Prevalence and Treatment Needs for Early Childhood Caries Among 3–5-Year-Old Children From a Rural Community in Uganda

Introduction: Parents of children treated under dental general anaesthesia (DGA) have reported feelings of concern and anxiety. This study elicited the views of parents/carers (P/C) of children with early childhood caries (ECC) who participated in a randomised trial (core study) which tested the effectiveness of care under DGA or care using alternative minimally invasive Atraumatic Restorative Treatment and the Hall Technique approaches (ART/HT).Methods: P/C of children treated using the ART/HT (test) approach or care under a DGA (control) were interviewed. Focus group semi-structured interviews with P/C were undertaken in community facilities. The transcripts were read and inductively coded into domains to identify emergent themes. The codes were entered into NVivo software to assist data management and were further refined into broad themes.Results: Seven grouped interviews with 14 participants were conducted and one test participant provided a written response. Four groups with eight test participants; two groups with four control participants; and one combined group with one test and one control participant were interviewed. Five broad themes emerged after thematic analysis: (1) Impacts on the child and the family; (2) Child-/family-centred care; (3) Timeliness of care; (4) Affordable care; (5) Accessible care. Impacts were related to that of the effects of the disease, and of the care for the disease. Child-centred/family-centred care (CCC) was a source of appreciation by P/C of both groups when it was experienced. Frustration at the lack of timely care of their child's treatment needs, coupled with the perceived expensiveness of care and difficulties in physically getting to the location for a specialist consultation was expressed by P/Cs in the study.Discussion: The use of the ART/HT enabled the establishment of a relationship between the clinical team and the child and P/C which was central to the delivery of CCC. P/Cs in the DGA arm of the study expressed dissatisfaction more often with the issues of timely care, cost of care and accessibility of care. P/C of both groups were equally satisfied with the treatment, where treatment had been received in a timely, child-centred manner.Conclusion: The findings suggest that minimally invasive approaches which facilitated CCC are acceptable alternative options to the DGA and should be considered for the management of ECC.Australian New Zealand Clinical Trials Registry: ACTRN12616001124426.

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Early Childhood Caries in 4- to 5-Year-Old Children in Erzurum, Turkey

Frontiers in Public Health ◽

10.3389/fpubh.2021.725501 ◽

2021 ◽

Vol 9 ◽

Author(s):

Fatih Şengül ◽

Gelengül Urvasızoğlu ◽

Sera Derelioǧlu ◽

Tarek Seddik ◽

Periş Çelikel ◽

...

Keyword(s):

Early Childhood ◽

Oral Health ◽

Early Childhood Caries ◽

Primary Teeth ◽

Negative Impact ◽

Pediatric Dentistry ◽

Treatment Needs ◽

Cross Sectional ◽

Care Index ◽

Childhood Caries

Introduction: Early childhood caries is tooth decay seen in children under 72 months old. It is associated with multiple predisposing factors and has a negative impact on quality of life. In this study, our aim was to assess the oral health conditions and prevalence of early childhood caries (ECC) in children in the city of Erzurum, Turkey.Materials and Methods: This cross-sectional epidemiological study was conducted in Atatürk University, Faculty of Dentistry, Pediatric Dentistry Department/Erzurum-Turkey, in the 2015–2016 academic year. A total of 1,156 children (588 girls and 568 boys), with mean age of 4.9 ± 0.3 years (min 4, max 5) were included in the study. Restorative index (RI), deft, significant caries index (SiC), SiC10, treatment needs, number of lost primary teeth per 100 children, care index, and prevalence of carious primary teeth were evaluated. Data were analyzed by Chi-square test and Mann–Whitney U test (p < 0.05).Results: A total of 73.3% prevalence of ECC was observed in preschool children with a mean deft score of 3.9±4 and an increase in ECC with age. RI was 2.2%, SiC was 8.5, SiC10 was 12.3, caries treatment needs was 93.5%, care index was 2.1%, and number of lost primary teeth per 100 children was 0.9 tooth.Conclusion: High level of ECC indicates the necessity of starting an oral health education program for mothers and dental screening of children, and the demand for improving oral and dental services.

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Influence of a programme for prevention of early childhood caries on early orthodontic treatment needs

Clinical Oral Investigations ◽

10.1007/s00784-020-03295-4 ◽

2020 ◽

Vol 24 (12) ◽

pp. 4313-4324

Author(s):

Yvonne Wagner ◽

I. Knaup ◽

T. J. Knaup ◽

C. Jacobs ◽

M. Wolf

Keyword(s):

Early Childhood ◽

Birth Cohort ◽

Dental Care ◽

Orthodontic Treatment ◽

Tooth Loss ◽

Early Childhood Caries ◽

Deciduous Teeth ◽

Control Group ◽

Treatment Needs ◽

Childhood Caries

Abstract Objectives The aim of this prospective birth cohort study was to evaluate the effect of the programme for prevention (PP) of early childhood caries and the resulting need for orthodontic treatment in 8-year-old German children. Material and methods Children who had been enrolled in a caries-risk-related recall system with continuous dental care starting at the time of birth (prevention group, PG) were compared with children of the same birth cohort whose parents decided not to participate in the programme (control group, CG). All children (n = 289) participating in the last PP evaluation at the age of 5 years were invited again and examined by blinded clinicians. Dental caries was scored using the WHO diagnostic criteria expanded to d1-level without radiography. Impressions were taken of children with premature tooth loss to analyse space conditions. Results Two hundred twenty-seven children (mean age 8.4 ± 0.6 years; 46.7% female) were examined. Children in the PG (n = 127) showed significantly lower caries prevalence and experience (3.1%, 0.4 ± 1.0 d3–4mft) than children in the CG (37.3%, 3.9 ± 3.5 d3–4mft). Orthodontic analysis found a higher prevalence of premature tooth extraction, followed by a greater extent of space loss in the CG (41.0%; 3.3 ± 4.4 mm) vs. PG (7.9%; 0.4 ± 1.9 mm) and an increase in early orthodontic treatment need (KIG P3, IOTN 5). Conclusions The PP was an effective approach for preventing caries-related premature tooth loss in children and conserving relevant arch length. Clinical relevance Children who received continuous dental care starting at the time of birth showed better oral health with less premature loss of deciduous teeth and lower need for orthodontic treatment at the age of 8 years. Trial registration German Clinical Trials Register DRKS00003438, https://drks-neu.uniklinik-freiburg.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00003438

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Prevalence of Early Childhood Caries among Children at Two Community Health Centers in Hawaii

Journal of Dentistry & Oral Disorders ◽

10.26420/jdentoraldisord.2017.1072 ◽

2017 ◽

Vol 3 (5) ◽

Author(s):

Jennifer L. Logigian

Keyword(s):

Early Childhood ◽

Community Health ◽

Community Health Centers ◽

Early Childhood Caries ◽

Health Centers ◽

Childhood Caries

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Prevention and Treatment of Early Childhood Caries (ECC)

Journal Of Medicine & Health ◽

10.28932/jmh.v1i3.525 ◽

2016 ◽

Vol 1 (3) ◽

Author(s):

Jeffrey .

Keyword(s):

Early Childhood ◽

Health Problem ◽

Early Childhood Caries ◽

Health Providers ◽

Missing Teeth ◽

Optimal Basis ◽

Major Health Problem ◽

Major Health ◽

Childhood Caries

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

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