Factors contributing to severe early childhood caries in south-west Germany

Bissar, Abdul-Razak; Schiller, Petter; Wolff, Albert E.; Niekusch, Uwe; Schulte, Andreas

doi:10.1007/s00784-013-1116-y

Cited by 48 publications

(55 citation statements)

References 18 publications

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“…Furthermore, since 1989 the German social security system has to pay for caries preventive measures applied by public health dentists in kindergartens and schools as well as by dentists in their practices. In spite of all these preventive efforts, the prevalence of caries in Germany remains substantial in adults, and even in children a group with high caries experience persists [Bissar et al, 2014;Jordan et al, 2014]. This pattern is common in most developed countries.…”

Section: Doi: 101159/000490951mentioning

confidence: 99%

The Joint ORCA-EADPH Symposium on Sugar: The Oral Health Perspective – A Commentary

Schulte¹,

Tsakos²

2018

Caries Res

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Caries is the most prevalent chronic condition worldwide and the association between high-level intake of sugars and dental decay is strong and well established. Interestingly, to combat caries, dental practitioners and public health dentists in many countries have focused mainly on the application of different kinds of fluorides and fissure sealants but not on the reduction of sugar intake. Furthermore, for many years, sugars have not been the focus of dental research activities presented at the annual conferences of the European Organisation for Caries Research (ORCA) and the European Association of Dental Public Health (EADPH). In 2015, following the publication of the new WHO guidelines on the intake of sugars, the boards of ORCA and EADPH agreed to organize a common symposium entitled “Joint ORCA-ADPH Symposium on Sugar: The Oral Health Perspective”. This symposium was organized by a scientific committee and took place on July 6, 2016, in association with the 63rd ORCA Congress in Athens, Greece. It included 9 lectures highlighting different aspects of sugar consumption, contribution of sugar to dental caries, measuring sugar consumption, and fighting against sugar on a patient and public health basis. The purpose of this commentary is to give background information about the rationale of the above-mentioned symposium.

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Section: Doi: 101159/000490951mentioning

confidence: 99%

The Joint ORCA-EADPH Symposium on Sugar: The Oral Health Perspective – A Commentary

Schulte¹,

Tsakos²

2018

Caries Res

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“…Studies on risk factors for ECC in different populations have reported various results, including an association between ECC and prolonged breast-feeding [17] and inappropriate feeding practices in very young children [18]. The presence of cariogenic organisms [19], frequency of beverage and food consumption [9, 18, 20], oral hygiene status [21, 22], parental education level, family income [18, 19], caregivers’ oral health knowledge [9, 22, 23], maternal anxiety [24], and child temperament [25] have all been shown to play roles in ECC.…”

Section: Introductionmentioning

confidence: 99%

Risk determinants associated with early childhood caries in Uygur children: a preschool-based cross-sectional study

et al. 2014

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BackgroundThe prevalence of early childhood caries (ECC) varies with geographical region and population. The Uygur people, one of 55 officially recognized ethnic minorities in China, have a population of 10,069,346. We performed a preschool-based cross-sectional study of 670 Uygur children from the southern region of Xinjiang, China, to investigate the prevalence and severity of ECC and to identify factors related to the dental health condition of this population.MethodsThe study population of children ranging in age from 3 to 5 years was invited using a three-stage stratified sampling in Kashgar, the westernmost city in China. The “dmft” index was used to assess dental caries. The diagnosis of ECC or severe ECC was based on the oral health diagnostic criteria defined by the American Academy of Pediatric Dentistry. A questionnaire was completed by the children’s caregivers. The survey included questions concerning the children’s sociodemographic background; feeding and eating habits, particularly frequency of sweet beverage and food consumption; dental hygiene-related behaviors; the general oral health knowledge of caregivers; and the dental healthcare experience of caregivers and their children.ResultsA total of 670 Uygur children underwent complete dental caries examination. Most of the children (74.2%) had ECC, with a mean dmft ± SD of 3.95 ± 3.84. The prevalence of severe ECC was 40.1% (N =269), with a mean dmft of 7.72 ± 3.14. More than 99% of caries were untreated. Statistically significant correlations were found between higher ECC prevalence and increased age and lower socioeconomic background, while greater dental health knowledge of the caregiver and positive oral hygiene behaviors were found to be protective. Our findings confirm the multi-factorial etiology of ECC.ConclusionsThe prevalence of ECC among preschool-aged Uygur children in Kashgar was high, particularly among those from lower socioeconomic backgrounds. Caries prevalence was associated with oral hygiene behaviors of children and the general oral health knowledge of caregivers. These factors could be modified through public health strategies, including effective publicity concerning general dental health and practical health advice.Electronic supplementary materialThe online version of this article (doi:10.1186/1472-6831-14-136) contains supplementary material, which is available to authorized users.

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“…[2,4] Although prevalence varies in different parts of the world, ECC is clearly a public health problem in both developing and industrialized countries. [6][7][8][9][10] Caries risk-based prevention has been found to improve quality of life and provide long-term economic gain [11] but also an important health gain. [12] The use of microbiological screening to improve the prediction of caries risk has been used successfully with both clinical and economic benefits in preschool-and older children.…”

Section: Introductionmentioning

confidence: 99%

Dentin caries risk indicators in 1-year-olds. A two year follow-up study

Hultquist

Bågesund

2016

Acta Odontologica Scandinavica

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Background: Early childhood caries (ECC) risk factors are suspected to vary between regions with different caries prevalence. Aim: Identify ECC risk factors for 1-year-olds predicting dentin caries at 3 years of age in a region with low caries prevalence. Design: Caries risk was assessed by dental hygienist or dental assistant in 779 one-year-olds. The oral mutans streptococci (MS) score was performed from a tooth surface or (in pre-dentate children) from oral mucosa. A parental questionnaire with questions regarding family factors (siblings with or without caries), general health, food habits (night meals, breastfeeding, other beverage than water), oral hygiene habits and emerged teeth were answered by parents of the 1-year-olds. Dentin caries was assessed when the children were 3-year-olds. Simple and multiple logistic regression analyses were used for identification of caries-associated factors. Results: An increased caries risk was assessed in 4.4% of the 1-year-olds. Dentin caries was found in 2.6% of the 3-year-olds. Caries risk at 1 year was associated with caries at 3 years (OR ¼ 6.5, p ¼ .002). Multiple regression analysis found the variables Beverages other than water (OR ¼ 7.1, p < 0.001), Caries in sibling (OR ¼ 4.8, p ¼ .002), High level of MS (score 2-3) (OR ¼ 3.4, p ¼ .03) and Night meal (OR ¼ 3.0, p ¼ .03) to be associated with caries. The single variables Beverage other than water between meals and Caries in sibling were more reliable than Caries risk assessed performed by dental personnel. Conclusions: Behavioural, family and microbial factors are important when assessing caries risk among 1-year-olds in a region with low caries experience.

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Factors contributing to severe early childhood caries in south-west Germany

Abstract: Parents of newborn children have to receive information about timely start of tooth brushing and adequate use of nursing bottles.

Cited by 48 publications

References 18 publications

The Joint ORCA-EADPH Symposium on Sugar: The Oral Health Perspective – A Commentary

The Joint ORCA-EADPH Symposium on Sugar: The Oral Health Perspective – A Commentary

Risk determinants associated with early childhood caries in Uygur children: a preschool-based cross-sectional study

Dentin caries risk indicators in 1-year-olds. A two year follow-up study

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