scholarly journals Early Childhood Caries

2003 ◽  
Vol 46 (3) ◽  
pp. 91-94 ◽  
Author(s):  
Ana Lucía Seminario ◽  
Romana Ivančaková

Early childhood caries (ECC) represents a serious problem in pediatric dentistry. Not only because of its rapidity but also because of age of affected children. This has been given different names such as “rampant caries” and “baby bottle syndrome” but now all clinical manifestations have been joined and classified as early childhood caries. The topic of this article is the prevalence, etiology, clinical manifestations and preventive measures of ECC.

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.


Author(s):  
Fernanda Miori PASCON ◽  
Carolina STEINER-OLIVEIRA ◽  
Priscila Alves GIOVANI ◽  
Regina Maria PUPPIN-RONTANI ◽  
Kamila Rosamilia KANTOVITZ

ABSTRACT The aim of the current study is to present a treatment approach in a case of severe early childhood caries (ECC). A 5-year-old girl was referred to the Pediatric Dentistry Division with multiple premature tooth loss, masticatory difficulties, prolonged breast-feeding, and low quality of life, who was diagnosed with severe ECC. A three-phased treatment plan was implemented: 1. Disease control – consisting of behavioral changes in oral hygiene habits, diet guidance, professional biofilm removal followed by fluoride application and temporary restorations; 2. Infection control – teeth extractions and pulpotomy; and 3. Functional rehabilitation – direct and semi-indirect resin restorations, a removable partial and total prostheses in the lower and upper jaws, respectively. In conclusion, the proposed multidisciplinary approach resulted in a positive impact on the patient’s nutrition and growth, speech production, communication, self-image, and social functioning leading to an improved quality of life.


2017 ◽  
Vol 5 (2) ◽  
pp. 10-16
Author(s):  
Annissa Achmadsyah Gewang ◽  
Deli Mona ◽  
Arymbi Pujiastuty

Early Childhood Caries (ECC) is a state of occurrence of decayed (cavities and non cavities), missing (due to caries), or filling on one or more deciduous teeth in children aged ≤ 71 months. Wayne (1999) divided the severity of ECC into three classifications based on clinical signs, causes, and age of the child namely type I (mild), type II (moderate), and type III (severe). The rate of caries incidence is increasing in children who consume milk using bottles. Clinical pattern to ECC caused by bottle feeding has a distinctive pattern, which is about four upper incisors, while four lower incisors usually remain healthy. This study aims to determine the correlation between the history and pattern of bottle feeding and the severity of ECC in children aged 3-5 years in Kuranji District, Padang City. This study is an analytical study with a cross sectional approach. The study sample consisted of 58 children aged 3-5 years with a history of bottle feeding for at least two years. Samples are selected through consecutive sampling technique. Data are collected using questionnaires and through examining respondents' oral cavity. Data collected are analyzed using Chi-Square Test. Statistical test result shown p < 0,15 for each pattern of bottle feeding duration in years, the time of bottle feeding, the addition of sweeteners, and preventive measures. P is valued as > 0,15 for bottle feeding method. There is a significant relationship between the history and the pattern of bottle feeding duration in years, the time of bottle feeding, the addition of sweeteners, and preventive measures with the severity of ECC in children aged 3-5 years in Kuranji District, Padang City.


Author(s):  
S.A. Fayle ◽  
P. Kandiah

Dental caries is still one of the most prevalent pathological conditions in the child population of most Western countries. A UK study of children aged from 1.5 to 4.5 years demonstrated that 17% have decay, and a more recent survey of 3-year-old children in England found 12% to have decay with up to a third of 3-year-olds affected in the worst areas of the country (Public Health England 2014). Although the most recent surveys show a slow decline in decay levels, on average 25% of five-year-old children have decay, peaking at over 50% in the worst affected parts of England. Dental caries is associated with significant morbidity in children, and the treatment of dental caries (and its sequelae) is currently the most common reason for administration of general anaesthesia (GA) to children in the UK. Successfully managing decay in very young children presents the dentist with a number of significant challenges. This chapter will outline approaches to the management of the preschool child with dental caries. Early childhood caries (ECC) is a term used to describe dental caries presenting in the primary dentition of young children. Terms such as ‘nursing bottle mouth’, ‘bottle mouth caries’, or ‘nursing caries’ are used to describe a particular pattern of dental caries in which the upper primary incisors and upper first primary molars are usually most severely affected. The lower first primary molars are also often carious, but the lower incisors are usually spared—being either entirely caries free or only mildly affected. Some children present with extensive caries that does not follow the ‘nursing caries’ pattern. Such children often have multiple carious teeth and may be slightly older (3 or 4 years of age) at initial presentation. This presentation is sometimes called ‘rampant caries’. However, there is no clear distinction between rampant caries and nursing caries, and the term ‘early childhood caries’ is widely recognized as a suitable all-encompassing term. In many cases, ECC is related to the frequent consumption of a drink containing sugars from a bottle or ‘dinky’ type comforters (these have a small reservoir that can be filled with a drink).


2019 ◽  
Vol 12 (3) ◽  
pp. 1129-1134 ◽  
Author(s):  
Eko Sri Yuni Astuti ◽  
I Dewa Made Sukrama ◽  
Agung Nova Mahendra

Caries that affects children under the age of 6 is known as early childhood caries (ECC). According to the American Academy of Pediatric Dentistry (AAPD), ECC is defined as the presence of one or more teeth with caries (cavities or no cavities), missing teeth due to caries or the presence of restoration deciduous teeth in children under 71 months. If it occurred on the smooth surface of the tooth in children under 3 years of age, the disease is classified as severe early childhood caries (S-ECC). Streptococcus mutans plays important role in the etiology of caries of preschool children, which is a contagious pathological entity. The pathogen is an acidogenic and aciduric bacteria. The occurrence of caries is a complex process of interaction between host factors (teeth), microorganisms, substrates (carbohydrates) and the environment, including saliva. This mini review aims to summarize current findings on several markers of innate immune system related to ECC and S-ECC namely lysozyme, salivary lactoferrin, IL-8, CD36 of salivary neutrophils, and sCD14


2008 ◽  
Vol 32 (4) ◽  
pp. 283-286 ◽  
Author(s):  
Amitha Hegde ◽  
Varun Neekhra ◽  
Suchetha Shetty

It is considered that caries incidence might be low in subjects with high salivary Nitric Oxide (NO) levels. Thus the objective of the present study was to determine the levels of nitric oxide in saliva of children with Rampant Caries (RC) and Early Childhood Caries (ECC). A total of 120 children were divided into 4 groups of 30 each belonging to two age groups of 6-12 yrs and 71 months or less respectively. Children between the age of 6-12 yrs were either with RC or their control and children between the age of 71months or less were either with ECC or their control respectively. The study and control subjects were divided equally. Oral health status was recorded followed by unstimulated salivary flow rate estimation. Estimation of salivary nitric oxide was measured by the concentration of its stable metabolite nitrite using Classical Griess Reaction. The mean nitrite levels of both the control groups were much higher when compared with the study groups, which was statistically very highly significant.


2021 ◽  
pp. 42-48
Author(s):  
Savitha N S ◽  
Ciraj Ciraj ◽  
Suvetha Kannappan ◽  
Fareed Fareed

Introduction: Early childhood caries is one of the most prevalent, infectious, biolm-mediated, and transmissible childhood diseases with longterm progression and developmental implications that affect children worldwide. also Also known as baby bottle caries, baby bottle tooth decay, nursing bottle caries, nursing caries or rampant caries. , describes dental caries affecting children aged 0–71 months. For an effective prevention of early childhood caries, conducting a caries risk assessment and providing parental education within 6 months (but no longer than 12 months) of the child's rst tooth eruption is recommended and the theme of this project was to form a multidisciplinary team collaboration and create awareness to work in collaboration to prevent early childhood caries. Methods:All the multiple stakeholders in the care giving of infants and toddlers children are were involved in this awareness program, . . questionnaires Questionnaires relevant to the awareness were customized after validation to include all the proven etiologic factors that are proven to be etiologic to for early childhood caries in children. A total of 300 participants including mothers of infants, dental and medical students, gynecologist, pediatricians, pedodontist and asha ASHA workers were all evaluated assessed for awareness of etiologic factors and they were then educated with powerpoint presentations and video presentations on the etiologic factors and how to prevent early childhood caries. The post lecture sensitization was evaluated & compared by the post session questionnaires.Post test questionnaire was used to assess effectiveness of intervention. Results: A statistically signicant improvement (p < 0.05) was observed in the post awareness test scores for knowledge, attitude& practices of participantsthan the pre awareness test score. Compared to the pre awareness group results 75 (25%) there was signicant improvement in the post awareness group 269 (89.7%) was noted.The overall distribution of the post awareness session excellentscores were 89.7% and results were statistically signicant. Conclusion: Awareness is he mainstay in prevention of any diseases and early childhood caries being one of the devastating diseases that burdens the child and the parents physically, mentally, semotionally and nancially along with tooth pain, dental abscess, cellulitis and tooth loss leading to psychological impact ,speech disorders and spread of dental cries to permanent tooth needs to be stopped. As prevention is better than cure this kind of workshopscomprehensive interventetnions like these involving all the stakeholders of a child health will denitely empower them with more knowledge and skill to educate the mother and child to take precautions to prevent the diseases like early childhood caries.


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 &lt; 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.


2017 ◽  
Vol 1 (1) ◽  
pp. 1-4
Author(s):  
Yusuf Chunawala ◽  
Abdul Morawala ◽  
Arti Ambiye ◽  
Kapil Jain

ABSTRACT Introduction Dermatoglyphics is the scientific and analytical study of fingerprints. Every individual's fingerprints are distinctive; one can determine one's ingrained potential, individuality, and choices by interpreting dermatoglyphics. This twin-city survey was undertaken to evaluate the fingerprint patterns of children with dental caries [study groups – rampant caries vs early childhood caries (ECC)] and caries-free individual (control group). Aim This study was carried out to determine the correlation between dermatoglyphic pattern and caries prevalence in young children in the twin cities of Pune and Mumbai. Materials and methods Two centers were selected in Pune and Mumbai. A total of 300 patients (150 patients in each center) were randomly selected from the age group ranging between 3 and 5 years. The samples were divided into two groups: Group I: Caries group, and group II: Caries-free group. Group I was further divided into children with ECC and children with rampant caries. Clinical examination of dental caries was done using mouth mirror and probe (only to remove debris and not probe into the fissures) in daylight or suitable light source. Fingerprints were obtained by the conventional ink method. Statistical results were obtained by one-way analysis of variance with post hoc Tukey's correction for multiple group comparisons using Statistical Package for the Social Sciences version 20. Results The evaluation and comparison of patterns in children with caries and caries-free children in both right and left hands showed increase in the number of whorls in children with rampant caries as compared with children with ECC. However, this was not statistically significant. Conclusion The study showed a definite variation in dermatoglyphics between the ECC, rampant caries, and caries-free group. However, the rampant caries group showed more number of whorls as compared with the ECC group, but they were statistically insignificant. Dermatoglyphics has proven to be a useful, noninvasive, and cost-efficient tool for investigating diseases with a genetic background like dental caries and cleft lip and palate, etc. How to cite this article Chunawala Y, Morawala A, Ambiye A, Jain K. Twin-city Study correlating the Dermatoglyphic Patterns with Rampant Caries and Early Childhood Caries. Int J Clin Dent Res 2017;1(1):1-4.


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