Early childhood caries (ECC): a preventive-conservative treatment mode during a 12-month period.

2006 ◽  
Vol 30 (3) ◽  
pp. 191-194 ◽  
Author(s):  
Benjamin Peretz ◽  
George Gluck

Purpose: to evaluate a preventive treatment mode for early childhood caries (ECC). Population and methods: The population to be studied included 30 children who, over a 12-month period, presented with ECC to a private dental clinic. Parents preferred non-invasive, preventive treatment over restorations. Parents were given hygiene and proper feeding instructions. Mesial slicing was performed where proximal caries was observed. Children were examined once every two months. They received supervised professional topical fluoride treatment. Plaque level, brushing, stopping the bottle, eating sweets, appearance of new lesions or exacerbation of existing condition were observed and recorded. Results: in the vast majority of patients, the progression of ECC was arrested after the preventive regimen. Three children required restorations. They had failed to limit sugar consumption and to comply with brushing instruction. General improvement was observed in plaque control, brushing habits and sweets consumption. Conclusion: preventive measures may successfully arrest ECC and thereby avoid invasive procedures as well as the need of anesthesia.

2021 ◽  
pp. 103885
Author(s):  
Sheetal Manchanda ◽  
Divesh Sardana ◽  
Pei Liu ◽  
Gillian HM Lee ◽  
Kar Yan Li ◽  
...  

2017 ◽  
Vol 20 (1) ◽  
pp. 43-52 ◽  
Author(s):  
Anuradha Kuppan ◽  
Steven Rodrigues ◽  
Victor Samuel ◽  
Mahesh Ramakrishnan ◽  
Hassan S. Halawany ◽  
...  

Deciphering the relative importance of genetic and environmental factors, which play a major role in the prevalence of early childhood caries (ECC), can help clinicians with planning a long-term preventive treatment. The objective of the study was to determine the prevalence and heritability of ECC among monozygotic (MZ) and dizygotic (DZ) twins in Chennai, India, in the year 2013. A cross-sectional study was designed to estimate the prevalence of ECC among twins. Zygosity classification for the survey framework was adapted from a highly accurate parental report questionnaire pertaining to the physical similarity between twins. The associated heritability index was estimated. The Decayed, Missing, Filled Surface (DMFS) Index was used as the diagnostic criterion for dental caries. The prevalence of ECC was estimated at 18.7%. The correlation coefficient between the twin pair showed significant correlation. The heritability index for ECC was estimated at 15% higher prevalence of ECC found among children in the age group 25–36 months. The heritability estimate indicated a relatively low genetic influence for early childhood caries among twins. There was no significant difference detected in the concordance rate for the MZ and DZ twins. Further research could be directed toward the prevalence of ECC among higher age group children to explore the role of genetic and environmental factors.


2020 ◽  
Vol 66 (2) ◽  
pp. 3-10
Author(s):  
Olga Kokoceva-Ivanovska

Early childhood caries (circular caries) can occur at an early age, with the eruption of deciduous teeth of the age of 1 to 1.5 years old. This is a multifactorial dental disease that has become a worldwide problem with high prevalence in recent decades. The purpose of the study was clinical evaluation of the remineralizing effect of the topical treatment, in patients with starting stages of circular caries. This study was conducted at the Clinic for Pediatric and Preventive Dentistry, Skopje, and included 117 patients of both sexes, with the starting stages of circular caries. They were aged of 1.5 to 3.5 years old, with a fully formed primary tooth. It was selected 61 patients with initial lesion – white spot and 56 patients with superficial form. From both groups 30 patients were treated with topical fluoride preparation, for a period of six months, applied once a week. The remaining patients had regular check-ups and instructions, but they did not undergo fluoride treatment. After the fluoride treatment, we followed the remineralizing effect, i.e. which initial lesions were reversed or where the intracrystal spaces were filled and the crystals were repaired after six months of topical application. In some patients who were able to satisfy other preventative factors, we were able to obtain a clinical picture of complete remineralization on initial lesion (restitution ad integrum) in vivo, approximately similar to a healthy tooth. How successful the remineralization will be depends on the predominant, protective, or pathogenic factors. Keywords: circular caries, early childhood caries, remineralization, initial lesion, white spot


2021 ◽  
Vol 13 (1) ◽  
pp. 91-102
Author(s):  
Olga Kokoceva-Ivanovska

Early childhood caries occurs immediately after the eruption of deciduous teeth. During this period, children are too young to be able to properly implement oral hygiene. Consequently, it is at a negligible level, with plenty of soft plaque on the deciduous tooth surfaces. The objective of this investigation was to determine the correlation between oral hygiene (shown with the OHI index) and the initial stages of early childhood caries: initial lesion (white spot) and superficial form, before and after local fluoride treatment. Material and methods: For determining the OHI index among our examinees we used the method of Green-Vermillion. It was determined in 117 examinees twice, during the first visit and immediately before physiological replacement of deciduous teeth. Patients were two to three years of age, diagnosed with initial stages of early childhood caries and fluoride preparate (amino fluoride solution) was applied once a week, for 6 months. Results: In 30 subjects treated with local fluoride treatment from both basic groups (with initial and superficial lesions), just before the physiological change of the teeth, we received a statistically significant improvement in the OHI index (p = 0.000038; p = 0.00006) at the end from the examination. Conclusion: From the conducted analysis of the obtained results, we can conclude that the level of oral hygiene is correlated with the progression of changes in the enamel. Oral hygiene and fluoride treatment significantly reduce soft tissue levels and improve the OHI index.


2016 ◽  
Vol 1 (3) ◽  
Author(s):  
Jeffrey .

Early Childhood Caries (ECC) is a chronic disease that can be prevented. It commonlyaffects children involving in one or more decayed (with lesions or not) teeth, missing teeth (dueto caries), or teeth with fillings in children aged under 71 months. The disease is sometimesoverlooked, but this condition usually affects the general health of children. Early detection ofEarly Childhood Caries (ECC) can prevent problems which are harmful to children. Therefore,the ECC must be prevented and for teeth that have had dental caries they should be givenproper treatment so as not to worsen and affect the quality of life in children. Prevention of thisdisease is a significant component in any health program to prepare for the optimal basis forthe oral health of children. This condition will become a serious health problem if not handledproperly, and it is a major health problem for health providers throughout the world.Primarypreventive must be initiated since a woman getting pregnant.Keywords: Early Childhood Caries (ECC), prevention, treatment


2020 ◽  
Vol 4 (5) ◽  
pp. 18-22
Author(s):  
Subhathira Rajasekaran ◽  
Sham S Bhat ◽  
Vidya Bhat ◽  
Sundeep Hegde K ◽  
Neha Thilak ◽  
...  

2004 ◽  
Vol 80 (8) ◽  
pp. 199-210 ◽  
Author(s):  
Nilza M. E. Ribeiro ◽  
Manoel A. S. Ribeiro

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