scholarly journals Early childhood caries: Are maternal psychosocial factors, decision-making ability, and caries status risk indicators for children in a sub-urban Nigerian population?

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Michael Alade ◽  
Morenike Oluwatoyin Folayan ◽  
Maha El Tantawi ◽  
Ayodeji Babatunde Oginni ◽  
Abiola A. Adeniyi ◽  
...  
Keyword(s):  
Decision Making ◽  
Early Childhood ◽  
Psychosocial Factors ◽  
Early Childhood Caries ◽  
Dental Anxiety ◽  
Executive Dysfunction ◽  
Risk Indicators ◽  
Significant Difference ◽  
The Mean ◽  
Childhood Caries

Abstract Objective Early childhood caries (ECC) is caries in children below the age of 72 months. The aim of the study was to determine the association of maternal psychosocial factors (general anxiety, dental anxiety, sense of coherence, parenting stress, fatalism, social support, depressive symptoms, and executive dysfunction), decision-making abilities, education, income and caries status with the prevalence and severity of ECC among children resident in Ile-Ife, Nigeria. Methods A dataset of 1549 mother–child (6–71-months-old) dyads collected through examinations and a household survey, using validated psychometric tools to measure the psychosocial factors, were analyzed. The DMFT for the mothers and the dmft for the child were determined. The association between maternal psychosocial factors, education, income, and decision-making ability, the prevalence of maternal caries, and the prevalence of ECC was determined using logistic regression analysis. Results The prevalence of maternal caries was 3.3%, and the mean (standard deviation-SD) DMFT was 0.10 (0.76). The ECC prevalence was 4.3%, and the mean (SD) dmft was 0.13 (0.92). There was no significant difference between the prevalence and severity of maternal caries and ECC by maternal age, education, income, or decision-making abilities. There was also no significant difference in maternal caries, ECC prevalence and ECC severity by maternal psychosocial factors. The only significant association was between the prevalence of caries in the mother and children: children whose mothers had caries were over six times more likely to have ECC than were children with mothers who had no caries (AOR: 6.67; 95% CI 3.23–13.79; p < 0.001). Conclusion The significant association between ECC and maternal caries prevalence suggests that prenatal oral health care for mothers may reduce the risk for ECC.

scholarly journals Epidemiological profile of early childhood caries in a sub-urban population in Nigeria

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Morenike Oluwatoyin Folayan ◽  
Ayodeji Babatunde Oginni ◽  
Maha El Tantawi ◽  
Tracy L. Finlayson ◽  
Abiola Adeniyi
Keyword(s):  
Early Childhood ◽  
Early Childhood Caries ◽  
Age Groups ◽  
Assessment System ◽  
Risk Indicators ◽  
Risk Indicator ◽  
Age Group ◽  
The Mean ◽  
Cavitated Lesions ◽  
Childhood Caries

Abstract Background The aim of the study was to determine the prevalence and severity of early childhood caries (ECC) in children 6–71-months; identify the teeth most at risk for ECC; and identify risk indicators associated with significant caries index (SiC) score in different age groups. Methods This was a cross-sectional study that collected data (using a household survey) on the ECC risk indicators (frequency of tooth brushing, consumption of refined carbohydrate in-between-meals, daily use of fluoridated toothpaste, and dental service utilization in the 12 months) in Ile-Ife, Nigeria. We computed the prevalence of ECC using the International Caries Detection and Assessment System (ICDASI (d1–6)) index; caries severity using the ICDAS-2(d1–2) and ICDAS-3(d3–6) for non-cavitated and cavitated lesions respectively, decayed missing, filled teeth (dmft), and surfaces (dmfs) and SiC indices; and caries complications using the pulp (p), ulceration (u), fistula (f) and abscesses (a) (pufa) index, for children 6–11-months-old, 12–23-months-old, 23–35-months-old, 35–47-months-old; 48–59-months-old and 60–71-months-old. The differences in the mean dmft, dmfs, pufa scores, and ICDAS 1, 2, and 3 scores, and proportion of children with each ECC risk indicator were computed. Logistic regression analysis was conducted to identify risk indicators for the ECC SiC index score for each age group. Results The prevalence of ECC was 4.7%: 2.9% had non-cavitated lesions and 2.8% had cavitated lesions. The mean (SD) dmft, dmfs and pufa scores were 0.13 (0.92), 0.24 (1.91) and 0.04 (0.46) respectively. The dmft and dmfs scores were highest among the 24–35-months-olds while the SiC score was highest among the 12–23-months-olds. There were no significant differences in dmft, dmfs, and pufa scores between the different age groups. Toothbrushing more than once a day was the only factor associated with the SiC score: it decreases the odds for the SiC score in children 48–59-months-old. The teeth worst affected by ECC were #85 and #61. Conclusion The prevalence, severity and risk indicator for ECC seems to differ for each age group. The granular details on the risk profile of children with ECC in this population with a low ECC prevalence and burden can allow for the planning of age-targeted interventions.

scholarly journals Associations between early childhood caries, malnutrition and anemia: a global perspective

2020 ◽  
Author(s):  
Morenike Folayan ◽  
Maha El Tantawi ◽  
Robert J Schroth ◽  
Ana Vukovic ◽  
Authur Kemoli ◽  
...  
Keyword(s):  
Early Childhood ◽  
Early Childhood Caries ◽  
Linear Models ◽  
National Income ◽  
Global Perspective ◽  
Country Level ◽  
Eta Squared ◽  
The Mean ◽  
The Relationship ◽  
Childhood Caries

Abstract Background: Malnutrition is the main risk factor for most common communicable diseases. The aim of this study is to determine the relationship between country-level prevalence of early childhood caries (ECC), malnutrition and anemia in infants and preschool children. Methods: Matched country-level ECC, malnutrition and anemia prevalence were generated from databases covering the period 2000 to 2017. Multivariate general linear models were developed to assess the relationship between outcome variables (prevalence of stunting, wasting, overweight, and anemia) and the explanatory variable (ECC prevalence) adjusted for gross national income per capita. Adjusted regression coefficients (B) and partial eta squared were computed. Results: The mean (standard deviation (SD)) ECC prevalence was 23.8 (14.8)% for 0-2 year-olds and 57.3 (22.4)% for 3-5-year-olds. The mean (SD) prevalence of wasting was 6.3 (4.8)%, overweight 7.2 (4.9)%, stunting 24.3 (13.5)%, and anemia 37.8 (18.1)%. For 0-2-year-olds, the strongest and only significant association was between the prevalence of ECC and overweight (η2= 0.21): one percent higher ECC prevalence was associated with 0.12% higher prevalence of overweight (B= 0.12, P= 0.03). In 3-5-year-olds, the strongest and only significant association was between the prevalence of ECC and anemia (η2= 0.08): one percent higher prevalence of ECC was associated with 0.14% lower prevalence of anemia (B= -0.14, P= 0.048). Conclusion: Country-level prevalence of ECC was associated with malnutrition in 0-2-year-olds and with anemia in 3-5-year-olds. The pathway for the direct relationship between ECC and overweight may be diet related. The pathway for the inverse relationship between ECC and anemia is less clear and needs further investigations.

scholarly journals Associations between early childhood caries and malnutrition and anemia: A global perspective

2019 ◽  
Author(s):  
Morenike Folayan ◽  
Maha El Tantawi ◽  
Robert J Schroth ◽  
Ana Vukovic ◽  
Authur Kemoli ◽  
...  
Keyword(s):  
Early Childhood ◽  
Early Childhood Caries ◽  
Linear Models ◽  
National Income ◽  
Global Perspective ◽  
Country Level ◽  
Age Related ◽  
The Mean ◽  
The Relationship ◽  
Childhood Caries

Abstract Background To determine the relationship between country-level prevalence of early childhood caries (ECC), malnutrition and anemia in infants and preschool children.Methods Matched country level ECC, malnutrition and anemia prevalence information were generated from databases covering the period from 2000 to 2017. Multivariate general linear models were developed to assess the relationship between outcome variables (prevalence of stunting, wasting, overweight, and anemia) and the explanatory variable (ECC prevalence) adjusted for Gross National Income per capita. The adjusted regression coefficients (B) and partial eta squared were computed.Results The mean (standard deviation (SD)) ECC prevalence for 0-2 year-olds was 23.8 (14.8)% and 57.3 (22.4)% for 3-5 year-olds. The mean (SD) prevalence of wasting was 6.3 (4.8)%, overweight was 7.2 (4.9)%, stunting was 24.3 (13.5)%, and anemia was 37.8 (18.1)%. For 0-2-year-olds, the strongest and only significant association observed was between the prevalence of ECC and overweight (η2= 0.21): one percent higher ECC prevalence was associated with 0.12% higher prevalence of overweight (B= 0.12, P= 0.03). In 3-5-year-olds, the strongest and only significant association was observed between the prevalence of ECC and anemia (η2= 0.08): one percent higher prevalence of ECC was associated with 0.14% lower prevalence of anemia (B= -0.14, P= 0.048).Conclusion There were age-related disparities in the relationship between country-level prevalence of ECC, malnutrition and anemia. The relationship between ECC and overweight may be due to intake of sugars. The relationship between ECC and anemia needs further investigations.

scholarly journals A súlyos korai gyermekkori fogszuvasodás előfordulása és összefüggései pécsi bölcsődések között

2021 ◽  
Vol 162 (22) ◽  
pp. 861-869
Author(s):  
Andrea Radácsi ◽  
Tímea Dergez ◽  
Laura Csabai ◽  
Nóra Stáczer ◽  
Krisztián Katona ◽  
...  
Keyword(s):  
Early Childhood ◽  
Oral Hygiene ◽  
Professional Training ◽  
Early Childhood Caries ◽  
Significant Difference ◽  
District Nurses ◽  
Health Related ◽  
Dental Screening ◽  
Prevention Counseling ◽  
Childhood Caries

Összefoglaló. Bevezetés és célkitűzés: A 3 év alatti korcsoportban a súlyos kisgyermekkori fogszuvasodás (S-ECC) gyakoriságának vizsgálata és a kisgyermekes szülők szájegészséggel kapcsolatos ismereteinek felmérése. Módszer: Háromszázhatvankét, 36 hónapos vagy annál fiatalabb gyermek (átlagéletkor: 28,49 ± 5,25 hónap) fogászati szűrővizsgálatát végeztük el, és szüleik számára önkéntesen kitölthető kérdőívet állítottunk össze. A 306 kitöltött kérdőív eredményét a gyermekek fogászati statusával egyénenként összevetve statisztikai analízist végeztünk. Eredmények: A gyermekek fogászati szűrésekor 15,46% volt a cariesprevalencia: df-t-index = 0,685 ± 2,20; az általunk javasolt, az előtört fogak számával módosított df-t-index = 0,758 ± 2,42, SiC-index = 2,06 ± 3,33. A vizsgált populációban nem találtunk tömött vagy fogszuvasodás miatt eltávolított fogat. A korábban szájhigiénés tájékoztatásban részesült/nem részesült szülők gyermekeinél nem volt szignifikáns különbség a szuvas fogak számának (p = 0,196), a fogyasztott folyadék cukortartalmának (81,5%/71,5%) és a bevitel módjának (p = 0,453) tekintetében. A gyermeküket 6 hónapos korukig kizárólagosan anyatejjel tápláló édesanyák nagyobb eséllyel választották a vízzel történő itatást (75%/52%) pohárból (68,1%/28,8%) a későbbiekben. Az édesanya legmagasabb iskolai végzettsége kulcsszerepet játszik mind az anyatejes táplálás melletti elhivatottságban (felsőfok: 53,4%, középfok: 34,2%, alapfok: 37,5%), mind a cariesfrekvencia csökkentésében (p = 0,015). Következtetés: A szülői szájhigiénés prevenciós tájékoztatás jelenleg nem hatékony. Eredményeink alapján a fogászati szűrést 1 éves kor előtt meg kell kezdeni, amely a hatékony, rendszeres fogászati prevenciós tanácsadás lehetőségét is megteremtené. Szükségesnek látjuk a védőnők és a gyermekháziorvosok folyamatos továbbképzésében a kisgyermekkori fogszuvasodás alapismereteinek integrációját. Orv Hetil. 2021; 162(22): 861–869. Summary. Introduction and objective: To investigate the frequency of severe early childhood caries (S-ECC) under 3 years of age and to assess the oral health related knowledge of parents/guardians with preschool children. Method: 362 children younger than 36 months (mean age: 28.49 ± 5.25 months) were screened and a voluntary questionnaire for their parents was compiled. Statistical analysis was carried out comparing the results of the 306 completed questionnaires with the dental status of the screened children. Results: Caries prevalence in the examined population was 15.46%, df-t index = 0.685 ± 2.20, our suggested modified df-t index based on the number of erupted teeth = 0.758 ± 2.42, SiC-index = 2.06 ± 3.33. No filled or extracted tooth due to caries was found in the study group. There was no significant difference in the number of carious teeth (p = 0.196), consumption of sugar-containing drinks (81.5%/71.5%) and administration of drinks (p = 0.453) in the case of children whose parents had previously received/not received oral hygiene information. Mothers who exclusively breastfed until the age of 6 months were more likely to choose to offer water (75%/52%) from cup (68.1%/28.8%) later. The mother’s highest level of education plays a key role in both the commitment to breastfeeding (tertiary: 53.4%, secondary: 34.2%, primary: 37.5%) and in reducing the incidence of caries (p = 0.015). Conclusion: Parental oral hygiene preventive instruction is currently ineffective. Based on our results, dental screening should be started before the age of 1 year, that would also provide an opportunity of effective, regular dental prevention counseling. There is a need for the integration of the basics of early childhood caries in the continuous professional training of district nurses and pediatricians. Orv Hetil. 2021; 162(22): 861–869.

scholarly journals Calcium and Inorganic Phosphorous Levels in Stimulated and Unstimulated Saliva in Early Childhood Caries – A Comparative Study

2014 ◽  
Vol 1 (2) ◽  
pp. 5
Author(s):  
Lisa R. Jolly ◽  
Amarshree Shetty
Keyword(s):  
Early Childhood ◽  
Early Childhood Caries ◽  
Calcium Concentration ◽  
Calcium Hydroxyapatite ◽  
Healthy Children ◽  
Unstimulated Saliva ◽  
The Mean ◽  
Inorganic Phosphorous ◽  
Phosphorous Concentration ◽  
Childhood Caries

<strong>Introduction</strong>: Saliva, a chief player in the oral cavity, is determined by its secretion rate and quality to aid either in the development of caries, or its remineralization. The ability for saliva to function as a source of calcium and phosphate increases its supportive properties as it influences the precipitation or dissolution of calcium hydroxyapatite (HAP), the principal inorganic component of dental hard tissue.<p><strong>Materials&amp;Methods</strong>: 30 healthy children, aged between 3 and 6 years old were screened and recruited for the study at the Department of Pedodontics and Preventive Dentistry of the A.B Shetty Memorial Institute of Dental Sciences, a constituent of Nitte University. The subjects were clinically examined and scored based on their decayed, missing (due to caries) and filled surfaces (dfs) and were further categorized into two equal groups of 15.</p><p><strong>Result</strong>: In the subjects with Early Childhood Caries (ECC), the mean calcium concentration in samples of unstimulated saliva was 4.2383 ± 0.8594 and in samples of stimulated saliva was 4.1965 ± 0.6240. While, the mean inorganic phosphorous concentration in samples of unstimulated saliva was 3.219 ± 0.8540and in samples of stimulated saliva was 3.0634 ± 0.5470.</p><p><strong>Conclusion</strong>: From this study, we obtained a relationship between calcium, saliva and the caries status of children with the calcium concentration decreasing with increase in the caries status, as well as on stimulation of saliva.</p>

scholarly journals Comparative Evaluation of Salivary Malondialdehyde Levels in Children with Different Caries Status- A Cross-Sectional Observational Study

2021 ◽  
pp. 147-154
Author(s):  
Dhanalakshmi Ravikumar ◽  
Pratibha Ramani ◽  
R. Gayathri
Keyword(s):  
Early Childhood ◽  
Young Children ◽  
Early Childhood Caries ◽  
Observational Research ◽  
Cross Sectional ◽  
Positive Correlation ◽  
Chewing Ability ◽  
Significant Difference ◽  
Salivary Malondialdehyde ◽  
Childhood Caries

Background and Objectives: Early childhood caries is a major public health problem especially in young children. ECC affects the quality of life of young children by affecting the chewing ability of children due to the development of pain and swelling, and this may indirectly affect the nutritional status of a child. The present study was done to assess the level of salivary malondialdehyde in children with and without Early childhood caries. The main objective of the study is to determine the salivary malondialdehyde levels and to compare it with the three groups of children with different caries experiences. Materials and Methods: It is cross-sectional observational research carried out at Saveetha Dental College and Hospitals. Children between 3-6 years were examined and 20 caries-free, 20 children with ECC as well as 20 children with S-ECC were recruited for the study. The caries status was assessed using dmfs and the severity of caries was assessed using pufa index. Salivary samples were collected and analysed for salivary malondialdehyde levels. Statistical Analysis: The data was entered and analysed using SPSS software version 20.0. One-way ANOVA was done to determine the difference in malondialdehyde levels between the groups. “Post-hoc Tukey” test was done to measure the intergroup significance. A “P value of < 0.05” was measured as statistically “significant” and P < 0.001 was deemed as statistically “highly significant”. Pearson’s correlation was done to correlate pufa values with malondialdehyde levels. Results: The results demonstrated that there was a statistically significant difference in salivary malondialdehyde levels among caries-free, ECC as well as S-ECC children. There was a positive correlation between the pufa score and salivary malondialdehyde levels. Conclusion: 1. There is a significant difference in the salivary malondialdehyde levels among caries-free, ECC as well as S-ECC children. There was a positive correlation of salivary malondialdehyde levels and pufa score in ECC and S-ECC children.

scholarly journals Dietary intake and early childhood caries

2019 ◽  
Vol 26 (2) ◽  
pp. 8-9
Author(s):  
Lina María Villegas ◽  
Judy Elena Villavicencio ◽  
Adolfo Contreras
Keyword(s):  
Public Health ◽  
Early Childhood ◽  
Dental Caries ◽  
Early Childhood Caries ◽  
Tooth Enamel ◽  
Public Health Problem ◽  
Single Origin ◽  
The Mean ◽  
The Caribbean ◽  
Childhood Caries

Early childhood caries (ECC) affect children less than 71 months of age (1) and it represents a public health problem in countries worldwide (2–4). The mean ECC prevalence in United Nations Countries was 23.8% in children younger than 36 months and 57.3% in children aged 36 to 71 months. East Asia and Latin America and the Caribbean were the worst affected by ECC among children aged 36 to 71 months (5). Dental caries pertains to a group of diseases that are estimated “complex” or “multifactorial,” with no single origin pathway (6) and it is resulted by the interaction of bacteria, mainly Streptococci mutans (SM) and  actobacilli (LB), and sugary foods on tooth enamel (6,7). Additionally, there must be a lack of oral hygiene and lack of use of fluoride (8).

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