Early Childhood Caries and its Correlation with Secretory Immunoglobulin A

Author(s):  
Essie Octiara ◽  
Heriandi Sutadi ◽  
Yahwardiah Siregar ◽  
Ameta Primasari

The prevalence of Early Childhood Caries (ECC) was reported quite high in several countries, including Indonesia. Many studies had reported the relationship between sIgA level and ECC. However, the results obtained were not consistent due to the cross-sectional method used in examining sIgA. Therefore the purpose of this study was to analyze the occurence of ECC and sIgA level after 9 months of observation in children aged 2 years and below. The research was observational analytic with a cohort design for 9 months. The sample size was 68 caries-free children under 2 years old, who had at least 2 erupted primary upper incisors. Subjects were taken through purposive sampling from community health center in Medan. The sIgA examination was carried out 3 times, which were at the beginning of the month, at the 3rd and 9th month. The sIgA examination used the ELISA sandwich method and been read at 450 nm using a microplate reader. Caries examination was based on AAPD criteria. Data analysis used independent t-test, Spearman correlation, and longitudinal analysis used general estimating equation (linear) test. The significant value was defined as p<0.05. The results showed that caries-free children had higher sIgA level compared to children with ECC (p=0.003). Spearman correlation test results between the deft score and sIgA level showed a significant correlation (p = 0.006) with r value = -0.33.The higher the child's deft, the lower his/her sIgA level. It was concluded that caries-free children have effective sIgA defense functions in dealing with bacterial infections that cause caries so that salivary sIgA level were found to be higher in caries-free children compared to children with ECC.

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.


2017 ◽  
Vol 10 (2) ◽  
pp. 119-125 ◽  
Author(s):  
Manjunath P Puranik ◽  
Deepa Bullappa ◽  
KR Sowmya ◽  
T Nagarathnamma

ABSTRACT Introduction Early childhood caries (ECC) is a virulent form of dental caries that can destroy the primary dentition of toddlers and preschool children. The aim was to determine the relationship of feeding methods and oral Streptococcus mutans count in 3- to 5-year-old children with ECC. Materials and methods A cross-sectional study was conducted in children aged 3 to 5 years. Participating mothers were interviewed regarding child's demographic profile, educational level and socioeconomic status of parents, past medical and dental history of the mother and child, child's feeding habits, and dietary habits and oral hygiene practices of mother and child. Clinical examination for dental caries was done using the World Health Organization criteria (1997). Salivary samples of mother–child pair were collected to determine the pH, flow rate, and S. mutans count. Statistical tests, such as Student's t-test, analysis of variance, and Pearson's correlation were applied. Results Out of 150 mother–child pair, statistically significant difference in the caries experience was found between mothers and children with high and low S. mutans count. Moderate but statistically significant negative correlation was found between mean decayed, missing, and filled teeth of mothers and mean decayed, extracted and filled teeth (deft) of children with high S. mutans count. Regarding deft, there was no statistically significant difference between children who were exclusively breast fed (7.85 ± 2.94), exclusively bottle-fed (8.67 ± 3.98), and both breast and bottle-fed (7.77 ± 2.91). Conclusion The mean caries experience of mothers and children was 2.66 ± 2.01 and 7.82 ± 2.94 respectively, with decayed component being maximum. Moderate and significant correlation (r = 0.5) was found between S. mutans of mothers and children in saliva. Significant negative correlation was found between mothers and children with high S. mutans count (r = –0.0284; p = 0.046). How to cite this article Bullappa D, Puranik MP, Sowmya KR, Nagarathnamma T. Association of Feeding Methods and Streptococcus mutans Count with Early Childhood Caries: A Cross-sectional Study. Int J Clin Pediatr Dent 2017;10(2):119-125.


Author(s):  
Faith Miaomiao Zheng ◽  
Iliana Gehui Yan ◽  
Duangporn Duangthip ◽  
Sherry Shiqian Gao ◽  
Edward Chin Man Lo ◽  
...  

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.


2020 ◽  
Vol 2 (1) ◽  
pp. 012-022
Author(s):  
Anita Rosa Delima ◽  
Setya Kusuma Arum

Dental caries is a multifactorial disease that can affect all levels of society. There are several factors that take part ini caries initiation. Caries risk factors in children are related to age, gender, use of bottles, tooth brushing frequency, the role of the mother, and parental education. The purpose of this studywas to find out factors related to the cause of early childhood caries experienced by preschool children at PAUD Kenanga 17 Kelurahan Penjaringan, Kecamatan Penjaringan, North Jakarta. An observational analytical methods with cross sectional approach was used in this study. Subject in this study consisted of 20 children as a total sample of the population. Data collection was carried out using questionnaires and def-t index was employed for dental examination. Data processing and statistical analysis using chi-square test were applied with a significance value of p 0.05. The results showed significant correlation between age (p value 0.001) and gander (p value 0.047) andearly childhood caries.hawever, no correlation was observed betwen the use of bottle (p value = 0.909), frequency of tooth brushing (p value 1.00), role of mother (p value 1.00), and parental education (p value = 0.798) and early childhood caries.


2021 ◽  
Author(s):  
Harshini Nivetha Easwaran ◽  
Anitha Annadurai ◽  
M.S. Muthu ◽  
Aruna Sharma ◽  
Sneha S. Patil ◽  
...  

Identification of the association between Early Childhood Caries (ECC) and Iron Deficiency Anemia (IDA) will aid pediatricians and pediatric dentists to enhance health promotion measures to reduce the related morbidity in children. This systematic review aims to determine an evidence based association between ECC and IDA. A systematic search was carried out from MEDLINE via PubMed, EMBASE, LILACS, Cochrane Oral Health Group’s Specialised Register, CINAHL via EBSCO, Web of Science and Scopus up to May 2020. Hand searching and grey literature screening were also conducted. Cross-sectional, case-control and cohort studies in English language which assessed the association was included. Two reviewers independently assessed the study quality and extracted the outcome data. A total of 1434 studies were identified. Fourteen studies qualified for qualitative review and seven of them for a meta-analysis. In comparison with children not affected by ECC, those affected had an increased likelihood of IDA (OR = 6.07 (3.61, 10.21). The meta- analysis showed no statistical difference when comparing blood parameters (Hb, MCV and Serum ferritin) in children with and without ECC. This systematic review demonstrates an association between ECC and increased odds of IDA rather than it being the cause for IDA. Further longitudinal studies with robust methodology are required to determine an evidence based association.


Author(s):  
Marvin So ◽  
Yianni A. Ellenikiotis ◽  
Hannah M. Husby ◽  
Cecilia Leonor Paz ◽  
Brittany Seymour ◽  
...  

Malnutrition and dental caries in early childhood remain persistent and intertwined global health challenges, particularly for indigenous and geographically-remote populations. To examine the prevalence and associations between early childhood dental caries, parent-reported mouth pain and malnutrition in the Amazonian region of Ecuador, we conducted a cross-sectional study of the oral health and nutrition status of 1,407 children from birth through age 6 in the &ldquo;Alli Kiru&rdquo; program (2011-2013). We used multivariate regression analysis to examine relationships between severe caries, parent-reported mouth pain measures, and nutritional status. The prevalence of dental caries was 65.4%, with 44.7% of children having deep or severe caries, and 33.8% reporting mouth pain. The number of decayed, missing and filled teeth dmft) increased dramatically with age. Malnutrition was prevalent, with 35.9% of children stunted, 1.1% wasted, 7.4% underweight, and 6.8% overweight. As mouth pain increased in frequency, odds for severe caries increased. For each unit increase in mouth pain frequency interfering with sleeping, children had increased odds for underweight (AOR: 1.27; 95% CI: 1.02 &ndash; 1.54) and decreased odds for overweight (AOR: 0.76; 95% CI: 0.58 &ndash; 0.97). This relationship was most pronounced among 3-6 year-olds. Early childhood caries, mouth pain and malnutrition were prevalent in this sample of young children. Parent-reported mouth pain was associated with severe caries, and mouth pain interfering with sleeping was predictive of poor nutritional status. We demonstrate the utility of a parsimonious parent-reported measure of mouth pain to predict young children&rsquo;s risk for severe early childhood caries and malnutrition, which has implications for community health interventions.


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