Molar Incisor Hypomineralization: Prevalence and Risk Factors Among 7-9 Years Old School Children in Muradnagar, Ghaziabad

Background: The aim of this school-based, cross-sectional survey was to investigate the prevalence and risk factors of permanent Molar Incisor Hypomineralization among 7-9 years old school children in Muradnagar. Methods: This cross-sectional study was performed among 7-9 years old school children in Muradnagar. Estimated sample size was 992 in this study. Multistage cluster sampling technique was used in this study in which schools were the clusters which were selected randomly. The study proforma was divided into 2 parts, first part comprised of demographic status, socio-economic status, questionnaires on risk factors of Molar Incisor Hypomineralisation such as prenatal, perinatal and postnal history upto 3 years, feeding pattern, fluoride and other pollutants exposure history, dental history, history of trauma to teeth/face, family history of enamel defects which was asked to the mothers and filled by one examiner in a face to face interview. The second part comprised of recording format of clinical variables assessed by investigator to be recorded by the recording clerk. Molar incisor hypomineralisation were recorded using Modified Developmental Defect of Enamel index developed by Clarkson J.J. and O’ Mullane D.M. in 1989 and dental caries by using Decayed Missing Filled Tooth index (World Health Organization Modification 1997) in which WHO probe was used for examination of dental caries as recommended by WHO in the Oral Health Surveys, Fourth edition; 1997 (Spanish version). Before 1997 modification dental explorer was used for the examination of dental caries. Chi square test, Pearson’s Correlation test, Logistic Regression Analysis and Unpaired t-test were used for analysing the data. Results: The overall prevalence rate of Molar incisor hypomineralisation was 21.4% in this study. Age, problems during pregnancy, normal delivery and childhood illness/ infections are the risk factors which have highest strength of association. Conclusion: In the present study Molar incisor hypomineralisation was found to affect 2 out of every 10 children examined which was higher than that observed in other studies on Indian children.

Download Full-text

Incidence and Risk Factors for Severe Dehydration in Hospitalized Children in Ujjain, India

10.20944/preprints201912.0205.v2 ◽

2020 ◽

Author(s):

Abhishek Sharma ◽

Aditya Mathur ◽

Cecilia Stålsby Lundborg ◽

Ashish Pathak

Keyword(s):

Risk Factors ◽

Tertiary Care ◽

World Health ◽

Respiratory Pattern ◽

Care Hospital ◽

Severe Dehydration ◽

Cross Sectional ◽

Oral Rehydration ◽

History Of ◽

Independent Risk Factors

Diarrhoea contributes significantly in the under-five childhood morality and mortality worldwide. This cross-sectional study was carried out in a tertiary care hospital in Ujjain, India from July 2015 to June 2016. Consecutive children aged 1 month to 12 years having “some dehydration” and “dehydration” according to World Health Organization classification were eligible to be included in the study. Other signs and symptoms used to assess severe dehydration were capillary refill time, urine output, and abnormal respiratory pattern. A questionnaire was administered to identify risk factors for severe dehydration, which was the primary outcome. Multivariate logistic regression modeling was used to detect independent risk factors for severe dehydration. The study included 332 children, with mean ± standard deviation age of 25.62 ± 31.85 months; out of which, 70%(95% confidence interval [CI] 65 to 75) were diagnosed to have severe dehydration. The independent risk factors for severe dehydration were: child not exclusive breast fed in the first six months of life (AOR 5.67, 95%CI 2.51 to 12.78; p<0.001), history of not receiving oral rehydration solution before hospitalization (AOR 1.34, 95%CI 1.01 to 1.78; p=0.038), history of not receiving oral zinc before hospitalization (AOR 2.66, 95%CI 1.68 to 4.21; p<0.001) and living in overcrowded conditions (AOR 5.52, 95%CI 2.19 to 13.93; p<0.001). The study identified many risk factors associated with severe childhood dehydration; many of them are modifiable though known and effective public health interventions.

Download Full-text

Prevalence of Molar Incisors Hypomineralisation (MIH) in primary school children

Padjadjaran Journal of Dentistry ◽

10.24198/pjd.vol31no2.18995 ◽

2019 ◽

Vol 31 (2) ◽

pp. 79

Author(s):

Yenni Hendriani Praptiwi ◽

Natanael Dwi Prayitno ◽

Susi Sukmasari

Keyword(s):

Primary School ◽

School Children ◽

Tooth Development ◽

Cross Sectional Study ◽

Primary School Children ◽

Molar Incisor Hypomineralisation ◽

Cross Sectional ◽

Enamel Defect ◽

Status Assessment ◽

Incisor Hypomineralisation

Introduction: Molar Incisor Hypomineralisation (MIH) is an enamel defect with white, yellow or black colour due to minerals insufficient during tooth development. The abnormality of prismatic enamel structures and tooth hypersensitivity on patients with MIH may disturb the success rate of restoration. The objective of this research was to determine the prevalence of MIH in primary school children. Methods: A cross-sectional study with purposive sampling on 619 primary school children at Pasteur Urban Village of Bandung City, Indonesia. All dentition were scored using the European Association of Paediatric Dentist (EAPD) MIH scoring sheet, and oral hygiene status assessment with simplified OHI. All data were descriptively described using distribution table. Results: Distribution of MIH on total of 619 children were scored as follows: 0,1,1a, 2, 2a, 3, 4, 5, 6, 7, 8, 9,10 (0 = free enamel defect; 6, 7, and 8 = alteration to non MIH; 1 -5 and 9 -10 = MIH) with frequencies 417(67.36%), 39(6.30%), 60(.65%), 13(2.10%), 0(0.00%), 7(1.13%), 0(0.00%), 4(0.65%), 0(0.00%), 26(4.20%), 58(9.36%), 0(0.00%), and 49(7.91%) respectively. Conclusion: Prevalence of children with MIH in primary school is quite high (19% (118 out of 619 participants)). The highest prevalence is found at the 11 years old group with 49 participants (36.84%), while the prevalence in boys (83 (62.4%)) is found to be higher than girls (50 (37.59%)).Keywords: Prevalence, Molar Incisor Hypomineralisation (MIH), primary school children

Download Full-text

Dental Caries Experience in 6-13 Years Old School Children of Dharan Sub-Metropolitan City, Nepal: A Cross-Sectional Study

Journal of Nepalese Association of Pediatric Dentistry ◽

10.3126/jnapd.v2i1.41559 ◽

2021 ◽

Vol 2 (1) ◽

pp. 12-18

Author(s):

Bhawana Sigdel Bastola ◽

Bandana Koirala ◽

Mamta Dali ◽

Sneha Shrestha ◽

Dharanidhar Baral

Keyword(s):

Risk Factors ◽

Oral Health ◽

Dental Caries ◽

School Children ◽

Cross Sectional Study ◽

Primary Dentition ◽

Caries Experience ◽

Sectional Study ◽

Cross Sectional ◽

Associated Risk Factors

Introduction: Dental caries though preventable oral health problem is affecting school children worldwide and around 50% of Nepalese children are suffering from it. Baseline data with good understanding of dental caries and associated risk factors are necessary to form preventive strategies for setting and achieving oral health goals. Objective: This study was conducted to determine dental caries experience and associated risk factors among school-going children of 6-13 years old in Dharan sub-metropolitan city, Nepal. Methods: A cross-sectional study was conducted from 5th Jan 2018 to 4th Jan 2019 among 680 school children selected by multistage cluster sampling method. Pretested, standardized, closed-ended questionnaire answered by the parents was used to gather information regarding the associated risk factors. Dental caries experience was obtained from deft/DMFT (WHO modification 1997). Comparison of categorical data was done using Chi-square test. Multivariable binary logistic regressions were used for the statistical analysis. Results: The overall caries prevalence was 61.6%, in primary dentition it was 48.25% and in permanent dentition it was 34.4%. Dental caries experience was with mean deft 4.67 (±2.7) in primary dentition and mean DMFT 1.72 (±1.05).in permanent dentition. Multivariate analysis showed significant association between dental caries experience and grade three and grade four school children had experienced greater caries (p<0.05, OR =2.7). Dental caries was associated with eating sweets at night (p<0.001, OR=2.5) and snacking in-between meals (p<0.001, OR=2.5). Conclusions: Dental caries among school-children in Dharan showed a significant burden especially within the primary dentition. It was significantly associated with factors like feeding habits -eating sweets in a day, eating sweets at night and snaking in between meals

Download Full-text

Prevalence and Determinants of Soil-Transmitted Helminthic Infections among School Children at Goro Primary School, South West Shewa, Ethiopia

International Journal of Pediatrics ◽

10.1155/2020/8612054 ◽

2020 ◽

Vol 2020 ◽

pp. 1-7

Author(s):

Tigist Tiruneh ◽

Geleta Geshere ◽

Tsige Ketema

Keyword(s):

Risk Factors ◽

Primary School ◽

School Children ◽

World Health ◽

Personal Hygiene ◽

Parasitic Nematodes ◽

Risk Area ◽

Cross Sectional ◽

Helminth Infections ◽

Stool Samples

Background. Soil-transmitted helminths (STH)/geohelminths are human parasitic nematodes which need soil contact for their egg development and become infectious. It is widely prevalent in developing countries. In Ethiopia, too, the same problem exists although the prevalence varies from place to place depending on the presence of risk factors and hygienic status of the community. Therefore, the current study is designed to assess the prevalence and determinants of STH among school children at Goro Primary School of Southwest Ethiopia. Methods. A cross-sectional study design was employed from April to June 2019. The stool samples were collected in prelabeled, clean, and leak-proof stool cups and examined immediately. Direct wet mount and formalin ether concentration techniques were utilized to detect the STHs in a stool sample collected from all study subjects. A total of 387 stool samples were analyzed. Moreover, community- and individual-level risk factors associated with STH infection were assessed using semistructured questionnaire. Results. The overall prevalence of soil-transmitted helminth infections observed at the study area was 15.8% (n=61/387). Among these, the most abundant STH parasite was hookworms (n=39/61, 63.93%) followed by Ascaris lumbricoides (n=22/61, 36.06%). Factors independently associated with soil-transmitted helminth infections were children from illiterate mother (AOR=2.3, 95% CI: 1.1-4.8, P=0.021), lack of habit of wearing shoes (AOR=4.1, 95% CI: 2.0-8.5, P<0.001), lack of frequent handwashing practice before meal (AOR=2.3, 95% CI: 1.2-4.5, P=0.019), use of unprotected drinking water (AOR=39, CI:3.9-393, P=0.002), and presence of dirt in their fingernails (AOR=3.5, 95% CI: 1.8-6.9, P<0.001). Conclusions. STH infection observed in the study area could be classified into the low-risk area group (according to the World Health Organization classification) calling for none or case-by-case treatment. Thus, enhancing awareness of the community in the study area on how to keep personal hygiene and environmental sanitation is quite important to keep the burden to a controllable level, besides implementation of regular deworming program in the locality.

Download Full-text

Prevalence and Risk Factors for Subclinical Rheumatic Heart Disease Among Primary School Children in Dar es Salaam, Tanzania: A Community Based Cross-Sectional Study.

10.21203/rs.3.rs-197941/v1 ◽

2021 ◽

Author(s):

Parvina Kazahura ◽

Theophylly L. Mushi ◽

Pedro Pallangyo ◽

Mohamed Janabi ◽

Rodrick Kisenge ◽

...

Keyword(s):

Risk Factors ◽

Heart Disease ◽

Primary School ◽

School Children ◽

Dar Es Salaam ◽

Primary School Children ◽

Community Based ◽

Cross Sectional ◽

History Of ◽

Rheumatic Heart

Abstract Background: Rheumatic heart disease (RHD) is the most common acquired heart disease occurring in children and adolescents. RHD is associated with significant morbidity and mortality particularly in low and middle- income countries (LMICs) where the burden is estimated to be higher compared to high income countries. Subclinical RHD is the presence of valvular lesion diagnosed by echocardiography in a person with no clinical manifestation of RHD. This study aimed at determining the prevalence, types and factors associated with subclinical RHD among primary school children in Dar Es Salaam, Tanzania.Methods: We conducted a cross-sectional, descriptive community-based study which recruited primary school children from February to May 2019. A standardized structured questionnaire was used to collect demographic data and information related to prior history of upper respiratory tract infections (URTIs). Anthropometric measurements were taken and chest auscultation and echocardiographic screening were done to all study participants. World Heart Federation echocardiographic classification was used to define the types and prevalence of subclinical RHD. Results: A total of 949 primary school children were enrolled with females being predominant (57.1%). The prevalence of subclinical RHD was 34 per 1000. All the participants had mitral valve disease only whereby 17 had definite disease and 15 had a borderline disease. The associated factors for subclinical RHD were older age of more than 9 years (OR 10.8, 95% CI 1.4-82.2, P=0.02) having three or more episodes of URTI in previous six months (OR 21, 95% CI 9.6-46, P=0.00) and poor hygiene (OR 3, 95% CI 1.3-6.8, P=0.009) Conclusion: Subclinical RHD as detected by echocardiographic screening is prevalent in primary school children, uniformly affects the mitral valve, and is associated with potentially modifiable risk factors. Children with a history of more than three episodes of URTI in six months may represent a particularly high-risk population that should be targeted for RHD.

Download Full-text

Hubungan Faktor Risiko Karies Gigi dengan Status Karies Gigi pada Anak Usia Dini (Studi pada TK Pelita Takwa, Pondok Betung, Tangerang Selatan)

e-GIGI ◽

10.35790/eg.v9i2.35013 ◽

2021 ◽

Vol 9 (2) ◽

pp. 266

Author(s):

Yufitri Mayasari

Keyword(s):

Risk Factors ◽

Early Childhood ◽

Preschool Children ◽

Dental Caries ◽

School Children ◽

Tooth Surface ◽

Caries Risk ◽

Chi Square ◽

Cross Sectional ◽

The Relationship

Abstract: Basic health research of Indonesia in 2018 showed that early childhood caries affected 93% of children. Early dental caries risk assessment using a dental caries risk simulator could be used to determine the appropriate program to prevent dental caries. This study was aimed to analyze the relationship between risk factors and dental caries status in early childhood. This was an analytical study with a cross sectional design using total sampling method. There were 51 preschool children at Taman Kanak Kanak (kindergaten school) Pelita Takwa, Pondok Betung, South Tangerang as samples. Dental caries was assessed by using the def-t index and dental caries risks were assessed by using the Irene's donut program. Interactive interviews with parents were conducted to determine the risk factors for dental caries among the students. The results showed that the prevalence of dental caries was 84.3% and the mean def-t was 5.35. The chi-square test was carried out to determine the relationship between dental caries status and risk factors. The result was not significant for three questions related to the factors, as follows: the child's tooth surface had white spots, the acidity level of the child's teeth was below pH 6.5, and the mother's age was 36 years old. Albeit, twelve other risk factors were shown to be associated with dental caries status. In conclusion, the prevalence of dental caries in preschool children was still high. Risk factors related to the dental caries status among pre-school children can be used as educational materials targeting pre-school children and their parents.Keywords: caries risk; dental caries; preschool children Abstrak: Riset Kesehatan Dasar Indonesia tahun 2018 menunjukkan bahwa 93% anak usia dini mengalami karies gigi. Penilaian risiko karies gigi sejak dini menggunakan simulator risiko karies gigi dapat menjadi salah satu cara untuk menentukan program yang tepat dalam mencegah terjadinya karies gigi. Penelitian ini bertujuan untuk menganalisis hubungan faktor risiko dengan status karies gigi pada anak usia dini. Jenis penelitian ialah analitik dengan desain potong lintang menggunakan metode total sampling. Sampel yang diperoleh sebanyak 51 anak usia dini di sekolah Taman Kanak-Kanak Pelita Takwa, Pondok Betung, Tangerang Selatan. Karies gigi dinilai menggunakan indeks def-t dan risiko karies subjek dinilai menggunakan program Irene’s donut. Wawancara interaktif dengan orang tua dilakukan untuk mengetahui faktor risiko terjadinya karies gigi pada pasien tersebut. Hasil penelitian mendapatkan prevalensi karies gigi sebesar 84,3% dengan rerata def-t 5,35. Uji chi-square terhadap hubungan status karies gigi dengan faktor risiko mendapatkan hasil tidak bermakna pada tiga pertanyaan terkait faktor permukaan gigi anak ada bercak putih, tingkat keasaman kuman gigi anak di bawah pH 6,5, dan usia ibu 36 tahun ke atas. Dua belas faktor risiko lainnya terbukti memiliki hubungan dengan status karies gigi. Simpulan penelitian ini ialah prevalensi karies gigi pada anak prasekolah masih tinggi. Faktor-faktor risiko yang terbukti memiliki hubungan dengan status karies gigi anak dapat dijadikan materi edukasi dengan sasaran anak pra sekolah serta orang tuanya.Kata kunci: risiko karies; karies gigi; anak usia pra sekolah

Download Full-text

Prevalence of Molar Incisor Hypomineralization and its Relation with Dental Caries in School Children of Udupi District, South India

World Journal of Dentistry ◽

10.5005/jp-journals-10015-1330 ◽

2015 ◽

Vol 6 (3) ◽

pp. 143-146 ◽

Cited By ~ 2

Author(s):

Kalyana Chakravarthy Pentapati ◽

Shashidhar Acharya ◽

Abhinav N Tadikonda

Keyword(s):

Dental Caries ◽

School Children ◽

South India ◽

Pediatric Dentistry ◽

World Health ◽

Significant Positive Association ◽

Molar Incisor Hypomineralization ◽

Permanent Molars ◽

The Mean ◽

First Permanent Molars

ABSTRACT Aim To evaluate the prevalence of molar incisor hypomineralization (MIH) and its relationship with dental caries in school children of Udupi district. Materials and methods A total of 352 school children were recruited for this study. The European Academy of Pediatric Dentistry (EAPD) 2003, criteria were followed for diagnosis of MIH. Dental caries was recorded using World Health Organization (WHO) guidelines (1997) under natural day light. Results The prevalence of MIH was seen to be 27% (n = 95). A total of 323 teeth had hypomineralization (106 were incisors and 217 were molars). The lower molars (n = 127) were more frequently affected than the upper molars (n = 90). Overall the maxillary incisors (n = 68) were more affected than the mandibular incisors (n = 38). Amongst the children with MIH, the mean number of decayed teeth was significantly lower than mean number of hypomineralized teeth in first permanent molars and first permanent molars and incisors (p < 0.001 and < 0.001) respectively. The mean decayed teeth in first permanent molar and incisors were significantly higher in subjects with MIH than without MIH (p < 0.001). Poisson regression analysis showed a significant positive association between MIH and dental caries (B = 1.43; p < 0.001). Conclusion The prevalence of MIH was relatively high and was associated with dental caries. How to cite this article Tadikonda AN, Acharya S, Pentapati KC. Prevalence of Molar Incisor Hypomineralization and its Relation with Dental Caries in School Children of Udupi District, South India. World J Dent 2015;6(3):143-146.

Download Full-text

Incidence Risk Factors for Severe Dehydration in Hospitalized Children in Ujjain, India

10.20944/preprints201912.0205.v1 ◽

2019 ◽

Author(s):

Abhishek Sharma ◽

Aditya Mathur ◽

Cecilia Stålsby Lundborg ◽

Ashish Pathak

Keyword(s):

Risk Factors ◽

Tertiary Care ◽

World Health ◽

Respiratory Pattern ◽

Care Hospital ◽

Severe Dehydration ◽

Cross Sectional ◽

Oral Rehydration ◽

History Of ◽

Independent Risk Factors

Download Full-text

Prevalence and Risk Factors for Diabetes Mellitus in A State in South East Nigeria: Results of a Population Based House to House Survey

Current Diabetes Reviews ◽

10.2174/1573399815666190619142708 ◽

2020 ◽

Vol 16 (2) ◽

pp. 181-187

Author(s):

Ignatius U. Ezeani ◽

Innocent I. Chukwuonye ◽

Ugochukwu U. Onyeonoro ◽

Abali Chuku ◽

Okechukwu S. Ogah

Keyword(s):

Diabetes Mellitus ◽

Risk Factors ◽

Family History ◽

Positive Family History ◽

Population Based ◽

World Health ◽

Chi Square ◽

Cross Sectional ◽

History Of ◽

Health Organization

Background: Population based studies on diabetes mellitus (DM) are scarce in Nigeria. Introduction: This was a population-based house to house survey aimed at determining the prevalence of DM and assessing the risk factors associated with DM in a state in Southeast Nigeria. Methods: This was a cross-sectional observational study in which 1680 adults were recruited using a multistage sampling method to randomly select not more than two suitable participants of both sex in each household from four enumeration areas (EAs) in each local government area (LGA) and the three senatorial zones in the state. A modified World Health Organization (WHO) Stepwise Approach to Surveillance questionnaire was used for data collection and random blood glucose (RBG) was measured after anthropometric assessment. Test statistics used were chi-square, t-test, and logistic regression. Results: The overall prevalence of DM in this study was 3.3%. A positive family history of DM was significantly higher in patients with diabetes: 18.2% vs. 9.6% (p=0.036). The mean (SD) of weight, body mass index (BMI), hip circumference (HC) and waist circumference (WC) were significantly higher in patients with DM(p=0.001,<0.001,<0.001,<0.001, respectively).The odd ratio (95% CI) of a person>35years developing DM was 3.89(1.11-13.60). The OR (95% CI) for waist-hip ratio (WHR) was 3.04 (1.02-9.03) and family history of DM had an OR of 2.62(0.88-6.50). The odd of developing DM is positively associated with age>35years, increased WHR, WC, family history of DM, BMI>25Kg/m2, and HC. The odd of developing DM was negatively associated with smoking. Conclusion: The prevalence of DM in this study was 3.3%. A BMI>25 kg/m2, WHR >0.85, family history of DM, HC, and older age were associated with significantly higher prevalence.

Download Full-text

Incidence and Risk Factors for Severe Dehydration in Hospitalized Children in Ujjain, India

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17020616 ◽

2020 ◽

Vol 17 (2) ◽

pp. 616

Author(s):

Abhishek Sharma ◽

Aditya Mathur ◽

Cecilia Stålsby Lundborg ◽

Ashish Pathak

Keyword(s):

Risk Factors ◽

Tertiary Care ◽

World Health ◽

Respiratory Pattern ◽

Care Hospital ◽

Severe Dehydration ◽

Cross Sectional ◽

Oral Rehydration ◽

History Of ◽

Independent Risk Factors

Diarrhoea contributes significantly to the under-five childhood morbidity and mortality worldwide. This cross-sectional study was carried out in a tertiary care hospital in Ujjain, India from July 2015 to June 2016. Consecutive children aged 1 month to 12 years having “some dehydration” and “dehydration” according to World Health Organization classification were eligible to be included in the study. Other signs and symptoms used to assess severe dehydration were capillary refill time, urine output, and abnormal respiratory pattern. A questionnaire was administered to identify risk factors for severe dehydration, which was the primary outcome. Multivariate logistic regression modeling was used to detect independent risk factors for severe dehydration. The study included 332 children, with mean ± standard deviation age of 25.62 ± 31.85 months; out of which, 70% (95% confidence interval [CI] 65 to 75) were diagnosed to have severe dehydration. The independent risk factors for severe dehydration were: child not exclusive breastfed in the first six months of life (AOR 5.67, 95%CI 2.51 to 12.78; p < 0.001), history of not receiving oral rehydration solution before hospitalization (AOR 1.34, 95%CI 1.01 to 1.78; p = 0.038), history of not receiving oral zinc before hospitalization (AOR 2.66, 95%CI 1.68 to 4.21; p < 0.001) and living in overcrowded conditions (AOR 5.52, 95%CI 2.19 to 13.93; p < 0.001). The study identified many risk factors associated with severe childhood dehydration; many of them are modifiable though known and effective public health interventions.

Download Full-text