scholarly journals Knowledge, Attitudes, and Practices of Parents on Early Childhood Caries in Qatar—A Questionnaire Study

Author(s):  
Aisha Saleh Al-Jaber ◽  
Hadeel Mohammad Al-Qatami ◽  
Feras Hassan Abed Al Jawad

Abstract Objectives The aims of the present study were to evaluate the level of knowledge, attitudes, and practices (KAP) toward early childhood caries (ECC) in a group of Qatari parents and to assess the association of sociodemographic factors on their KAP. Materials and Methods A cross-sectional study which was based on a piloted self-administered questionnaire was conveniently distributed to parents who attended the Pediatric Dentistry Section, Hamad Dental Center (HDC), Doha, Qatar. The questionnaire comprised four parts which asked about sociodemographic characteristics, knowledge, attitudes, and practices. A score for each domain was given based on the percentage of correct answers. Statistical Analysis Descriptive and analytical statistics were employed. For descriptive statistics, frequency of distribution in relation to sociodemographic characteristics and responses to items of the questionnaire were presented. For analytical statistics, associations between independent variables and KAP were employed using Chi-squared tests. Results The overall mean scores of KAP were 60.8%, 65.6% and 72.7%, respectively. Females had significantly higher percentages of correct answers than males (p = 0.001). Only 20% of females had poor knowledge, while it was 40% in males. Parents with university or higher degrees had significantly higher percentage of good attitudes than parents with preparatory or less education (p = 0.05). Areas that necessitated improvement by parents included the following: the amount of toothpaste needed for brushing, signs of tooth demineralization, bacteria that causes tooth decay can be transmitted from mother to her child, and tooth decay can be transmitted by sharing utensils (i.e., spoons, forks). Conclusions The overall KAP of parents toward ECC was relatively fair. However, certain socioeconomic factors (SEF) seemed to influence each domain, and areas of improvement are needed. Areas of improvement are needed in each domain. Mothers were significantly more knowledgeable than fathers regarding oral health issues of their children. Highly educated parents demonstrated better attitudes than the less educated. Continuous educational programs coordinated by health regulatory bodies should be introduced to improve parents' KAP regarding ECC risk factors and prevention.

2021 ◽  
Vol 9 ◽  
Author(s):  
Fatih Şengül ◽  
Gelengül Urvasızoğlu ◽  
Sera Derelioǧlu ◽  
Tarek Seddik ◽  
Periş Çelikel ◽  
...  

Introduction: Early childhood caries is tooth decay seen in children under 72 months old. It is associated with multiple predisposing factors and has a negative impact on quality of life. In this study, our aim was to assess the oral health conditions and prevalence of early childhood caries (ECC) in children in the city of Erzurum, Turkey.Materials and Methods: This cross-sectional epidemiological study was conducted in Atatürk University, Faculty of Dentistry, Pediatric Dentistry Department/Erzurum-Turkey, in the 2015–2016 academic year. A total of 1,156 children (588 girls and 568 boys), with mean age of 4.9 ± 0.3 years (min 4, max 5) were included in the study. Restorative index (RI), deft, significant caries index (SiC), SiC10, treatment needs, number of lost primary teeth per 100 children, care index, and prevalence of carious primary teeth were evaluated. Data were analyzed by Chi-square test and Mann–Whitney U test (p < 0.05).Results: A total of 73.3% prevalence of ECC was observed in preschool children with a mean deft score of 3.9±4 and an increase in ECC with age. RI was 2.2%, SiC was 8.5, SiC10 was 12.3, caries treatment needs was 93.5%, care index was 2.1%, and number of lost primary teeth per 100 children was 0.9 tooth.Conclusion: High level of ECC indicates the necessity of starting an oral health education program for mothers and dental screening of children, and the demand for improving oral and dental services.


2020 ◽  
Vol 9 (6) ◽  
pp. 596-600
Author(s):  
Iorrana Morais de Oliveira ◽  
Lorrayne Oliveira de Paula ◽  
Jordana Resende Martins ◽  
Carla Oliveira Favretto

Introdução: A atenção odontológica é de suma importância para conscientização dos pais sobre a saúde bucal do seu filho desde os primeiros meses de vida, ressaltando informações sobre a higienização bucal, dieta alimentar e hábitos parafuncionais. Objetivos: avaliar o conhecimento de pais e/ou responsáveis de crianças na primeira infância quanto a conduta diária de higienização de seus filhos. Metodologia: foi aplicado um questionário com perguntas objetivas sobre o conhecimento dos hábitos de higiene bucal em relação ao seu filho em cinco creches que atendem crianças de 0-4 anos. Os dados foram tabulados no programa Microsoft Excel ®2016 e os resultados obtidos por uma análise descritiva e quantitativa. Resultados: Dos pais e/ou responsáveis entrevistados, todos relataram saber da importância da dentição decídua e 97% sabiam o que era doença cárie dentária. Quanto a escovação, 98% das crianças fazem diariamente, no entanto apenas 55% dessas crianças os pais auxiliam nessa escovação e somente 34% realizam três vezes ao dia. Todos os entrevistados afirmaram ter ciência da importância da dentição decídua e 50% responderam que a criança deve ir ao dentista pela primeira vez no momento que irrompe o primeiro dente na cavidade bucal. Conclusão: Dessa forma, conclui-se que, o conhecimento dos pais e/ou responsáveis sobre a importância da higienização bucal é fundamental, pois práticas simples de prevenção possibilitam o desenvolvimento da dentição decídua saudável, no entanto essas informações precisam ser passadas aos responsáveis. Descritores: Saúde Bucal; Assistência Odontológica; Higiene Bucal. Referências Lunt RC, Law DB. A review of the chronology of eruption of deciduous teeth. J Am Dent Assoc. 1974;89(4):872-9.  Figueiredo JR. A odontopediatria e suas relações. Rev Racine. 1998;42:22-5. Brasil, Ministério da Saúde, Secretaria de Atenção à Saúde, Departamento de Atenção Básica, Coordenação Nacional de Saúde Bucal. Diretrizes da Política Nacional de Saúde Bucal. Brasília: Ministério da Saúde; 2004. Âlcantara TL, Batista MJ, Gibilini C, Ferreira NP, Sousa MLRRPG. Fatores associados à saúde bucal de pré-escolares inseridos em programa educativo preventivo no município de Piracicaba/SP. RPG Rev Pós Grad. 2011;18:102-9. Faustino Silva DD, Ritter F, Nascimento IM, Fontanive PVN, Persici S, Rossoni E. Cuidados em saúde bucal na primeira infância: percepção e conhecimentos de pais ou responsáveis de crianças em um centro de saúde de porto Alegre,RS. Rev. Odonto Ciênc. 2008;23(4):375-79. Silva CM, Basso DF, Locks A. Alimentação na primeira infância: Abordagem para a promoção da saúde bucal. Rev Sul-Bras Odontol. 2010;7(4):458-65 Navarro MLR, Reyes SS, Araujo MEF, Zavala VHGS. Prevalencia y grado de gingivitis asociada a placa dentobacteriana en niños. Nova Scientia, 2014;6(2):190-218. Bentley E. Dental health. I. Views about preventive dental care for infants. Health Visit. 1994;67(3):88-9. Ripa LW. Nursing caries: a comprehensive review. Pediatr Dent. 1988 Dec;10(4):268-82. Schwarz N. Assessing frequency reports of mundane behaviors: contributions of cognitive psychology to questionnaire construction. In: Hendrick C, Clark MS. Research methods in personality and social psychology. London: Sage Publications; 1990. p. 98-119. Castro LA, Teixeira DLS, Modesto A. A influência do perfil materno na saúde bucal da criança: relato de caso. JBP J bras odontopediatr odontol bebê. 2002;5(23):70-4. Nowak AJ, Warren JJ. Infant oral health and oral habits. Pediatr Clin North Am. 2000;47(5):1043-66, vi.  American Academy of Pediatric Dentistry. Policy on early childhood caries (ECC): classifications, consequences, and preventive strategies. Pediatr Dent. 2006;27(7 Suppl):31-3. Cangussu MCT, Narvai PC, Fernandes RC, Djehizian V. A fluorose dentária no Brasil: uma revisão crítica. Cad Saúde Pública. 2002;18(1):7-15. Warren JJ, Levy SM. A review of fluoride dentifrice related to dental fluorosis. Pediatr Dent. 1999;21(4):265-71.  Batista MDE, Valença AMG. Dentifrícios fluoretados e sua utilização em crianças. Arq Odontol. 2004;40(2):127-37. Peres MA, Latorre MRDO, Sheiham A, Peres KG, Barros FC, Hernandez PG et al. Effects of social and biological factors on dental caries in 6-year-old children: a cross sectional study nested in a birth cohort in Southern Brazil. Rev bras epidemiol. 2003;6(4):293-306. American Academy of Pediatric [homepage na internet]. Chicago: Oral Health Policies: Early Childhood Caries (ECC): Classifications, Consequences, and Preventive Strategies; 1978. Ramos BC, Maia LC. Cárie tipo mamadeira e a importância da promoção de saúde bucal em crianças de 0 a 4 anos. Rev Odontol Univ São Paulo. 1999;13(3):303-11.


2016 ◽  
Vol 40 (2) ◽  
pp. 118-123 ◽  
Author(s):  
Bugra Özen ◽  
AJP Van Strijp ◽  
Levent Özer ◽  
Hulya Olmus ◽  
Aysegul Genc ◽  
...  

Objectives: The present study evaluated associated factors for developing early childhood caries (ECC) and Severe-ECC (S-ECC) in a group of children aged 24–71 months. Potential positive effects of early dental visit on formation of ECC is investigated as well. Study Design: This was a multicenter, cross-sectional study conducted at three governmental and university pediatric dentistry clinics in 408 preschool children who were randomly selected from a total of 4116 children. The questionnaires administered to the mothers by interview and intraoral examination performed by calibrated pediatric dentists. The children were evaluated in three groups according to their caries experience as who had caries free, ECC and S-ECC. Results: The following factors were significantly associated with caries formation: 1. Prolonged (i.e., >18 months) breastfeeding in preterm babies (OR=2.4) 2. Prolonged breastfeeding in children who started tooth brushing after 1.5 years of age (OR=3.7), 3. Sugar (p<0.001) and fruit-juice consumption (p<0.0001), and 4. Lack of periodic dental examination (p<0.05). Parental smoking habit does not significantly affect ECC development. Nocturnal bottle feeding and nocturnal feeding also affected S-ECC formation significantly (p=0.043 and p=0.005, respectively). Conclusions: There is a significant difference between the children with caries and caries-free associated with the brushing initiation age started before or after 18 months. If a child is under the risk of multiple caries factors, it is very difficult to evaluate which habits affect the caries formation or increase the severity of the caries lesions.


2021 ◽  
pp. 238008442110021
Author(s):  
O.O. Olatosi ◽  
A.A. Alade ◽  
T. Naicker ◽  
T. Busch ◽  
A. Oyapero ◽  
...  

Introduction: Malnutrition in children is one of the most prevalent global health challenges, and malnourished children have a higher risk of death from childhood diseases. Early childhood caries (ECC) is the most common chronic disease of childhood. Complications from ECC such as pain, loss of tooth/teeth, and infection can undermine a child’s nutrition and growth. Aim: This study aims to evaluate the severity of decay, missing, and filled tooth (dmft) by nutritional status using the z scores of the anthropometric measurements: height for age (HFA), weight for age (WFA), weight for height (WFH), and body mass index for age (BMIA) among children with ECC in Nigeria. Study Design: This is a cross-sectional study conducted in 5 local government areas (LGAs) in Lagos State, Nigeria. A multistage sampling technique was used. Results: A total of 273 cases of ECC were included in the analyses (mean age 4.19 ± 0.96 y). Overall, the mean dmft was 3.04 ± 2.28, and most (96%) were accounted for by untreated decay. The distribution of dmft within the different z score categories of BMIA (<–3 = severely wasted, –2 to –3 = wasted, –2 to +2 = normal, +2 to +3 = overweight and >+3 = obese) showed the highest dmft scores among the combined severely wasted and wasted groups, lowest among children with normal z scores, and intermediate in the overweight and obese groups. There was a significant negative correlation between BMIA z score, WFH z score, and dmft ( r = −0.181, P < 0.05 and r = −0.143, P < 0.05, respectively). However, the correlations between HFA z score, WFA z score, and dmft were positive but not significant ( r = 0.048, P = 0.44 and r = 0.022, P = 0.77, respectively). Conclusion: Our study showed an increased severity of dental caries among severely wasted or wasted children with ECC compared to those of normal or overweight. Knowledge Transfer Statement: The results from this study will raise awareness among clinicians and policy makers on the need for a primary prevention program for early childhood caries in countries with high burden of malnutrition and limited resources. Also, it will help draw the attention of clinicians to the caries status of malnourished children that can be managed to improve the nutritional outcomes.


Author(s):  
Priyanka Achalu ◽  
Abhishek Bhatia ◽  
Bathsheba Turton ◽  
Lucy Luna ◽  
Karen Sokal-Gutierrez

As communities worldwide shift from consuming traditional diets to more processed snacks and sugar-sweetened beverages (SSBs), increases in child obesity and tooth decay and persistence of undernutrition are particularly apparent in Latin American countries. Further evidence of shared risk factors between child undernutrition and poor oral health outcomes is needed to structure more effective health interventions for children’s nutrition. This study aims to identify dietary, oral health, and sociodemographic risk factors for child undernutrition and severe early childhood caries (sECC) among a convenience sample of 797 caregiver–child pairs from rural Salvadoran communities. Caregiver interviews on child dietary and oral health practices were conducted, and their children’s height, weight, and dental exam data were collected. Multivariable regression analyses were performed using RStudio (version 1.0.143). Caregiver use of SSBs in the baby bottle was identified as a common significant risk factor for child undernutrition (p = 0.011) and sECC (p = 0.047). Early childhood caries (p = 0.023) was also a risk factor for developing undernutrition. Future maternal–child health and nutrition programs should coordinate with oral health interventions to discourage feeding children SSBs in the baby bottle and to advocate for policies limiting SSB marketing to young children and their families.


Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 772
Author(s):  
Yi-Man Teng ◽  
Kun-Shan Wu ◽  
Wen-Cheng Wang ◽  
Dan Xu

During the pandemic, quarantine hotel workers face a higher risk of infection while they host quarantine guests from overseas. This study’s aim is to gain an understanding of the knowledge, attitudes, and practices (KAP) of quarantine hotel workers in China. A total of 170 participants took part in a cross-sectional survey to assess the KAP of quarantine hotel workers in China, during the COVID-19 pandemic. The chi-square test, independent t-test, one-way analysis of variance (ANOVA), descriptive analysis, and binary logistic regression were used to examine the sociodemographic factors associated with KAP levels during the COVID-19 pandemic. The results show that 62.41% have good knowledge, 94.7% have a positive attitude towards COVID-19, but only 78.2% have good practices. Most quarantine hotel workers (95.3%) are confident that COVID-19 will be successfully controlled and that China is handling the COVID-19 crisis well (98.8%). Most quarantine hotel workers are also taking personal precautions, such as avoiding crowds (80.6%) and wearing facemasks (97.6%). The results evidence that quarantine hotel workers in China have acquired the necessary knowledge, positive attitudes and proactive practices in response to the COVID-19 pandemic. The results of this study can provide a reference for quarantine hotel workers and their targeted education and intervention.


2017 ◽  
Vol 10 (2) ◽  
pp. 119-125 ◽  
Author(s):  
Manjunath P Puranik ◽  
Deepa Bullappa ◽  
KR Sowmya ◽  
T Nagarathnamma

ABSTRACT Introduction Early childhood caries (ECC) is a virulent form of dental caries that can destroy the primary dentition of toddlers and preschool children. The aim was to determine the relationship of feeding methods and oral Streptococcus mutans count in 3- to 5-year-old children with ECC. Materials and methods A cross-sectional study was conducted in children aged 3 to 5 years. Participating mothers were interviewed regarding child's demographic profile, educational level and socioeconomic status of parents, past medical and dental history of the mother and child, child's feeding habits, and dietary habits and oral hygiene practices of mother and child. Clinical examination for dental caries was done using the World Health Organization criteria (1997). Salivary samples of mother–child pair were collected to determine the pH, flow rate, and S. mutans count. Statistical tests, such as Student's t-test, analysis of variance, and Pearson's correlation were applied. Results Out of 150 mother–child pair, statistically significant difference in the caries experience was found between mothers and children with high and low S. mutans count. Moderate but statistically significant negative correlation was found between mean decayed, missing, and filled teeth of mothers and mean decayed, extracted and filled teeth (deft) of children with high S. mutans count. Regarding deft, there was no statistically significant difference between children who were exclusively breast fed (7.85 ± 2.94), exclusively bottle-fed (8.67 ± 3.98), and both breast and bottle-fed (7.77 ± 2.91). Conclusion The mean caries experience of mothers and children was 2.66 ± 2.01 and 7.82 ± 2.94 respectively, with decayed component being maximum. Moderate and significant correlation (r = 0.5) was found between S. mutans of mothers and children in saliva. Significant negative correlation was found between mothers and children with high S. mutans count (r = –0.0284; p = 0.046). How to cite this article Bullappa D, Puranik MP, Sowmya KR, Nagarathnamma T. Association of Feeding Methods and Streptococcus mutans Count with Early Childhood Caries: A Cross-sectional Study. Int J Clin Pediatr Dent 2017;10(2):119-125.


2011 ◽  
Vol 10 (3) ◽  
pp. 179
Author(s):  
Fajriani Fajriani ◽  
Hendrastuty Handayani

Early childhood caries (ECC), also known as milk bottle caries is a syndrome of severe tooth decay, occurs ininfants and children, is an infectious disease that develops rapidly and lead to health problems in children. Thissyndrome can be caused by inappropriate use of bottles. Most cases of untreated ECC to children aged 20 months.At this stage many children need serious treatment, because this will result in trauma to both the children andparents. The most common treatment ECC and other dental diseases have been included in each treatment ofdisease. Efforts to educate families about dental hygiene and practice start a diet, the high rate of recurrence of anyevidence of disease ranging from tooth decay to the failure of the treatment plan resulted in the need for specialattention to this disease. This paper is expected to be a good input for a dentist in the treatment of ECC


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