A Longitudinal Study of Early Childhood Caries and Associated Factors in Brazilian Children

Piva, Fabiane; Pereira, Joanna Tatith; Luz, Patrícia Blaya; Hashizume, Lina Naomi; Hugo, Fernando Neves; Araújo, Fernando Borba de

doi:10.1590/0103-6440201701237

Cited by 18 publications

(18 citation statements)

References 18 publications

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“…There is considerable evidence that the strongest predictor of future caries among children is current caries (Attaran et al 2016), and our study confirms that children with a history of dental caries were more likely to belong to our reference category: severe caries. Similar findings were observed in longitudinal studies (Parisotto et al 2012; Piva et al 2017): one such revealed that after 2-y follow-up, the severity of baseline caries that included dentine lesions (ICDAS 4 to 6) had almost doubled (Piva et al 2017). Another study found that even past noncavitated lesions at baseline apparently increased the risk of developing new caries (Parisotto et al 2012).…”

Section: Discussionsupporting

confidence: 79%

Indicators of Risk for Dental Caries in Children: A Holistic Approach

Fernando

Tadakamadla

Bakr

et al. 2019

JDR Clinical & Translational Research

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Background Dental caries in children is a major public health problem worldwide, with a multitude of determinants acting upon children to different degrees in different communities. The objective of this study was to determine maternal, environmental, and intraoral indicators of dental caries experience in a sample of 6- to 7-y-old children in South East Queensland, Australia. Methods: A total of 174 mother-child dyads were recruited for this cross-sectional study from the Griffith University Environments for Healthy Living birth cohort study. Maternal education, employment status, and prepregnancy body mass index were maternal indicators, and annual household income was taken as a proxy for environmental indicators. These were collected as baseline data of the study. Clinical data on children’s dental caries experience, saliva characteristics of buffering capacity, stimulated flow rate, and colony-forming units per milliliter of salivary mutans streptococci were collected for the oral health substudy. Univariate analysis was performed with 1-way analysis of variance and chi-square tests. Caries experience was the outcome, which was classified into 4 categories based on the number of carious tooth surfaces. Ordinal logistic regression was used to explore the association of risk indicators with caries experience. Results: Age ( P = 0.021), low salivary buffering capacity ( P = 0.001), reduced levels of salivary flow rate ( P = 0.011), past caries experience ( P = 0.001), low annual household income; <$30,000 (P = 0.050) and <$60,000 (P = 0.033) and maternal employment status ( P = 0.043) were associated with high levels of dental caries. Conclusion These data support the evidence of associations between maternal, environmental, and children’s intraoral characteristics and caries experience among children in a typical Western industrialized country. All of these need to be considered in preventative strategies within families and communities. Knowledge Transfer Statement: The results of this study can be used by clinicians, epidemiologists, and policy makers to identify children who are at risk of developing dental caries. With consideration of costs for treatment for the disease, this information could be used to plan cost-effective and patient-centered preventive care.

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Section: Discussionsupporting

confidence: 79%

Indicators of Risk for Dental Caries in Children: A Holistic Approach

Fernando

Tadakamadla

Bakr

et al. 2019

JDR Clinical & Translational Research

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“…A recent systematic review reports that baseline caries was the strongest predictor for future dental caries in countries with very high human development indices, similar to this Australian population . Likewise, progression of carious lesions was positively associated with baseline caries among a population of Brazilian children , and according to Brennan and Spencer, greater caries experience at age 13 was associated with more missing or filled teeth in adulthood . However, none of the above studies have explored the range of variables reported here.…”

Section: Discussionmentioning

confidence: 74%

Children's untreated decay is positively associated with past caries experience and with current salivary loads of mutans Streptococci; negatively with self‐reported maternal iron supplements during pregnancy: a multifactorial analysis

Fernando

Kumar

Bakr

et al. 2018

J Public Health Dent

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Objectives This study explored the association of children's salivary characteristics, past caries experience, birth weight, and reported maternal prenatal vitamin and mineral supplementation with the dental untreated decay of the child. Methods This cross‐sectional study, a sub‐study of Griffith University Environments for Healthy Living birth cohort study, was conducted on 174 mother‐child dyads. Mother's prenatal usage of vitamin and mineral supplements; child's birthweight; salivary pH, buffering capacity, and levels of salivary MS and LB were explored as risk indicators. Dental caries experience was assessed using International Caries Detection and Assessment System criteria. Path analysis was conducted to evaluate the association of risk indicators with children's current and past dental caries experience. Results Children's past caries experience (β = 0.332, p = 0.018), and salivary MS counts (β = 0.215, p = 0.032) were positively associated with untreated decay at time of examination. With a trend towards significance, children whose mothers had reported taking iron supplements during pregnancy experienced lower levels of past caries (β = −0.137, p = 0.068) and untreated dental caries (β = −0.046, p = 0.051). Conclusions This study confirms that a child's levels of untreated decay is positively associated with their past caries, and that it correlates with current levels of salivary MS. Children of mothers who reported to have taken iron supplements during pregnancy experienced less caries throughout their lives. These observations confirm the importance to offspring of monitoring maternal health throughout pregnancy and of early monitoring of children's oral health in preventing future dental disease.

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“…Studies differed in their grouping of caries scores. For example, nine different caries surfaces measures and seven caries teeth measures were identified in this review. Some studies grouped them to classify caries as dentin and enamel lesions while others classified them as initial/early, moderate/established and severe/extensive lesions .…”

Section: Discussionmentioning

confidence: 99%

Caries reporting in studies that used the International Caries Detection and Assessment System: A scoping review

ElSalhy

Ali

Lai

et al. 2018

Comm Dent Oral Epid

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Objective To explore how caries was reported in studies that employed the International Caries Detection and Assessment System (ICDAS). Methods A systematic database search up to August 2017 was carried out using PubMed, Ovid MEDLINE, Cochrane library and ISI Web of Science electronic databases. Only studies that used the ICDAS for dental caries examinations were included. Studies were excluded if the examination was done only for the validation or the calibration of the ICDAS and/or if the examination was not done for the whole dentition. Measures used to report caries were considered. Results A total of 126 papers met the inclusion criteria. Forty‐four different synthesis measures were used to report caries. Most of the studies used a combination of multiple measures to report patient's caries level. These reporting measures cluster into four main groups: the number of individual ICDAS scores (ie, total counts of every score); the number of decayed surfaces/teeth (ie, total counts of combined caries scores for surfaces or teeth); measures of caries experience (ie, total counts of combined caries scores, filled and/or missing surfaces or teeth); and measures of central tendency and dispersion. The number of decayed surfaces and individual ICDAS scores were the most commonly used measures. Three studies used mean ICDAS score (ie, total ICDAS scores divided by the number of teeth), two used mean ICDAS score of carious teeth (ie, total ICDAS scores divided by the number of carious teeth) and two used the maximum ICDAS score (ie, highest ICDAS score recorded). The total ICDAS score was used only once. Many studies synthesized from the ICDAS the number of decayed, missing and filled teeth/surfaces (dmft/DMFT, dmfs/DMFS) as a measure of caries experience. Conclusions There are variations among studies in the utilization of the system to summarize caries. Most studies presented caries data using the categorical characteristics of the ICDAS.

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A Longitudinal Study of Early Childhood Caries and Associated Factors in Brazilian Children

Cited by 18 publications

References 18 publications

Indicators of Risk for Dental Caries in Children: A Holistic Approach

Indicators of Risk for Dental Caries in Children: A Holistic Approach

Children's untreated decay is positively associated with past caries experience and with current salivary loads of mutans Streptococci; negatively with self‐reported maternal iron supplements during pregnancy: a multifactorial analysis

Caries reporting in studies that used the International Caries Detection and Assessment System: A scoping review

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