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Oliveros-Villarico M, Pungchanchaikul P, Watthanasaen S, Chaichit R, Pitiphat W. Prevalence and risk indicators of early childhood caries among toddlers in Caloocan City, Philippines: a cross-sectional study. BMC Oral Health 2024; 24:642. [PMID: 38816824 PMCID: PMC11141054 DOI: 10.1186/s12903-024-04407-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2024] [Accepted: 05/24/2024] [Indexed: 06/01/2024] Open
Abstract
BACKGROUND Limited published data exist on early childhood caries (ECC) among children 2 years old and below. The study aimed to determine ECC prevalence and its association with socio-demographic indicators, feeding practices and oral health behaviours among children aged 2 years and below in the Philippines. METHODS A cross-sectional study observed young children aged 4-24 months in primary health centers. Each child's caregiver was interviewed and dental examinations were done on every child by one calibrated dentist using the ICDAS. Poisson regression using robust variance estimator analysis identified significant variables associated with ECC. RESULTS Seven hundred three healthy children were observed at a mean age of 13.3 ± 2.4 months. ECC prevalence was 29.2% (95% confidence interval: 26.0-32.7) among toddlers who showed a mean number of 6.7 ± 3.1 erupted teeth. Multiple regression revealed that child's age (prevalence ratio, PR = 1.07), caregiver's educational level (PR = 1.43), continued breastfeeding (PR = 1.36), frequent eating (PR = 1.24), visible plaque observed by the caregiver (PR = 1.34) and in the oral examination (PR = 2.90) were significant to ECC prevalence. CONCLUSIONS ECC is alarmingly prevalent in toddlers, marked by early onset and untreated decay. Prioritizing preventive measures in the first two years of life is crucial for understanding dietary impacts and promoting oral hygiene.
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Affiliation(s)
- Maritess Oliveros-Villarico
- Department of Preventive Dentistry, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand
- Subsection of Paediatric Dentistry, Department of Clinical Dental Health Sciences, College of Dentistry, University of the Philippines, Manila, Philippines
| | - Patimaporn Pungchanchaikul
- Division of Paediatric Dentistry, Department of Preventive Dentistry, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand
| | - Supatra Watthanasaen
- Sirindhorn College of Public Health Khon Kaen, Faculty of Public Health and Allied Health Sciences, Praboromarajchanok Institute, Khon Kaen, Thailand
| | - Rajda Chaichit
- Department of Preventive Dentistry, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand
| | - Waranuch Pitiphat
- Department of Preventive Dentistry, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand.
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Ribas-Perez D, Muñoz-Viveros C, Formoso-Veloso AL, Carrillo-Sanchez FJ, El Khoury-Moreno L, Torrejon-Martinez J, Castaño-Seiquer A. Oral Health-Related Quality of Life in a Paediatric Population in the Dominican Republic. J Clin Med 2024; 13:2449. [PMID: 38730978 PMCID: PMC11084811 DOI: 10.3390/jcm13092449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2024] [Revised: 04/17/2024] [Accepted: 04/19/2024] [Indexed: 05/13/2024] Open
Abstract
Introduction: During the summer of 2019 and within the framework of a social dentistry program carried out in the low-income town of San Francisco de Macorís (Dominican Republic), a descriptive study was carried out on oral health-related quality of life (OHRQoL), aiming to find out the oral health status of a population of children in the aforementioned Dominican city. Objective: The aim of this study was to describe the oral health status of a child population and its relationship with the quality of life perceived by these children in the aforementioned population of San Francisco de Macorís in order to develop an specific oral health program taking into account not only the existing oral health status but also the perceptions and feelings of the child population in this regard. Method: A descriptive cross-sectional study was carried out on a representative sample of children who were examined on their oral health status, following WHO guidelines, by professionals from the University of Seville (Spain) together with professionals from private practice (USA) and students from the Universidad Católica Nordestana (UCNE, Dominican Republic). Likewise, the children's parents voluntarily completed the Oral Quality of Life questionnaire COHIP-19 in its culturally adapted Spanish version. Results: For this purpose, 94 children with a mean age of 10.34 (SD 3.38) were observed in our study following WHO recommendations for oral health studies and evaluating OHQoL using the specific questionnaire validated in Spanish COHIP-19 in its short format (SF). The results show a state of oral health with a significant prevalence of caries (80.9%) and a DMFT of 1.70 (SD 1.90). The OHQoL perceived by these children shows that pain, bad breath or feeling sad because of the condition of their teeth were the factors with the worst evaluation score. Conclusions: The conclusion that mainly emerges from this study is that caries continues to be the main problem to be solved (more than other variables studied, such as malocclusion or fluorosis), and this ailment also causes pain, dysfunction, and bad breath and is therefore perceived as a problem to be solved in the children of this Dominican city.
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Affiliation(s)
- David Ribas-Perez
- Department of Stomatology, University of Seville, 41004 Seville, Spain (F.J.C.-S.); (L.E.K.-M.); (J.T.-M.); (A.C.-S.)
| | | | - Angel Luis Formoso-Veloso
- Department of Stomatology, University of Seville, 41004 Seville, Spain (F.J.C.-S.); (L.E.K.-M.); (J.T.-M.); (A.C.-S.)
| | | | - Luis El Khoury-Moreno
- Department of Stomatology, University of Seville, 41004 Seville, Spain (F.J.C.-S.); (L.E.K.-M.); (J.T.-M.); (A.C.-S.)
| | - Julio Torrejon-Martinez
- Department of Stomatology, University of Seville, 41004 Seville, Spain (F.J.C.-S.); (L.E.K.-M.); (J.T.-M.); (A.C.-S.)
| | - Antonio Castaño-Seiquer
- Department of Stomatology, University of Seville, 41004 Seville, Spain (F.J.C.-S.); (L.E.K.-M.); (J.T.-M.); (A.C.-S.)
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Maciel IP, Basso MB, Piovesan ÉTDA, Ribeiro CDPV, Queiroz IQDD, Alves JB, Kominami PAA, Leal SC. Is there an association between family structure and the oral health of socially vulnerable children? Braz Oral Res 2023; 37:e133. [PMID: 38126476 DOI: 10.1590/1807-3107bor-2023.vol37.0133] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Accepted: 08/14/2023] [Indexed: 12/23/2023] Open
Abstract
The aim of this study was to evaluate the impact of the family structure on the oral health status of socially vulnerable children in the Federal District of Brazil. A total of 471 schoolchildren with a mean age of 8.12 (± 0.90) years were examined for dental caries using the CAST instrument. Dental biofilm and oral pain were also registered. Children's guardians were interviewed about socioeconomic variables and oral hygiene habits. The association between oral pain in the previous 30 days and the child's maximum CAST score were analyzed using the Pearson chi-squared test. Multivariate Poisson regression models with robust variance were used to determine the predictors of presence of biofilm, oral pain, and caries severity. The prevalence of cavitated dentin lesions was 43.74% and, both dentin and enamel lesions, 52.87%; for both dentitions. An association between pain and severe nontreated carious lesions was found (p < 0.0001). The family structure was not related to the presence of dental caries, but a significant association was found between low maternal education and severe carious lesions (PR = 1.41; p = 0.0077) and oral pain (PR = 1.47; p = 0. 0335); not owning a residence and frequency of toothbrushing were also associated with the substantial presence of biofilm (PR = 1.13, p = 0.0493 and PR = 1.18, p = 0.0470; respectively). For socially vulnerable children, variables related to the socioeconomic status of the families were more relevant than the family structure in relation to their oral health status.
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Affiliation(s)
- Isadora Passos Maciel
- Universidade de Brasília - UnB, Faculdade de Ciências da Saúde , Departamento de Odontologia , Brasília , DF , Brazil
| | | | | | | | | | - Júlia Barros Alves
- Universidade de Brasília - UnB, Faculdade de Ciências da Saúde , Departamento de Odontologia , Brasília , DF , Brazil
| | | | - Soraya Coelho Leal
- Universidade de Brasília - UnB, Faculdade de Ciências da Saúde , Departamento de Odontologia , Brasília , DF , Brazil
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Jackson HJ, Yepes JF, Scully AC, Vinson LA, Jones JE, Eckert G, Downey T, Maupomé G. Topical fluoride impact in future restorative dental procedures: A claim study. J Am Dent Assoc 2023; 154:876-884. [PMID: 37498261 DOI: 10.1016/j.adaj.2023.06.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Revised: 06/20/2023] [Accepted: 06/21/2023] [Indexed: 07/28/2023]
Abstract
BACKGROUND Caries is one of the most prevalent diseases affecting children. Topical fluoride is used to decrease the incidence of caries. The purpose of this study was to investigate the impact of fluoride varnish and gel applications on future restorative dental treatment claims. METHODS The data were obtained in conjunction with a dental data warehouse through a partnership agreement. A retrospective analysis of dental claims made from 2010 through 2018 was completed. Data were extracted for patients aged 1 through 8 years with topical fluoride application and its subsequent impact on restorative dental claims. RESULTS Data for 672,889 patients were included in the analysis. Patients who received topical fluoride had significantly lower numbers (P < .001) of restorative procedures and extractions per year and significantly increased time (P < .001) to their first restorative procedure or extraction after the index visit than patients who did not receive topical fluoride. CONCLUSIONS The application of fluoride varnishes and gels increased the time to future restorative and extraction dental claims and decreased the number of future restorative and extraction dental claims. PRACTICAL IMPLICATIONS This study is important because it found that the use of topical fluoride decreased the number of future restorative and extraction dental claims.
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Alanzi A, Husain F, Husain H, Hanif A, Baskaradoss JK. Does the severity of untreated dental caries of preschool children influence the oral health-related quality of life? BMC Oral Health 2023; 23:552. [PMID: 37563589 PMCID: PMC10416462 DOI: 10.1186/s12903-023-03274-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2023] [Accepted: 07/31/2023] [Indexed: 08/12/2023] Open
Abstract
AIM To assess the impact of untreated dental caries and its severity on the oral health-related quality of life (OHRQoL) of Kuwaiti preschool children and their caregivers. METHODS Participants were 4- and 5-year-old kindergarten children attending preselected public schools from one of the Governorates in Kuwait. Early childhood caries (ECC) was evaluated by clinical examinations and presented using decayed, missed, filled teeth/surface (dmft/dmfs). The clinical consequences of untreated dental caries were assessed using the pufa (pulp, ulcers, fistula, abscess) index for primary teeth. A structured questionnaire obtained demographic information of children and their caregivers. OHRQoL was assessed using the Arabic version of Early Childhood Oral Health Impact Scale (A-ECOHIS). RESULTS Among the 334 participants, 171 were kindergarten level-1 (KG1), and 163 were level-2 (KG2). The overall prevalence of dental caries was 78.9% for KG1 children and 67.4% for KG2 children. Decayed teeth were the main component for both dmft (84%) and dmfs (68%). The total mean (SD) pufa score was 0.54 (1.5), and about 19.2% of participants had at least one tooth with pufa > 0. A total of 207 A-ECOHIS were completed. Both family and child impact scores were significantly higher for children with a dmft score of 1 or more (p < 0.001) or with one or more pufa (p < 0.001). Child impact section scores were significantly higher with the increasing degrees of untreated caries (dt) (p = 0.004). CONCLUSION The severity of untreated dental caries and caries experience had a negative impact on the OHRQoL of Kuwaiti preschool children and their families. Using the pufa index had provided additional information about the effect of the caries severity on the OHRQoL than assessing the caries experience alone.
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Affiliation(s)
- A Alanzi
- College of Dentistry, Kuwait University, Jabriya, Kuwait.
| | - F Husain
- College of Dentistry, Kuwait University, Jabriya, Kuwait
| | - H Husain
- Ministry of Health, Kuwait City, Kuwait
| | - A Hanif
- College of Dentistry, Kuwait University, Jabriya, Kuwait
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Antunes LAA, Fialho W, Fernandes TDO, Duarte C, Tavares JDS, Küchler EC, Antunes LS. Association of MTR and MTRR genes and oral health-related quality of life in children with dental caries. Braz Oral Res 2023; 37:e076. [PMID: 37531512 DOI: 10.1590/1807-3107bor-2023.vol37.0076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Accepted: 03/17/2023] [Indexed: 08/04/2023] Open
Abstract
This study aimed to assess whether genetic polymorphisms in MTR and MTRR are potential biomarkers of oral health-related quality of life (OHRQoL) in children with caries. A cross-sectional study was designed wherein pairs of parents/caregivers and children (aged two-five years) were selected. Clinical examination was used to detect dental caries, which were classified as low-severity and high-severity caries. The Early Childhood Oral Health Impact Scale (ECOHIS) questionnaire was used to assess OHRQoL. Genomic DNA extracted from the saliva was used to analyze two missense genetic polymorphisms: MTR (rs1805087) and MTRR (rs1801394). Mann-Whitney non-parametric test was used to analyze candidate genes with OHRQoL scale and domain, with a significance level of p≤0.05. MTR (rs1805087) was found associated (p = 0.05) with children's OHRQoL subscale scores in the dominant model (GG + AG). Genetic polymorphisms in MTR may increase the risk of poor OHRQoL in children with caries. Further studies are needed to investigate genetics, molecular factors, and OHRQoL.
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Affiliation(s)
- Lívia Azeredo Alves Antunes
- Universidade Federal Fluminense - UFF, School of Dentistry, Postgraduate Program in Dentistry, Niterói, RJ, Brazil
| | - Walter Fialho
- Universidade Federal Fluminense - UFF, School of Dentistry, Postgraduate Program in Dentistry, Niterói, RJ, Brazil
| | - Thais de Oliveira Fernandes
- Universidade Federal Fluminense - UFF, School of Dentistry, Department of Specific Formation, Nova Friburgo, RJ, Brazil
| | - Camila Duarte
- Universidade Federal Fluminense - UFF, School of Biomedicine, Clinical Research Unit, Niterói, RJ, Brazi
| | - Jhenyfer da Silva Tavares
- Universidade Federal Fluminense - UFF, School of Biomedicine, Clinical Research Unit, Niterói, RJ, Brazi
| | | | - Leonardo Santos Antunes
- Universidade Federal Fluminense - UFF, School of Dentistry, Postgraduate Program in Dentistry, Niterói, RJ, Brazil
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Naishlos S, Blumer S, Nissan S, Nissan J, Kharouba J. Comparison of Childhood Caries Levels between Children of Pediatric Dentists and Children of General Dentists: A Cross-Sectional Study. CHILDREN 2023; 10:children10030452. [PMID: 36980010 PMCID: PMC10047690 DOI: 10.3390/children10030452] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Revised: 02/20/2023] [Accepted: 02/23/2023] [Indexed: 03/02/2023]
Abstract
Caries development in children is a prevalent childhood disease. Factors affecting chronic teeth lesions include nutrition, parental involvement, and executing proper dental health attitude. Professional dentists are perceived as role models for the oral health and hygiene of their families. The purposes of the research were 1. To compare caries rates in the children of pediatric dentists and children of general dentists. 2. To compare children’s nutrition habits between pediatric dentists and general dentists. 3. To compare children’s oral health and hygiene between pediatric dentists and general dentists. 4. To compare children’s usage of fluoride-containing products between pediatric dentists and general dentists. A cross-sectional study was conducted by distributing self-reporting questionnaires to pediatric dentists and general dentists via the social media “snowball” platform. The following themes were surveyed: nutrition habits and oral hygiene of the children. The sample consisted of 176 participants. Children of pediatric dentists were found to have fewer cases of caries than children of general dentists (p = 0.018). Nutrition habits did not differ between the two groups. In addition, pediatric dentists reported that their children use more fluoridated toothpaste in comparison with general dentists. Professional training of pediatric dentists contributed to shaping the oral hygiene attitude of their children.
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Affiliation(s)
- Sarit Naishlos
- Department of Paediatric Dentistry, The Maurice and Gabriela Goldschleger School of Dental Medicine, The Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel
| | - Sigalit Blumer
- Department of Paediatric Dentistry, The Maurice and Gabriela Goldschleger School of Dental Medicine, The Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel
| | - Sagit Nissan
- Department of Paediatric Dentistry, The Maurice and Gabriela Goldschleger School of Dental Medicine, The Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel
| | - Joseph Nissan
- Department of Oral-Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, The Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel
| | - Johnny Kharouba
- Department of Paediatric Dentistry, The Maurice and Gabriela Goldschleger School of Dental Medicine, The Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel
- Correspondence: ; Tel.: +972-3-6409254
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Ha EK, Kim JH, Cha HR, Lee WS, Lee SW, Han MY. Relationship Between Feeding to Sleep During Infancy and Subsequent Childhood Disease Burden. J Pediatr 2022; 256:85-91.e3. [PMID: 36516893 DOI: 10.1016/j.jpeds.2022.11.042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Revised: 10/10/2022] [Accepted: 11/01/2022] [Indexed: 12/14/2022]
Abstract
OBJECTIVE To investigate the association of feeding to sleep during infancy and subsequent childhood health burdens. STUDY DESIGN Information was collected from the parents of children who participated in the national health screening survey when the child was 9-12 months old. The exposure group included participants who were fed to sleep. The primary outcome was all-cause hospital admission (inpatient care, intensive care unit [ICU] admission, or general anesthesia) after age 24 months. Secondary outcomes were subsequent childhood diseases (ie, adenoidectomy and/or tonsillectomy, nasal polyps, allergic rhinitis, acute otitis media, asthma, pneumonia, and aspiration pneumonia), and growth status, as measured by weight-to-age and height-to-age z-scores. RESULTS The study cohort consisted of 224 075 children who participated in the health screening program, 29 392 of whom (13.1%; 51% males) were fed to sleep. Exposure was associated with an increased risk of all-cause hospitalization after age 24 months (hazard ratio [HR], 1.05; 95% CI, 1.03-1.07), but not with admission to an ICU or receipt of general anesthesia. This also was related to adenoidectomy and/or tonsillectomy (HR, 1.08; 95% CI, 1.01-1.15), dental caries (HR, 1.32; 95% CI, 1.23-1.40), asthma (HR, 1.14; 95% CI, 1.14-1.24), pneumonia (HR, 1.10; 95% CI, 1.07-1.13), overweight (HR, 1.06; 95% CI, 1.03-1.09), and obesity (HR, 1.11; 95% CI, 1.06-1.16). CONCLUSIONS Several adverse health outcomes are related to feeding to sleep during early childhood.
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Affiliation(s)
- Eun Kyo Ha
- Department of Pediatrics, Hallym University Kangnam Sacred Heart Hospital, Seoul, Korea
| | - Ju Hee Kim
- Department of Pediatrics, Hallym University Kangdong Sacred Heart Hospital, Seoul, Korea; Department of Pediatics, Kyung Hee University School of Medicine, Seoul, Korea
| | - Hye Ryeong Cha
- Department of Computer Science and Engineering, Sungkyunkwan University, Suwon, Korea
| | - Won Seok Lee
- Department of Pediatrics, CHA Ilsan Medical Center, CHA University, Goyang, Korea
| | - Seung Won Lee
- Sungkyunkwan University School of Medicine, Suwon, Korea
| | - Man Yong Han
- Department of Pediatrics, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea.
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da Rocha Gomes Benelli K, Chaffee BW, Kramer PF, Knorst JK, Ardenghi TM, Feldens CA. Pattern of caries lesions and oral health-related quality of life throughout early childhood: A birth cohort study. Eur J Oral Sci 2022; 130:e12889. [PMID: 35917322 PMCID: PMC9845073 DOI: 10.1111/eos.12889] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Accepted: 07/17/2022] [Indexed: 01/21/2023]
Abstract
The aim of this study was to evaluate the impact of different patterns of dental caries on oral health-related quality of life (OHRQoL) throughout early childhood. This birth cohort study followed 277 children from southern Brazil for 6 years. Demographic and socioeconomic variables were collected at birth. At age 3 years, children's dental caries experience was quantified by the decayed, missing, or filled teeth (dmft) index. At age 6 years, parents answered the Early Childhood Oral Health Impact Scale (ECOHIS). Poisson regression models were used to estimate associations between caries experience and later OHRQoL, presented as the ratio of ECOHIS scores between the groups. The prevalence of dental caries at 3 years of age was 37.5%. In children with caries, lesions only in anterior teeth, only in posterior teeth, and in both dental segments at age 3 were associated with age 6 ECOHIS scores that were 2.7, 7.8, and 6.2 times higher, respectively, than in children without dental caries experience. OHRQoL was worse among children with higher dmft scores. Dental caries lesions in posterior teeth by age 3 years was strongly predictive of adverse impacts on later OHRQoL, presumably as an indicator of continued disease experience in the intervening years.
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Affiliation(s)
| | - Benjamin W. Chaffee
- Division of Oral Epidemiology and Dental Public Health, University of California San Francisco, San Francisco, USA
| | - Paulo Floriani Kramer
- Department of Pediatric Dentistry, Universidade Luterana do Brasil, Canoas, Brazil
- Department of Pediatric Dentistry, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil
| | - Jessica Klöckner Knorst
- Department of Stomatology, School of Dentistry, Universidade Federal de Santa Maria, Santa Maria, Brazil
| | - Thiago Machado Ardenghi
- Department of Stomatology, School of Dentistry, Universidade Federal de Santa Maria, Santa Maria, Brazil
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Hafiz Z, Allam R, Almazyad B, Bedaiwi A, Alotaibi A, Almubrad A. Effectiveness of Silver Diamine Fluoride in Arresting Caries in Primary and Early Mixed Dentition: A Systematic Review. CHILDREN 2022; 9:children9091289. [PMID: 36138602 PMCID: PMC9497160 DOI: 10.3390/children9091289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Revised: 08/14/2022] [Accepted: 08/16/2022] [Indexed: 11/16/2022]
Abstract
Dental caries is a painful condition that could lead to nutritional problems which affects the overall health of the child, as well it is expensive to treat. The effectiveness of silver diamine fluoride (SDF) in primary and early mixed dentition is systematically reviewed in this study. This systematic review utilized the Preferred Reporting Items for Systematic reviews and Meta- Analysis statement (PRISMA, 2020). A literature search conducted using the common electronic databases (from 2010–2021). Based on the inclusion and exclusion criteria, ten randomized clinical trials (RCT) have met the inclusion criteria and were considered for the qualitative assessment. Critical appraisal of these studies was done. This systematic review found that using SDF is a successful and effective method in arresting dentin carious process in the primary teeth and first permanent molars in children. Additionally, when compared to the commonly used topical fluoride products and materials, SDF showed to have better cariostatic effect. However, these findings must be cautiously viewed since more research is required to support them.
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Affiliation(s)
- Zain Hafiz
- Pediatric Dentistry and Orthodontics Department, College of Dentistry, King Saud University, Riyadh 12372, Saudi Arabia
- Correspondence:
| | - Rehab Allam
- Pediatric Dentistry and Orthodontics Department, College of Dentistry, King Saud University, Riyadh 12372, Saudi Arabia
| | - Bdoor Almazyad
- Intern, College of Dentistry, King Saud University, Riyadh 12372, Saudi Arabia
| | - Alya’a Bedaiwi
- Intern, College of Dentistry, King Saud University, Riyadh 12372, Saudi Arabia
| | - Areej Alotaibi
- Intern, College of Dentistry, King Saud University, Riyadh 12372, Saudi Arabia
| | - Alwateen Almubrad
- Intern, College of Dentistry, King Saud University, Riyadh 12372, Saudi Arabia
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Caries Experience and Increment in Children Attending Kindergartens with an Early Childhood Caries Preventive Program Compared to Basic Prophylaxis Measures-A Retrospective Cohort Study. J Clin Med 2022; 11:jcm11102864. [PMID: 35628990 PMCID: PMC9146011 DOI: 10.3390/jcm11102864] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Revised: 05/11/2022] [Accepted: 05/17/2022] [Indexed: 02/04/2023] Open
Abstract
Dental caries constitutes a public health challenge. As preventive strategies are desirable, this retrospective cohort study aimed to assess the caries experience and increment in children attending kindergartens with an early childhood caries (ECC) preventive program (intervention group, IG) compared to basic prophylaxis measures (control group, CG) located in areas of different socioeconomic status (SES) within Marburg (Germany). The long-term caries experience (2009−2019) of these 3−5-year-old kindergarten children was evaluated. For the caries increment, dental records of 2019 were screened for the availability of a minimum of two dental examinations at least 8 months apart. Caries was scored according to the WHO criteria (dmf−t). The data were split by observation period (300−550 and >550 days). Overall, 135 children (Ø 3.7 years) attended IG, and 132 children (Ø 3.6 years) attended CG. After 300−550 days, no significant differences were found between both groups regarding mean caries increment and experience (p > 0.05). After >550 days, IG with low SES exhibited a high caries experience. Fluoride varnish applications could not reduce the caries increment compared to CG in the short-term but slightly decreased the long-term caries experience. Comprehensive ECC prevention measures actively involving parents are needed to overcome the caries burden.
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Petrović B, Stilinović N, Tomas A, Kojić S, Stojanović GM. Determination of salivary concentrations of leptin and adiponectin, ability to reduce ferric ions and total antioxidant capacity of saliva in patients with severe early childhood caries. Front Pediatr 2022; 10:969372. [PMID: 36120658 PMCID: PMC9473506 DOI: 10.3389/fped.2022.969372] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2022] [Accepted: 08/02/2022] [Indexed: 11/25/2022] Open
Abstract
INTRODUCTION One of the most common oral diseases affecting children is early childhood caries (ECC). The link between oxidative stress and ECC has been proven in numerous clinical studies. Technical and biological variability were so high in most of the studies that none of the markers have yet been proven suitable for routine clinical use. This study aimed to evaluate the antioxidant status and the levels of leptin and adiponectin in saliva of children with severe early childhood caries (S-ECC). METHODS Morning unstimulated saliva samples were collected from children (n = 40, 0-6 years old) for the evaluation of oxidative stress which were measured by total antioxidant capacity (TAC), and by the ferric reducing antioxidant power (FRAP) assays, as well as to assess the salivary levels of leptin and adiponectin. FRAP, TAC, leptin and adiponectin concentrations were evaluated in S-ECC group (n = 31) and caries free group CF (n = 9). All results were analyzed based on age and sex. RESULTS Overall median salivary leptin and adiponectin levels were 5.59 pg/mL and 24.86 ng/mL, respectively. Significantly lower leptin levels were observed in saliva of caries free children (4.66 pg/mL) than in the S-ECC group (6.64 pg/mL, p < 0.01). No significant difference was observed for adiponectin levels (S-ECC and CF, 25.31 and 23.2 ng/mL, respectively, p = 0.961). TAC and FRAP values of saliva had similar values in children with S-ECC and caries free children. TAC and FRAP values also remained stable with the age of the children, without significant differences with respect to sex. CONCLUSION The increased concentrations of leptin in saliva of children with S-ECC suggests that leptin may play a role in inflammatory and immune responses in the development of early childhood caries.
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Affiliation(s)
- Bojan Petrović
- Department of Dental Medicine, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
| | - Nebojsa Stilinović
- Department of Pharmacology, Toxicology and Clinical Pharmacology, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
| | - Ana Tomas
- Department of Pharmacology, Toxicology and Clinical Pharmacology, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
| | - Sanja Kojić
- Faculty of Technical Sciences, University of Novi Sad, Novi Sad, Serbia
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Teixeira NM, Carvalho FGD, Abreu MHNGD, Souza-Oliveira AC, Feuser E, Bendo CB, Martins CC. Risk Factors for the Incidence of Dental Caries in Low, Very Low, and Extremely Low Birth Weight Children: A Cohort Study. PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLÍNICA INTEGRADA 2022. [DOI: 10.1590/pboci.2022.050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
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Prediction Models of Early Childhood Caries Based on Machine Learning Algorithms. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18168613. [PMID: 34444368 PMCID: PMC8393254 DOI: 10.3390/ijerph18168613] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/18/2021] [Revised: 08/11/2021] [Accepted: 08/12/2021] [Indexed: 11/17/2022]
Abstract
In this study, we developed machine learning-based prediction models for early childhood caries and compared their performances with the traditional regression model. We analyzed the data of 4195 children aged 1-5 years from the Korea National Health and Nutrition Examination Survey data (2007-2018). Moreover, we developed prediction models using the XGBoost (version 1.3.1), random forest, and LightGBM (version 3.1.1) algorithms in addition to logistic regression. Two different methods were applied for variable selection, including a regression-based backward elimination and a random forest-based permutation importance classifier. We compared the area under the receiver operating characteristic (AUROC) values and misclassification rates of the different models and observed that all four prediction models had AUROC values ranging between 0.774 and 0.785. Furthermore, no significant difference was observed between the AUROC values of the four models. Based on the results, we can confirm that both traditional logistic regression and ML-based models can show favorable performance and can be used to predict early childhood caries, identify ECC high-risk groups, and implement active preventive treatments. However, further research is essential to improving the performance of the prediction model using recent methods, such as deep learning.
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Kazeminia M, Abdi A, Shohaimi S, Jalali R, Vaisi-Raygani A, Salari N, Mohammadi M. Dental caries in primary and permanent teeth in children's worldwide, 1995 to 2019: a systematic review and meta-analysis. Head Face Med 2020; 16:22. [PMID: 33023617 PMCID: PMC7541284 DOI: 10.1186/s13005-020-00237-z] [Citation(s) in RCA: 103] [Impact Index Per Article: 25.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2020] [Accepted: 09/17/2020] [Indexed: 12/27/2022] Open
Abstract
Background Early childhood caries (ECC) is a type of dental caries in the teeth of infants and children that is represented as one of the most prevalent dental problems in this period. Various studies have reported different types of prevalence of dental caries in primary and permanent teeth in children worldwide. However, there has been no comprehensive study to summarize the results of these studies in general, so this study aimed to determine the prevalence of dental caries in primary and permanent teeth in children in different continents of the world during a systematic review and meta-analysis. Methods In this review study, articles were extracted by searching in the national and international databases of SID, MagIran, IranMedex, IranDoc, Cochrane, Embase, ScienceDirect, Scopus, PubMed, and Web of Science (ISI) between 1995 and December 2019. Random effects model was used for analysis and heterogeneity of studies was evaluated by using the I2 index. Data were analyzed by using the Comprehensive Meta-Analysis (Version 2) software. Findings In this study, a total of 164 articles (81 articles on the prevalence of dental caries in primary teeth and 83 articles on the prevalence of dental caries in permanent teeth) were entered the meta-analysis. The prevalence of dental caries in primary teeth in children in the world with a sample size of 80,405 was 46.2% (95% CI: 41.6–50.8%), and the prevalence of dental caries in permanent teeth in children in the world with a sample size of 1,454,871 was 53.8% (95% CI: 50–57.5%). Regarding the heterogeneity on the basis of meta-regression analysis, there was a significant difference in the prevalence of dental caries in primary and permanent teeth in children in different continents of the world. With increasing the sample size and the year of study, dental caries in primary teeth increased and in permanent teeth decreased. Conclusion The results of this study showed that the prevalence of primary and permanent dental caries in children in the world was found to be high. Therefore, appropriate strategies should be implemented to improve the aforementioned situation and to troubleshoot and monitor at all levels by providing feedback to hospitals.
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Affiliation(s)
- Mohsen Kazeminia
- Department of Nursing, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Alireza Abdi
- Department of Nursing, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Shamarina Shohaimi
- Department of Biology, Faculty of Science, University Putra Malaysia, Serdang, Selangor, Malaysia
| | - Rostam Jalali
- Department of Nursing, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Aliakbar Vaisi-Raygani
- Department of Nursing, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Nader Salari
- Department of Biostatistics, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.
| | - Masoud Mohammadi
- Department of Nursing, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
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Aynalem YA, Alamirew G, Shiferaw WS. Magnitude of Dental Caries and Its Associated Factors Among Governmental Primary School Children in Debre Berhan Town, North-East Ethiopia. PEDIATRIC HEALTH MEDICINE AND THERAPEUTICS 2020; 11:225-233. [PMID: 32765157 PMCID: PMC7381799 DOI: 10.2147/phmt.s259813] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/01/2020] [Accepted: 06/26/2020] [Indexed: 11/23/2022]
Abstract
Background In Ethiopia, oral health prevention and treatment have gotten low attention in the government, and the existing dental services are privately owned and thus expensive. Hence, this study aimed to assess the prevalence of dental caries and its associated factors among governmental primary school children in Debre Berhan town, Ethiopia, 2019. Methods An institutional-based cross-sectional study was conducted from January 30 to February 14/2019. A total of 417 primary school children were selected using computer-generated simple random sampling and interviewed using structured and pretested questionnaires. Data were coded, entered, and cleaned using Epi-data version 3.1 and export to SPSS version 22 for analysis. Binary logistic regression analysis was employed to test the association between dependent and independent variables. P-value less than 0.05 was taken as significant association. Finally, the result of this study was present by text, tables, and graphs. Results Out of the 396 study participants, 135 (34.1%) had dental caries. Of these, more than half, 95 (59.37%) had the pre-molar decayed. Two hundred eighty-five (72.0%) of them were cleaned their teeth. The Independent predictors of dental caries were drinking sugared tea [AOR= 2.034, 95% CI: (1.223–3.385)] and food particle on their teeth [AOR= 6.709, 95% CI: (3.475–12.954)], which had shown a significant association with dental caries. Conclusion The over magnitude of dental caries was relatively high and found to be a public health problem. Drinking sugar tea, presence of food particles, or dental plaque were significantly associated with dental caries. In contrast, merchant occupation reduced the chance of dental caries. Giving health education to minimize drinking sugar tea and cleaning their teeth after consumption of sugar tea should be given attention.
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Affiliation(s)
- Yared Asmare Aynalem
- Department of Nursing, College of Health Science, Debre Berhan University, Debre Berhan, Ethiopia
| | - Getu Alamirew
- Department of Nursing, College of Health Science, Debre Berhan University, Debre Berhan, Ethiopia.,Debre Berhan Referral Hospital, Debre Berhan, Ethiopia
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Dahas ZAH, Khormi HAJ, Vishwanathaiah S, Maganur P, Owis AAA, Khanagar SB, Alowi WAM. Correlation of Feeding Practices and Dental Caries among Preschool Children of Jazan, KSA: A Cross-sectional Study. Int J Clin Pediatr Dent 2020; 13:327-331. [PMID: 33149403 PMCID: PMC7586481 DOI: 10.5005/jp-journals-10005-1784] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVE Breastfeeding is integral for the healthy development of infants during the first year of life. The objective of this study was to investigate the feeding practices and their effect on dental health among Saudi children in rural Jazan, the southern region of Saudi Arabia. MATERIALS AND METHODS A cross-sectional study was conducted among 330 participants from two villages namely Baish and Abu-Areesh of Jazan Province, Kingdom of Saudi Arabia. Mothers whose children were above 2 years of age agreed for a face-to-face interview to discuss about feeding practices followed for their children. Later, these children underwent a complete dental examination. RESULTS In this study, it was found that a majority of mothers, 203 (61.15%) of them breastfed their children for less than a year, 105 (31.8%) of them breastfed for 2 to 4 years, and the remaining 22 (6.6%) of them breastfed for more than 4 years. Two hundred and forty-nine (75.15%) moms reported that they added sugar to milk while feeding and 259 (78.4%) mothers reported using sugar with pacifiers. Increased incidence of caries was seen with a statistically significant difference in children who were fed during sleep (p = 0.038), when the infant's teeth were not brushed after feeding (p = 0.004), and when sugar was added while feeding (p = 0.001). CONCLUSION Prevalence of dental caries was high in children who were fed during sleep and also in those kids using pacifiers containing sugar. Oral hygiene practices were also inadequate and positively associated with dental caries. These findings are suggestive of developing general and oral health interventions for children and also educating mothers on appropriate feeding practices. HOW TO CITE THIS ARTICLE Dahas ZAH, Khormi HAJ, Vishwanathaiah S, et al. Correlation of Feeding Practices and Dental Caries among Preschool Children of Jazan, KSA: A Cross-sectional Study. Int J Clin Pediatr Dent 2020;13(4):327-331.
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Affiliation(s)
- Zarah AH Dahas
- College of Dentistry, Jazan University, Jazan, Kingdom of Saudi Arabia
| | - Huda AJ Khormi
- College of Dentistry, Jazan University, Jazan, Kingdom of Saudi Arabia
| | - Satish Vishwanathaiah
- Department of Preventive Dental Sciences, Division of Pedodontics, College of Dentistry, Jazan University, Jazan, Kingdom of Saudi Arabia
- Satish Vishwanathaiah, Department of Preventive Dental Sciences, Division of Pedodontics, College of Dentistry, Jazan University, Jazan, Kingdom of Saudi Arabia, Phone: +966504188075, e-mail:
| | - Prabhadevi Maganur
- Department of Preventive Dental Sciences, Division of Pedodontics, College of Dentistry, Jazan University, Jazan, Kingdom of Saudi Arabia
| | - Alhassan AA Owis
- College of Dentistry, Jazan University, Jazan, Kingdom of Saudi Arabia
| | - Sanjeev B Khanagar
- Preventive Dental Science Department, College of Dentistry, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia; King Abdullah International Medical Research Center, Riyadh, Kingdom of Saudi Arabia
| | - Wejdan AM Alowi
- College of Dentistry, Jazan University, Jazan, Kingdom of Saudi Arabia
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Barjatya K, Nayak UA, Vatsal A. Association between early childhood caries and feeding practices among 3-5-year-old children of Indore, India. J Indian Soc Pedod Prev Dent 2020; 38:98-103. [PMID: 32611852 DOI: 10.4103/jisppd.jisppd_60_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND The impact of early childhood caries (ECC) seen in infants and young children to the society is enormous. Most studies on ECC have been focused on specific ethnic and lower socioeconomic communities, however fewer studies are conducted in India as compared to other developed countries. AIMS The study investigates the association between selected feeding practices and the presence of early ECC among 3-5 year-old children of Indore city. METHODOLOGY A cross-sectional sample consisted of 640 preschool children of different socioeconomic status (SES). A self-administered questionnaire was used to obtain information about demographic backgrounds and feeding history of the child. The caries experience of children was recorded. STATISTICAL ANALYSIS The data were evaluated using Chi-square and multivariate logistic regression. RESULTS The prevalence of ECC was found to be 64%. ECC was found to be significantly associated with age, SES, breastfeeding for more than 1 year, bottle feeding, bottle content used other than water, feeding at night, and cup drinking after 1 year. CONCLUSION The present study indicates that ECC and feeding habits have a significant relationship. The content of the bottle feed and feeding practices at night are the strongest factors among all feeding habits associated with ECC.
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Affiliation(s)
- Khushboo Barjatya
- Department of Pedodontics and Preventive Dentistry, Sri Aurobindo College of Dentistry, Indore, Madhya Pradesh, India
| | - Ullal Anand Nayak
- Department of Preventive Dental Sciences, Ibn Sina National College for Medical Studies, Jeddah, Saudi Arabia
| | - Ankur Vatsal
- Departments of Public Health Dentistry, Sri Aurobindo College of Dentistry, Indore, Madhya Pradesh, India
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Dolah S, Eusufzai SZ, Alam MK, Ahmad WMAW. Factors Influencing Oral Health-Related Quality of Life Among Preschool Children in District of Kota Bharu, Malaysia: A Cross-Sectional Study. PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLÍNICA INTEGRADA 2020. [DOI: 10.1590/pboci.2020.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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20
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The dental health of cleft patients attending the 18-month-old clinic at a specialised cleft centre. Br Dent J 2019; 227:199-202. [DOI: 10.1038/s41415-019-0608-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Alhabdan YA, Albeshr AG, Yenugadhati N, Jradi H. Prevalence of dental caries and associated factors among primary school children: a population-based cross-sectional study in Riyadh, Saudi Arabia. Environ Health Prev Med 2018; 23:60. [PMID: 30497366 PMCID: PMC6267843 DOI: 10.1186/s12199-018-0750-z] [Citation(s) in RCA: 61] [Impact Index Per Article: 10.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2018] [Accepted: 10/30/2018] [Indexed: 01/27/2023] Open
Abstract
Background Dental caries is a preventable childhood disease, but public health efforts are hampered due to limited information on associated factors in vulnerable populations. Our study was aimed at estimating the prevalence of dental caries and identifying key associated factors in four major risk domains, including socioeconomic factors, child oral health behavior and practices, child feeding practices, and dietary habits among primary school children in Saudi Arabia. Methods A cross-sectional study design was used to recruit 578 male Saudi primary school children, aged 6–8 years, from 12 primary schools in five different regions of Riyadh. Children were clinically screened to detect carious lesions in primary teeth according to World Health Organization’s criteria. Structured self-administered questionnaire was used to collect information on social and individual factors from the parents. The odds ratios and 95% confidence intervals of associated factors for dental caries were computed using logistic regression models; key factors were identified by systematic selection process that accounted for multicollinearity and bias correction. Results Dental caries was prevalent among children (83%, 95% confidence interval 79.7–86.0%). Individual factors, including irregular brushing, late adoption of brushing habit, consulting dentist for symptomatic treatment, lack of breast feeding, sleeping with a bottle in mouth, habit of snacking between meals, low consumption of fruits, and frequent consumption of soft drinks and flavored milk, were predominantly associated with dental caries in children, instead of socioeconomic factors (p < 0.05, adjusted R-square 80%). Conclusion Dental caries were prevalent in school children, and individual factors were predominantly associated with the disease. Electronic supplementary material The online version of this article (10.1186/s12199-018-0750-z) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Yazeed Abdullah Alhabdan
- King Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia.,Department of Epidemiology and Biostatistics, College of Public Health and Health Informatics, King Saud bin Abdulaziz University for Health Sciences, Mail Code 2350, P.O. Box 22490, Riyadh, 11426, Saudi Arabia.,King Abdulaziz Medical City for National Guard, Ministry of National Guard, Riyadh, Saudi Arabia
| | - Abdulhameed Ghassan Albeshr
- King Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia.,Department of Epidemiology and Biostatistics, College of Public Health and Health Informatics, King Saud bin Abdulaziz University for Health Sciences, Mail Code 2350, P.O. Box 22490, Riyadh, 11426, Saudi Arabia.,King Abdulaziz Medical City for National Guard, Ministry of National Guard, Riyadh, Saudi Arabia
| | - Nagarajkumar Yenugadhati
- King Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia. .,Department of Epidemiology and Biostatistics, College of Public Health and Health Informatics, King Saud bin Abdulaziz University for Health Sciences, Mail Code 2350, P.O. Box 22490, Riyadh, 11426, Saudi Arabia.
| | - Hoda Jradi
- King Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia.,Department of Epidemiology and Biostatistics, College of Public Health and Health Informatics, King Saud bin Abdulaziz University for Health Sciences, Mail Code 2350, P.O. Box 22490, Riyadh, 11426, Saudi Arabia
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Sun TZ, Teng F, Jia SB, Tang YP, Jiang M, Huang S, Yuan X, Li XL, Yang F. [Salivary microbial communities associated with severe early childhood caries]. HUA XI KOU QIANG YI XUE ZA ZHI = HUAXI KOUQIANG YIXUE ZAZHI = WEST CHINA JOURNAL OF STOMATOLOGY 2018; 36:150-155. [PMID: 29779275 DOI: 10.7518/hxkq.2018.02.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
OBJECTIVE To compare the salivary microbial profiles of healthy subjects and those with severe early childhood caries (S-ECC) by using high-throughput sequencing. METHODS Salivary samples were obtained from children with S-ECC (group C, n=24) and healthy children (group H, n=24). Total metagenomic DNA was extracted, and DNA amplicons of the V1-V3 hypervariable region of the 16S rRNA gene were generated and subjected to 454 sequencing. The characteristics of oral microbial communities from the two groups were compared based on microbial diversity and taxonomy assignment. RESULTS First, the microbial richness was significantly higher in group C than group H (P<0.05). Second, the microbial community structure was significantly different for the groups H and C (P<0.01). In addition, caries microbiota was significantly conserved in group C (P<0.001). High expression of suspected cariogenic microorganisms in group C (P<0.1) and health related microorganisms in group H (P<0.1) were identified. Finally, models of caries risk assessment were proposed to distinguish caries from healthy subjects with over 70% accuracy. CONCLUSIONS Salivary microbiota and certain taxa, such as caries-associated taxa (Prevotella), may be useful to screen/assess the children's risk of developing caries.
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Affiliation(s)
- Tong-Zheng Sun
- Stomatology Center, Qingdao Municipal Hospital, The Affiliatel Hospital of Qingdao University, Qingdao 266071, China
| | - Fei Teng
- Qingdao Biological Energy Process Research Institute of Chinese Academy of Sciences, Qingdao 266100, China;Guangdong Provincial Key Laboratory of Oral Diseases, Sun Yat-sen University, Guangzhou 510055, China
| | - Song-Bo Jia
- Stomatology Center, Qingdao Municipal Hospital, The Affiliatel Hospital of Qingdao University, Qingdao 266071, China
| | - Yong-Ping Tang
- Stomatology Center, Qingdao Municipal Hospital, The Affiliatel Hospital of Qingdao University, Qingdao 266071, China
| | - Ming Jiang
- Stomatology Center, Qingdao Municipal Hospital, The Affiliatel Hospital of Qingdao University, Qingdao 266071, China
| | - Shi Huang
- Qingdao Biological Energy Process Research Institute of Chinese Academy of Sciences, Qingdao 266100, China
| | - Xiao Yuan
- Stomatology Center, Qingdao Municipal Hospital, The Affiliatel Hospital of Qingdao University, Qingdao 266071, China
| | - Xiao-Lan Li
- Guangdong Provincial Key Laboratory of Oral Diseases, Sun Yat-sen University, Guangzhou 510055, China
| | - Fang Yang
- Stomatology Center, Qingdao Municipal Hospital, The Affiliatel Hospital of Qingdao University, Qingdao 266071, China;Guangdong Provincial Key Laboratory of Oral Diseases, Sun Yat-sen University, Guangzhou 510055, China
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Winter J, Bartsch B, Schütz C, Jablonski-Momeni A, Pieper K. Implementation and evaluation of an interdisciplinary preventive program to prevent early childhood caries. Clin Oral Investig 2018; 23:187-197. [DOI: 10.1007/s00784-018-2426-x] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2017] [Accepted: 03/19/2018] [Indexed: 10/17/2022]
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Antunes LAA, Ornellas G, Fraga RS, Antunes LS. Oral health outcomes: the association of clinical and socio-dental indicators to evaluate dental caries in preschool children. CIENCIA & SAUDE COLETIVA 2018; 23:491-500. [DOI: 10.1590/1413-81232018232.21022015] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2015] [Accepted: 01/22/2016] [Indexed: 05/29/2023] Open
Abstract
Abstract Dental caries is a public health problem that impacts oral health related to quality of life (OHRQoL). This study aimed to evaluate the outcome of dental caries in children by associating clinical and socio-dental indicators. A cross-sectional study was carried out with 2 to 6-year-old children who attended public day care centers in a city in the Southeast Region of Brazil. After sample calculation, 446 children were randomly selected by eligibility criteria. Two professionals evaluated dental caries using WHO (2013) criteria and classified subjects according to early childhood caries (ECC) severity. Parents/care- givers answered a characterization questionnaire and self-reported socio-dental indicator (B-ECO-HIS). The prevalence of dental caries was 33.7%. The children with high severity of ECC had 5 times higher chance of suffering an impact on OHRQoL. The one way ANOVA test showed that the impact on OHRQoL (ECOHIS scores) was associated with ECC. The outcome dental caries in oral health presented high prevalence as clinical indicator and high impact on OHRQoL as socio dental indicator. Clinical and socio-dental indicators should be evaluated together.
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Carvalho TS, Abanto J, Pinheiro ECM, Lussi A, Bönecker M. Early childhood caries and psychological perceptions on child's oral health increase the feeling of guilt in parents: an epidemiological survey. Int J Paediatr Dent 2018; 28:23-32. [PMID: 28514517 DOI: 10.1111/ipd.12306] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
AIM To assess whether parents feel guilty for their children's oral problems, associating this feeling with socio-economic, demographic, and psychological factors. DESIGN We included 1313 parent-and-child pairs in this study. The children were 2-4 years old. Parents answered questionnaires on socio-economic and demographic data, and on psychological variables. Sixteen trained dentists (κ > 0.8) examined the children for oral hygiene (the presence and absence of plaque), early childhood caries (ECC; no caries, low and high severity), malocclusion (the presence and absence), and traumatic dental injuries (TDI; the presence and absence). We analysed the data with a hierarchical regression. RESULTS Twenty-four percentage of parents reported feeling guilty for the oral problems in their children; 26.3% of the children presented with caries, 39.8% malocclusion, 22.9% TDI. Of the parents who felt guilty, 54% thought that their children had problems in their teeth, and most of them (82%) thought that the problem could have been avoided. The feeling of guilt in parents was significantly associated with ECC and the psychological variables: the thought that the child had problems in his/her teeth and the thought that the problem could have been avoided. CONCLUSION Parents feel more guilty with increased caries severity in their children, and the likelihood of feeling guilty increases when parents believe that their child has an oral problem or that this problem could have been avoided.
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Affiliation(s)
- Thiago Saads Carvalho
- Department of Preventive, Restorative and Pediatric Dentistry, University of Bern, Bern, Switzerland
| | - Jenny Abanto
- Department of Pediatric Dentistry and Orthodontics, Dental School, University of São Paulo-USP, São Paulo, Brazil
| | | | - Adrian Lussi
- Department of Preventive, Restorative and Pediatric Dentistry, University of Bern, Bern, Switzerland
| | - Marcelo Bönecker
- Department of Pediatric Dentistry and Orthodontics, Dental School, University of São Paulo-USP, São Paulo, Brazil
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Rachmawati YL, Pratiwi AN, Maharani DA. Cross-cultural Adaptation and Psychometric Properties of the Indonesia Version of the Scale of Oral Health Outcomes for 5-Year-Old Children. J Int Soc Prev Community Dent 2017; 7:S75-S81. [PMID: 29184832 PMCID: PMC5682708 DOI: 10.4103/jispcd.jispcd_272_17] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2017] [Accepted: 10/12/2017] [Indexed: 11/18/2022] Open
Abstract
Objective: Oral health-related quality of life (OHRQoL) questionnaires have been administered to children older than 6 years. Currently, the scale of oral health outcomes for 5-year-old children (SOHO-5) has been used to determine the OHRQoL through self-reports and parental proxy reports of children aged <6 years. This study was conducted to estimate the psychometric reliability and validity after adapting the SOHO-5 to the Indonesian language. Materials and Methods: The cross-cultural adaptation was tested in children aged 5 years old and their parents. The reliability and validity of the questionnaire were measured among 161 kindergarten children in Jakarta, along with a clinical examination for dental caries. Results: Cronbach's alpha coefficients for internal consistency were 0.89 and 0.86 for child's self-reports and parental reports, respectively. The test-retest reliability results were excellent based on repeated administrations in 27 children; the intraclass correlation coefficients were 0.81 and 0.94 for the parental reports and child's self-reports, respectively. No corrected item-total correlation value was lower than 0.30, allowing all items in the instrument to be included for data analyses. The construct validity of the child's self-reports showed that the Indonesian SOHO-5 total score was significantly associated only with the presence of dental caries (P < 0.001). The construct validity of the parental reports described that the SOHO-5 total score was significantly associated with proxy-rated oral health, the child's perceived dental treatment and satisfaction with the child's oral health (P < 0.001). Conclusions: This study showed the Indonesian version of SOHO-5 is a reliable and valid OHRQoL measure for 5-year-old Indonesian children.
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Affiliation(s)
- Yuanita Lely Rachmawati
- Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
| | - Alisa Novianty Pratiwi
- Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
| | - Diah Ayu Maharani
- Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
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Diagnostic and Preventive Approaches for Dental Caries in Children: A Review. JOURNAL OF PEDIATRICS REVIEW 2017. [DOI: 10.5812/jpr.10222] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Abanto J, Vidigal EA, Carvalho TS, Sá SNCD, Bönecker M. Factors for determining dental anxiety in preschool children with severe dental caries. Braz Oral Res 2017; 31:e13. [PMID: 28099579 DOI: 10.1590/1807-3107bor-2017.vol31.0013] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2015] [Accepted: 12/06/2016] [Indexed: 11/21/2022] Open
Abstract
The aim of this study was to assess the clinical and socioeconomic indicators associated with dental anxiety in preschool children with severe dental caries. A total of 100 children between 3 and 5 years of age were selected during a dental screening procedure. The selection criteria were having at least one tooth with dental caries and a visible pulpal involvement, ulceration, fistula, and abscess (PUFA) index of ≥1 in primary teeth. Before the clinical examination or any treatment procedure was performed, we evaluated the children's dental anxiety using the Facial Image Scale (FIS). Parents completed a questionnaire on socioeconomic conditions, which included the family structure, number of siblings, parental level of education, and family income. A dentist blinded to FIS and socioeconomic data performed the clinical examination. Poisson regressions associate clinical and socioeconomic conditions with the outcome. Most of the children (53%) experienced extensive dental caries (dmf-t ≥ 6), and all children had severe caries lesions, with a PUFA index of ≥1 in 41% and that of ≥2 in 59%. The multivariate adjusted model showed that older children (4-5-year old) experienced lower dental anxiety levels compared with younger children (3-year old) (RR = 0.35; 95%CI: 0.17-0.72 and RR = 0.18; 95%CI: 0.04-0.76, respectively), and children with three or more siblings were associated with higher levels of dental anxiety (RR = 2.27; 95%CI: 1.06-4.87). Older age is associated with low dental anxiety, and more number of siblings is associated with high dental anxiety in preschool children, whereas the severity or extent of dental caries is not associated with dental anxiety.
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Affiliation(s)
- Jenny Abanto
- Universidade de São Paulo - USP, Faculty of Dentistry, Department of Pediatric Dentistry and Orthodontics, São Paulo, SP, Brazil
| | - Evelyn Alvarez Vidigal
- Universidade de São Paulo - USP, Faculty of Dentistry, Department of Pediatric Dentistry and Orthodontics, São Paulo, SP, Brazil
| | - Thiago Saads Carvalho
- University of Bern, Department of Preventive, Restorative and Pediatric Dentistry, Bern, Switzerland
| | - Stella Núbia Coelho de Sá
- Universidade de São Paulo - USP, Faculty of Dentistry, Department of Pediatric Dentistry and Orthodontics, São Paulo, SP, Brazil
| | - Marcelo Bönecker
- Universidade de São Paulo - USP, Faculty of Dentistry, Department of Pediatric Dentistry and Orthodontics, São Paulo, SP, Brazil
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Silva AS, Carminatti M, Lavra-Pinto BD, Franzon R, Araújo FDB, Gomes E. Perfil mastigatório em crianças de três a cinco anos de idade. REVISTA CEFAC 2016. [DOI: 10.1590/1982-0216201618316615] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO: Objetivo: descrever o perfil mastigatório em crianças de três a cinco anos de idade, correlacionando-o com a idade cronológica, gênero, hábitos orais, introdução alimentar e aspectos dentários. Métodos: estudo transversal realizado com 60 crianças de ambos os gêneros. Um odontopediatra avaliou o aspecto dentário, seguida da avaliação da mastigação realizada por uma fonoaudióloga, utilizando-se pão francês e o protocolo elaborado para este estudo. A coleta de dados da mastigação foi realizada por meio de registro em vídeo e posterior análise por avaliadores cegos. Os responsáveis responderam o questionário sobre os hábitos orais e introdução alimentar. Resultados: nos 10 itens avaliados na mastigação ocorreu alternância entre o padrão esperado para todas as váriaveis. Foi observada diferença estatística entre a postura de lábios das crianças de três e quatro anos quando comparadas com as de cinco anos de idade (p<0,001). Os movimentos mandibulares predominantes do tipo rotatório evoluíram conforme o aumento da idade (p=0,008). Não foi encontrada associação entre os aspectos dentários e a mastigação das crianças. Foi verificada associação entre: a mastigação de meninas e meninos (p=0,001); a evolução mastigatória conforme a idade (p=0,008); apresentar hábitos orais para o item modo de corte (p=0,003) e ser respirador oronasal foi fator significante para a criança realizar a mastigação de boca aberta (p=0,01) e para realizar os movimentos mandibulares de maceração predominantemente (p=0,04). Conclusão: para a amostra estudada, o modo mastigatório apresentou-se gradativo em sua evolução e aperfeiçoamento. Foi encontrada diferenciação na mastigação conforme a idade, gênero, hábitos orais e modo respiratório.
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Peltzer K, Mongkolchati A. Severe early childhood caries and social determinants in three-year-old children from Northern Thailand: a birth cohort study. BMC Oral Health 2015; 15:108. [PMID: 26370287 PMCID: PMC4570638 DOI: 10.1186/s12903-015-0093-8] [Citation(s) in RCA: 41] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2015] [Accepted: 09/09/2015] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The purpose of this study was to investigate the prevalence and social risk factors of severe early childhood caries in three-year-old children in Northern Thailand, using a birth-cohort study METHODS The data utilized in this study were from the prospective cohort study of Thai children (PCTC) from the 28 to 38 weeks gestational age until the children reached the age of 36 months (N = 597) in Mueang Nan district, Northern Thailand. Questionnaires were administered at different time points and dental examination was conducted at the age of 3 years of the child. RESULTS 44.1% of the 3 year old children had S-ECC. In multivariate logistic regression analysis, environmental factors (the use of rain or well water as drinking water, no schooling of mother of child, being male), and risk behaviour (sleeping with a bottle at 30 months) were associated with S-ECC. Further, in bivariate analysis, psychological distress in the mother, lack of spousal relationship support, suckle to sleep when going to bed, introduction of soft drinks at 12 months, having had more frequently sweet food, and less than daily tooth brushing before 30 months were associated with S-ECC. CONCLUSIONS A very high rate of S-ECC was observed, and oral health may be influenced by social factors.
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Affiliation(s)
- Karl Peltzer
- ASEAN Institute for Health Development, Madidol University, Salaya, Phutthamonthon, 73170, Nakhonpathom, Thailand. .,Department of Psychology, University of the Free State, Bloemfontein, 9300, South Africa. .,HIV/AIDS/STI/and TB (HAST), Human Sciences Research Council, Private Bag X41, Pretoria, 0001, South Africa.
| | - Aroonsri Mongkolchati
- ASEAN Institute for Health Development, Madidol University, Salaya, Phutthamonthon, 73170, Nakhonpathom, Thailand.
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31
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Ribeiro CCC, da Silva MCB, Machado CMP, Ribeiro MRC, Thomaz EBAF. [Is the severity of caries associated with malnutrition in preschool children?]. CIENCIA & SAUDE COLETIVA 2015; 19:957-65. [PMID: 24714909 DOI: 10.1590/1413-81232014193.12652013] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2013] [Accepted: 06/30/2013] [Indexed: 11/22/2022] Open
Abstract
An analysis was conducted to evaluate if the severity of caries is associated with protein-calorie malnutrition in preschool children. The cross-sectional study was performed on a retrospective cohort of 625 children aged 24-71 months attending daycare centers in São Luís, Maranhão. A hierarchical model was evaluated at five levels: 1.) Socio-economic variables (economic group, mother's educational level and skin color); 2) Access variables; 3) Low birth weight (LBW) and exclusive breastfeeding; 4) Weight per height at 12 months; and 5) Severity of caries and albumin (Alb) levels. The outcome was protein-calorie malnourishment (weight per height z score < -2). The prevalence of outcome was 5.0% and the prevalence of caries was 32%. At the first level, the variables were not associated with the outcome, but the economic group was maintained until the final model. The variables in the second and third levels were not significant. At the fourth level, weight for height at 12 months was not significant, but was maintained until the final model. In the last level, severity of caries was positively associated with malnourishment. The association between severity of caries and malnourishment suggest that oral health should be integrated with public health care policies for children.
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Folayan MO, Kolawole KA, Oziegbe EO, Oyedele T, Oshomoji OV, Chukwumah NM, Onyejaka N. Prevalence, and early childhood caries risk indicators in preschool children in suburban Nigeria. BMC Oral Health 2015; 15:72. [PMID: 26123713 PMCID: PMC4486704 DOI: 10.1186/s12903-015-0058-y] [Citation(s) in RCA: 47] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2015] [Accepted: 06/09/2015] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Early Childhood Caries (ECC) is defined as the presence of caries lesion in an primary tooth in children below the age of 71 months. It is a significant public health problem with consequences for the growth and development of affected children. The objective of this study was to determine the prevalence and ECC risk indicators in a suburban population in Nigeria. METHODS The data of 497 children aged 6 months to 71 months who were recruited through a household survey conducted in Ile-Ife, Nigeria was analysed for prevalence of ECC and risk indicators. Information on children's ages, sex, socioeconomic status, tooth brushing habits, sugary snacks consumption, use of fluoridated toothpaste, birth rank, infant-feeding practices, breastfeeding practices, maternal age at childbirth, and maternal knowledge of oral health was obtained. Children's oral hygiene and caries status was also determined. Risk factors associated with ECC were determined using logistic regression analysis. RESULTS Thirty-three (6.6%) children had ECC. Four (0.8%) had severe ECC. The four risk indicators for ECC were the child's gender, mothers' knowledge of oral health, consumption of sugary snacks in between meals more than three times a day, and the child's oral hygiene status. Females (PR: -0.06; 95% CI: -0.01- -0.01; p = 0.02), and children with mothers who had good knowledge of oral health (PR: -0.06; 95% CI: -0.11--0.008; p = 0.02) were less likely to have ECC. Children who consumed sugary snacks in between meals three times a day or more (PR: 0.05; CI: 0.003 - 0.01; P = 0.04) and children with fair oral hygiene (PR: 0.05; 95% CI: 0.005-0.10; p = 0.03) were more likely to have ECC. CONCLUSIONS The prevalence of ECC in the study population was low. Promoting good oral hygiene practices and enhancing mothers' knowledge of oral health may help reduce further, the risk for ECC in the study population.
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Affiliation(s)
- Morenike O Folayan
- Department of Child Dental Health, Obafemi Awolowo University, Ile-Ife, Nigeria.
- Oral Habit Study Group, Ile-Ife, Nigeria.
- Department of Child Dental Health, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria.
| | - Kikelomo A Kolawole
- Department of Child Dental Health, Obafemi Awolowo University, Ile-Ife, Nigeria.
- Oral Habit Study Group, Ile-Ife, Nigeria.
- Department of Child Dental Health, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria.
| | - Elizabeth O Oziegbe
- Department of Child Dental Health, Obafemi Awolowo University, Ile-Ife, Nigeria.
- Oral Habit Study Group, Ile-Ife, Nigeria.
- Department of Child Dental Health, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria.
| | - Titus Oyedele
- Oral Habit Study Group, Ile-Ife, Nigeria.
- Department of Child Dental Health, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria.
| | - Olusegun V Oshomoji
- Oral Habit Study Group, Ile-Ife, Nigeria.
- Department of Child Dental Health, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria.
| | - Nneka M Chukwumah
- Oral Habit Study Group, Ile-Ife, Nigeria.
- Department of Child Dental Health, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria.
| | - Nneka Onyejaka
- Oral Habit Study Group, Ile-Ife, Nigeria.
- Department of Child Dental Health, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria.
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Clementino MA, Gomes MC, Pinto-Sarmento TCDA, Martins CC, Granville-Garcia AF, Paiva SM. Perceived Impact of Dental Pain on the Quality of Life of Preschool Children and Their Families. PLoS One 2015; 10:e0130602. [PMID: 26090927 PMCID: PMC4474672 DOI: 10.1371/journal.pone.0130602] [Citation(s) in RCA: 52] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2014] [Accepted: 05/21/2015] [Indexed: 11/19/2022] Open
Abstract
The aim of the present study was to evaluate the perceived impact of dental caries and dental pain on oral health-related quality of life (OHRQoL) among preschool children and their families. A cross-sectional study was conduct with 843 preschool children in Campina Grande, Brazil. Parents/caregivers answered a questionnaire on socio-demographic information, their child's general/oral health and history of dental pain. The Brazilian version of the Early Childhood Oral Health Impact Scale was administered to determine the perceived impact of caries and dental pain on OHRQoL. The children underwent an oral examination. Logistic regression for complex sample was used to determine associations between the dependent and independent variables (OR: Odds ratio, α = 5%). The independents variables that had a p-value <0.20 in the bivariate analysis were selected for the multivariate model. The prevalence of dental caries and dental pain was 66.3% and 9.4%, respectively. Order of birth of the child, being the middle child (OR: 10.107, 95%CI: 2.008-50.869) and youngest child (OR: 3.276, 95%CI: 1.048-10.284) and dental pain (OR: 84.477, 95%CI: 33.076-215.759) were significant predictors of the perceived impact on OHRQOL for children. Poor perception of oral health was significant predictor of the perceived impact on OHRQOL for family (OR=7.397, 95%CI: 2.190-24.987). Dental caries was not associated with a perceived impact on the ORHQoL of either the children or their families. However, order of child birth and dental pain were indicators of impact of OHRQoL on preschool children and poor perception of oral health was indicators of impact on families.
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Affiliation(s)
| | | | | | - Carolina Castro Martins
- Department of Pediatric Dentistry and Orthodontics, Dental School, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | | | - Saul Martins Paiva
- Department of Pediatric Dentistry and Orthodontics, Dental School, Federal University of Minas Gerais, Belo Horizonte, Brazil
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Parisotto TM, Stipp R, Rodrigues LKA, Mattos-Graner RO, Costa LS, Nobre-Dos-Santos M. Can insoluble polysaccharide concentration in dental plaque, sugar exposure and cariogenic microorganisms predict early childhood caries? A follow-up study. Arch Oral Biol 2015; 60:1091-7. [PMID: 25985037 DOI: 10.1016/j.archoralbio.2015.04.003] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2013] [Revised: 03/23/2015] [Accepted: 04/16/2015] [Indexed: 10/23/2022]
Abstract
BACKGROUND Insoluble polysaccharide (IP) has been associated with caries prevalence in young children. However, the power of IP to predict ECC needs to be demonstrated. AIMS To assess the relationships between early childhood caries (ECC) and extracellular insoluble polysaccharides (IP) in dental plaque, sugar exposure and cariogenic microorganisms. DESIGN Visible plaque on maxillary incisors was recorded, followed by caries diagnosis in 65 preschoolers (3-4 years) at baseline and after 1 year. Plaque was collected for mutans streptococci (MS), total microorganism (TM) and lactobacilli (LB) enumerations in selective media, as well as for IP analysis, which was later assessed by colorimetry. Sugar/sucrose exposure was assessed by a diet chart. RESULTS Positive correlations were found among the prevalence of caries and MS, TM, LB, solid sucrose and visible dental plaque. Additionally, children with IP concentrations in dental plaque higher than 2.36 μg/mg (odds ratio-OR=6.8), with visible plaque on maxillary incisors (OR=4.3), harbouring LB (OR=13) and exposed to solid sugar more than twice/day (OR=5) showed higher risk of developing caries (p<0.05). CONCLUSION Extracellular insoluble polysaccharides, solid sugar/sucrose, visible dental plaque and cariogenic microorganisms could predict caries development, partially explaining the ECC pattern.
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Affiliation(s)
- T M Parisotto
- Laboratory of Microbiology and Molecular Biology, Sao Francisco University Dental School, Bragança Paulista, SP, Brazil
| | - R Stipp
- Department of Pediatric Dentistry, Piracicaba Dental School, University of Campinas, Brazil
| | - L K A Rodrigues
- Department of Operative Dentistry, Faculty of Pharmacy, Dentistry and Nursing, Federal University of Ceará, Fortaleza, CE, Brazil
| | - R O Mattos-Graner
- Department of Pediatric Dentistry, Piracicaba Dental School, University of Campinas, Brazil
| | - L S Costa
- Federal University of Rio de Janeiro State, Rio de Janeiro, RJ, Brazil
| | - M Nobre-Dos-Santos
- Department of Pediatric Dentistry, Piracicaba Dental School, University of Campinas, Brazil.
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Early childhood caries and maternal caries experience in a convenience sample of Cambodian pre-schoolers. PEDIATRIC DENTAL JOURNAL 2015. [DOI: 10.1016/j.pdj.2015.02.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Clementino MA, Pinto-Sarmento TCA, Costa EM, Martins CC, Granville-Garcia AF, Paiva SM. Association between oral conditions and functional limitations in childhood. J Oral Rehabil 2015; 42:420-9. [PMID: 25597878 DOI: 10.1111/joor.12273] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/10/2014] [Indexed: 12/11/2022]
Abstract
The aim of this study was to evaluate the impact of oral conditions on functional limitations among preschoolers. A preschool-based, cross-sectional study was carried out with 843 preschoolers in Campina Grande, Brazil. Parents/caregivers answered a questionnaire addressing socio-demographic characteristics and perceptions regarding the general/oral health of their children as well as the Brazilian version of the Early Childhood Oral Health Impact Scale. The nonparametric Kruskal-Wallis test followed by Mann-Whitney test (α = 5%) was used to compare mean children's quality-of-life scores for each independent variable. Poisson regression analysis was used to test associations between the independent and dependent variables (difficulties eating, drinking and speaking) (α = 5%). The multivariate regression model involved a hierarchical approach with four levels (distal to proximal determinants): (i) socio-demographic aspects; (ii) health perceptions; (iii) oral conditions; and (iv) pain conditions. The prevalence of negative impact on function was 24.7% for eating/drinking and 8.0% for speaking. Significant associations were found between toothache and negative impact on eating/drinking (PR = 5.38; 95%CI: 3.20-9.02) as well as between high severity dental caries and negative impact on speaking (PR = 14.91; 95%CI: 1.98-112.32). Dental caries, traumatic dental injury and malocclusion were not significantly associated with a negative impact on eating or drinking. However, toothache was an indicator of negative impact on eating/drinking and dental caries severity was an indicator of negative impact on speaking.
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Affiliation(s)
- M A Clementino
- Department of Dentistry, State University of Paraíba, Campina Grande, Brazil
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Marquezan M, Marquezan M, Faraco‐Junior IM, Feldens CA, Kramer PF, Ferreira SH. Association between occlusal anomalies and dental caries in 3‐ to 5 year‐old Brazilian children. J Orthod 2014; 38:8-14. [DOI: 10.1179/14653121141191] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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Nunes AMM, da Silva AAM, Alves CMC, Hugo FN, Ribeiro CCC. Factors underlying the polarization of early childhood caries within a high-risk population. BMC Public Health 2014; 14:988. [PMID: 25245978 PMCID: PMC4192400 DOI: 10.1186/1471-2458-14-988] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2014] [Accepted: 09/05/2014] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Early childhood caries (ECC) are particularly prevalent in disadvantaged populations, and socioeconomic factors are associated with the polarization of disease. A previous study showed that even within a homogenous low-income population disease is polarized, indicating that other factors apart from income may contribute to disease susceptibility. METHODS This study used a hierarchical approach to identify factors associated with polarization of ECC in low-income subjects. This cross-sectional study was conducted retrospectively using a cohort of 244 children (aged 48-72 months) with family incomes not exceeding double the minimum wage (U.S. $8,208.00/year), living in neighborhoods on the outskirts of São Luís, Maranhão, Brazil. The sample was divided into three groups based on the Significant Caries (SiC) Index: no caries group, few caries group (mean 1.38 lesions), and a high caries group (mean 3.82 lesions). Hierarchical multinomial logistic regression analyses were performed based on a theoretical model. RESULTS Twenty-eight (11.5%) of the 244 children presented with high caries. Age (p = 0.026; prevalence ratio (PR) = 1.10; 95% confidence interval (CI) 1.01-1.20) and frequency of sucrose consumption - p = 0.001; PR 4.65 (95% CI 1.83-11.84) were associated with increased risk of ECC. CONCLUSIONS In the high caries group, greater consumption of sucrose between main meals may explain why, in a group of children with homogenous social and health conditions, some had more caries than others.
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Affiliation(s)
- Ana Margarida Melo Nunes
- />Federal University of Maranhão, Jupiter Street 12, apartment 1101, Ed. José Gonçalo, Renascença II, São Luis, Ma Brasil
| | - Antônio Augusto Moura da Silva
- />Federal University of Maranhão, Jupiter Street 12, apartment 1101, Ed. José Gonçalo, Renascença II, São Luis, Ma Brasil
| | - Claudia Maria Coelho Alves
- />Federal University of Maranhão, Jupiter Street 12, apartment 1101, Ed. José Gonçalo, Renascença II, São Luis, Ma Brasil
| | | | - Cecilia Claudia Costa Ribeiro
- />Federal University of Maranhão, Jupiter Street 12, apartment 1101, Ed. José Gonçalo, Renascença II, São Luis, Ma Brasil
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Nobile CGA, Fortunato L, Bianco A, Pileggi C, Pavia M. Pattern and severity of early childhood caries in Southern Italy: a preschool-based cross-sectional study. BMC Public Health 2014; 14:206. [PMID: 24571668 PMCID: PMC3941481 DOI: 10.1186/1471-2458-14-206] [Citation(s) in RCA: 58] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2014] [Accepted: 02/19/2014] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND This survey was intended to investigate prevalence and severity of early childhood caries (ECC) in a sample of children in Southern Italy and to identify factors that may be related to this condition. METHODS The study was designed as a cross-sectional survey. The study population (children aged 36-71 months) attending thirteen kindergartens was randomly selected through a two-stage cluster sampling procedure. Parents/guardians of all eligible children were invited to participate filling out a structured self-administered questionnaire, and after having returned the informed consent form an oral examination of the child was performed at school. The questionnaire included information on: socio-demographics about parents/guardians and child, pregnancy and newborn characteristics, oral hygiene habits of child, eating habits particularly on consumption of sweets, access to dental services, and infant feeding practices. The WHO caries diagnostic criteria for deciduous decayed, missing and filled teeth (dmft) and surfaces (dmfs) were used to record ECC and severe-ECC (S-ECC). Univariate and multiple logistic regression analyses were conducted to evaluate statistical associations of social demographics, infant feeding practices, oral hygiene habits, and access to dental services to ECC, S-ECC, dmft and dmfs. RESULTS 515 children participated in the study. 19% had experienced ECC, and 2.7% severe-ECC (S-ECC), with a mean dmft and dmfs scores of 0.51 and 0.99, respectively. Mean dmft was 2.68 in ECC subjects, and 6.86 in S-ECC subjects. Statistical analysis showed that prevalence of ECC significantly increased with age (OR = 1.95; 95% CI = 1.3-2.91) and duration of breastfeeding (OR = 1.26; 95% CI = 1.01-1.57), whereas it was significantly lower in children of more educated mothers (OR = 0.64; 95% CI = 0.42-0.96), and higher in those who had been visited by a dentist in the previous year (OR = 3.29; 95% CI = 1.72-6.33). CONCLUSIONS Results of our study demonstrate that even in Western countries ECC and S-ECC represent a significant burden in preschool children, particularly in those disadvantaged, and that most of the known modifiable associated factors regarding feeding practices and oral hygiene are still very spread in the population.
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Affiliation(s)
- Carmelo GA Nobile
- Department of Health Sciences, Medical School, University of Catanzaro “Magna Græcia”, Via T. Campanella, 115, Catanzaro 88100, Italy
| | - Leonzio Fortunato
- Department of Health Sciences, Medical School, University of Catanzaro “Magna Græcia”, Via T. Campanella, 115, Catanzaro 88100, Italy
| | - Aida Bianco
- Department of Health Sciences, Medical School, University of Catanzaro “Magna Græcia”, Via T. Campanella, 115, Catanzaro 88100, Italy
| | - Claudia Pileggi
- Department of Health Sciences, Medical School, University of Catanzaro “Magna Græcia”, Via T. Campanella, 115, Catanzaro 88100, Italy
| | - Maria Pavia
- Department of Health Sciences, Medical School, University of Catanzaro “Magna Græcia”, Via T. Campanella, 115, Catanzaro 88100, Italy
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Abanto J, Tsakos G, Paiva SM, Carvalho TS, Raggio DP, Bönecker M. Impact of dental caries and trauma on quality of life among 5- to 6-year-old children: perceptions of parents and children. Community Dent Oral Epidemiol 2014; 42:385-94. [DOI: 10.1111/cdoe.12099] [Citation(s) in RCA: 71] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2013] [Accepted: 01/01/2014] [Indexed: 11/29/2022]
Affiliation(s)
- Jenny Abanto
- Department of Pediatric Dentistry and Orthodontics Department; Dental School; University of São Paulo-USP; São Paulo Brazil
| | - Georgios Tsakos
- Department of Epidemiology and Public Health; University College London; London UK
| | - Saul Martins Paiva
- Department of Pediatric Dentistry and Orthodontics Department; Dental School; Federal University of Minas Gerais; Belo Horizonte Brazil
| | - Thiago S. Carvalho
- Department of Preventive; Restorative and Pediatric Dentistry; University of Bern; Bern Switzerland
| | - Daniela P. Raggio
- Department of Pediatric Dentistry and Orthodontics Department; Dental School; University of São Paulo-USP; São Paulo Brazil
| | - Marcelo Bönecker
- Department of Pediatric Dentistry and Orthodontics Department; Dental School; University of São Paulo-USP; São Paulo Brazil
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Aminabadi NA, Ghoreishizadeh A, Ghoreishizadeh M, Oskouei SG, Ghojazadeh M. Can child temperament be related to early childhood caries? Caries Res 2013; 48:3-12. [PMID: 24216506 DOI: 10.1159/000351636] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2012] [Accepted: 03/26/2013] [Indexed: 11/19/2022] Open
Abstract
Beyond the biological risk factors of early childhood caries (ECC) is child temperament. This study aimed to investigate the relationship of ECC to different traits of child temperament, directly and indirectly through the nutritional and oral hygiene habits. Through a multi-stage sampling, 373 kindergarten children aged 18-36 months participated in this study. The primary caregivers filled in the Early Childhood Behaviour Questionnaire (ECBQ) and a checklist containing demographic data and the dietary and oral hygiene habits of the children. Children were examined for dental caries. The frequency of ECC was 41.14%. With 18 aspects of a child's temperament under consideration, attentional shifting, fear, frustration, low-intensity pleasure, sadness and shyness were significantly higher in the ECC group. Cuddliness, perceptual sensitivity, positive anticipation and soothability were significantly higher in caries-free children. Attentional shifting (p = 0.02), frustration (p = 0.02) and shyness (p = 0.03) were risk factors and cuddliness (p < 0.001) was a protecting factor for ECC. In the multiple regression model regarding nutritional and oral hygiene habits, easily soothable children were 0.69 times less likely to use sweetened liquids frequently [odds ratio (OR) 0.69, 95% confidence interval (CI) 0.49-0.97, p = 0.03], while sad children were 0.58 times less likely to brush (OR 0.58, 95% CI 0.36-0.94, p = 0.02). Considering temperament traits along with socioeconomic status, positive anticipation was the most significant determinant of ECC (OR 1.57, 95% CI 1.13-2.19, p = 0.007). However, considering temperament, socioeconomic measures and child habits among ECC risk factors, the most significant was the initiation of brushing habits (OR 5.41, 95% CI 2.81-12.98, p = 0.002).
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Affiliation(s)
- N A Aminabadi
- Department of Paediatric Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
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Bissar A, Schiller P, Wolff A, Niekusch U, Schulte AG. Factors contributing to severe early childhood caries in south-west Germany. Clin Oral Investig 2013; 18:1411-8. [PMID: 24114252 DOI: 10.1007/s00784-013-1116-y] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2013] [Accepted: 09/18/2013] [Indexed: 11/28/2022]
Abstract
OBJECTIVES The purpose of this study is to investigate the contribution of selected variables to the occurrence of severe early childhood caries (S-ECC) in 3- to 5-year-old kindergarten children. METHODS A cross-sectional study was conducted in 2010 in 30 randomly selected kindergartens in the German Rhein-Neckar district. After informed consent, parents were asked to complete a questionnaire. The oral examinations took place in the selected kindergartens and the WHO methods as well as the criteria proposed by the American Academy of Pediatric Dentistry were followed. Logistic regression was applied to explore the main factors contributing to S-ECC in a multivariate model. RESULTS In all, 1,007 children aged 3 to 5 years with an average age of 4.1 (SD = 0.8) years were examined. Five variables were associated significantly with the occurrence of S-ECC: breastfeeding for more than 12 months (OR = 3.27), use of the nursing bottle in bed (OR = 3.08), start of tooth brushing after the first anniversary (OR = 2.42), regular visits at the dentists (OR = 0.14) and mother with immigration background (OR = 4.05). Prevalence rate of S-ECC was 9.5 %. The mean d(3+4)mft values were 5.69 (S-ECC group) and 0.23 (non-S-ECC group). CONCLUSION These results show that occurrence of S-ECC is a complex interaction between socioeconomic, psychological and behavioural factors of parents. New and specific ways to provide preventive dental care for toddlers and infants of caries risk groups have to be developed. CLINICAL RELEVANCE Parents of newborn children have to receive information about timely start of tooth brushing and adequate use of nursing bottles.
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Affiliation(s)
- A Bissar
- Department of Conservative Dentistry, University of Heidelberg, Heidelberg, Germany,
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Mahesh R, Muthu MS, Rodrigues SJL. Risk factors for early childhood caries: a case–control study. Eur Arch Paediatr Dent 2013; 14:331-7. [DOI: 10.1007/s40368-013-0089-5] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2012] [Accepted: 01/24/2013] [Indexed: 11/29/2022]
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Longevity of composite restorations in patients with early childhood caries (ECC). Clin Oral Investig 2013; 18:775-82. [PMID: 23873324 DOI: 10.1007/s00784-013-1043-y] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2013] [Accepted: 07/02/2013] [Indexed: 01/15/2023]
Abstract
OBJECTIVES The aim of this retrospective study was to describe the type and extent of composite fillings in a high risk pediatric caries population and analyze restoration survival probability in relation to severity of decay, Black classification, and composite type. MATERIALS AND METHODS A total of 1,017 fillings in 855 primary teeth performed under general anesthesia from 2004-2007 were included into this study. All 157 patients had early childhood caries after the classification of Wyne and were recalled for at least 6 months. A total etch adhesive system, in combination with flowable and/or packable composites, was used. Failures were evaluated according to clinical criteria. Survival probability was calculated using Kaplan-Meier survival analysis. RESULTS The mean observation period for restorations was 30.9 months, with a success rate of 81.5 %. In 125 cases, restorations failed after an average retention time of 23.6 months, resulting in an annual failure rate of 4.2 %. The reasons for failure were fracture or partial failure (9.6 %), secondary caries (44 %), or complete restoration loss (46.4 %). Fillings in patients with severe decay had significantly lower survival probabilities. No significant differences were found between flowable and packable composites. CONCLUSIONS Composite fillings are a long lasting, high-quality treatment option in pediatric patients with a high risk of caries who are treated under general anesthesia. A strict caries prevention regimen should be followed to minimize the loss of restorations caused by secondary caries. CLINICAL RELEVANCE Composite fillings are a long lasting, high-quality treatment option in children with early childhood caries treated under general anesthesia.
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Hallett KB. The application of caries risk assessment in minimum intervention dentistry. Aust Dent J 2013; 58 Suppl 1:26-34. [DOI: 10.1111/adj.12047] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- KB Hallett
- Department of Dentistry; The Royal Children's Hospital; Melbourne; Victoria
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Silva RAD, Nóia NB, Gonçalves LM, Pinho JRO, Cruz MCFND. Avaliação da participação de mães em um programa de prevenção e controle de cáries e doenças periodontais para lactentes. REVISTA PAULISTA DE PEDIATRIA 2013; 31:83-9. [DOI: 10.1590/s0103-05822013000100014] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/15/2012] [Accepted: 09/14/2012] [Indexed: 11/22/2022]
Abstract
OBJETIVO: Avaliar o conhecimento sobre saúde bucal de mães participantes de um programa educativo-preventivo para lactentes. MÉTODOS: Estudo de coorte com 112 mães e seus bebês de 0 a 18 meses, cadastrados no projeto "Promoção de Saúde Bucal na Primeira Infância", da Universidade Federal do Maranhão. Inicialmente, entrevistas semiestruturadas que contemplavam o nível de conhecimento das mães sobre a saúde bucal dos bebês foram realizadas. Também foi examinada a cavidade bucal dos bebês a fim de detectar o nível de placa bacteriana, sangramento gengival e presença de cárie. Em seguida, palestras educativo-preventivas foram ministradas e, após um ano de acompanhamento, novas entrevistas foram realizadas, bem como o exame clínico. Para analisar os dados, foram utilizados os testes de qui-quadrado e exato de Fisher com nível de significância de 5%. RESULTADOS: Antes das palestras educativas, 93% das mães executavam a higiene bucal de seus bebês e 57,3% a realizavam nos períodos diurno e noturno. Após as palestras, todas responderam executar os cuidados (p=0,02), sendo 74,7% nos períodos diurno e noturno (p=0,01). Não houve diferença quanto ao consumo de alimentos cariogênicos nos questionários inicial e final. Notou-se que, inicialmente, 5,6% das faces dentais apresentaram cárie; 29,7%, placa bacteriana; e 11,9%, sangramento gengival. Após as palestras, apenas 0,4% das faces dentais apresentaram cárie (p<0,0001); 2,4%, placa bacteriana (p<0,0001); e 10,6%, sangramento gengival (p<0,0001). CONCLUSÕES: A aquisição de conhecimentos é fundamental para melhorar as condições de saúde.
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Ayele FA, Taye BW, Ayele TA, Gelaye KA. Predictors of dental caries among children 7-14 years old in Northwest Ethiopia: a community based cross-sectional study. BMC Oral Health 2013; 13:7. [PMID: 23331467 PMCID: PMC3554509 DOI: 10.1186/1472-6831-13-7] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2012] [Accepted: 01/15/2013] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND Dental caries in children remains a significant public health problem. It is a disease with multifactorial causes. The aim of the study was to assess the prevalence and associated factors of dental caries among children between 7 to 14 years old. METHODS A community based cross-sectional study was conducted in Gondar town from June 2011 to September 2011. A total of 842 children were involved in the study. Multi-stage sampling technique was used to select the children. Pretested and structured questionnaires were used to collect data from mothers. Clinical examination of children was done using dental caries criteria set by world health organization. Data were entered, cleaned and edited using EPI Info version 3.5.1 and exported to SPSS version 16.0 for analysis. Binary multiple logistic regression analyses was applied to test the association. RESULTS Four hundred sixty three (55%) children were females. The prevalence of dental caries was 306(36.3%).The educational status of children's father (AOR=0.3, 95%CI, 0.17, 0.80), monthly household income (AOR=0.59, 95%CI, 0.01, 0.45), regular teeth brushing (AOR=0.08, 95% CI, 0.03, 0.20) and using mouth rinsing (AOR=0.40, 95% CI, 0.2, 0.80) were found statistically significantly associated with dental caries. CONCLUSIONS Dental caries were high among children in Gondar town. Low socioeconomic status and poor oral hygiene practices were the influencing factors for dental caries. Oral hygiene, dietary habits and access to dental care services are supreme important for the prevention of the problem.
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Affiliation(s)
- Fenta A Ayele
- Public health specialist, Amhara National Regional State, Amhara, Ethiopia
| | - Belaynew W Taye
- Department of Epidemiology and Biostatistics, Institutes of Public Health, University of Gondar, P. O. Box 196, Gondar, Ethiopia
| | - Tadesse A Ayele
- Department of Epidemiology and Biostatistics, Institutes of Public Health, University of Gondar, P. O. Box 196, Gondar, Ethiopia
| | - Kassahun A Gelaye
- Department of Environmental and Occupational Health and Safety, Institutes of Public Health, University of Gondar, P. O. Box 196, Gondar, Ethiopia
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Carvalho TS, Abanto J, Mendes FM, Raggio DP, Bönecker M. Association between parental guilt and oral health problems in preschool children. Braz Oral Res 2012. [DOI: 10.1590/s1806-83242012000600012] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Hooley M, Skouteris H, Millar L. The relationship between childhood weight, dental caries and eating practices in children aged 4-8 years in Australia, 2004-2008. Pediatr Obes 2012; 7:461-70. [PMID: 22911896 DOI: 10.1111/j.2047-6310.2012.00072.x] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/05/2012] [Revised: 05/13/2012] [Accepted: 05/18/2012] [Indexed: 11/25/2022]
Abstract
OBJECTIVES The association between overweight/obesity and dental caries in children is contentious with studies variously reporting positive or negative associations between the two conditions. Since 1995, Australia has experienced a rise in the prevalence of both conditions in its children. This study investigated the association between child weight, diet and dental problems in a nationally representative sample. METHOD Data from 4149 children (51.5% male) participating in the Longitudinal Study of Australian Children (LSAC) were used. The LSAC is a longitudinal study collecting data from a large representative cohort of Australian children; data from the first three waves were included with children aged 4-5 years, 6-7 years, and 8-9 years. Multivariate cross-sectional and prospective analyses were conducted to determine the relationships between child weight, diet and dental problems. RESULTS Overweight/obesity was associated with sweet drink consumption and dental problems associated with consumption of fatty foods and sweet drinks. Underweight was associated with dental problems cross-sectionally, but both underweight and overweight at age 6-7 years predicted dental problems at age 8-9 years. CONCLUSIONS Dental caries and body weight are influenced by diet. Overweight children may be consuming less fatty food but appear to be consuming more sweet drinks than normal-weight children, which can lead to both increased weight and dental caries. Dietary interventions designed to reduce the development of dental caries may also reduce the development and maintenance of overweight.
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Affiliation(s)
- M Hooley
- School of Psychology, Deakin University, Melbourne, Vic., Australia.
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Pattanaporn K, Saraithong P, Khongkhunthian S, Aleksejuniene J, Laohapensang P, Chhun N, Chen Z, Li Y. Mode of delivery, mutans streptococci colonization, and early childhood caries in three- to five-year-old Thai children. Community Dent Oral Epidemiol 2012; 41:212-23. [PMID: 23106389 DOI: 10.1111/cdoe.12013] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2011] [Accepted: 09/16/2012] [Indexed: 02/01/2023]
Abstract
OBJECTIVE To investigate whether mode of delivery is associated with mutans streptococci (MS) colonization and early childhood caries (ECC) in preschool Thai children. METHODS Three hundred and fifty mothers and their 3- to 5-year-old children (184 born vaginally and 166 born by Caesarean section) participated in the study. Data included a dental examination, MS colonization assessed by the Dentocult(®) SM Strip Mutans method, and a questionnaire survey of family socio-demographic information, as well as children's birth history, dietary habits, and oral health practices. RESULTS Overall, ECC prevalence was 56% in 3-year-old and 78% in 5-year-old Thai children. Compared to children delivered by C-section, vaginally born children experienced increased ECC prevalence (73.8% versus 59.6%; P = 0.009) and were more likely to have higher MS scores (OR = 1.8, 95% CI = 1.1-2.9), adjusting for mother's gestational age, MS score, feeding practice habits; child's age and tooth brushing habits. Children's MS scores were highly correlated with their mothers' MS scores (P < 0.001). Additionally, children's age, MS colonization, and mothers' prechewing feeding habits were the most significant risk indicators for ECC in Thai children. CONCLUSION Our findings suggest that mode of delivery is significantly correlated with MS colonization and caries outcomes in young Thai children. Future studies are needed to further understand the possible biological mechanisms linking mode of child delivery to the colonization of cariogenic microbiota and development of ECC.
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Affiliation(s)
- K Pattanaporn
- Department of Oral Health Sciences, Faculty of Dentistry, University of British Columbia, Vancouver, BC, Canada
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