Objective: To identify the risk factors and to estimate the probability to develop dental decay.

Methods: A study of cases and controls in 4-year-old children, with a sample of 102 patients selected by quota was done. The oral hygiene habit, consumption of cariogenic food, annual oral evaluation and topical application of fluorine were studied as risk factors. The statically analysis included bivariated and multiple regression logistic, and estimation of the probability to develop decay.

Results: The oral hygiene habit was identified like the main risk factor with the greatest influence (OR=15.27) in the multiple model integrated with the variable mentioned, consumption of cariogenic food and oral annually evaluation. It turned out to be significant (p=0.00). The highest probability to present decay was of 76% and the lowest of 5%.

Conclusions: Hygienic habit was the most important risk factor to develop dental decay.

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