scholarly journals Оral hygiene and fluoride influence on dental health in early childhood

2021 ◽  
Vol 13 (1) ◽  
pp. 91-102
Author(s):  
Olga Kokoceva-Ivanovska
Keyword(s):  
Early Childhood ◽  
Oral Hygiene ◽  
Early Childhood Caries ◽  
Dental Health ◽  
Deciduous Teeth ◽  
Fluoride Treatment ◽  
Before And After ◽  
Tooth Surfaces ◽  
Soft Plaque ◽  
Childhood Caries

Early childhood caries occurs immediately after the eruption of deciduous teeth. During this period, children are too young to be able to properly implement oral hygiene. Consequently, it is at a negligible level, with plenty of soft plaque on the deciduous tooth surfaces. The objective of this investigation was to determine the correlation between oral hygiene (shown with the OHI index) and the initial stages of early childhood caries: initial lesion (white spot) and superficial form, before and after local fluoride treatment. Material and methods: For determining the OHI index among our examinees we used the method of Green-Vermillion. It was determined in 117 examinees twice, during the first visit and immediately before physiological replacement of deciduous teeth. Patients were two to three years of age, diagnosed with initial stages of early childhood caries and fluoride preparate (amino fluoride solution) was applied once a week, for 6 months. Results: In 30 subjects treated with local fluoride treatment from both basic groups (with initial and superficial lesions), just before the physiological change of the teeth, we received a statistically significant improvement in the OHI index (p = 0.000038; p = 0.00006) at the end from the examination. Conclusion: From the conducted analysis of the obtained results, we can conclude that the level of oral hygiene is correlated with the progression of changes in the enamel. Oral hygiene and fluoride treatment significantly reduce soft tissue levels and improve the OHI index.

scholarly journals Oral Hygiene Index in Early Childhood Caries, Before and After Topical Fluoride Treatment

2018 ◽  
Vol 6 (2) ◽  
pp. 378-383
Author(s):  
Olga Ratko Kokoceva-Ivanovska ◽  
Olivera Sarakinova ◽  
Efka Zabokova-Bilbilova ◽  
Aneta Nikola Mijoska ◽  
Natasha Stavreva
Keyword(s):  
Oral Hygiene ◽  
Early Childhood Caries ◽  
Positive Impact ◽  
Deciduous Teeth ◽  
Fluoride Solution ◽  
Fluoride Treatment ◽  
Before And After ◽  
Soft Plaque ◽  
Topical Fluoride

BACKGROUND: Circular caries occurs in the earliest age of the children (1 - 1.5 year), immediately after the eruption of the deciduous teeth. During this period, children are too young to be able to properly implement oral hygiene. Consequently, it is at a negligible level, with plenty of soft plaque on the deciduous tooth surfaces.OBJECTIVE: The main objective of this clinical trial was to determine the correlation between oral hygiene shown with Oral Hygiene index, and the initial stages of circular caries (initial lesion and superficial form), before and after topical fluoride treatment.MATERIAL AND METHODS: For determination of the OHI - index we used the method of Green - Vermillion. It was determined two times in 117 patients, during the first visit and immediately before physiological replacement of deciduous teeth. Patients were two to three years old and diagnosed with initial stages of circular caries. Amino fluoride solution was applied once a week, during six months.RESULTS: We obtained statistically significant improvement of OHI - index at the end of the test, among treated subjects from both major groups.CONCLUSION: It can be concluded that the level of oral hygiene is correlated with the progression of changes in enamel. Topical fluoride treatment has a positive impact on reducing ECC.

scholarly journals Hubungan Oral Hygiene Habits dengan Early Childhood Caries (ECC) pada Balita Di Kota Padang

2020 ◽  
Vol 8 (1) ◽  
pp. 33-41
Author(s):  
Zhafirah Muharani Nasution ◽  
Reni Nofika ◽  
Susi Susi
Keyword(s):  
Early Childhood ◽  
Dental Caries ◽  
Oral Hygiene ◽  
Early Childhood Caries ◽  
Sampling Technique ◽  
Strong Relationship ◽  
Deciduous Teeth ◽  
Cross Sectional ◽  
Oral Hygiene Habits ◽  
Childhood Caries

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.

scholarly journals The beginning phases of the early childhood caries (circular caries) - clinical evaluation of remineralization

2020 ◽  
Vol 66 (2) ◽  
pp. 3-10
Author(s):  
Olga Kokoceva-Ivanovska
Keyword(s):  
Early Childhood ◽  
Clinical Evaluation ◽  
Early Childhood Caries ◽  
White Spot ◽  
Deciduous Teeth ◽  
Primary Tooth ◽  
Fluoride Treatment ◽  
Pathogenic Factors ◽  
Childhood Caries

Early childhood caries (circular caries) can occur at an early age, with the eruption of deciduous teeth of the age of 1 to 1.5 years old. This is a multifactorial dental disease that has become a worldwide problem with high prevalence in recent decades. The purpose of the study was clinical evaluation of the remineralizing effect of the topical treatment, in patients with starting stages of circular caries. This study was conducted at the Clinic for Pediatric and Preventive Dentistry, Skopje, and included 117 patients of both sexes, with the starting stages of circular caries. They were aged of 1.5 to 3.5 years old, with a fully formed primary tooth. It was selected 61 patients with initial lesion – white spot and 56 patients with superficial form. From both groups 30 patients were treated with topical fluoride preparation, for a period of six months, applied once a week. The remaining patients had regular check-ups and instructions, but they did not undergo fluoride treatment. After the fluoride treatment, we followed the remineralizing effect, i.e. which initial lesions were reversed or where the intracrystal spaces were filled and the crystals were repaired after six months of topical application. In some patients who were able to satisfy other preventative factors, we were able to obtain a clinical picture of complete remineralization on initial lesion (restitution ad integrum) in vivo, approximately similar to a healthy tooth. How successful the remineralization will be depends on the predominant, protective, or pathogenic factors. Keywords: circular caries, early childhood caries, remineralization, initial lesion, white spot

Effect of Sustained Interventions from Infancy to Toddlerhood in Children with Cleft Lip and Palate for Preventing Early Childhood Caries

2021 ◽  
pp. 1-9
Author(s):  
Sivasubramanian Abirami ◽  
Noopur Panchanadikar ◽  
Murugan Satta Muthu ◽  
Suganya Balasubramanian ◽  
Jyotsna Murthy ◽  
...  
Keyword(s):  
Early Childhood ◽  
Early Childhood Caries ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Intervention Group ◽  
Primary Caregivers ◽  
Assessment System ◽  
Incidence Density ◽  
Tooth Surfaces ◽  
Childhood Caries

The study aimed to evaluate the effectiveness of sustained interventions in children with cleft lip and palate (CLP) for preventing early childhood caries (ECC). This prospective, nonrandomized interventional cohort study was conducted in infants aged 0–12 months with congenital CLP. Interventions were given to parents/primary caregivers in the form of combined oral health-care measures (sterile wet gauze piece, finger brush, toothbrush, and toothpaste) by a motivational interviewing approach. Education of primary caregivers on oral hygiene was provided by audiovisual aids and demonstration. Reinforcement of the prescribed regimen was done through daily short message services in caregivers’ preferred language and bimonthly telephone calls. Participants were followed up for 9–32 months from the time of recruitment, with a mean period of 18.3 ± 5.1 months. Rates of dental caries were represented as prevalence rates, incidence density, and transitional probability. The distribution of the International Caries Detection and Assessment System (ICDAS) scores on different tooth surfaces affected in the intervention group was compared descriptively with that of the age- and sex-matched historical control groups. On analysis of surface-wise distribution of the ICDAS scores in the intervention group (<i>n</i> = 1,919), 1.2% (<i>n</i> = 24) had noncavitated lesions (ICDAS codes 1 and 2), 0.88% (<i>n</i> = 17) had cavitated lesions (ICDAS codes 3–6), and 0.26% (<i>n</i> = 5) had both cavitated and noncavitated lesions (ICDAS codes 1–6). The incidence density of caries-affected children observed at the first and last follow-ups was 1.2 persons/100 person-months and 1.3 persons/100 person-months of observation, respectively. The incidence density of new caries-affected tooth surfaces at the first and last follow-ups was 0.163 surfaces/100 surface-months and 0.062 surfaces/100 surface-months, respectively. Maxillary first molars had the maximum transition from sound to the cavitated lesion (11.5%), followed by maxillary incisors from sound to noncavitated (7.5%) at the last follow-up. Based on the newly developed assessment criteria in our study, sustained interventions proved to be significantly effective in preventing ECC in children with CLP.

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>

scholarly journals Association between developmental dental anomalies, early childhood caries and oral hygiene status of 3–5-year-old children in Ile-Ife, Nigeria

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Morenike Oluwatoyin Folayan ◽  
Michael Alade ◽  
Abiola Adeniyi ◽  
Maha El Tantawi ◽  
Tracy L. Finlayson
Keyword(s):  
Early Childhood ◽  
Oral Hygiene ◽  
Early Childhood Caries ◽  
Statistical Significance ◽  
Primary Molars ◽  
Second Primary ◽  
Dental Anomalies ◽  
Enamel Hypoplasia ◽  
Poor Oral Hygiene ◽  
Childhood Caries

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.

Early childhood caries and parents’ challenges in implementing oral hygiene practices: a qualitative study

2020 ◽  
Vol 31 (1) ◽  
pp. 106-114
Author(s):  
Baranya Shrikrishna Suprabha ◽  
Violet D’Souza ◽  
Ramya Shenoy ◽  
Yarmunja Mahabala Karuna ◽  
Anupama Panakaje Nayak ◽  
...  
Keyword(s):  
Early Childhood ◽  
Qualitative Study ◽  
Oral Hygiene ◽  
Early Childhood Caries ◽  
Hygiene Practices ◽  
Childhood Caries

scholarly journals Early childhood feeding practices and dental caries among Australian preschoolers

2020 ◽  
Vol 111 (4) ◽  
pp. 821-828 ◽  
Author(s):  
Gemma Devenish ◽  
Aqif Mukhtar ◽  
Andrea Begley ◽  
A John Spencer ◽  
W Murray Thomson ◽  
...  
Keyword(s):  
Early Childhood ◽  
Early Childhood Caries ◽  
Feeding Practices ◽  
Sociodemographic Factors ◽  
Breastfeeding Duration ◽  
Dietary Practices ◽  
Free Sugars ◽  
Breastfeeding Practices ◽  
Tooth Surfaces ◽  
Childhood Caries

ABSTRACT Background Recent reviews have proposed a causal relationship between prolonged breastfeeding and early childhood caries (ECC), but the evidence to date is inconsistent, with few cohort studies and limited investigation of key confounders. Objective This study aimed to investigate the relationship between dietary practices and early childhood caries in a birth cohort of Australian preschoolers. Methods Participants underwent a standardized dental examination at 2–3 y of age to determine the prevalence of ECC (based on the presence of decayed, missing, or filled tooth surfaces). Breastfeeding practices were reported at 3, 6, 12, and 24 mo of age. Intakes of free sugars were assessed at 1 and 2 y of age. Multivariable regression models generated prevalence ratios (PR) for the association between ECC and breastfeeding duration, and between ECC and sleep feeding practices at 1 y, controlling for sociodemographic factors and free sugars intake. Results There was no independent association between breastfeeding beyond 1 y of age and ECC (PR 1.42, 95% CI: 0.85, 2.38), or between breastfeeding to sleep and ECC (PR 1.12, 95% CI: 0.67, 1.88), although the direction of effect was suggestive of an association. The only factors independently associated with ECC were high free sugars intakes (PR 1.97, 95% CI: 1.13, 3.44), and greater socioeconomic disadvantage (PR 2.15, 95% CI: 1.08, 4.28). Most participants who were breastfed at 1 y of age had ceased by 18 mo or 2 y. Conclusions Breastfeeding practices were not associated with ECC. Given the wide-ranging benefits of breastfeeding, and the low prevalence of sustained breastfeeding in this study and Australia in general, recommendations to limit breastfeeding are unwarranted, and breastfeeding should be promoted in line with global and national recommendations. To reduce the prevalence of early childhood caries, improved efforts are needed to limit foods high in free sugars.

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