scholarly journals COMPREHENSIVE TREATMENT FOR CHILDREN 6 YEARS OLD WITH EARLY CHILDHOOD CARIES

2021 ◽  
Vol 16 (2) ◽  
pp. 57-66
Author(s):  
Fidya Kemala Putri

Background : Dental caries is still one of the most common problems in Indonesia, not only in adults but also in children. The prevalence of dental caries in Indonesian primary schools is almost 60-80%. Caries is a multifactorial disease caused by host (teeth), microorganism, carbohydrates, and time. Early childhood caries (ECC) is one of the most prevalent diseases in children worldwide. ECC driven by oral microorganism which is mainly caused by sugar rich-foods. In addition, poor oral hygiene and  removal of dental plaque leads to the rapid development of ECC.The goal of this treatment is to prevent malocclusion of the teeth and maintain the growth and development of the child. Case report : A6-year-old girl with ECC and poor oral hygiene is given comperhensive treatment, such as restoration, endodontic treatment, extraction and space management. Conclusion: Comperhensive treatment was successful and both patient and parent were satisfied with the treatment.This can be seen from the plaque control of the child before and after the toothbrush during the visit and the space available for replacement teeth is sufficient. The pre-toothbrush control at the February 2020 visit was 25% and then the toothbrush 19%, which were 75% and 35.5% previously.

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Morenike Oluwatoyin Folayan ◽  
Michael Alade ◽  
Abiola Adeniyi ◽  
Maha El Tantawi ◽  
Tracy L. Finlayson

Abstract Background To determine the association between developmental dental anomalies (DDA), early childhood caries (ECC) and oral hygiene status of 3–5-year-old children resident in Ile-Ife, Nigeria. Methods This was a cross-sectional study. We analyzed data for 3–5-year-olds extracted from the dataset of a household survey collected to determine the association between ECC and maternal psychosocial wellbeing in children 0–5-year-old. The outcome variables for the study were ECC and poor oral hygiene. The explanatory variable was the presence of developmental dental anomalies (supernumerary, supplemental, mesiodens, hypodontia, macrodontia, microdontia, peg-shaped lateral, dens evaginatus, dens invaginatus, talons cusp, fusion/germination, hypoplasia, hypomineralized second molar, fluorosis, amelogenesis imperfecta). The prevalence of each anomaly was determined. Poisson regression analysis was conducted to determine the association between presence of developmental dental anomalies, ECC and oral hygiene status. The model was adjusted for sex, age and socioeconomic status. Results Of the 918 children examined, 75 (8.2%) had developmental dental anomalies, 43 (4.7%) had ECC, and 38 (4.1%) had poor oral hygiene. The most prevalent developmental dental anomalies was enamel hypoplasia (3.9%). Of the 43 children with ECC, 6 (14.0%) had enamel hypoplasia and 3 (7.6%) had hypomineralized second primary molar. There was a significant association between ECC and enamel hypoplasia (p < 0.001) and a borderline association between ECC and hypomineralized second primary molars (p = 0.05). The proportion of children with poor oral hygiene (PR: 2.03; 95% CI: 0.91–4.56; p = 0.09) and ECC (PR: 2.02; 95% CI: 0.92–4.46; p = 0.08) who had developmental dental anomalies was twice that of children with good oral hygiene and without ECC respectively, although the differences did not reach statistical significance. Conclusions Enamel hypoplasia and hypomineralized second primary molars are developmental dental anomalies associated with ECC. developmental dental anomalies also increases the probability of having poor oral hygiene in the population studied.


2020 ◽  
Vol 8 (1) ◽  
pp. 33-41
Author(s):  
Zhafirah Muharani Nasution ◽  
Reni Nofika ◽  
Susi Susi

Dental caries is a disease of hard tissue of the tooth due to bacterial activities that cause loss mineral structure of the tooth. Dental caries that occur in deciduous teeth on children under 71 months is called Early Childhood Caries (ECC). Dental caries is still one of the most common dental and oral health problem experienced by children in the world. Some surveys in Cambodia and Indonesia show that a high prevalence and severity of ECC which was 90% in children aged 3-5 years. Oral hygiene habits were identified as one of the risk factors of caries. Some studies suggest that there is a strong relationship between the behavior of maintaining oral hygiene and the prevalence of dental caries. The purpose of this study is to determine the relationship between oral hygiene habits and early childhood caries on toddler in Padang. This study used cross sectional design. The samples of this study was 107 childrens aged 3-5 years in Padang. The location was selected through stratified random sampling technique and samples was selected through consecutive sampling techniques. Data was collected in Gunung Pangilun village and Piai Tanah Sirah village. Data was collected using a questionaires and intraoral examination. Data was analyzed by Chi-Square with p<0,05. The result of this study that there was a significant relationship between oral hygiene habits and ECC on toddler in Padang (p=0,008). The conclusion of this study was that oral hygiene habits is associated with early childhood caries on toddler in Padang.


2019 ◽  
Author(s):  
Morenike Oluwatoyin Folayan ◽  
Michael Alade ◽  
Abiola Adeniyi ◽  
Maha El Tantawi ◽  
Tracy L Finlayson

Abstract Objectives To determine the association between developmental dental anomalies (DDA), early childhood caries (ECC) and oral hygiene status of 3-5-year-old children resident in Ile-Ife, Nigeria.Methods We analyzed a household survey and clinical examination data collected to determine the association between ECC and maternal psychosocial wellbeing. The outcome variables for the study were ECC and poor oral hygiene. The explanatory variable was the presence of developmental dental anomalies (supernumerary, supplemental, mesiodnes, hypodontial, macrodontial, microdontia, peg-shaped lateral, dens evaginatus, dens invaginatus, talons cusp, fusion/germination, hypoplasia, hypomineralized second molar, fluorosis, amelogenesis imperfecta). The prevalence of each anomaly was determined. Poisson regression analysis was conducted to determine the association between presence of developmental dental anomalies, ECC and oral hygiene status. The model was adjusted for sex, age and socioeconomic status.Results Of the 918 children examined, 75 (8.2%) had DDA, 43 (4.7%) had ECC, and 38 (4.1%) had poor oral hygiene. The most prevalent DDA was enamel hypoplasia (3.9%). Of the 43 children with ECC, 6 (14.0%) had enamel hypoplasia and 3 (7.6%) had hypomineralized second primary molar. There was a significant association between ECC and enamel hypoplasia (p<0.001) and a borderline association between ECC and hypomineralized second primary molars (p=0.05). The proportion of children with poor oral hygiene (PR: 2.03; 95% CI: 0.91-4.56; p=0.09) and ECC (PR: 2.02; 95% CI: 0.92-4.46; p=0.08) who had DDA was twice that of children with good oral hygiene and without ECC respectively, although the differences did not reach statistical significance.Conclusion For a population with a high prevalence of enamel hypoplasia and hypomineralized second primary molars, screening for these dental anomalies may be a strategic public health response to reduce the risk of children for ECC.


2019 ◽  
Vol 82 (1) ◽  
pp. 79-90
Author(s):  
Anna Turska-Szybka ◽  
Urszula Kaczmarek ◽  
Dariusz Gozdowski ◽  
Jacek Tomczyk ◽  
Dorota Olczak-Kowalczyk

Abstract The prevalence of early childhood caries and its level varies. The present study was to establish the trends in dental caries and the impact of behavioural changes on the prevalence of caries in three-yearolds in Poland within a fifteen-year period. The results of a cross sectional survey carried out on 3439 three-year-olds in 2002, 2009, and 2017 using WHO criteria for dental caries (dmft, dmft=0, dmft≥4) and the results of a questionnaire filled by their parents with data on sociodemographics, oral hygiene and dietary habits, especially their sugar intake, were assessed. The dmft/dmfs index is applied to the primary dentition and is expressed as the total number of teeth/surfaces that are decayed, missing, or filled. The Cochran-Armitage test for trend was used to assess the fraction changes in time. The Pearson correlation coefficient was used to assess the changes in dmft trends and the correlations between behavioural changes, awareness levels, and the prevalence of caries. Within the fifteen-year period minimal changes in the prevalence of early childhood caries (15% down), dmft≥4 (11.4% down) and a lower dmft (36% down) were accompanied by a better parent awareness about the causes of caries and better oral hygiene routines. Sugary beverages were no longer drank at least once a day, however sweetened milk, cake, doughnuts, and sweet rolls were consumed more often. Being female, living in an urban area, having parents more aware about caries, consuming sugary beverages less frequently, brushing teeth twice a day, and using a fluoride toothpaste promoted lower early childhood caries. Gradually healthier teeth are linked to an increased awareness of the parents and healthier routines. A too frequent exposure to sugar promotes early childhood caries. Should the changes of dietary habits be insufficient, brushing teeth with fluoride toothpaste becomes crucial.


2019 ◽  
Author(s):  
Morenike Oluwatoyin Folayan ◽  
Michael Alade ◽  
Abiola Adeniyi ◽  
Maha El Tantawi ◽  
Tracy L Finlayson

Abstract Background: To determine the association between developmental dental anomalies (DDA), early childhood caries (ECC) and oral hygiene status of 3-5-year-old children resident in Ile-Ife, Nigeria. Methods: This was a cross-sectional study. We analyzed data for 3-5-year-olds extracted from the dataset of a household survey collected to determine the association between ECC and maternal psychosocial wellbeing in children 0-5-year-olds. The outcome variables for the study were ECC and poor oral hygiene. The explanatory variable was the presence of developmental dental anomalies (supernumerary, supplemental, mesiodens, hypodontia, macrodontia, microdontia, peg-shaped lateral, dens evaginatus, dens invaginatus, talons cusp, fusion/germination, hypoplasia, hypomineralized second molar, fluorosis, amelogenesis imperfecta). The prevalence of each anomaly was determined. Poisson regression analysis was conducted to determine the association between presence of developmental dental anomalies, ECC and oral hygiene status. The model was adjusted for sex, age and socioeconomic status. Results: Of the 918 children examined, 75 (8.2%) had DDA, 43 (4.7%) had ECC, and 38 (4.1%) had poor oral hygiene. The most prevalent DDA was enamel hypoplasia (3.9%). Of the 43 children with ECC, 6 (14.0%) had enamel hypoplasia and 3 (7.6%) had hypomineralized second primary molar. There was a significant association between ECC and enamel hypoplasia (p<0.001) and a borderline association between ECC and hypomineralized second primary molars (p=0.05). The proportion of children with poor oral hygiene (PR: 2.03; 95% CI: 0.91-4.56; p=0.09) and ECC (PR: 2.02; 95% CI: 0.92-4.46; p=0.08) who had DDA was twice that of children with good oral hygiene and without ECC respectively, although the differences did not reach statistical significance.


2021 ◽  
Vol 5 (2) ◽  
pp. 61-65
Author(s):  
Dharli SYAFRİZA

Various factors were believed to play an important role and were closely related to the risk of Early Childhood Caries (ECC), including daily oral hygiene behavior. Oral hygiene of children under 2 years is very dependent on their parents, especially mothers or caregivers. This study revealed the prevalence of ECC and its related to children's oral hygiene behavior after 9 months of observation. A total of 60 caries-free children (deft= 0) under two y.o were observed for 9 months. Without prior dental education regarding oral health care, all subjects were observed for their oral hygiene behavior. The questionnaires were given at the beginning and at the end of the observation and recording the final deft score. After 9 months later, from 60 caries-free children, 19 (31.6%) study subjects were exposed to ECC with a deft average score of 2+2. Oral hygiene behavior related to ECC prevalence in this study (p0.05). In conclusion, the prevalence of ECC was related to poor oral hygiene behavior


2019 ◽  
Author(s):  
Morenike Oluwatoyin Folayan ◽  
Michael Alade ◽  
Abiola Adeniyi ◽  
Maha El Tantawi ◽  
Tracy L Finlayson

Abstract Objectives: To determine the association between developmental dental anomalies (DDA), early childhood caries (ECC) and oral hygiene status of 3-5-year-old children resident in Ile-Ife, Nigeria. Methods: This was a cross-sectional study. We analyzed data for 3-5-year-olds extracted from the dataset of a household survey collected to determine the association between ECC and maternal psychosocial wellbeing in children 0-5-year-olds. The outcome variables for the study were ECC and poor oral hygiene. The explanatory variable was the presence of developmental dental anomalies (supernumerary, supplemental, mesiodens, hypodontia, macrodontia, microdontia, peg-shaped lateral, dens evaginatus, dens invaginatus, talons cusp, fusion/germination, hypoplasia, hypomineralized second molar, fluorosis, amelogenesis imperfecta). The prevalence of each anomaly was determined. Poisson regression analysis was conducted to determine the association between presence of developmental dental anomalies, ECC and oral hygiene status. The model was adjusted for sex, age and socioeconomic status. Results: Of the 918 children examined, 75 (8.2%) had DDA, 43 (4.7%) had ECC, and 38 (4.1%) had poor oral hygiene. The most prevalent DDA was enamel hypoplasia (3.9%). Of the 43 children with ECC, 6 (14.0%) had enamel hypoplasia and 3 (7.6%) had hypomineralized second primary molar. There was a significant association between ECC and enamel hypoplasia (p<0.001) and a borderline association between ECC and hypomineralized second primary molars (p=0.05). The proportion of children with poor oral hygiene (PR: 2.03; 95% CI: 0.91-4.56; p=0.09) and ECC (PR: 2.02; 95% CI: 0.92-4.46; p=0.08) who had DDA was twice that of children with good oral hygiene and without ECC respectively, although the differences did not reach statistical significance. Conclusion. Enamel hypoplasia and hypomineralized second primary molars are DDA associated with ECC. DDA also increases the probability of having poor oral hygiene in the population studied.


2021 ◽  
pp. 238008442110021
Author(s):  
O.O. Olatosi ◽  
A.A. Alade ◽  
T. Naicker ◽  
T. Busch ◽  
A. Oyapero ◽  
...  

Introduction: Malnutrition in children is one of the most prevalent global health challenges, and malnourished children have a higher risk of death from childhood diseases. Early childhood caries (ECC) is the most common chronic disease of childhood. Complications from ECC such as pain, loss of tooth/teeth, and infection can undermine a child’s nutrition and growth. Aim: This study aims to evaluate the severity of decay, missing, and filled tooth (dmft) by nutritional status using the z scores of the anthropometric measurements: height for age (HFA), weight for age (WFA), weight for height (WFH), and body mass index for age (BMIA) among children with ECC in Nigeria. Study Design: This is a cross-sectional study conducted in 5 local government areas (LGAs) in Lagos State, Nigeria. A multistage sampling technique was used. Results: A total of 273 cases of ECC were included in the analyses (mean age 4.19 ± 0.96 y). Overall, the mean dmft was 3.04 ± 2.28, and most (96%) were accounted for by untreated decay. The distribution of dmft within the different z score categories of BMIA (<–3 = severely wasted, –2 to –3 = wasted, –2 to +2 = normal, +2 to +3 = overweight and >+3 = obese) showed the highest dmft scores among the combined severely wasted and wasted groups, lowest among children with normal z scores, and intermediate in the overweight and obese groups. There was a significant negative correlation between BMIA z score, WFH z score, and dmft ( r = −0.181, P < 0.05 and r = −0.143, P < 0.05, respectively). However, the correlations between HFA z score, WFA z score, and dmft were positive but not significant ( r = 0.048, P = 0.44 and r = 0.022, P = 0.77, respectively). Conclusion: Our study showed an increased severity of dental caries among severely wasted or wasted children with ECC compared to those of normal or overweight. Knowledge Transfer Statement: The results from this study will raise awareness among clinicians and policy makers on the need for a primary prevention program for early childhood caries in countries with high burden of malnutrition and limited resources. Also, it will help draw the attention of clinicians to the caries status of malnourished children that can be managed to improve the nutritional outcomes.


2019 ◽  
Vol 43 (4) ◽  
pp. 252-256 ◽  
Author(s):  
Priya Subramaniam ◽  
Revathy Suresh

Objective: Dental caries is both an infectious and transmissible disease. Maternal transfer of Mutans Streptococci occurs at an early age and is important in the initiation of dental caries in children. The aim of this study was to identify certain strains of Streptococcus mutans in mother-child pairs, of children with early childhood caries. Study design: Sixty mother-child pairs of healthy children aged 18–36 months were selected. Mothers with high levels of Streptococcus mutans in their saliva and only children with ECC were included. Dental plaque samples were collected from mother-child pairs. The plaque samples were stored, transferred to the laboratory and analyzed for Streptococcus mutans strains c, f, e and k, present in mother-child pairs using Real time Polymerase Chain Reaction (PCR) technique. Data obtained was subjected to statistical analysis for level of similarity in Streptococcus mutans strains present in mother-child pairs. Results: A similar distribution of Streptococcus mutans strains c, f and k was identified in 28 mother-child pairs. Streptococcus mutans strain e was seen in 18 pairs. Conclusion: Less than 50% of mother-child pairs showed similarity in distribution of Streptococcus mutans strains.


Sign in / Sign up

Export Citation Format

Share Document