Effect of Comprehensive Dental Rehabilitation on Growth Parameters in Pediatric Patients with Severe Early Childhood Caries

Abstract

Background: Children who have severe early childhood caries (S-ECC) weigh significantly less than caries-free children. The association between S-ECC and weight suggests that its timely treatment at early stages may preserve general health, in addition to preventing pain and infection.Objective: This study was conducted to evaluate whether children with untreated S-ECC had lower weight and height as compared with children with low caries and to evaluate whether full mouth rehabilitation of children with S-ECC resulted in the phenomenon of catch-up growth.Materials and methods: The weight and height of children with noncontributory medical histories and S-ECC (3-6 years) were compared with caries-free children, before and 6 months after full mouth dental rehabilitation.Results: Prior to dental rehabilitation, children with S-ECC had significantly less weight and height than their comparison counterparts (p < 0.001). Following therapeutic intervention, the test group children exhibited catch-up growth in relation to weight, as there was no significant difference in the body weight of the test and control groups (p = 0.171).Conclusion: Comprehensive full mouth rehabilitation of children with S-ECC results in catch-up growth, thus improving the overall health of the child.How to cite this article: Sachdev J, Bansal K, Chopra R. Effect of Comprehensive Dental Rehabilitation on Growth Parameters in Pediatric Patients with Severe Early Childhood Caries. Int J Clin Pediatr Dent 2016;9(1):15-20.

Prevalence of severe early childhood caries and associated socioeconomic and behavioral factors in Xinjiang, China: a cross-sectional study

“…ECC impacts on quality of life, increases the risk of caries in the permanent dentition, and promotes inequalities in oral health [ 5 , 6 ]. Moreover, the consequences of untreated severe ECC (S-ECC) in young children are more serious than those of caries that develop in adulthood [ 7 ]. However, in most cases, ECC can be prevented, controlled, or even resolved if treated appropriately, even in the presence of S-ECC [ 8 , 9 ].…”

Oral rehabilitation in a child with early childhood caries: a case report

“…This case highlights a multifactorial etiology for dental caries: diet associate with prolonged breastfeed, inadequate oral hygiene habits, low mother's education, low socioeconomic status of the family, and high sugar ingestion between meals [1,11]. In addition, it highlights the importance of an integral and articulated vision between related areas in dentistry allowing for the reestablishment and maintenance of favorable oral and general health conditions for proper development of the patient [9,13,14]. Consequences of untreated ECC include a higher risk of new carious lesions in both the primary and permanent dentitions, hospitalizations and emergency room visits, increased treatment costs, risk for delayed physical growth and development, loss of school days and increased days with restricted activity, diminished ability to learn and diminished oral health-related quality of life [10,14,15].…”

“…In addition, it highlights the importance of an integral and articulated vision between related areas in dentistry allowing for the reestablishment and maintenance of favorable oral and general health conditions for proper development of the patient [9,13,14]. Consequences of untreated ECC include a higher risk of new carious lesions in both the primary and permanent dentitions, hospitalizations and emergency room visits, increased treatment costs, risk for delayed physical growth and development, loss of school days and increased days with restricted activity, diminished ability to learn and diminished oral health-related quality of life [10,14,15]. In addition, it has been reported that appropriate dental treatment may also have a positive impact on psychological and social aspects related to the child's life [7,8,14].…”

“…Sutures were removed 7 days after teeth extractions and favorable healing process was observed. Pulpotomy was performed in the primary mandibular second molar (right side) using a conventional technique [14]. Briefly, after controlling bleeding with sterile dry cotton pellets, diluted formocresol (1/5) was placed on the radicular pulp stumps for 5 minutes followed by the use of Intermediate Restorative Material (DENTSPLY, Catanduva, São Paulo, Brazil) to fill the pulp space in the tooth crown, and glass-ionomer cement restoration (Ketac Molar Easymix ® -3M/ESPE, Maplewood, Minnesota, USA).…”

CD89/CD35 Expression Ratio in Salivary Neutrophil as an Early Detection Marker for Severe Early Childhood Caries

“… 6 S-ECC, the severe form of ECC, may have a greater impact than caries during adulthood if left untreated. 7 However, several cases have indicated that ECC, even S-ECC, can be prevented or regulated, given the application of appropriate measures. 8 …”