scholarly journals The Status and Associated Factors  of Early Childhood Caries among 3- to 5-year-old Children in Guangdong, Southern  China: A Provincial Cross-sectional Survey

2020 ◽  
Author(s):  
Jianbo Li ◽  
Weihua Fan ◽  
Yueshan Zhou ◽  
Linmei Wu ◽  
Wei Liu ◽  
...  

Abstract Background: Dental caries of deciduous teeth (Early Childhood Caries, ECC) has become a crucial oral health problem over the decades in China. The aim of this study was to examine the prevalence and severity of ECC among preschool children from Guangdong Province, Southern China. In addition, to assess the association of ECC with reported oral health-related behaviors.Methods: A cross-sectional survey was carried out in Guangdong Province by means of an equal-sized, stratified, multistage random sampling method. According to the standard for clinical dentition examination of the WHO 2013 criteria, the presence of ECC was determined by the dmft (decayed-missing-filled tooth) index using a CPI (Community Periodontal Index) probe. A questionnaire about caries-related factors was completed by each of the participants’ parents or grandparents through a face-to-face and one-on-one interview. Then, t-test, Chi2 tests, One-Way ANOVA served for statistical analysis, and logistic regression analysis as well as covariance analysis were executed to identify potential associated factors for ECC.Results: There were 2592 3- to 5-year-old preschool children. The prevalence (% dmft >0) of ECC was 68.3 (95% CI: 66.5-70.1), the mean dmft was 4.36 (95% CI: 4.17-4.55), and the filled rate was 1.2%. In multivariable modeling, associated factors for both prevalence and mean dmft were older age, rural areas, consumption of sweets before sleep, dental visit history, low household income, and low parental education level. Initiating toothbrushing after 3 years of age and being exclusively/ predominantly breastfed indicated only the prevalence; being female and frequently consuming sweetened milk/powdered milk indicated only the mean dmft.Conclusions: The preschool children in Guangdong Province experienced a significant amount of ECC. More attention should be given to children’s dental health for deciduous teeth. Associated factors for ECC included demographics, oral health measures, dietary factors, and socioeconomic factors.

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Jianbo Li ◽  
Weihua Fan ◽  
Yueshan Zhou ◽  
Linmei Wu ◽  
Wei Liu ◽  
...  

Abstract Background Dental caries of deciduous teeth (Early Childhood Caries, ECC) has become a crucial oral health problem over the decades in China. The aim of this study was to examine the prevalence and severity of ECC among preschool children from Guangdong Province, Southern China. In addition, to assess the association of ECC with reported oral health-related behaviors. Methods A cross-sectional survey of 2592 participants was carried out in Guangdong Province by means of an equal-sized, stratified, multistage random sampling method during December 2015 and April 2016. The participants were divided into three groups according to their ages (3-, 4-, and 5-year-olds). Half of the participants were derived from urban areas, while the other from rural areas. According to the standard for clinical dentition examination of the WHO 2013 criteria, the presence of ECC was determined by the dmft (decayed-missing-filled tooth) index using a CPI (Community Periodontal Index) probe. A questionnaire about caries-related factors was completed by each of the participants’ parents or grandparents through a face-to-face and one-on-one interview. Then, t-test, Chi2 tests, One-Way ANOVA served for statistical analysis, and logistic regression analysis as well as covariance analysis were executed to identify potential associated factors for ECC. Results The prevalence (% dmft > 0) of ECC was 68.3 (95% CI: 66.5–70.1), the mean dmft was 4.36 (95% CI: 4.17–4.55), and the filled rate was 1.2%. In multivariable modeling, associated factors for both prevalence and mean dmft were older age, rural areas, consumption of sweets before sleep, dental visit history, low household income, and low parental education level. Initiating toothbrushing after 3 years of age and being exclusively/ predominantly breastfed indicated only the prevalence; being female and frequently consuming sweetened milk/powdered milk indicated only the mean dmft. Conclusions Preschool children in Guangdong Province, especially children from rural areas, experienced a significant amount of ECC. Associated factors for ECC included demographics, oral health measures, dietary factors, and socioeconomic factors. More attention should be given to prevention of ECC from early life. The construction of social support for oral health should be strengthened. Oral health education and promotion, especially of rural areas, should be intensified to reduce the inequality between urban and rural areas.


2020 ◽  
Author(s):  
Jianbo Li ◽  
Weihua Fan ◽  
Yueshan Zhou ◽  
Linmei Wu ◽  
Wei Liu ◽  
...  

Abstract Background: Dental caries of deciduous teeth (Early Childhood Caries, ECC) has become a crucial oral health problem over the decades in China. The aim of this study was to examine the prevalence and severity of ECC among preschool children from Guangdong Province, Southern China. In addition, to assess the association of ECC with reported oral health-related behaviors. Methods: A cross-sectional survey of 2592 participants was carried out in Guangdong Province by means of an equal-sized, stratified, multistage random sampling method during December 2015 and April 2016. The participants were divided into three groups according to their ages (3-, 4-, and 5-year-olds). According to the standard for clinical dentition examination of the WHO 2013 criteria, the presence of ECC was determined by the dmft (decayed-missing-filled tooth) index using a CPI (Community Periodontal Index) probe. A questionnaire about caries-related factors was completed by each of the participants’ parents or grandparents through a face-to-face and one-on-one interview. Then, t -test, Chi 2 tests, One-Way ANOVA served for statistical analysis, and logistic regression analysis as well as covariance analysis were executed to identify potential associated factors for ECC. Results: The prevalence (% dmft >0) of ECC was 68.3 (95% CI: 66.5-70.1), the mean dmft was 4.36 (95% CI: 4.17-4.55), and the filled rate was 1.2%. In multivariable modeling, associated factors for both prevalence and mean dmft were older age, rural areas, consumption of sweets before sleep, dental visit history, low household income, and low parental education level. Initiating toothbrushing after 3 years of age and being exclusively/ predominantly breastfed indicated only the prevalence; being female and frequently consuming sweetened milk/powdered milk indicated only the mean dmft. Conclusions: Preschool children in Guangdong Province, especially children from rural areas, experienced a significant amount of ECC. Associated factors for ECC included demographics, oral health measures, dietary factors, and socioeconomic factors. More attention should be given to prevention of ECC from early life. The construction of social support for oral health should be strengthened. Oral health education and promotion, especially of rural areas, should be intensified to reduce the inequality between urban and rural areas.


2020 ◽  
Author(s):  
Jianbo Li ◽  
Weihua Fan ◽  
Yueshan Zhou ◽  
Linmei Wu ◽  
Wei Liu ◽  
...  

Abstract Background: Dental caries of deciduous teeth (Early Childhood Caries, ECC) has become a crucial oral health problem over the decades in China. The aim of this study was to examine the prevalence and severity of ECC among preschool children from Guangdong Province, Southern China. In addition, to assess the association of ECC with reported oral health-related behaviors.Methods: A cross-sectional survey of 2592 participants was carried out in Guangdong Province by means of an equal-sized, stratified, multistage random sampling method during December 2015 and April 2016. The participants were divided into three groups according to their ages (3-, 4-, and 5-year-olds). Half of the participants were derived from urban areas, while the other from rural areas. According to the standard for clinical dentition examination of the WHO 2013 criteria, the presence of ECC was determined by the dmft (decayed-missing-filled tooth) index using a CPI (Community Periodontal Index) probe. A questionnaire about caries-related factors was completed by each of the participants’ parents or grandparents through a face-to-face and one-on-one interview. Then, t-test, Chi2 tests, One-Way ANOVA served for statistical analysis, and logistic regression analysis as well as covariance analysis were executed to identify potential associated factors for ECC.Results: The prevalence (% dmft >0) of ECC was 68.3 (95% CI: 66.5-70.1), the mean dmft was 4.36 (95% CI: 4.17-4.55), and the filled rate was 1.2%. In multivariable modeling, associated factors for both prevalence and mean dmft were older age, rural areas, consumption of sweets before sleep, dental visit history, low household income, and low parental education level. Initiating toothbrushing after 3 years of age and being exclusively/ predominantly breastfed indicated only the prevalence; being female and frequently consuming sweetened milk/powdered milk indicated only the mean dmft.Conclusions: Preschool children in Guangdong Province, especially children from rural areas, experienced a significant amount of ECC. Associated factors for ECC included demographics, oral health measures, dietary factors, and socioeconomic factors. More attention should be given to prevention of ECC from early life. The construction of social support for oral health should be strengthened. Oral health education and promotion, especially of rural areas, should be intensified to reduce the inequality between urban and rural areas.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Md. Saiful Islam ◽  
Md. Asad Ullah ◽  
Ummay Soumayia Islam ◽  
Sahadat Hossain ◽  
Yusha Araf ◽  
...  

Abstract Background Countrywide lockdown or stay-at-home order has been implemented to slow down the transmission of emergent coronavirus. However, the influence on attitudes and lifestyle due to lockdown amidst the coronavirus disease 2019 (COVID-19) pandemic has been poorly understood. The present study aimed to investigate the influence on attitudes and lifestyle due to lockdown amidst the COVID-19 pandemic among Bangladeshi residents. Methods A cross-sectional survey carried out involving 1635 community dwellers across eight divisions in Bangladesh conducted from April 15, 2020 to May 10, 2020. A structured questionnaire incorporating socio-demographic, attitudes towards lockdown and adverse lifestyle amidst lockdown measures was employed to collect data using the Google Forms. Multiple regression analyses were executed to determine the associated factors of positive attitudes towards lockdown and adverse lifestyle. Results The mean scores of attitudes towards lockdown were 67.9 (SD = 8.4) out of 85 with an overall correct rate (positive attitudes) of 79.9%; whereas the mean scores of adverse lifestyle amidst lockdown were 16.1 (SD = 4.8) out of 34 with an overall rate of 47.4%. The factors associated with more positive attitudes towards lockdown included being female, divorced, higher educated, and students. Conversely, being male, having no formal education, and rural residence were associated factors of adverse lifestyle amidst the COVID-19 pandemic. Conclusions The findings reflect how the COVID-19 lockdown has preciously impacted the attitudes, and lifestyle of Bangladeshi citizens, which will contribute to promoting appropriate measures during a subsequent zonal or complete lockdown.


2014 ◽  
Vol 2 (1) ◽  
pp. 1-8
Author(s):  
Wulandari Liza Putri ◽  
Febrian Febrian

Early Childhood Caries (ECC) is dental disease in preschool children that becomes a huge problem whole the world. In USA, prevalence of ECC is 41% and 90% in Indonesia, but actually WHO Oral Health Goal decided 90% of children must have to be caries free. One of risk factor of ECC in preschooler is mothers behavior. The aim of this research is to provide relationship between mothers behavior toward oral health maintenance and ECC among preschool children of informal education in Andalas Social Health Centre working area East Padang Subdistrict Padang City.This research used cross sectional study design. Samples were preschool children of informal education and respondents were their mothers amount 81 people. Preschoolers underwent a comprehensive dental examination while mothers were investigated used questionnaire that explored knowledge, attitudes, and behavior toward preschool oral health maintenance. Statistic analysis of this research were univariat analysis and bivariat analysis used chi-square test and p<0,05.The result indicates that 79% children suffered from ECC, mothers knowledge of 91,4% in high category, mothers attitudes of 48,1% in negative category, and mothers behavior was in bad category of 43,2% toward oral health maintenance. There is no relationship between mothers behavior toward oral health maintenance and ECC.Suggested to health workers to do preschool children dental screening periodically and give dental health education to mothers who have preschool children so that ECC can be decreased.


2011 ◽  
Vol 05 (01) ◽  
pp. 032-039 ◽  
Author(s):  
Agim Begzati ◽  
Kastriot Meqa ◽  
David Siegenthaler ◽  
Merita Berisha ◽  
Walter Mautsch

ABSTRACTObjectives: The aim of this study was to assess caries prevalence of preschool and school children in Kosovo. Methods: The assessment, which was carried out between 2002 and 2005, included measurements of early childhood caries, deft and DMFT. Results: In total, 1,237 preschool and 2,556 school children were examined. The mean deft of preschool children was 5.9, and the mean DMFT of school children aged 12 was 5.8. The caries prevalence for 2- to 6-year-old preschool children was 91.2%, and the prevalence for 7- to 14-yearold school children was 94.4%. The prevalence of early childhood caries was 17.6%, with a mean deft of 10.6. Conclusions: All data assessed showed the very poor oral health status of children in Kosovo. Interviews with children and teachers indicated poor knowledge regarding oral health. Significant measures must be taken to improve this situation. (Eur J Dent 2011;5:32-39)


BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e044758
Author(s):  
Jian Li ◽  
Kaiqiang Zhang ◽  
Zhenfu Lu

ObjectivesThe present study investigated the prevalence and factors contributing to dental caries in 12–15-year-old adolescents in northeast China to provide information for dental caries promotion programmes.Design, setting and participantsA cross-sectional survey including caries examination and questionnaire was performed in Liaoning province, China. 3731 12–15-year-old school adolescents participated in the survey. School adolescents were randomly selected and received a clinical oral examination and completed questionnaires that assessed their oral health-related behaviours and attitudes.ResultsOverall, 3731 12–15-year-old school adolescents participated in the survey. The prevalence of dental caries in these adolescents was 53.65%, and the mean number of decayed–missing–filled teeth (DMFT) in the adolescents was 1.64±2.38 in northeast China, which was higher than the mean in China as a whole. A remarkable difference in DMFTwas exhibited between age groups, region and gender (p<0.05). Logistic regression analysis showed that age, region, gender and father’ education were related to the occurrence of caries in these adolescents.ConclusionThe 12–15-year-old school adolescents assessed exhibited a high prevalence of dental caries and low awareness of oral health. It is critical to protect permanent teeth, and oral and dental health education and promotion should be more comprehensively integrated into school courses for these adolescents.


2020 ◽  
Vol 9 (6) ◽  
pp. 596-600
Author(s):  
Iorrana Morais de Oliveira ◽  
Lorrayne Oliveira de Paula ◽  
Jordana Resende Martins ◽  
Carla Oliveira Favretto

Introdução: A atenção odontológica é de suma importância para conscientização dos pais sobre a saúde bucal do seu filho desde os primeiros meses de vida, ressaltando informações sobre a higienização bucal, dieta alimentar e hábitos parafuncionais. Objetivos: avaliar o conhecimento de pais e/ou responsáveis de crianças na primeira infância quanto a conduta diária de higienização de seus filhos. Metodologia: foi aplicado um questionário com perguntas objetivas sobre o conhecimento dos hábitos de higiene bucal em relação ao seu filho em cinco creches que atendem crianças de 0-4 anos. Os dados foram tabulados no programa Microsoft Excel ®2016 e os resultados obtidos por uma análise descritiva e quantitativa. Resultados: Dos pais e/ou responsáveis entrevistados, todos relataram saber da importância da dentição decídua e 97% sabiam o que era doença cárie dentária. Quanto a escovação, 98% das crianças fazem diariamente, no entanto apenas 55% dessas crianças os pais auxiliam nessa escovação e somente 34% realizam três vezes ao dia. Todos os entrevistados afirmaram ter ciência da importância da dentição decídua e 50% responderam que a criança deve ir ao dentista pela primeira vez no momento que irrompe o primeiro dente na cavidade bucal. Conclusão: Dessa forma, conclui-se que, o conhecimento dos pais e/ou responsáveis sobre a importância da higienização bucal é fundamental, pois práticas simples de prevenção possibilitam o desenvolvimento da dentição decídua saudável, no entanto essas informações precisam ser passadas aos responsáveis. Descritores: Saúde Bucal; Assistência Odontológica; Higiene Bucal. Referências Lunt RC, Law DB. A review of the chronology of eruption of deciduous teeth. J Am Dent Assoc. 1974;89(4):872-9.  Figueiredo JR. A odontopediatria e suas relações. Rev Racine. 1998;42:22-5. Brasil, Ministério da Saúde, Secretaria de Atenção à Saúde, Departamento de Atenção Básica, Coordenação Nacional de Saúde Bucal. Diretrizes da Política Nacional de Saúde Bucal. Brasília: Ministério da Saúde; 2004. Âlcantara TL, Batista MJ, Gibilini C, Ferreira NP, Sousa MLRRPG. Fatores associados à saúde bucal de pré-escolares inseridos em programa educativo preventivo no município de Piracicaba/SP. RPG Rev Pós Grad. 2011;18:102-9. Faustino Silva DD, Ritter F, Nascimento IM, Fontanive PVN, Persici S, Rossoni E. Cuidados em saúde bucal na primeira infância: percepção e conhecimentos de pais ou responsáveis de crianças em um centro de saúde de porto Alegre,RS. Rev. Odonto Ciênc. 2008;23(4):375-79. Silva CM, Basso DF, Locks A. Alimentação na primeira infância: Abordagem para a promoção da saúde bucal. Rev Sul-Bras Odontol. 2010;7(4):458-65 Navarro MLR, Reyes SS, Araujo MEF, Zavala VHGS. Prevalencia y grado de gingivitis asociada a placa dentobacteriana en niños. Nova Scientia, 2014;6(2):190-218. Bentley E. Dental health. I. Views about preventive dental care for infants. Health Visit. 1994;67(3):88-9. Ripa LW. Nursing caries: a comprehensive review. Pediatr Dent. 1988 Dec;10(4):268-82. Schwarz N. Assessing frequency reports of mundane behaviors: contributions of cognitive psychology to questionnaire construction. In: Hendrick C, Clark MS. Research methods in personality and social psychology. London: Sage Publications; 1990. p. 98-119. Castro LA, Teixeira DLS, Modesto A. A influência do perfil materno na saúde bucal da criança: relato de caso. JBP J bras odontopediatr odontol bebê. 2002;5(23):70-4. Nowak AJ, Warren JJ. Infant oral health and oral habits. Pediatr Clin North Am. 2000;47(5):1043-66, vi.  American Academy of Pediatric Dentistry. Policy on early childhood caries (ECC): classifications, consequences, and preventive strategies. Pediatr Dent. 2006;27(7 Suppl):31-3. Cangussu MCT, Narvai PC, Fernandes RC, Djehizian V. A fluorose dentária no Brasil: uma revisão crítica. Cad Saúde Pública. 2002;18(1):7-15. Warren JJ, Levy SM. A review of fluoride dentifrice related to dental fluorosis. Pediatr Dent. 1999;21(4):265-71.  Batista MDE, Valença AMG. Dentifrícios fluoretados e sua utilização em crianças. Arq Odontol. 2004;40(2):127-37. Peres MA, Latorre MRDO, Sheiham A, Peres KG, Barros FC, Hernandez PG et al. Effects of social and biological factors on dental caries in 6-year-old children: a cross sectional study nested in a birth cohort in Southern Brazil. Rev bras epidemiol. 2003;6(4):293-306. American Academy of Pediatric [homepage na internet]. Chicago: Oral Health Policies: Early Childhood Caries (ECC): Classifications, Consequences, and Preventive Strategies; 1978. Ramos BC, Maia LC. Cárie tipo mamadeira e a importância da promoção de saúde bucal em crianças de 0 a 4 anos. Rev Odontol Univ São Paulo. 1999;13(3):303-11.


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