scholarly journals Penatalaksanaan early childhood caries Management of early childhood caries

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

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.


2020 ◽  
Vol 6 (1) ◽  
pp. 11-22
Author(s):  
Lala Viodita ◽  
Rizanda Machmud ◽  
Hidayati Hidayati

Dental caries is the most commonly found for oral and dental diseases. It could appear in permanent and even desidual teeth. One of the oral  and dental diseases prevalent to children of age 1-5 years old is termed Early Childhood Caries (ECC) which was an acute dental infection that rapidly develop from one third of primary servical maxillary incisivus into the whole teeth making white to yellowish cavity with soft caries tissue. Diet pattern gives big influence on incidence of caries. to find the relationship between children diet pattern with the case of ECC. observational analytical using cross- sectional design. Sample size was 50 children of age 2-3 years old in three different Comprehensive Treatment Post (CTP) in working area of Tanah Garam primary healthcare in Solok City. ECC prevalence in Tanah Garam District of Solok City in 2018 was 56 %. Diet pattern found mostly was cariogenic for 52 %. There was significant relationship between diet pattern with the case of ECC in Tanah Garam District of Solok City with p = 0.01. There was significant relationship between diet pattern with the case of ECC in Tanah Garam District Solok City.


2020 ◽  
pp. 238008442093069
Author(s):  
G. Kyoon-Achan ◽  
R.J. Schroth ◽  
H. Martin ◽  
M. Bertone ◽  
B.A. Mittermuller ◽  
...  

Background: The use of silver diamine fluoride (SDF) as a nonsurgical caries management product is growing. Evidence suggests that SDF is very successful in arresting caries. However, a common concern with SDF treatment is the unaesthetic black staining. The purpose of this qualitative study was to determine parents’ views following their children’s treatment with SDF to manage severe early childhood caries (ECC). Method: Parents were interviewed as part of a mixed-method study of SDF to arrest severe ECC. Children with caries lesions in primary teeth were treated with 2 applications of 38% SDF, followed by fluoride varnish. Semistructured in-person and phone interviews were conducted with 19 parents of children in the study. Data were transcribed verbatim and manually coded and uploaded to NVivo 12 for further coding analysis. Results: None of the parents had previously heard about SDF, and they learned about it from the study dentist. Although parents trusted the dentist’s information on SDF, they welcomed additional evidence, especially relating to product safety and effectiveness. Some parents were minimally concerned with the black staining caused by SDF treatment. It was more important that SDF arrested caries progression, minimized pain and sensitivity, and prevented dental infection. However, some parents expressed concerns related to the unaesthetic black staining. Interestingly, many parents indicated that their children were not overly concerned with the black staining. A majority of parents said that they would recommend the treatment to others. Conclusion: This is the first qualitative study involving parents of children who were treated with SDF. Most parents were accepting of SDF as a nonsurgical treatment to arrest caries and minimize dentinal sensitivity secondary to caries, although some expressed concern about the black staining in anterior teeth. It is important to adequately inform parents of the negative aesthetic consequences and obtain informed consent before treatment. Knowledge Transfer Statement: This qualitative study revealed that many parents of children with severe ECC are accepting of SDF as a nonrestorative caries management option, despite the black staining of caries lesions. Dental professionals need to be aware of these parental concerns and obtain written informed consent prior to treatment. Parents also requested more information and resources on SDF on its benefits, effectiveness, and any associated risks.


2021 ◽  
Vol 19 (4) ◽  
pp. 285-292
Author(s):  
O. M. Davidian ◽  
A. V. Fomina ◽  
E. A. Lukianova ◽  
E. M. Shimkevich ◽  
Ju. A. Bakaev ◽  
...  

Aim. To study the dominant antenatal and postnatal risk factors for development early childhood caries (12 – 47 months).Materials and methods. In order to study the dental morbidity of the child population aged 1 to 3 years, permanently living in Moscow, an epidemiological examination of 510 children was carried out. To determine the dental status of the subjects, clinical research methods were carried out. To assess antenatal and postnatal risk factors for the development of caries in children aged 1 to 3 years, a questionnaire survey was conducted between parents or legal representatives. The survey participants answered 5 questions that are important for understanding the causes of early tooth decay.Conclusions. With growing up, the prevalence of caries increases. The prevalence of Early Childhood Caries among the boys and the girls aged 12-23 months and 24-35 months depends on the sex of the child. A statistically significant difference in the intensity of caries in different age groups was revealed; the older the age group, the higher the intensity of caries. The risk of caries in children in the group with the pathological course of the mother's pregnancy is higher than in the group with the normal course of pregnancy. A statistically significant relationship was found between the prevalence of caries in children and the age at which toothbrushing began.


Author(s):  
Vanessa Simas Braga ◽  
Paulo Floriani Kramer ◽  
Carla Jotz Ceccato ◽  
Simone Helena Ferreira

Early Childhood Caries (ECC) continues to be one of the most common chronic diseases in children throughout the world, exerting a negative impact on quality of life. This condition can cause pain, infection, and tooth loss as well as problems with speaking, chewing, and nutrition. The aetiology of ECC is complex and involves socioeconomic, biological, and behavioural factors. Rehabilitation in very young patients is challenging due to difficulties inherent to the age of the child, which limits cooperation, the extent of tooth decay, and the motivation of family members, especially in patients with the early loss of primary teeth. Therefore, paediatric dentists need to plan and implement individualised approaches on a case-by-case basis. This paper reports a case of a three-year-old boy diagnosed with ECC involving extensive carious lesions, root remnants, and multiple abscesses. The treatment plan involved prosthetic rehabilitation with complete dentures. Regular check ups were important to the functional adaptations and proper hygiene counselling. The child adapted extremely well to the dentures. Improvements in appearance, speech, and chewing function enhanced the child’s self-confidence and assisted in establishing proper dietary patterns.


Author(s):  
Stefano Cianetti ◽  
Stefano Pagano ◽  
Michele Nardone ◽  
Guido Lombardo

Pending the availability of vaccines to contain the SARS-CoV-2 pandemic, the current solution is “social distancing” with a reduction of dental treatments to those assessed as urgent and emergency cases. These treatments also involve Early Childhood Caries (ECC) due to the fact that this disease affects preschool children (a vulnerable population) and, in addition, shows a propensity to evolve into more serious complications (dental pain, infections). A narrative review was carried out to support a protocol for treating ECC with efficacious and safe (in terms of SARS-CoV-2 transmission) procedures. Protocol involves criteria for patients’ selection remotely (telemedicine), and well-detailed criteria/equipment and hygiene procedures to combat against SARS-CoV-2 transmission. Moreover, the protocol proposes innovative caries treatments, named Minimally Invasive Treatments (MITs), well known in pedodontics for their high level of children’s acceptance during dental care. MITs allow for caries removal (particularly in primary teeth) without any high-speed rotating instrument cooled with nebulized air-water spray (with high risk of virus environmental diffusion), usually adopted during traditional treatments. For evaluating MITs effectiveness in caries management, only Systematic Review and Randomized Controlled Trials (RCTs) were included in our study, without any risk of bias assessment. The indications proposed in this protocol could support clinicians for the temporary management of ECC until the SARS-CoV-2 pandemic ends.


Author(s):  
M. A. Danilova ◽  
D. V. Kamenckikh

Relevance. The high prevalence and intensity of early childhood caries (ECC) require a detailed analysis of the influence of the nutritional status on the course of the carious process and possible ways to treat severe caries and control certain markers of calcium and phosphorus metabolism. Purpose – to identify correlation between the nutrient composition of the diet, calcium and phosphorus metabolism markers and severe childhood caries. Materials and methods. The study involved 46 children aged 12-36 months with severe ECC which had been treated under the general anesthesia. In all patients, the nutrient composition of the diet was studied and certain markers of calcium and phosphorus metabolism were determined. ECC comprehensive treatment plan with further evaluation of the effectiveness of the treatment was developed accordingly, based on the patients’ allocation to the main and comparison groups.Results. The dynamics of the content of excreted calcium in the main group of study participants indicates an increase in the consumed calcium entering the child's body with food. 24 months after the implementation of pathogenetic therapy, the increase in the intensity of caries in the main group was significantly reduced.Conclusions. The correlation analysis revealed a strong correlation between the frequency of consumption of the basic food products and caries intensity in the primary teeth. Patient-based ECC treatment protocols can reduce caries progression in primary dentition by 42.8 % in the long run.


Sign in / Sign up

Export Citation Format

Share Document