Factors associated with early childhood caries in Chile

Hoffmeister, Lorena; Moya, Patricia; Vidal, Carolina; Benadof, Dafna

doi:10.1016/j.gaceta.2015.09.005

Cited by 35 publications

(46 citation statements)

References 10 publications

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“…3 A recent oral health study conducted in preschoolers in the south of Chile reported a prevalence of 20.3% in 2-year-olds and 52.7% in 4-year-olds. 4 The study also revealed more severe ECC in children of lower socioeconomic status, a factor widely analyzed in the literature. 2,[5][6][7] Higher caries prevalence has been reported in rural preschoolers in previous studies, establishing an association between caries and the condition of rurality.…”

Section: Introductionmentioning

confidence: 58%

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Prevalence of early childhood caries in non-fluoridated rural areas of Chile.

et al. 2016

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Introduction: Early Childhood Caries (ECC) is a serious public health concern worldwide, especially in communities without water fluoridation. Objective:To determine the prevalence of ECC in 2 and 3 year old children attending rural daycare centers without access to water fluoridation. Methods: A cross-sectional study at community level was performed during 2012. The eligible population was composed of 2 and 3 year-old children from rural daycare centers located in nonfluoridated areas in regions La Araucanía, Los Ríos, and Los Lagos, Chile. Four calibrated examiners (ICC=0.83) measured the prevalence of dental caries based on criteria proposed by the WHO. Data were analyzed using chi-square test, t-test and logistic regression models. Results: The study sample consisted of 587 children; two-year-olds accounted for 53.32%, and 52.47% were female. Prevalence of ECC was 51.62% with a mean dmft index of 2.53. Region de la Araucanía had the highest ECC prevalence (52.79%). Variables that showed association were age, OHI-S and type of health insurance coverage (p<0.05). Conclusion: A high prevalence of ECC was found in areas with a non-fluoridated water supply.

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Section: Introductionmentioning

confidence: 58%

“…The group categorized as FONASA A had a higher mean dmft index. Hoffmeister et al 4 also significantly associated ECC with low socioeconomic status, but in an urban Chilean population. Global evidence confirms that socioeconomic status is a factor for ECC.…”

Section: Discussionmentioning

confidence: 90%

Prevalence of early childhood caries in non-fluoridated rural areas of Chile.

et al. 2016

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“…En Chile, la caries dental se expresa desde un 16,8% a los dos años edad hasta un 100% en la edad adulta. Un estudio realizado en la zona sur del país, en el marco de la construcción del diagnóstico de salud bucal de la población preescolar, concluye que se observan altas prevalencias de caries en edades muy tempranas, que la posición socioeconómica se encuentra asociada a la experiencia de caries y que los hábitos de nutrición se encuentran relacionados con el desarrollo de la enfermedad en todos los niveles socioeconómicos (24) . De los pocos estudios epidemiológicos existentes, se advierte una alta prevalencia de caries a los 12 años de edad, con un 62,5% y un promedio de 1,9 dientes afectados por caries (25) .…”

Section: Discussionunclassified

Creación de un Currículo de Competencias en Cariología para Estudiantes de Pregrado de Odontología en Chile.

Giacaman

Aránguiz

Botelho

et al. 2018

Rev. Clin. Periodoncia Implantol. Rehabil. Oral

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(año 2011), se elaboró una propuesta de currículo inicial, basado en los dominios propuestos por la Unión Europea (Schulte AG y cols). Durante el año 2016, dicha propuesta fue analizada mediante diálogos digitales y grupos de trabajo, con la participación del 96% de las Escuelas de Odontología existentes en el país, que concluyeron en un documento intermedio. Este documento fue analizado, discutido y perfeccionado durante el Taller para el Desarrollo de un Currículo de Competencias Mínimas en Cariología para las Escuelas de Odontología Chilenas (22/Mayo/

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“…Although its global prevalence has decreased over recent decades, ECC continues to be a serious public health problem in certain populations, particularly in developing countries and unprotected subgroups in industrialized nations such as immigrants, ethnic minorities or rural communities where the prevalence in the literature is as high as 90% . In Chile, the reported prevalence ranges from 8% to 88%, depending on the diagnostic criteria used …”

Section: Introductionmentioning

confidence: 99%

“…[2][3][4] In Chile, the reported prevalence ranges from 8% to 88%, depending on the diagnostic criteria used. 4,5 Living in a rural environment is an important risk factor for ECC because of the associated low socioeconomic status, poor dietary habits, low maternal educational levels and relatively poor access to fluoridated water or dental services. 2,6,7 The high prevalence of ECC in rural communities without access to fluoridated water has a series of consequences, such as hospitalization and emergency care for caries complications, which affects the quality of life of the preschoolers involved.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of fluoride varnish in preventing early childhood caries in rural areas without access to fluoridated drinking water: A randomized control trial

Muñoz-Millán

Zaror

Espinoza-Espinoza

et al. 2017

Comm Dent Oral Epid

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Objectives: Early childhood caries (ECC) constitutes a serious public health issue, especially in communities without water fluoridation. We assessed the effectiveness of biannual fluoride varnish applications to prevent ECC in children from nonfluoridated rural areas.Methods: A triple-blind randomized control trial with two parallel arms was conducted with 275 two-to three-year-old children without cavitated carious lesions from 28 rural public preschools in Chile. The preschools were located in areas of low socioeconomic status without access to fluoridated water. An oral health education component was administered to children, parents and educators. A new toothbrush and toothpaste for each child was delivered to the parents at baseline and at four follow-up visits. The participants were randomly allocated to receive fluoride varnish or placebo applications every six months. Trained, calibrated dentists blind to the treatment arm performed visual dental assessments at 6, 12, 18 and 24 months. The primary endpoint was the development of cavitated carious lesions in children during the 24-month follow-up period using WHO criteria, and the secondary outcomes were an increase in caries measured as a change in the index of decayed, missing or filled teeth (dmft) since the beginning of the study and the development of adverse effects. An intention-to-treat (ITT) approach was used for the primary analysis.Results: We included 131 participants in the intervention group and 144 participants in the placebo group; of these children, 89 (67.9%) in the intervention group and 100 (69.4%) in the control group completed the protocol. The comparative ITT analysis of caries incidence after 24 months of follow-up showed a between-group prevention fraction of 18.9% (À2.9%-36.2%). Caries incidence was 45.0% for the experiment group and 55.6% for the control group (P = .081), with a mean dmft of 1.6 (SD = 2.4) and 2.1 (SD = 2.5), respectively. No adverse effects were reported. Conclusions:In conclusion, biannual fluoride varnish application is not effective in preschool children from rural nonfluoridated communities at a high risk of caries. K E Y W O R D Searly childhood caries, fluoride varnish, preschool children, randomized controlled trial

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Factors associated with early childhood caries in Chile

Abstract: The high prevalence of caries in this young group is concerning. The factors associated with caries identified in this study could help in the design of preventive interventions at early ages.

Cited by 35 publications

References 10 publications

Prevalence of early childhood caries in non-fluoridated rural areas of Chile.

Prevalence of early childhood caries in non-fluoridated rural areas of Chile.

Creación de un Currículo de Competencias en Cariología para Estudiantes de Pregrado de Odontología en Chile.

Effectiveness of fluoride varnish in preventing early childhood caries in rural areas without access to fluoridated drinking water: A randomized control trial

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