Using association rule mining to identify risk factors for early childhood caries

BACKGROUND AND OBJECTIVE Early childhood caries (ECC) is a potentially severe disease affecting children all over the world. The available findings are mostly based on a logistic regression model, but data mining, in particular association rule mining, could be used to extract more information from the same data set. METHODS ECC data was collected in a cross-sectional analytical study of the 10% sample of preschool children in the South Bačka area (Vojvodina, Serbia). Association rules were extracted from the data by association rule mining. Risk factors were extracted from the highly ranked association rules. RESULTS Discovered dominant risk factors include male gender, frequent breastfeeding (with other risk factors), high birth order, language, and low body weight at birth. Low health awareness of parents was significantly associated to ECC only in male children. CONCLUSIONS The discovered risk factors are mostly confirmed by the literature, which corroborates the value of the methods.

[1]  Seval Olmez,et al.  Association between early childhood caries and clinical, microbiological, oral hygiene and dietary variables in rural Turkish children. , 2003, The Turkish journal of pediatrics.

[2]  P ? ? ? ? ? ? ? % ? ? ? ? , 1991 .

[3]  A Sheiham,et al.  The relationship between sweetness preference and dental caries in mother/child pairs from Maringá-Pr, Brazil. , 2001, International dental journal.

[4]  Jie Bai,et al.  [Comparison of salivary proteins between children with early childhood caries and children without caries]. , 2007, Zhonghua kou qiang yi xue za zhi = Zhonghua kouqiang yixue zazhi = Chinese journal of stomatology.

[5]  Hiroyuki Doi,et al.  Association of breast feeding with early childhood dental caries: Japanese population-based study , 2015, BMJ Open.

[6]  Deborah R. Carvalho,et al.  Evaluating the Correlation Between Objective Rule Interestingness Measures and Real Human Interest , 2005, PKDD.

[7]  D. Winn,et al.  Coronal Caries in the Primary and Permanent Dentition of Children and Adolescents 1–17 Years of Age: United States, 1988–1991 , 1996, Journal of dental research.

[8]  A. Åstrøm,et al.  Dental caries experience and its relationship to social and behavioural factors among 3-5-year-old children in Uganda. , 2004, International journal of paediatric dentistry.

[9]  S. McGuire Frayar, D.C., Ervin, R.B. Caloric intake from fast food among adults: United States, 2007-2010. NCHS Data Brief, No. 114, February 2013. Hyattsville, MD: National Center for Health Statistics, 2013. , 2013, Advances in nutrition.

[10]  A K Holm,et al.  Diet and caries in high-risk groups in developed and developing countries. , 1990, Caries research.

[11]  S. Reisine,et al.  Socioeconomic status and selected behavioral determinants as risk factors for dental caries. , 2001, Journal of dental education.

[12]  L. Rajab,et al.  Early childhood caries and risk factors in Jordan. , 2002, Community dental health.

[13]  Christophe G. Giraud-Carrier,et al.  Behavior-based clustering and analysis of interestingness measures for association rule mining , 2014, Data Mining and Knowledge Discovery.

[14]  Mikako Hayashi,et al.  Risk assessment of dental caries by using Classification and Regression Trees. , 2011, Journal of dentistry.

[15]  John B. Shoven,et al.  I , Edinburgh Medical and Surgical Journal.

[16]  B. H. Durgesh,et al.  Prevalence of early childhood caries and associated risk factors in preschool children of urban Bangalore, India: A cross-sectional study , 2012, European Journal of Dentistry.

[17]  McDerra Ej,et al.  The dental status of asthmatic British school children , 1998 .

[18]  L V Powell,et al.  Caries prediction: a review of the literature. , 1998, Community dentistry and oral epidemiology.

[19]  Orla Walsh,et al.  Early childhood caries: Current evidence for aetiology and prevention , 2006, Journal of paediatrics and child health.

[20]  P. O’Rourke,et al.  Social and behavioural determinants of early childhood caries. , 2003, Australian dental journal.

[21]  J. Holmes,et al.  Health, United States, 2013 : with special feature on prescription drugs , 2014 .

[22]  D. Birkhed,et al.  pH changes in human dental plaque from lactose and milk before and after adaptation. , 1993, Caries research.

[23]  Franciszek Szatko,et al.  Oral health of Polish three-year-olds and mothers' oral health-related knowledge. , 2004, Community dental health.

[24]  Yoshinori Kadoma,et al.  Construction of a dental caries prediction model by data mining. , 2009, Journal of oral science.

[25]  Aida Bianco,et al.  Pattern and severity of early childhood caries in Southern Italy: a preschool-based cross-sectional study , 2014, BMC Public Health.

[26]  A. Rosenblatt,et al.  Breast-feeding and early childhood caries: an assessment among Brazilian infants. , 2004, International journal of paediatric dentistry.

[27]  Christopher M. Bishop,et al.  Classification and regression , 1997 .

[28]  Shusaku Tsumoto,et al.  Evaluation of rule interestingness measures in medical knowledge discovery in databases , 2007, Artif. Intell. Medicine.

[30]  Jaideep Srivastava,et al.  Selecting the right objective measure for association analysis , 2004, Inf. Syst..

[31]  A. Milnes,et al.  Description and epidemiology of nursing caries. , 1996, Journal of public health dentistry.

[32]  M. Moffatt,et al.  Prevalence of caries among preschool-aged children in a northern Manitoba community. , 2005, Journal.

[33]  P. Rautava,et al.  Caries in Five-year-old Children and Associations with Family-related Factors , 2000, Journal of dental research.

[34]  Powell Lv,et al.  Caries prediction: a review of the literature , 1998 .

[35]  H. Jurić,et al.  Factors predisposing to early childhood caries (ECC) in children of pre-school age in the city of Zagreb, Croatia. , 2001, Collegium antropologicum.

[36]  Ivan Tusek,et al.  [Influence of social environment on caries prevalence in early childhood]. , 2011, Srpski arhiv za celokupno lekarstvo.

[37]  A. Douglass,et al.  A practical guide to infant oral health. , 2004, American family physician.

[38]  N. King,et al.  Early childhood caries lesions in preschool children in Kerala, India. , 2003, Pediatric dentistry.

[39]  Aronita Rosenblatt,et al.  Early childhood caries and its relationship with perinatal, socioeconomic and nutritional risks: a cross-sectional study , 2014, BMC oral health.

[40]  Hsin-Fang Li,et al.  DATA MINING AND PATTERN DISCOVERY USING EXPLORATORY AND VISUALIZATION METHODS FOR LARGE MULTIDIMENSIONAL DATASETS , 2013 .

[41]  Frederick C S Chu,et al.  Cough Syrup Addiction and Rampant Caries: A Report of Two Cases , 2002, Primary dental care : journal of the Faculty of General Dental Practitioners.

[42]  G N Davies,et al.  Early childhood caries--a synopsis. , 1998, Community dentistry and oral epidemiology.

[43]  Yoko Kawaguchi,et al.  Early childhood caries in northern Philippines. , 2003, Community dentistry and oral epidemiology.

[44]  Alan Kelly,et al.  Socio-behavioural factors and early childhood caries: a cross-sectional study of preschool children in central Trinidad , 2013, BMC Oral Health.

[45]  Kurt Hornik,et al.  Introduction to arules – A computational environment for mining association rules and frequent item sets , 2009 .

[46]  S. A. Gansky,et al.  Dental Data Mining: Potential Pitfalls and Practical Issues , 2003, Advances in dental research.

[47]  Howard J. Hamilton,et al.  Interestingness measures for data mining: A survey , 2006, CSUR.

[48]  Amir Azarpazhooh,et al.  Improving the oral health of young children of newcomer families: a forum for community members, researchers, and policy-makers. , 2014, Journal.

[49]  Yihong Li,et al.  Hypoplasia-associated Severe Early Childhood Caries – A Proposed Definition , 2012, Journal of dental research.

[50]  Steven M Adair,et al.  Evidence-based use of fluoride in contemporary pediatric dental practice. , 2006, Pediatric dentistry.

[51]  D. Tudehope,et al.  Increased prevalence of developmental dental defects in low birth-weight, prematurely born children: a controlled study. , 1987, Pediatric dentistry.

[52]  Leo Breiman,et al.  Classification and Regression Trees , 1984 .