação].

Restrepo-Perez, L. F., Usuga-Vacca, M., Cortes, A., Rodríguez-Gómez, J. C., Ortega-Mora, J. F., Roa-López, C. A., ... & Martignon, S. (2018). Relationship between family-related social determinants and dental caries in preschoolers from Anapoima, Cundinamarca. Revista Facultad de Odontología Universidad de Antioquia, 30(1), 55-66.

Silveira, M. F., Freire, R. S., Nepomuceno, M. O., Martins, A. M. E. D. B. L., & Marcopito, L. F. (2015). Cárie dentária e fatores associados entre adolescentes no norte do estado de Minas Gerais, Brasil: uma análise hierarquizada. Ciência & Saúde Coletiva, 20, 3351-3364.

Wulaerhan, J., Abudureyimu, A., Bao, X. L., & Zhao, J. (2014). Risk determinants associated with early childhood caries in Uygur children: a preschool-based cross-sectional study. BMC oral health, 14(1), 1-8.

Yang, A. J., Gromoske, A. N., Olson, M. A., & Chaffin, J. G. (2016). Single and cumulative relations of social risk factors with children’s dental health and care-utilization within regions of the United States. Maternal and child health journal, 20(3), 495-506.



How to Cite

SILVEIRA, A. B. V. da .; MIRANDA FILHO , A. E. de F.; MARQUES, N. C. T. .; GOMES, H. de S. . What risk factors determine tooth caries today? A scoping review . Research, Society and Development, [S. l.], v. 10, n. 7, p. e24810716548, 2021. DOI: 10.33448/rsd-v10i7.16548. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/16548. Acesso em: 24 apr. 2024.



Health Sciences