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 Prevalence of Untreated Early Childhood Caries of 5-Year-Old Children in Hong Kong: A Cross-Sectional Study

2021 ◽  
Vol 18 (22) ◽  
pp. 11934
Author(s):  
Faith Miaomiao Zheng ◽  
Iliana Gehui Yan ◽  
Duangporn Duangthip ◽  
Sherry Shiqian Gao ◽  
Edward Chin Man Lo ◽  
...  
Keyword(s):  
Early Childhood ◽  
Hong Kong ◽  
Oral Health ◽  
Early Childhood Caries ◽  
Maternal Education ◽  
Education Level ◽  
Demographic Information ◽  
Cross Sectional ◽  
Health Related ◽  
Childhood Caries

This cross-sectional survey investigated untreated early childhood caries (ECC) and its associated factors among 5-year-old children in Hong Kong. Children were recruited using a multistage sampling method. One dentist examined the children in kindergarten to diagnose untreated ECC (dt) at the cavitation level. Each child’s demographic information, snacking behaviour, and oral health-related practice were collected using a parental questionnaire. The relationships between the untreated ECC and demographic information, snacking behaviours, and oral health-–related practice were analysed by zero-inflated negative binomial (ZINB) regression analysis. This survey recruited 404 children. Their dt score was 2.8 ± 3.8. The significant untreated ECC (SiUC) index, which was one-third of the children with the highest dt score, was 7.1 ± 3.6. Their untreated ECC prevalence was 57%, which was associated with the district the child lived in. Most children with untreated ECC (71%, 164/231) had never visited a dentist. Children who brushed without toothpaste had more untreated ECC. Children coming from low-income families and with a lower maternal education level had a higher risk of ECC. In conclusion, untreated ECC was prevalent and unevenly distributed among 5-year-old children in Hong Kong. Its prevalence was associated with toothpaste use, family income, maternal education level and the district they lived in.

scholarly journals Feeding practices and prevalence of early childhood caries among preschool children in urban and rural areas of Kannur district

2016 ◽  
Vol 4 (1) ◽  
pp. 11
Author(s):  
Aswathi Sreedharan ◽  
Faizal CP ◽  
Chandru TP
Keyword(s):  
Early Childhood ◽  
Preschool Children ◽  
Oral Health ◽  
Oral Hygiene ◽  
Early Childhood Caries ◽  
Public Awareness ◽  
Feeding Practices ◽  
Parental Knowledge ◽  
Hygiene Measures ◽  
Childhood Caries

<p><strong>Background:</strong> Early childhood caries (ECC) is one of the most prevalent chronic conditions among children. Lack of proper Parental knowledge regarding feeding practices will have a deleterious effect on child oral health.</p><p><strong>Objective:</strong> The purpose of the study was to assess the prevalence of ECC and parental knowledge regarding feeding practices in young children.</p><p><strong>Methods:</strong> 500 preschool children aged between 36-60 months, were selected from twenty schools. The children’s were examined at the respective schools to determine the presence or absence of caries by using WHO criteria .A structured questionnaire was provided to 500 parents of the respective school children examined to assess their knowledge regarding feeding practices and oral hygiene measures in preschool children for prevention of ECC</p><p><strong>Result:</strong> The results of the children examined and the parent surveyed were tabulated and statistically analyzed by using chi-square test. The result showed that the prevalence rate of ECC among 500 children surveyed were about 56.3%.The knowledge regarding the feeding practices and oral hygiene measures overall was found to be 56.5%</p><p><strong>Conclusion:</strong> The prevalence of ECC was relatively high among the preschool children. The feeding practices and oral hygiene measures among parents was more off supporting the promotion of ECC. More emphasis should be given regarding introduction of oral hygiene practice from the first year of child’s life and also to conduct public awareness programme to achieve optimum oral health care in children.</p>

scholarly journals Association between developmental dental anomalies, early childhood caries and oral hygiene status of 3–5-year-old children in Ile-Ife, Nigeria

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Morenike Oluwatoyin Folayan ◽  
Michael Alade ◽  
Abiola Adeniyi ◽  
Maha El Tantawi ◽  
Tracy L. Finlayson
Keyword(s):  
Early Childhood ◽  
Oral Hygiene ◽  
Early Childhood Caries ◽  
Statistical Significance ◽  
Primary Molars ◽  
Second Primary ◽  
Dental Anomalies ◽  
Enamel Hypoplasia ◽  
Poor Oral Hygiene ◽  
Childhood Caries

Abstract Background To determine the association between developmental dental anomalies (DDA), early childhood caries (ECC) and oral hygiene status of 3–5-year-old children resident in Ile-Ife, Nigeria. Methods This was a cross-sectional study. We analyzed data for 3–5-year-olds extracted from the dataset of a household survey collected to determine the association between ECC and maternal psychosocial wellbeing in children 0–5-year-old. The outcome variables for the study were ECC and poor oral hygiene. The explanatory variable was the presence of developmental dental anomalies (supernumerary, supplemental, mesiodens, hypodontia, macrodontia, microdontia, peg-shaped lateral, dens evaginatus, dens invaginatus, talons cusp, fusion/germination, hypoplasia, hypomineralized second molar, fluorosis, amelogenesis imperfecta). The prevalence of each anomaly was determined. Poisson regression analysis was conducted to determine the association between presence of developmental dental anomalies, ECC and oral hygiene status. The model was adjusted for sex, age and socioeconomic status. Results Of the 918 children examined, 75 (8.2%) had developmental dental anomalies, 43 (4.7%) had ECC, and 38 (4.1%) had poor oral hygiene. The most prevalent developmental dental anomalies was enamel hypoplasia (3.9%). Of the 43 children with ECC, 6 (14.0%) had enamel hypoplasia and 3 (7.6%) had hypomineralized second primary molar. There was a significant association between ECC and enamel hypoplasia (p < 0.001) and a borderline association between ECC and hypomineralized second primary molars (p = 0.05). The proportion of children with poor oral hygiene (PR: 2.03; 95% CI: 0.91–4.56; p = 0.09) and ECC (PR: 2.02; 95% CI: 0.92–4.46; p = 0.08) who had developmental dental anomalies was twice that of children with good oral hygiene and without ECC respectively, although the differences did not reach statistical significance. Conclusions Enamel hypoplasia and hypomineralized second primary molars are developmental dental anomalies associated with ECC. developmental dental anomalies also increases the probability of having poor oral hygiene in the population studied.

Early childhood caries and parents’ challenges in implementing oral hygiene practices: a qualitative study

2020 ◽  
Vol 31 (1) ◽  
pp. 106-114
Author(s):  
Baranya Shrikrishna Suprabha ◽  
Violet D’Souza ◽  
Ramya Shenoy ◽  
Yarmunja Mahabala Karuna ◽  
Anupama Panakaje Nayak ◽  
...  
Keyword(s):  
Early Childhood ◽  
Qualitative Study ◽  
Oral Hygiene ◽  
Early Childhood Caries ◽  
Hygiene Practices ◽  
Childhood Caries

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 Hubungan Oral Hygiene Habits dengan Early Childhood Caries (ECC) pada Balita Di Kota Padang

2020 ◽  
Vol 8 (1) ◽  
pp. 33-41
Author(s):  
Zhafirah Muharani Nasution ◽  
Reni Nofika ◽  
Susi Susi
Keyword(s):  
Early Childhood ◽  
Dental Caries ◽  
Oral Hygiene ◽  
Early Childhood Caries ◽  
Sampling Technique ◽  
Strong Relationship ◽  
Deciduous Teeth ◽  
Cross Sectional ◽  
Oral Hygiene Habits ◽  
Childhood Caries

Dental caries is a disease of hard tissue of the tooth due to bacterial activities that cause loss mineral structure of the tooth. Dental caries that occur in deciduous teeth on children under 71 months is called Early Childhood Caries (ECC). Dental caries is still one of the most common dental and oral health problem experienced by children in the world. Some surveys in Cambodia and Indonesia show that a high prevalence and severity of ECC which was 90% in children aged 3-5 years. Oral hygiene habits were identified as one of the risk factors of caries. Some studies suggest that there is a strong relationship between the behavior of maintaining oral hygiene and the prevalence of dental caries. The purpose of this study is to determine the relationship between oral hygiene habits and early childhood caries on toddler in Padang. This study used cross sectional design. The samples of this study was 107 childrens aged 3-5 years in Padang. The location was selected through stratified random sampling technique and samples was selected through consecutive sampling techniques. Data was collected in Gunung Pangilun village and Piai Tanah Sirah village. Data was collected using a questionaires and intraoral examination. Data was analyzed by Chi-Square with p<0,05. The result of this study that there was a significant relationship between oral hygiene habits and ECC on toddler in Padang (p=0,008). The conclusion of this study was that oral hygiene habits is associated with early childhood caries on toddler in Padang.

Analysis of Oral Microbial Dysbiosis Associated With Early Childhood Caries

2020 ◽  
Author(s):  
Hui Zheng ◽  
Teng-Fei Xie ◽  
Shao-Kai Li ◽  
Xiao-Tong Qiao ◽  
Yan Feng ◽  
...  
Keyword(s):  
Early Childhood ◽  
Early Childhood Caries ◽  
Illumina Miseq ◽  
16S Rrna Genes ◽  
Rrna Genes ◽  
Deciduous Teeth ◽  
Microbial Dysbiosis ◽  
Significant Difference ◽  
Pcr Products ◽  
Childhood Caries

Abstract Background: "Core microbes" play a key role in the development of caries and lead to microflora disorders. Our goal was to detect the core microbes associated with the microbial flora imbalance in early childhood caries (ECC). Methods: Fifteen caries-free children and fifteen high-caries (DMFT≥10) children aged 4-6 years old were recruited according to the diagnostic criteria of caries suggested by the WHO. The 16S rRNA genes from plaque samples loaded in saliva were amplified by PCR, and the PCR products were sequenced by the Illumina Miseq platform. The sequencing results were analyzed by professional software to determine the composition and structure of the saliva microorganisms.Results: There were statistically significant differences between the groups regarding the relative abundance of S. mutans (Wilcoxon rank-sum test, P<0.05). No significant difference was found between the groups regarding other species or functional genes. Conclusion: Neither unique microbes leading to early caries in deciduous teeth nor characteristics of a microbial community with a disordered structure were found. Some microorganisms related to dental caries in young children were found, but whether these microbes were truly related or were false positives requires further verification.

scholarly journals Association of Maternal Vitamin D Deficiency with Early Childhood Caries

2019 ◽  
Vol 98 (5) ◽  
pp. 549-555 ◽  
Author(s):  
R. Singleton ◽  
G. Day ◽  
T. Thomas ◽  
R. Schroth ◽  
J. Klejka ◽  
...  
Keyword(s):  
Vitamin D ◽  
Early Childhood ◽  
Cord Blood ◽  
Early Childhood Caries ◽  
Serum Vitamin ◽  
Small Sample ◽  
Vitamin D Levels ◽  
Significant Difference ◽  
Prenatal Visits ◽  
Childhood Caries

Alaska Native (AN) children experience one of the highest reported rates of severe early childhood caries (S-ECC). Serum vitamin D concentrations in AN childbearing women in the Yukon Kuskokwim Delta (YKD) region have decreased since the 1960s to currently low levels, related to a decrease in traditional marine diet. Recent studies suggest an association between prenatal vitamin D (25(OH)D) concentrations in mothers and S-ECC in their infants. We used independent t tests to analyze the influence of prenatal 25(OH)D levels in YKD AN mothers on S-ECC in their children using data collected in the Maternal Organics Monitoring Study (MOMS). Maternal 25(OH)D levels were assessed at prenatal visits and in cord blood. We queried electronic dental records to assess early childhood caries (ECC) status using highest decayed, missing, filled, primary teeth (dmft) scores at 12 to 59 mo of age. We examined prenatal and cord blood for 76 and 57 mother/infant pairs, respectively. Children 12 to 35 mo of age with “deficient” cord blood (25(OH)D <30 nmol/L) had a mean dmft score twice as high as children who were “nondeficient” at birth (9.3 vs. 4.7; P = 0.002). There was no significant difference in mean dmft scores for children aged 36 to 59 mo with deficient versus nondeficient cord blood 25(OH)D (10.9 vs. 8.7 P = 0.14). There was no significant difference in mean dmft scores for children aged 12 to 35 mo whose mothers had “sufficient” versus “insufficient” 25(OH)D during prenatal visits (9.0 vs. 7.4; P = 0.48). In this small sample, children with deficient vitamin D levels in cord blood had a dmft score at 12 to 35 mo 2-fold higher than children with nondeficient cord blood. Maternal 25(OH)D may influence the primary dentition, and improving vitamin D status in pregnant women might affect ECC rates in their infants.

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