scholarly journals Reshuffling the Risk Factors of Severe Early Childhood Caries

Author(s):  
Noha Kabil ◽  
Sherif Eltaweil

Severe early childhood caries remains the most common chronic disease affecting children. .Its multifactorial etiology lead to the controversy about which risk factors were more significant to its development. Therefore our study aimed through meticulous statistical analysis to arrange the “well agreed upon” common risk factors in order of significance to aid the clinician in tailoring an adequate preventive program for this affected age group. The study concluded that the risk factors contributing to severe early childhood caries in order of their significance were Night feeding, On demand feeding, Mother’s Employment, Mother’s caries Experience, Starting age of brushing, Mother’s education, Sharing utensils, Child’s first dental visit, Number of siblings, Brushing frequency, Sweetened food and beverage consumption, Sweetened beverages, and at last the snacking frequency.

Author(s):  
Noha Kabil ◽  
Sherif Eltaweil

Severe early childhood caries remains the most common chronic disease affecting children. Its multifactorial etiology has established a controversy about which risk factors were more significant to its development. Therefore our study aimed through meticulous statistical analysis to arrange the “well agreed upon” common risk factors in order of significance, to aid the clinician in tailoring an adequate preventive program for this affected age group. The study reshuffled the risk factors contributing to severe early childhood caries and placed them in the order of their significance as follows: snacking of sugary food several times a day, increased number of siblings to 3 or more, night feeding, child self-employed brushing, mother caries experience, 2 siblings, on demand feeding, once/day sugary food, sharing utensils, 1 Sibling, male gender, father’s education, late first child dental visit, brushing time, mother’s education, no dental visit, decreased brushing frequency & no night brushing.


2017 ◽  
Vol 10 (2) ◽  
pp. 183-187 ◽  
Author(s):  
Ritu G Mangla ◽  
Raman Kapur ◽  
Abhishek Dhindsa

ABSTRACT Aim To assess the prevalence, distribution, and associated risk factors of severe early childhood caries (S-ECC) among 12- to 36-month-old children of district Sirmaur, Himachal Pradesh, India. Materials and methods The present study was conducted on a random sample of 510 children, both boys and girls, between 12 and 36 months of age randomly selected from various government-sponsored day-care centers, private day-care centers, and vaccination centers. Caries was recorded using World Health Organization criteria. Statistical analysis was done by using chi-square test and Mann–Whitney test. A two-sided p value was calculated for each statistical test. Multiple logistic regressions were done to calculate the risk of S-ECC from independent variables. Results In the present study, S-ECC was found in 21% of 510, 12 to 36 months old children of Sirmaur district, Himachal Pradesh. The S-ECC was found to be significantly higher in 25 to 36 months old children's age group and was 27.8% in them as compared with 8% in 12 to 24 months old children. Conclusion Providing anticipatory guidance and education to parents is essential for the promotion of optimal oral health of their children. There is a need for moving upstream to propose and implement policies and programs to improve the oral health of the very young, especially in a developing country like India, which lacks much data on S-ECC. How to cite this article Mangla RG, Kapur R, Dhindsa A, Madan M. Prevalence and associated Risk Factors of Severe Early Childhood Caries in 12- to 36-month-old Children of Sirmaur District, Himachal Pradesh, India. Int J Clin Pediatr Dent 2017;10(2):183-187.


2014 ◽  
Vol 49 (1) ◽  
pp. 70-77 ◽  
Author(s):  
Zerrin Abbasoğlu ◽  
İlknur Tanboğa ◽  
Erika Calvano Küchler ◽  
Kathleen Deeley ◽  
Megan Weber ◽  
...  

Early childhood caries (ECC) is a chronic, infectious disease that affects the primary dentition of young children. It is the result of an imbalance of risk factors and protective factors that influence the disease. The aim of this study was to assess genetic and environmental factors that may contribute to ECC. Two hundred and fifty-nine unrelated children were evaluated using a cross-sectional design. Data on oral habits were obtained through a questionnaire, and caries experience data were collected by clinical examination. Twenty-three markers in 10 genes were studied. Genotyping of the selected polymorphisms was carried out by real-time PCR. Regression analyses were performed comparing individuals with and without caries experience. Of 259 subjects, 123 were caries free. The genotype TT in ALOX15 (rs7217186) was a risk factor for ECC, whereas the genotypes GG in ENAM (rs1264848), AG and GG in KLK4 (rs198968), CT in LTF (rs4547741), and GG in TUFT1 (rs3790506) were protective for EEC. In conclusion, environmental factors and gene interactions can act as protective or risk factors for ECC. These factors together contribute to the presence and severity of the disease.


2009 ◽  
Vol 33 (3) ◽  
pp. 241-246 ◽  
Author(s):  
Ma. Esther Irigoyen Camacho ◽  
Leonor Sánchez Pérez ◽  
Álvaro García Pérez ◽  
Marco Antonio Zepeda Zepeda

The relationship between dental caries and mutans streptococci (ms) in children and their mothers is a key factor in the prevention of early childhood caries. Changes in early childhood caries over time in Mexican children have not been well documented. Objective: to compare the dental caries indices and presence of ms in 3- to 5-year-old children and their mothers in two surveys, the first one carried out in 1996 and the second one in 2007. Study design: cross-sectional study. Results: The first survey included 102 mother-child dyads and the second 103. Dental caries index dmfs was 7.17 (± 10.9) and 4.58 (± 7.1) in the first and second survey, respectively (p<0.05). Ms levels were higher in 1996 than in 2007 (p<0.001). The prevalence of Severe Early Childhood Caries (SECC) was 42.2% and 34.95% in first and second surveys, respectively,(p>0.05). Children with SECC showed higher counts of ms than children without this condition. A high caries index in mothers was associated with higher caries experience in their children. Conclusion: the compassions of the surveys indicated a decline in dental caries indices over an 11-year period. High caries experience in the mother had a negative impact on the oral condition of the child.


Folia Medica ◽  
2021 ◽  
Vol 63 (4) ◽  
pp. 546-556
Author(s):  
Sirin Guner Onur ◽  
Betul Kargul

Introduction: Early childhood caries (ECC) is considered a global health concern due to its high prevalence and effect on the overall health of children. Aim: The present study aimed to investigate prevalence of ECC and associated risk factors in a Turkish subpopulation of children. Materials and methods: Five hundred forty-two (299 boys, 243 girls) children were enrolled in this study. Caries experience on primary teeth was measured using decayed or filled teeth (dft) index and the presence of caries was diagnosed if dft >0. A structured questionnaire was employed to mothers through interview. Results: ECC was significantly associated with increased age (OR=1.032; 95% CI, 1.018&ndash;1.047; p<0.001), low level of family income (OR=2.91; 95% CI, 1.567&ndash;5.404; p=0.001), low educational level of mother (OR=2.602; 95% CI, 1.509&ndash;4.485), night-time frequent breastfeeding (OR=1.695; CI, 1.07&ndash;2.685; p=0.024) and bottle feeding with sugary beverages (OR=1.689; CI, 1.002&ndash;2.847; p=0.049). First dental visit age (OR=1.482; 95% CI, 1.254&ndash;1.753; p<0.001) and initial age of tooth brushing (OR=2.062; 95% CI, 1.324&ndash;3.209; p=0.001) were found to be protective against ECC development. Conclusions: The current study highlights potential factors that are commonly associated with the risk of developing ECC. From the perspective of public health, a better understanding of socioeconomic, environmental, maternal and behavioural risks factors for ECC will aid improving maternal and child-based health promotion and preventive programmes.


Author(s):  
Javaneh Vejdani ◽  
Zahra Hadipoor ◽  
Ehsan Kazem‌nezhad Leyli ◽  
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