scholarly journals Guardian Reports of Children's Sub-optimal Oral Health Are Associated With Clinically Determined Early Childhood Caries, Unrestored Caries Lesions, and History of Toothaches

2021 ◽  
Vol 9 ◽  
Author(s):  
Emily P. Imes ◽  
Jeannie Ginnis ◽  
Poojan Shrestha ◽  
Miguel A. Simancas-Pallares ◽  
Kimon Divaris
Keyword(s):  
Early Childhood ◽  
Oral Health ◽  
Early Childhood Caries ◽  
Health Related ◽  
History Of ◽  
Dental Home ◽  
Fair Poor ◽  
Child Oral Health ◽  
Caries Lesions ◽  
Children’S Oral Health

Background: Parents'/guardians' perceptions of their children's oral health are useful proxies of their clinically determined caries status and are known to influence dental care-seeking behavior. In this study, we sought to examine (1) the social and behavioral correlates of fair/poor child oral health reported by guardians and (2) quantify the association of these reports with the prevalence of early childhood caries (ECC), unrestored caries lesions and toothaches.Methods: We used guardian-reported child oral health information (dichotomized as fair/poor vs. excellent/very good/good) obtained via a parent questionnaire that was completed for n = 7,965 participants (mean age = 52 months; range = 36-71 months) of a community-based, cross-sectional epidemiologic study of early childhood oral health in North Carolina between 2016 and 2019. Social, demographic, oral health-related behavioral data, and reports on children's history of toothaches (excluding teething) were collected in the same questionnaire. Unrestored ECC (i.e., caries lesions) was measured via clinical examinations in a subset of n = 6,328 children and was defined as the presence of one or more tooth surfaces with an ICDAS ≥ 3 caries lesion. Analyses relied on descriptive and bivariate methods, and multivariate modeling with average marginal effect (A.M.E.) estimation accounting for the clustered nature of the data. Estimates of association [prevalence ratios (PR) and adjusted marginal effects (AME) with 95% confidence intervals (CI)] were obtained via multilevel generalized linear models using Stata's svy function and accounting for the clustered nature of the data.Results: The prevalence of fair/poor oral health in this sample was 15%–it increased monotonically with children's age, was inversely associated with parents' educational attainment, and was higher among Hispanics (21%) and African Americans (15%) compared to non-Hispanic whites (11%). Brushing less than twice a day, not having a dental home, and frequently consuming sugar-containing snacks and beverages were significantly associated with worse reports (P < 0.0005). Children with fair/poor reported oral health were twice as likely to have unrestored caries lesions [prevalence ratio (PR) = 2.0; 95% confidence interval (CI) = 1.8-2.1] and 3.5 times as likely to have experienced toothaches [PR = 3.5; 95% CI = 3.1-3.9] compared to those with better reported oral health.Conclusions: Guardian reports of their children's oral health are valuable indicators of clinical and public health-important child oral health status. Those with fair/poor guardian-reported child oral health have distinguishing characteristics spanning socio-demographics, oral-health related practices, diet, and presence of a dental home.

Children’s oral health‐related behaviours and early childhood caries: A latent class analysis

2021 ◽  
Author(s):  
Miguel A. Simancas‐Pallares ◽  
Jeannie Ginnis ◽  
William F. Vann ◽  
Andrea G. Ferreira Zandoná ◽  
Poojan Shrestha ◽  
...  
Keyword(s):  
Early Childhood ◽  
Oral Health ◽  
Latent Class Analysis ◽  
Early Childhood Caries ◽  
Latent Class ◽  
Class Analysis ◽  
Health Related ◽  
Children’S Oral Health ◽  
Childhood Caries

Impact of early childhood caries on oral health‐related quality of life: a systematic review and meta‐analysis

2021 ◽  
Author(s):  
Carlos Zaror ◽  
Andrea Matamala‐Santander ◽  
Montse Ferrer ◽  
Fernando Rivera‐Mendoza ◽  
Gerardo Espinoza‐Espinoza ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Early Childhood ◽  
Oral Health ◽  
Early Childhood Caries ◽  
Meta Analysis ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

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.

Oral Health Knowledge of Pregnant Women on Pregnancy Gingivitis and Children's Oral Health

2015 ◽  
Vol 39 (2) ◽  
pp. 105-108 ◽  
Author(s):  
C Zhong ◽  
KN Ma ◽  
YS Wong ◽  
Y So ◽  
PC Lee ◽  
...  
Keyword(s):  
Health Care ◽  
Early Childhood ◽  
Oral Health ◽  
Pregnant Women ◽  
Early Childhood Caries ◽  
Health Knowledge ◽  
Oral Health Care ◽  
Oral Disease ◽  
Children’S Oral Health ◽  
Childhood Caries

Objective: Pregnancy gingivitis and early childhood caries remain prevalent in Hong Kong. The aim of this study was to assess pregnant women's knowledge and beliefs related to pregnancy gingivitis and children's oral health. Study design: An outreach survey was carried out in a clinic that provided antenatal examination. A written oral health questionnaire related to pregnancy gingivitis and early childhood caries was administered to pregnant women. Of the 106 pregnant women who enrolled in the study, 100 completed the questionnaires. Results: Among the 100 subjects, only 39% correctly identified that hormonal changes contribute to pregnancy gingivitis. Only 36% identified red and swollen gums as signs of gingivitis. Furthermore, 53% of the surveyed pregnant women were not sure about the amount of toothpaste to administer to a child aged 18 months to 5 years. Almost 50% assumed that a replanted avulsed tooth would probably not survive within a short extra-alveolar period of less than 60 minutes. Conclusion: Prenatal women generally lack knowledge of a common oral disease that occurs during pregnancy and of what constitutes adequate oral health care for children. Oral health care education should be implemented as part of a prenatal care program.

Parental Perspectives of Early Childhood Caries

2011 ◽  
Vol 51 (1) ◽  
pp. 77-85 ◽  
Author(s):  
Inyang A. Isong ◽  
Donna Luff ◽  
James M. Perrin ◽  
Jonathan P. Winickoff ◽  
Man Wai Ng
Keyword(s):  
Early Childhood ◽  
Oral Health ◽  
Dental Care ◽  
Early Childhood Caries ◽  
Semistructured Interviews ◽  
Parental Perspectives ◽  
Health Assessments ◽  
History Of ◽  
Perceptions And Expectations ◽  
Childhood Caries

Background. Parental perspectives of children with early childhood caries may help inform the development and improvement of caries prevention strategies. Objectives. This study aimed to explore parents’ experiences, perceptions, and expectations regarding prevention and management of early childhood caries. Methods. The authors conducted semistructured interviews with 25 parents of children aged 2 to 5 years, with a known history of caries. All interviews were transcribed and coded, and iterative analyses were conducted to identify key emergent themes within the data. Results. Parents had limited knowledge of behaviors contributing to early childhood caries and when to first seek regular dental care. Parents expected pediatricians to provide education on how to prevent childhood caries, conduct preliminary oral health assessments, and help establish early linkages between medical and dental care. Conclusion. The findings make a strong case for pediatricians to take responsibility for engaging and educating parents on fostering optimal oral health and helping to access early childhood dental care.

scholarly journals Percepção materna sobre qualidade de vida de crianças portadoras de cárie na primeira infância: um estudo piloto

2020 ◽  
Vol 9 (4) ◽  
Author(s):  
Vlamir Oliveira da Silva ◽  
Marcelle Danelon ◽  
Marília Andrade Figueiredo de Oliveira ◽  
Nathalia Cristina Tavella e Silva ◽  
Eliana Mendes de Souza Teixeira Roque
Keyword(s):  
Quality Of Life ◽  
Early Childhood ◽  
Preschool Children ◽  
Oral Health ◽  
Early Childhood Caries ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Childhood Caries

Objetivo: O objetivo deste estudo foi compreender a percepção materna sobre a qualidade de vida de crianças, portadoras de cárie na primeira infância (CPI). Material e Método: O objeto de estudo foram seis mães de crianças em tratamento na Clínica de Odontologia da Universidade de Ribeirão Preto. Realizou-se entrevista semi-estruturada gravada. Os dados foram analisados segundo a técnica de Análise de Conteúdo proposta por Bardin e utilizando-se os conceitos teóricos oriundos de Bronfembrenner para avaliar aspectos da CPI que interferem no pleno desenvolvimento da pessoa desde a infância. Depreendeu-se dos dados, 03 categorias empíricas: 1ª - “o dente natural é tudo”; 2ª - “ Procura o dentista quando tem dor” e 3ª - “A mãe tem responsabilidade no aparecimento da cárie porque não limpa a boca da criança”. Resultados: Os resultados demonstraram que a influência dos aspectos sócio-econômicos e educacionais das mães tornam as crianças mais vulneráveis à CPI. As mães compreendem a importância dos dentes na saúde bucal, porém, não atribuem a presença da CPI a predispor as crianças ao desenvolvimento de problemas sistêmicos e afetar o desenvolvimento biopsicossocial. As mães apontaram falhas no atendimento das crianças e de acesso ao serviço público, assim como, o despreparo dos profissionais do serviço público e privado. Conclusão: Conclui-se que que existe necessidade de ampliação de medidas socioeducativas tanto para mães quanto crianças, assim como estratégias que visem formar e ampliar o conhecimento coletivo em saúde bucal e melhoria da Política Nacional da Saúde Bucal.Descritores: Comportamento Materno; Qualidade de Vida, Cárie Dentária; Saúde da Criança.ReferênciasCalcagnile F, Pietrunti D, Pranno N, Di Giorgio G, Ottolenghi L, Vozza I. Oral health knowledge in pre-school children: A survey among parents in central Italy. J Clin Exp Dent. 2019:11:e327-33.Chase I, Berkowitz RJ, Proskin HM, Weinstein P BR. Clinical outcomes for Early Childhood Caries (ECC): the influence of health locus of control. Eur J Paediatr Dent. 2004;2:76-80.Brasil Ministério da Saúde. Projeto SB Brasil 2003 Condições de saúde bucal da população brasileira2002-2003.http://cfo.org.br/wp-content/uploads /2009/10/04_0347_M.pdf. Published 2004. Accessed October 4, 2009.Brasil Ministério da Saúde. SB Brasil 2010: Pesquisa Nacional de Saúde Bucal. http://bvsms.saude.gov.br/bvs/publicacoes/pesquisa_nacional_saude_bucal.pdf. Published 2012. Accessed October 4, 2009.Guedes-Pinto AC. Odontopediatria. 9th ed. (Santos, ed.); 2016.Macedo LZ, Ammari MM. Cárie da primeira infância: conhecer para prevenir. Rev Rede Cuid em Saúde.2014;8:1-14.Minayo MC de S. O Desafio Do Conhecimento: Pesquisa Qualitativa Em Saúde. 1st ed. (Hucitec, ed.); 2012.Bardin L. Análise de Conteúdo. 70th ed. (France PU de, ed.). Lisboa; 1977.Alves PB. A ecologia do desenvolvimento humano: experimentos naturais e planejados. 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