Early Childhood Caries and the Impact of Current U.S. Medicaid Program: An Overview

Bugis, Bussma Ahmed

doi:10.1155/2012/348237

Cited by 8 publications

(8 citation statements)

References 23 publications

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“…In that study, it was found that caries-active children have a 5–6 times higher incidence of new cavities compared to caries-free children. In our study we also chose caries-active children (the presence of a caries restoration (filling) on a minimum of 1 primary molar was one of the inclusion criteria) because of the very high prevalence of ECC in developed countries and especially developing countries 1 , 3 , 8 – 11 . Consequently, the caries risk of our study populations (i.e.…”

Section: Discussionmentioning

confidence: 99%

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Impact of a toothpaste with microcrystalline hydroxyapatite on the occurrence of early childhood caries: a 1-year randomized clinical trial

Paszyńska

Pawińska

Gawriołek

et al. 2021

Sci Rep

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The aim of this trial was to determine whether a toothpaste with microcrystalline hydroxyapatite is not inferior to a fluoride toothpaste in prevention of caries in children. This double-blinded randomized control trial compared two toothpastes regarding the occurrence of caries lesions using International Caries Detection and Assessment System (ICDAS) ≥ code 1 on the primary dentition within 336 days. The test group used a fluoride-free hydroxyapatite toothpaste three times daily while control group used a toothpaste with fluoride. 207 children were included in the intention-to-treat analysis; 177 of them finished the study per protocol. An increase in caries ICDAS ≥ code 1 per tooth was observed in 72.7% of the hydroxyapatite-group (n = 88), compared with 74.2% of the fluoride-group (n = 89). The exact one-sided upper 95% confidence limit for the difference in proportion of participants with ICDAS increase ≥ 1 (-1.4%) was 9.8%, which is below the non-inferiority margin of 20% demonstrating non-inferiority of hydroxyapatite compared to the fluoride control toothpaste. This RCT showed for the first time, that in children, the impact of the daily use of a toothpaste with microcrystalline hydroxyapatite on enamel caries progression in the primary dentition is not inferior to a fluoride control toothpaste (Clinical Trials NCT03553966).

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Section: Discussionmentioning

confidence: 99%

“…Children of any socioeconomic status can be affected by ECC 4,5 . Although a general trend in caries decline has been observed 6,7 , current data show that caries is still a highly prevalent disease [8][9][10][11] . In Poland, for example, 76.9% of 5-year-old children and 89.4% of 7-year-old children are still affected by caries 8 .…”

mentioning

confidence: 99%

Impact of a toothpaste with microcrystalline hydroxyapatite on the occurrence of early childhood caries: a 1-year randomized clinical trial

Paszyńska

Pawińska

Gawriołek

et al. 2021

Sci Rep

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“…About the same prevalence (ca. 40%) has been reported in the USA among 2–11 year old children [ 13 ]. A recently published study from Germany shows even 10% (up to 26% with initial lesions) of 3-year-old children with ECC and an increase up to about 50% in 6-/7-year-old children [ 14 ].…”

Section: Background and Epidemiologymentioning

confidence: 99%

Early Childhood Caries: Epidemiology, Aetiology, and Prevention

Meyer

Enax

2018

International Journal of Dentistry

124

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Early childhood caries (ECC) is one of the most prevalent diseases in children worldwide. ECC is driven by a dysbiotic state of oral microorganisms mainly caused by a sugar-rich diet. Additionally, poor oral hygiene or insufficient dental plaque removal leads to the rapid progression of ECC. ECC leads not only to dental destruction and pain with children, but also affects the quality of life of the caregivers. Children with extensive ECC are at high risk to develop caries with the permanent dentition or will have other problems with speaking and/or eating. To prevent ECC, several strategies should be taken into account. Children should brush their teeth with toothpastes containing gentle ingredients, such as mild surfactants and agents showing antiadherent properties regarding oral microorganisms. Parents/caregivers have to help their children with brushing the teeth. Furthermore, remineralizing and nontoxic agents should be included into the toothpaste formulation. Two promising biomimetic agents for children's oral care are amorphous calcium phosphate [Cax(PO4)yn H2O] and hydroxyapatite [Ca5(PO4)3(OH)].

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“…Even in Germany, with a well-established healthcare system, 13.7% of 3-year-olds, 43.6% of 6-7-year-olds, and 21.2% of 12-year-old children had at least one tooth with a caries experience [52]. Other developed countries like Australia and the USA show a comparable high prevalence of ECC [53,54].…”

Section: Discussionmentioning

confidence: 99%

Excessive Weight Gain and Dental Caries Experience among Children Affected by ADHD

Paszyńska

Dmitrzak‐Węglarz

Perczak

et al. 2020

IJERPH

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In recent years, attention has been paid to the co-occurrence of attention deficit hyperactivity disorder (ADHD) and obesity, but results in relation to dental caries outcomes differ. The study was conducted to determine obesity/overweight and dental caries in children suffering from ADHD and to draw comparisons with non-ADHD children. A total of 119 children under 11 years old (8.2 ± 1.2) were enrolled into a cross-sectional study: those with confirmed ADHD (n = 39), and healthy controls (n = 80). The behavioral evaluation included a parent interview directed at sweetened food/drink habits. The clinical evaluation included physical measurements (height, waist, hip circumference, body weight, body mass index (BMI), and dental examination (International Caries Detection and Assessment System—ICDAS). Results showed a higher prevalence of abnormal body weight, hip circumference, and BMI, and a higher frequency of caries (84.6%) in the ADHD group. Significant caries differences for primary (ICDAS 0, 1, 2, 5, 6 scores) and permanent teeth (ICDAS 1, 3 scores) were recorded. The questionnaire pinpointed interplays between sugar consumption and tooth decay, especially for primary dentition. It can be concluded that the consumption of sweetened foods/drinks among ADHD children may lead to an increased rate of overweight, but may also affect oral health. Limiting sugar consumption might be one of the important elements in prevention programmes against dental caries and overweight/obesity.

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Early Childhood Caries and the Impact of Current U.S. Medicaid Program: An Overview

Cited by 8 publications

References 23 publications

Impact of a toothpaste with microcrystalline hydroxyapatite on the occurrence of early childhood caries: a 1-year randomized clinical trial

Impact of a toothpaste with microcrystalline hydroxyapatite on the occurrence of early childhood caries: a 1-year randomized clinical trial

Early Childhood Caries: Epidemiology, Aetiology, and Prevention

Excessive Weight Gain and Dental Caries Experience among Children Affected by ADHD

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