scholarly journals Strategic Management of Early Childhood Caries in Thailand: A Critical Overview

2021 ◽  
Vol 9 ◽  
Author(s):  
Thanya Sitthisettapong ◽  
Parinda Tasanarong ◽  
Prathip Phantumvanit
Keyword(s):  
Early Childhood ◽  
Oral Health ◽  
Strategic Management ◽  
Early Childhood Caries ◽  
Community Education ◽  
World Health ◽  
Deciduous Teeth ◽  
Atraumatic Restorative Treatment ◽  
Health Coverage ◽  
Childhood Caries

The aim of this report was to advocate early childhood caries (ECC) and share strategic management in Thailand, despite over two decades of free Universal Health Coverage including oral healthcare. The recent Thai national oral health survey in 2017 indicates the very high prevalence of ECC, with an average of three carious teeth affected in 53% of 3-year-old children. This is despite the efforts of the Ministry of Public Health that has launched several interventional programs ranging from an upstream policy that prohibits sugar additions in baby formula milk to downstream remediations such as advocating and encouraging toothbrushing with fluoride toothpastes. Nevertheless, ECC is strongly predicated by other key factors including the family and community commitment and participation, as embodied in the current World Health Organization guidelines. These encompass three different tiers of community-level prevention: primary, secondary, and tertiary. Accordingly, the following strategies for ECC management in Thailand should be based at primary care clusters (PCC) in sub-district health centers, with the assistance of inter-professional health teams. These include community education on the importance of deciduous teeth and effective toothbrushing with fluoride toothpaste (primary prevention), regular examination and detection of ECC lesions and early intervention (secondary prevention), insertion of non-invasive preventive restorations using cost-effective atraumatic restorative treatment (ART) or simplified and modified ART (SMART) (tertiary prevention), and, finally, effective follow-up and monitoring systems. It is anticipated that this triple tier approach to ECC management will improve not only the oral health but also the overall children's health.

scholarly journals Prevalence of Early Childhood Caries in Children Aged 1 to 5 Years in the City of Quito, Ecuador

2019 ◽  
Vol 13 (1) ◽  
pp. 242-248
Author(s):  
Jenny E. C. Acuña ◽  
Karina M. S. Freitas ◽  
Rafael P. Henriques ◽  
Emerson F. Cruz ◽  
Maria C. R Binz Ordóñez ◽  
...  
Keyword(s):  
Early Childhood ◽  
Early Childhood Caries ◽  
Cross Sectional Study ◽  
World Health ◽  
Deciduous Teeth ◽  
Cross Sectional ◽  
Dmft Index ◽  
And Gender ◽  
Health Organization ◽  
Childhood Caries

Background: Early childhood caries is an aggressive pathology that can destroy the teeth in a short time, reaching the proximal surfaces, causing discomfort, pain and affecting the dental pulp, causing premature loss of deciduous teeth. Objective: The purpose of this research is to determine the prevalence of early childhood caries in children aged 1 to 5 years of the Metropolitan District of Quito. Materials and Methods: This is a cross-sectional study including a sample of 557 children attending child care centers in Quito, Ecuador, between May and July 2018. The sample was evaluated clinically registering the data in a simplified dental file containing the odontogram and the result of decayed, lost and sealed teeth, according to the dmft index, as well as data such as age and gender. Data were tabulated and analyzed statistically by independent t-test. Results: The prevalence of early childhood caries was found to be 59.61%. Children affected by early childhood caries presented a mean age of 2.83 years, the ones suffered the most from this pathology were those of 2 years (35.54%), followed by those of 3 years (34.94%) and 4 years (22.5%). Boys presented more early childhood caries (53.92%) in relation to the girls (46.08%). Conclusion: The early childhood caries presented a prevalence of 59.61% and a general dmft index of medium level of severity according to the classification of the World Health Organization, in children from 1 to 5 years of age in Quito, Ecuador.

scholarly journals PRO DAN KONTRA ANTARA HUBUNGAN MENYUSUI DAN EARLY CHILDHOOD CARIES (ECC) (Kajian Pustaka)

2017 ◽  
Vol 13 (1) ◽  
pp. 22
Author(s):  
Wulan Apridita Sebastian ◽  
Yufitri Mayasari ◽  
Mutiara Rina Rahmawati Ruslan
Keyword(s):  
Early Childhood ◽  
Oral Health ◽  
World Health Organization ◽  
Early Childhood Caries ◽  
World Health ◽  
American Dental Association ◽  
Health Organization ◽  
Childhood Caries

Karies awal pada masa kanak-kanak atau ECC adalah suatu bentuk awal dari karies gigi yang disebabkan oleh banyak faktor. Hal ini menjadi sasaran utama dalam menentukan promosi kesehatan masyarakat. Menurut World Health Organization (WHO), menyusui merupakan faktor penting untuk menurunkan angka kematian bayi dan malnutrisi. Air Susu Ibu (ASI) harus diberikan secara eksklusif selama 6 bulan dan dilanjutkan dengan pemberian ASI disertai Makanan Pendamping ASI (MPASI) hingga usia 2 tahun. Namun pemberian ASI masih merupakan perdebatan dikalangan peneliti, ada beberapa penelitian yang menemukan bahwa pemberian ASI dalam waktu yang panjang merupakan salah satu faktor risiko terjadinya Early Childhood Caries (ECC). Salah satu penelitian di Jepang pada tahun 2011 menemukan hasil yang signifikan bahwa menyusui merupakan salah satu faktor risiko terjadinya ECC (p=0,0002;OR=6,373). Penelitian lainnya di tahun yang sama menunjukkan 20,7 % prevalensi karies memiliki hubungan yang signifikan dengan pemberian ASI selama 18 bulan atau lebih. Penelitian di Indonesia tahun 2008 menunjukkan bahwa pemberian ASI dalam jangka waktu yang lama merupakan salah satu faktor risiko terjadinya karies (p<0,0001;OR=1.69). Hasil penelitian yang berlawanan pada tahun 2012, menunjukkan kelompok yang tidak diberi ASI mempunyai risiko 4 kali lebih besar untuk menderita ECC dibandingkan dengan bayi yang masih diberi ASI. Tinjauan pustaka ini bertujuan untuk menelaah berbagai penelitian maupun studi ilmiah tentang pro dan kontra hubungan ASI dan ECC. Data yang diperoleh dikumpulkan dari berbagai jurnal, database dan artikel seperti The Journal of The American Dental Association, PubMed, Medline dan BMC Oral Health.

scholarly journals Avaliação da percepção dos responsáveis por crianças na primeira infância sobre a importância da prática de higienização bucal

2020 ◽  
Vol 9 (6) ◽  
pp. 596-600
Author(s):  
Iorrana Morais de Oliveira ◽  
Lorrayne Oliveira de Paula ◽  
Jordana Resende Martins ◽  
Carla Oliveira Favretto
Keyword(s):  
Early Childhood ◽  
Oral Health ◽  
American Academy ◽  
Early Childhood Caries ◽  
Dental Fluorosis ◽  
Pediatric Dentistry ◽  
Deciduous Teeth ◽  
Preventive Strategies ◽  
Cross Sectional ◽  
Childhood Caries

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.

Promotion of Oral Health Care in Infants - A Preventive Strategy to Reduce the Burden of Early Childhood Caries

2020 ◽  
Vol 4 (5) ◽  
pp. 18-22
Author(s):  
Subhathira Rajasekaran ◽  
Sham S Bhat ◽  
Vidya Bhat ◽  
Sundeep Hegde K ◽  
Neha Thilak ◽  
...  
Keyword(s):  
Health Care ◽  
Early Childhood ◽  
Oral Health ◽  
Early Childhood Caries ◽  
Oral Health Care ◽  
Preventive Strategy ◽  
Childhood Caries

scholarly journals Sugary Liquids in the Baby Bottle: Risk for Child Undernutrition and Severe Tooth Decay in Rural El Salvador

2020 ◽  
Vol 18 (1) ◽  
pp. 260
Author(s):  
Priyanka Achalu ◽  
Abhishek Bhatia ◽  
Bathsheba Turton ◽  
Lucy Luna ◽  
Karen Sokal-Gutierrez
Keyword(s):  
Risk Factors ◽  
Early Childhood ◽  
Risk Factor ◽  
Oral Health ◽  
Early Childhood Caries ◽  
Health Interventions ◽  
Tooth Decay ◽  
Child Undernutrition ◽  
Baby Bottle ◽  
Childhood Caries

As communities worldwide shift from consuming traditional diets to more processed snacks and sugar-sweetened beverages (SSBs), increases in child obesity and tooth decay and persistence of undernutrition are particularly apparent in Latin American countries. Further evidence of shared risk factors between child undernutrition and poor oral health outcomes is needed to structure more effective health interventions for children’s nutrition. This study aims to identify dietary, oral health, and sociodemographic risk factors for child undernutrition and severe early childhood caries (sECC) among a convenience sample of 797 caregiver–child pairs from rural Salvadoran communities. Caregiver interviews on child dietary and oral health practices were conducted, and their children’s height, weight, and dental exam data were collected. Multivariable regression analyses were performed using RStudio (version 1.0.143). Caregiver use of SSBs in the baby bottle was identified as a common significant risk factor for child undernutrition (p = 0.011) and sECC (p = 0.047). Early childhood caries (p = 0.023) was also a risk factor for developing undernutrition. Future maternal–child health and nutrition programs should coordinate with oral health interventions to discourage feeding children SSBs in the baby bottle and to advocate for policies limiting SSB marketing to young children and their families.

scholarly journals Prevalence of Untreated Early Childhood Caries of 5-Year-Old Children in Hong Kong: A Cross-Sectional Study

2021 ◽  
Vol 18 (22) ◽  
pp. 11934
Author(s):  
Faith Miaomiao Zheng ◽  
Iliana Gehui Yan ◽  
Duangporn Duangthip ◽  
Sherry Shiqian Gao ◽  
Edward Chin Man Lo ◽  
...  
Keyword(s):  
Early Childhood ◽  
Hong Kong ◽  
Oral Health ◽  
Early Childhood Caries ◽  
Maternal Education ◽  
Education Level ◽  
Demographic Information ◽  
Cross Sectional ◽  
Health Related ◽  
Childhood Caries

This cross-sectional survey investigated untreated early childhood caries (ECC) and its associated factors among 5-year-old children in Hong Kong. Children were recruited using a multistage sampling method. One dentist examined the children in kindergarten to diagnose untreated ECC (dt) at the cavitation level. Each child’s demographic information, snacking behaviour, and oral health-related practice were collected using a parental questionnaire. The relationships between the untreated ECC and demographic information, snacking behaviours, and oral health-–related practice were analysed by zero-inflated negative binomial (ZINB) regression analysis. This survey recruited 404 children. Their dt score was 2.8 ± 3.8. The significant untreated ECC (SiUC) index, which was one-third of the children with the highest dt score, was 7.1 ± 3.6. Their untreated ECC prevalence was 57%, which was associated with the district the child lived in. Most children with untreated ECC (71%, 164/231) had never visited a dentist. Children who brushed without toothpaste had more untreated ECC. Children coming from low-income families and with a lower maternal education level had a higher risk of ECC. In conclusion, untreated ECC was prevalent and unevenly distributed among 5-year-old children in Hong Kong. Its prevalence was associated with toothpaste use, family income, maternal education level and the district they lived in.

scholarly journals Feeding practices and prevalence of early childhood caries among preschool children in urban and rural areas of Kannur district

2016 ◽  
Vol 4 (1) ◽  
pp. 11
Author(s):  
Aswathi Sreedharan ◽  
Faizal CP ◽  
Chandru TP
Keyword(s):  
Early Childhood ◽  
Preschool Children ◽  
Oral Health ◽  
Oral Hygiene ◽  
Early Childhood Caries ◽  
Public Awareness ◽  
Feeding Practices ◽  
Parental Knowledge ◽  
Hygiene Measures ◽  
Childhood Caries

<p><strong>Background:</strong> Early childhood caries (ECC) is one of the most prevalent chronic conditions among children. Lack of proper Parental knowledge regarding feeding practices will have a deleterious effect on child oral health.</p><p><strong>Objective:</strong> The purpose of the study was to assess the prevalence of ECC and parental knowledge regarding feeding practices in young children.</p><p><strong>Methods:</strong> 500 preschool children aged between 36-60 months, were selected from twenty schools. The children’s were examined at the respective schools to determine the presence or absence of caries by using WHO criteria .A structured questionnaire was provided to 500 parents of the respective school children examined to assess their knowledge regarding feeding practices and oral hygiene measures in preschool children for prevention of ECC</p><p><strong>Result:</strong> The results of the children examined and the parent surveyed were tabulated and statistically analyzed by using chi-square test. The result showed that the prevalence rate of ECC among 500 children surveyed were about 56.3%.The knowledge regarding the feeding practices and oral hygiene measures overall was found to be 56.5%</p><p><strong>Conclusion:</strong> The prevalence of ECC was relatively high among the preschool children. The feeding practices and oral hygiene measures among parents was more off supporting the promotion of ECC. More emphasis should be given regarding introduction of oral hygiene practice from the first year of child’s life and also to conduct public awareness programme to achieve optimum oral health care in children.</p>

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