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Of the 639 children examined at baseline, a total of 449 were reassessed after 7 years (70.3% retention rate). Children who lived in neighborhoods with cultural community centers had a lower risk of dental caries in first permanent molars at the follow-up (RR 0.78; 95% CI 0.62-0.99). Children from families with a low income (RR 1.34; 95% CI 1.03-1.76) and poor parental perception of children's oral health (RR 1.56; 95% CI 1.18-2.06) were associated with a higher risk of dental caries in first molars. In conclusion, individual and contextu