{"id":"https://openalex.org/W4409195437","doi":"https://doi.org/10.7759/cureus.81777","title":"Impact of Sleep and Associated Factors on the Prevalence of Early Childhood Caries: An Analytical Cross-Sectional Study","display_name":"Impact of Sleep and Associated Factors on the Prevalence of Early Childhood Caries: An Analytical Cross-Sectional Study","publication_year":2025,"publication_date":"2025-04-05","ids":{"openalex":"https://openalex.org/W4409195437","doi":"https://doi.org/10.7759/cureus.81777","pmid":"https://pubmed.ncbi.nlm.nih.gov/40330376","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/12053214"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.81777","doi":"https://doi.org/10.7759/cureus.81777","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.81777","pdf_url":"https://assets.cureus.com/uploads/original_article/pdf/352837/20250406-141862-dhs9d8.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://assets.cureus.com/uploads/original_article/pdf/352837/20250406-141862-dhs9d8.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5102251184","display_name":"Chhaya Patel","orcid":"https://orcid.org/0000-0002-4359-8992","observed_orcids":["https://orcid.org/0000-0002-4359-8992"]},"institutions":[{"id":"https://openalex.org/I4400573153","display_name":"Karnavati University","ror":"https://ror.org/042vxj938","country_code":"IN","type":"education","lineage":["https://openalex.org/I4400573153"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Chhaya Patel","raw_affiliation_strings":["Department of Pedodontics and Preventive Dentistry, Karnavati School of Dentistry, Karnavati University, Gandhinagar, IND"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pedodontics and Preventive Dentistry, Karnavati School of Dentistry, Karnavati University, Gandhinagar, IND","institution_ids":["https://openalex.org/I4400573153"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009877614","display_name":"Megha Sheth Patel","orcid":"https://orcid.org/0000-0001-8383-1931","observed_orcids":["https://orcid.org/0000-0001-8383-1931"]},"institutions":[{"id":"https://openalex.org/I4400573153","display_name":"Karnavati University","ror":"https://ror.org/042vxj938","country_code":"IN","type":"education","lineage":["https://openalex.org/I4400573153"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Megha C Patel","raw_affiliation_strings":["Department of Pedodontics and Preventive Dentistry, Karnavati School of Dentistry, Karnavati University, Gandhinagar, IND"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pedodontics and Preventive Dentistry, Karnavati School of Dentistry, Karnavati University, Gandhinagar, IND","institution_ids":["https://openalex.org/I4400573153"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Swasti S Joshi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4400573153","display_name":"Karnavati University","ror":"https://ror.org/042vxj938","country_code":"IN","type":"education","lineage":["https://openalex.org/I4400573153"]}],"countries":["IN"],"is_corresponding":true,"raw_author_name":"Swasti S Joshi","raw_affiliation_strings":["Department of Pedodontics and Preventive Dentistry, Karnavati School of Dentistry, Karnavati University, Gandhinagar, IND"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pedodontics and Preventive Dentistry, Karnavati School of Dentistry, Karnavati University, Gandhinagar, IND","institution_ids":["https://openalex.org/I4400573153"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113326276","display_name":"Miral Mehta","orcid":"https://orcid.org/0009-0000-2913-0077","observed_orcids":["https://orcid.org/0009-0000-2913-0077"]},"institutions":[{"id":"https://openalex.org/I4400573153","display_name":"Karnavati University","ror":"https://ror.org/042vxj938","country_code":"IN","type":"education","lineage":["https://openalex.org/I4400573153"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Miral Mehta","raw_affiliation_strings":["Department of Pedodontics and Preventive Dentistry, Karnavati School of Dentistry, Karnavati University, Gandhinagar, IND"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pedodontics and Preventive Dentistry, Karnavati School of Dentistry, Karnavati University, Gandhinagar, IND","institution_ids":["https://openalex.org/I4400573153"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5013392014","display_name":"Disha Makwani","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4400573153","display_name":"Karnavati University","ror":"https://ror.org/042vxj938","country_code":"IN","type":"education","lineage":["https://openalex.org/I4400573153"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Disha Makwani","raw_affiliation_strings":["Department of Pedodontics and Preventive Dentistry, Karnavati School of Dentistry, Karnavati University, Gandhinagar, IND"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pedodontics and Preventive Dentistry, Karnavati School of Dentistry, Karnavati University, Gandhinagar, IND","institution_ids":["https://openalex.org/I4400573153"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111607435","display_name":"Foram Patel","orcid":"https://orcid.org/0000-0002-9441-302X","observed_orcids":["https://orcid.org/0000-0002-9441-302X"]},"institutions":[{"id":"https://openalex.org/I4400573153","display_name":"Karnavati University","ror":"https://ror.org/042vxj938","country_code":"IN","type":"education","lineage":["https://openalex.org/I4400573153"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Foram Patel","raw_affiliation_strings":["Department of Pedodontics and Preventive Dentistry, Karnavati School of Dentistry, Karnavati University, Gandhinagar, IND"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pedodontics and Preventive Dentistry, Karnavati School of Dentistry, Karnavati University, Gandhinagar, IND","institution_ids":["https://openalex.org/I4400573153"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009276012","display_name":"Jessica Bale","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4400573153","display_name":"Karnavati University","ror":"https://ror.org/042vxj938","country_code":"IN","type":"education","lineage":["https://openalex.org/I4400573153"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Jessica Bale","raw_affiliation_strings":["Department of Pedodontics and Preventive Dentistry, Karnavati School of Dentistry, Karnavati University, Gandhinagar, IND"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pedodontics and Preventive Dentistry, Karnavati School of Dentistry, Karnavati University, Gandhinagar, IND","institution_ids":["https://openalex.org/I4400573153"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5043341727","display_name":"Charmi Solanki","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4400573153","display_name":"Karnavati University","ror":"https://ror.org/042vxj938","country_code":"IN","type":"education","lineage":["https://openalex.org/I4400573153"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Charmi Solanki","raw_affiliation_strings":["Department of Pedodontics and Preventive Dentistry, Karnavati School of Dentistry, Karnavati University, Gandhinagar, IND"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pedodontics and Preventive Dentistry, Karnavati School of Dentistry, Karnavati University, Gandhinagar, IND","institution_ids":["https://openalex.org/I4400573153"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4400573153"],"apc_list":null,"apc_paid":null,"fwci":2.3762,"has_fulltext":true,"cited_by_count":3,"citation_normalized_percentile":{"value":0.84895833,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":96},"biblio":{"volume":"17","issue":"4","first_page":"e81777","last_page":"e81777"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10368","display_name":"Dental Health and Care Utilization","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/3500","display_name":"General Dentistry"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10368","display_name":"Dental Health and Care Utilization","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/3500","display_name":"General Dentistry"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13770","display_name":"Pediatric health and respiratory diseases","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10257","display_name":"Oral microbiology and periodontitis research","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/3506","display_name":"Periodontics"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/early-childhood-caries","display_name":"early childhood caries","score":0.9959999918937683},{"id":"https://openalex.org/keywords/sleep-practices","display_name":"sleep practices","score":0.7699999809265137},{"id":"https://openalex.org/keywords/bedtime","display_name":"bedtime","score":0.9340000152587891},{"id":"https://openalex.org/keywords/snack-consumption","display_name":"snacking","score":0.621999979019165},{"id":"https://openalex.org/keywords/screen-time-before-bedtime","display_name":"screen time before bedtime","score":0.8769999742507935},{"id":"https://openalex.org/keywords/oral-hygiene","display_name":"oral hygiene","score":0.9229999780654907},{"id":"https://openalex.org/keywords/preschool-children","display_name":"preschool children","score":0.7929999828338623},{"id":"https://openalex.org/keywords/salivary-flow","display_name":"salivary flow","score":0.7310000061988831},{"id":"https://openalex.org/keywords/dental-caries-prevalence","display_name":"caries prevalence","score":0.6909999847412109},{"id":"https://openalex.org/keywords/extracurricular-activities","display_name":"extracurricular activities","score":0.8370000123977661},{"id":"https://openalex.org/keywords/deft-index","display_name":"deft index","score":0.5569999814033508},{"id":"https://openalex.org/keywords/sleep-duration","display_name":"sleep duration","score":0.42899999022483826},{"id":"https://openalex.org/keywords/smartphone-use-by-children","display_name":"smartphone use by children","score":0.6190000176429749},{"id":"https://openalex.org/keywords/sleep-disturbance","display_name":"sleep disorders","score":0.34299999475479126},{"id":"https://openalex.org/keywords/salivary-biomarkers","display_name":"salivary biomarkers","score":0.49900001287460327},{"id":"https://openalex.org/keywords/oral-microbiota","display_name":"oral microbiota","score":0.42399999499320984},{"id":"https://openalex.org/keywords/salivary-iga","display_name":"salivary IgA","score":0.4449999928474426},{"id":"https://openalex.org/keywords/salivary-igg","display_name":"salivary IgG","score":0.6029999852180481}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9698173403739929},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.8656858205795288},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.5958118438720703},{"id":"https://openalex.org/C2775841894","wikidata":"https://www.wikidata.org/wiki/Q4683692","display_name":"Sleep (system call)","level":2,"score":0.49510350823402405},{"id":"https://openalex.org/C199343813","wikidata":"https://www.wikidata.org/wiki/Q12128","display_name":"Dentistry","level":1,"score":0.36424097418785095},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.3528480529785156},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.0},{"id":"https://openalex.org/C111919701","wikidata":"https://www.wikidata.org/wiki/Q9135","display_name":"Operating system","level":1,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.7759/cureus.81777","doi":"https://doi.org/10.7759/cureus.81777","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.81777","pdf_url":"https://assets.cureus.com/uploads/original_article/pdf/352837/20250406-141862-dhs9d8.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:10865302","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12053214","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmid:40330376","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40330376","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12053214","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12053214/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.7759/cureus.81777","doi":"https://doi.org/10.7759/cureus.81777","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.81777","pdf_url":"https://assets.cureus.com/uploads/original_article/pdf/352837/20250406-141862-dhs9d8.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4409195437.pdf","grobid_xml":"https://content.openalex.org/works/W4409195437.grobid-xml"},"referenced_works_count":30,"referenced_works":["https://openalex.org/W196849131","https://openalex.org/W1978926646","https://openalex.org/W2003120222","https://openalex.org/W2062520497","https://openalex.org/W2073136763","https://openalex.org/W2479654075","https://openalex.org/W2586283972","https://openalex.org/W2800129254","https://openalex.org/W2895632565","https://openalex.org/W2928606469","https://openalex.org/W2935743204","https://openalex.org/W2971608090","https://openalex.org/W3028163168","https://openalex.org/W3047817287","https://openalex.org/W3136833643","https://openalex.org/W3137443034","https://openalex.org/W3165435270","https://openalex.org/W4205611869","https://openalex.org/W4292012288","https://openalex.org/W4296301850","https://openalex.org/W4296637517","https://openalex.org/W4309923062","https://openalex.org/W4319985681","https://openalex.org/W4324380618","https://openalex.org/W4379055677","https://openalex.org/W4381167165","https://openalex.org/W4386430464","https://openalex.org/W4390003072","https://openalex.org/W4392881861","https://openalex.org/W6979129680"],"related_works":["https://openalex.org/W4379055677","https://openalex.org/W7133212609","https://openalex.org/W4412151303","https://openalex.org/W2899515224","https://openalex.org/W7074101343","https://openalex.org/W4390003072","https://openalex.org/W4296637517","https://openalex.org/W4416402928","https://openalex.org/W4400484972","https://openalex.org/W3088863007"],"abstract_inverted_index":{"BACKGROUND:":[0],"Early":[1],"childhood":[2,54,63,191,253,357],"caries":[3,64,122,153,192,230,258,358],"(ECC)":[4],"occur":[5],"soon":[6],"after":[7],"the":[8,20,27,41,48,59,71,77,89,121,158,196,201,204,206,210,222,238,317,329,352],"eruption":[9],"of":[10,26,50,52,61,73,79,92,115,135,198,203,209,226,242,257,310,331,355],"teeth":[11],"and":[12,23,40,65,76,81,124,131,151,168,193,216,280,291,325,338],"can":[13,33,46],"progress":[14],"rapidly,":[15],"causing":[16],"severe":[17,251],"impact":[18,297],"on":[19],"physical,":[21],"physiological,":[22],"psychological":[24],"well-being":[25],"child.":[28],"Irregularities":[29],"in":[30,35,88,113,237],"sleep":[31,69,129,194,274,321,334],"patterns":[32],"result":[34],"decreased":[36,273],"salivary":[37],"flow":[38],"rate":[39,49],"immune":[42],"response,":[43],"which":[44],"ultimately":[45],"affect":[47],"progression":[51],"early":[53,62,190,252,356],"caries.":[55,254,311],"AIM:":[56],"To":[57],"assess":[58,120],"prevalence":[60,123,256,330],"its":[66],"association":[67,188],"with":[68,262,302,328],"practices,":[70,322],"habit":[72,197],"frequent":[74,199,292,303,336],"snacking,":[75,200,337],"usage":[78],"phones":[80],"smart":[82],"devices":[83],"by":[84,221],"children":[85,236,270],"before":[86,212,342],"bedtime":[87,202,264,288,343],"age":[90],"group":[91],"three":[93,108],"to":[94,109,119,149,214,249,307,351],"five":[95,110],"years.":[96],"METHODOLOGY:":[97],"An":[98],"analytical":[99],"cross\u2011sectional":[100],"study":[101,239,315],"was":[102,147,155,165,219,259],"conducted":[103],"among":[104,233,268],"349":[105],"preschoolers":[106],"aged":[107],"years":[111],"studying":[112],"preschools":[114],"Gandhinagar":[116],"city,":[117],"Gujarat,":[118],"associated":[125,261],"factors":[126,349],"such":[127],"as":[128,137,139,346],"practices":[130,134],"oral":[132,217,323],"hygiene":[133,218],"children,":[136,244],"well":[138],"their":[140],"snacking":[141,293,304],"practice.":[142],"A":[143],"validated,":[144],"structured":[145],"questionnaire":[146],"administered":[148],"parents/guardians,":[150],"then":[152],"status":[154],"evaluated":[156],"using":[157,170],"deft":[159,298],"index":[160],"for":[161,174],"each":[162],"participant.":[163],"Data":[164],"systematically":[166],"compiled":[167],"analyzed":[169],"IBM":[171,180],"SPSS":[172],"Statistics":[173],"Windows,":[175],"Version":[176],"23":[177],"(Released":[178],"2015;":[179],"Corp.,":[181],"Armonk,":[182],"New":[183],"York,":[184],"United":[185],"States).":[186],"The":[187,229,255,313],"between":[189,320],"disorder,":[195],"child,":[205],"screen":[207,340],"time":[208,283],"child":[211],"going":[213],"bed,":[215],"tested":[220],"chi-square":[223],"independent":[224],"test":[225],"association.":[227],"RESULT:":[228],"were":[231,247,344],"prevalent":[232],"238":[234,243],"(68.2%)":[235],"population.":[240],"Out":[241],"88":[245],"(37%)":[246],"found":[248],"have":[250],"significantly":[260,296],"late":[263,281],"(after":[265],"11),":[266],"i.e.,":[267],"110":[269],"(76.9%)":[271],"(P=0.034),":[272],"duration":[275],"(p=0.027),":[276],"extracurricular":[277],"activity":[278],"(p=<0.001),":[279],"dinner":[282],"(P=0.034).":[284],"Multivariate":[285],"regression":[286],"shows":[287],"(B=1.024,":[289],"p=0.003)":[290],"(B=-1.364,":[294],"p=0.011)":[295],"scores":[299],"(R\u00b2=0.042,":[300],"p=0.001),":[301],"(OR=0.412)":[305],"leading":[306],"elevated":[308],"frequency":[309],"CONCLUSION:":[312],"present":[314],"demonstrates":[316],"intricate":[318],"relationship":[319],"hygiene,":[324],"dietary":[326],"habits":[327],"ECC.":[332],"Irregular":[333],"patterns,":[335],"excessive":[339],"exposure":[341],"identified":[345],"potential":[347],"risk":[348],"contributing":[350],"increased":[353],"burden":[354],"(ECC).":[359]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":1}],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2025-04-06T00:00:00"}