scholarly journals How to Intervene in the Caries Process: Early Childhood Caries – A Systematic Review

2020 ◽  
Vol 54 (2) ◽  
pp. 102-112 ◽  
Author(s):  
Julian Schmoeckel ◽  
Kristina Gorseta ◽  
Christian H. Splieth ◽  
Hrvoje Juric
Keyword(s):  
Systematic Review ◽  
Early Childhood ◽  
General Anaesthesia ◽  
Systematic Reviews ◽  
Early Childhood Caries ◽  
Randomized Clinical Trials ◽  
Level Of Evidence ◽  
Low Level ◽  
Anterior Teeth ◽  
Childhood Caries

For an Organisation for Caries Research/European Federation of Conservative Dentistry consensus, this systematic review is aimed to assess the question of how to manage the caries process in the case of early childhood caries (ECC). Medline via PubMed was searched systematically regarding management of ECC. First priority was existing systematic reviews or randomized clinical trials otherwise cohort studies dealing with management of ECC, primarily with carious anterior teeth. After data extraction, the potential risk of bias was estimated depending on the study types, and the level of evidence was evaluated. Regarding management of ECC, results are presented for silver diamine fluoride (SDF, n = 5), nonoperative caries management (NOCM, n = 10), and restorative approaches (RA, n = 8) separately, as different kinds of studies with different levels of evidence were found for the different aspects in the management of ECC. The 5 systematic reviews on SDF showed a high potential for arrest of ECC on a high level of evidence. In NOCM, a low level of evidence for a moderate effect of fluoride varnish in arresting or remineralizing, especially non-cavitated lesions, was assessed. For RA in carious anterior upper primary teeth, a low level of evidence was found for higher failure rates of glass ionomer cement and composite fillings than composite strip crowns even if placed under general anaesthesia and especially compared to other crowns (stainless steel and zirconia). In conclusions, ECC may be managed successfully with nonoperative (SDF, regular fluoride application) and moderately well with operative approaches, but the decision is affected by many other variables such as pulpal involvement, the child’s cooperation, or a general anaesthesia setting.

Early Childhood Caries and Iron Deficiency Anaemia : A Systematic Review and Meta- Analysis

2021 ◽  
Author(s):  
Harshini Nivetha Easwaran ◽  
Anitha Annadurai ◽  
M.S. Muthu ◽  
Aruna Sharma ◽  
Sneha S. Patil ◽  
...  
Keyword(s):  
Systematic Review ◽  
Early Childhood ◽  
Iron Deficiency ◽  
Early Childhood Caries ◽  
Meta Analysis ◽  
Grey Literature ◽  
Deficiency Anemia ◽  
Evidence Based ◽  
Cross Sectional ◽  
Childhood Caries

Identification of the association between Early Childhood Caries (ECC) and Iron Deficiency Anemia (IDA) will aid pediatricians and pediatric dentists to enhance health promotion measures to reduce the related morbidity in children. This systematic review aims to determine an evidence based association between ECC and IDA. A systematic search was carried out from MEDLINE via PubMed, EMBASE, LILACS, Cochrane Oral Health Group’s Specialised Register, CINAHL via EBSCO, Web of Science and Scopus up to May 2020. Hand searching and grey literature screening were also conducted. Cross-sectional, case-control and cohort studies in English language which assessed the association was included. Two reviewers independently assessed the study quality and extracted the outcome data. A total of 1434 studies were identified. Fourteen studies qualified for qualitative review and seven of them for a meta-analysis. In comparison with children not affected by ECC, those affected had an increased likelihood of IDA (OR = 6.07 (3.61, 10.21). The meta- analysis showed no statistical difference when comparing blood parameters (Hb, MCV and Serum ferritin) in children with and without ECC. This systematic review demonstrates an association between ECC and increased odds of IDA rather than it being the cause for IDA. Further longitudinal studies with robust methodology are required to determine an evidence based association.

Motivational interviewing for preventing early childhood caries: A systematic review and meta‐analysis

2020 ◽  
Vol 49 (1) ◽  
pp. 10-16
Author(s):  
Beatriz Carriconde Colvara ◽  
Daniel Demétrio Faustino‐Silva ◽  
Elisabeth Meyer ◽  
Fernando Neves Hugo ◽  
Roger Keller Celeste ◽  
...  
Keyword(s):  
Systematic Review ◽  
Early Childhood ◽  
Motivational Interviewing ◽  
Early Childhood Caries ◽  
Meta Analysis ◽  
Childhood Caries

A systematic review of risk factors during first year of life for early childhood caries

2012 ◽  
Vol 23 (4) ◽  
pp. 235-250 ◽  
Author(s):  
Pamela Margaret Leong ◽  
Mark Gregory Gussy ◽  
Su-Yan L. Barrow ◽  
Andrea de Silva-Sanigorski ◽  
Elizabeth Waters
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Early Childhood ◽  
Early Childhood Caries ◽  
First Year ◽  
First Year Of Life ◽  
Childhood Caries

scholarly journals Prevalence and Risk Factors for Early Childhood Caries in Children Less Than 6 Years Old: A Systematic Review

Iproceedings ◽  
10.2196/10564 ◽  
2018 ◽  
Vol 4 (1) ◽  
pp. e10564
Author(s):  
Reham Kamel ◽  
S Refaey ◽  
H Abu El-Sood ◽  
A Mohsen
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Early Childhood ◽  
Early Childhood Caries ◽  
Childhood Caries

scholarly journals Association between black stains and early childhood caries - A systematic review

2020 ◽  
Vol 31 (6) ◽  
pp. 957
Author(s):  
Sharath Asokan ◽  
KirthiR Varshini ◽  
PR Geetha Priya ◽  
V Vijayasankari
Keyword(s):  
Systematic Review ◽  
Early Childhood ◽  
Early Childhood Caries ◽  
Childhood Caries

scholarly journals Minimally Invasive Dentistry: Parent/Carer Perspectives on Atraumatic Restorative Treatments and Dental General Anaesthesia to the Management of Early Childhood Caries

2021 ◽  
Vol 2 ◽  
Author(s):  
Peter Arrow ◽  
Helen Forrest ◽  
Susan Piggott
Keyword(s):  
Early Childhood ◽  
Minimally Invasive ◽  
General Anaesthesia ◽  
Early Childhood Caries ◽  
Cost Of Care ◽  
Atraumatic Restorative Treatment ◽  
Treatment Needs ◽  
Minimally Invasive Dentistry ◽  
Dental General Anaesthesia ◽  
Childhood Caries

Introduction: Parents of children treated under dental general anaesthesia (DGA) have reported feelings of concern and anxiety. This study elicited the views of parents/carers (P/C) of children with early childhood caries (ECC) who participated in a randomised trial (core study) which tested the effectiveness of care under DGA or care using alternative minimally invasive Atraumatic Restorative Treatment and the Hall Technique approaches (ART/HT).Methods: P/C of children treated using the ART/HT (test) approach or care under a DGA (control) were interviewed. Focus group semi-structured interviews with P/C were undertaken in community facilities. The transcripts were read and inductively coded into domains to identify emergent themes. The codes were entered into NVivo software to assist data management and were further refined into broad themes.Results: Seven grouped interviews with 14 participants were conducted and one test participant provided a written response. Four groups with eight test participants; two groups with four control participants; and one combined group with one test and one control participant were interviewed. Five broad themes emerged after thematic analysis: (1) Impacts on the child and the family; (2) Child-/family-centred care; (3) Timeliness of care; (4) Affordable care; (5) Accessible care. Impacts were related to that of the effects of the disease, and of the care for the disease. Child-centred/family-centred care (CCC) was a source of appreciation by P/C of both groups when it was experienced. Frustration at the lack of timely care of their child's treatment needs, coupled with the perceived expensiveness of care and difficulties in physically getting to the location for a specialist consultation was expressed by P/Cs in the study.Discussion: The use of the ART/HT enabled the establishment of a relationship between the clinical team and the child and P/C which was central to the delivery of CCC. P/Cs in the DGA arm of the study expressed dissatisfaction more often with the issues of timely care, cost of care and accessibility of care. P/C of both groups were equally satisfied with the treatment, where treatment had been received in a timely, child-centred manner.Conclusion: The findings suggest that minimally invasive approaches which facilitated CCC are acceptable alternative options to the DGA and should be considered for the management of ECC.Australian New Zealand Clinical Trials Registry: ACTRN12616001124426.

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