Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood caries

Riggs, Elisha; Kilpatrick, Nicky; Slack‐Smith, Linda; Chadwick, Barbara Lesley; Yelland, Jane; Muthu, M S; Gomersall, Judith Streak

doi:10.1002/14651858.cd012155.pub2

Cited by 69 publications

(83 citation statements)

References 152 publications

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“…Thus, mothers with a background and social attributes associated with ECC and low dental service utilization can be targeted to reduce the risk of children for ECC and promote dental utilization. 19 The findings may also be useful when public interventions for ECC in low‐middle income countries like Nigeria are being developed.…”

Section: Introductionmentioning

confidence: 96%

Association between maternal socioeconomic factors, decision‐making status, and dental utilization by children with early childhood caries in sub‐urban Nigeria

Foláyan

Alade

Adeniyi

et al. 2020

J Public Health Dent

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Aim: To determine the association between maternal education, income, and decision-making status and the presence of early childhood caries (ECC) and dental-service utilization among young children. Methods: This cross-sectional study was based on data from a household survey of 1,549 mother-preschool-aged-child dyads conducted in Ife Central Local Government Area, Nigeria. The explanatory variables were maternal education, income, and decision-making status (related to healthcare, large household purchases, and visits to family/relatives). Outcome variables were the presence of ECC and the child's history of dental-service utilization. Poisson regression analyses were conducted to identify factors associated with outcomes; the models were adjusted for maternal age, child's socioeconomic status, oral hygiene status, and frequency of sugar consumption. Results: The study recruited 1,549 mother-child dyads, of which 66 (4.3 percent) children had ECC, and 90 (5.9 percent) children had a history of dental-service utilization. Fewer than half (42.3 percent) of the mothers earned between N18,001($49.00) and 60,000 ($168.00) per month. Also, 896 (57.8 percent) reported not making any independent decisions, 152 (9.8 percent) made one of three decisions independently, and 313 (20.2 percent) made two or three decisions independently. In the adjusted model, children of mothers with monthly income higher than N60,000 were more likely to have used dental services than were those whose mother's monthly income was less than or equal to N18,000 (adjusted prevalence ratio = 2.29; 95%CI: 1.30-4.02; P = 0.004). No other maternal factor was associated with ECC. Conclusions: Although maternal socioeconomic factors and decision-making abilities were not associated with ECC prevalence, more preschool children whose mothers had high income used dental services.

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Section: Introductionmentioning

confidence: 96%

Association between maternal socioeconomic factors, decision‐making status, and dental utilization by children with early childhood caries in sub‐urban Nigeria

Foláyan

Alade

Adeniyi

et al. 2020

J Public Health Dent

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“…Studies show that mothers' education, stress levels, oral health beliefs, attitudes, and cultural factors are strongly linked to ECC and dental service utilization 7,8 . Although numerous types of interventions have tried to address and prevent ECC, 9 there is no universally accepted intervention fit all 10 . Providing information to parents about their children's oral health may lead to increased knowledge; however, an increase in knowledge may not cause a behavior change 11 .…”

Section: Introductionmentioning

confidence: 99%

Early childhood caries and parents’ challenges in implementing oral hygiene practices: a qualitative study

Suprabha

D’Souza

Shenoy

et al. 2020

Int J Paed Dentistry

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Dental caries is a disease of multifactorial etiology, and its causal factors include caries causing microorganisms, exposure to fermentable carbohydrates, feeding practices, and a wide range of sociodemographic factors. 1 When caries affects children of age six or under, it is called early childhood caries (ECC). 2 Although the prevalence of ECC varies from population to population, it is more prevalent in children living in socially disadvantaged communities. 3 The global prevalence of ECC is 23%-90%, 4 whereas in India it is 27%-65%. 5 In addition to occasional mortality, ECC is associated with significant morbidity as it causes pain and impairs chewing ability, nutritional intake, and the quality of life of the affected individuals. 6

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“…The characteristics of included studies are described in Table 1. They were published from 2007 to 2019 and evaluated: programmes for prevention of ECC 20 ; fluoride varnish 9,21 ; dental health education, referral by a primary care clinician to a dentist, dietary fluoride supplementation, fluoride varnish, xylitol and fluoride toothpaste 22 ; integration of maternal and children's oral health promotion into nursing and midwifery practice 23 ; effectiveness of preventive dental visits 29 ; application of fluoride, antimicrobial agents, fissure sealants and use of temporary restorations 30 ; fluoride supplementation in pregnant women 31 ; efficacy of fluoride toothpaste 32 ; oral health educational programmes for expectant mothers 33 ; preventive dental programmes offered to mothers by non‐dental professionals 34 ; prenatal oral health care 35 ; interventions with pregnant women, new mothers and other primary caregivers 36 …”

Section: Resultsmentioning

confidence: 99%

“…The review by Chou et al (2013) 22 reported that the article was supported by the Agency for Healthcare Research and Quality (AHRQ) for the US Preventive Services Task Force. The review by Riggs et al (2019) 36 was supported by School of Dentistry, The University of Manchester, UK; National Institute for Health Research; Cochrane Oral Health Global Alliance. The review by Xiao et al (2019) 35 was supported in part by Jin Xiao's faculty start‐up funds from the Eastman Institute for Oral Health, University of Rochester, and the National Institute for Dental and Craniofacial Research/National Centre for Advancing Translational Sciences.…”

Section: Resultsmentioning

confidence: 99%

Methods for prevention of early childhood caries: Overview of systematic reviews

Soares

Rosa

Moysés

et al. 2021

Int J Paed Dentistry

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Early childhood caries (ECC) is a global problem, disproportionately affecting disadvantaged populations. The aim of this study was to evaluate systematically the available scientific evidence on the effectiveness of methods for ECC prevention. Six electronic databases were searched. Two independent reviewers selected the publications and analysed the quality of the included systematic reviews. Thirteen studies were included. Overall, eight reviews were classified with methodological quality critically low using the AMSTAR 2, whereas five reviews achieved a high risk of bias using the ROBIS tool. The methods identified that were positively related to the prevention of ECC were as follows: preventive dental programmes for pregnant women; advice on diet and feeding; prenatal oral health care; integration of maternal and children's oral health promotion into nursing practice; maternal oral health programmes undertaken by non‐dental health professionals; dental health education in combination with the use of fluoride for children; early preventive dental visits; and the use of fluoride varnish and toothpastes with more than 1000 ppm of fluoride. The currently available evidence supporting the effectiveness of methods for prevention of ECC, although suggesting some methods of greater potential, is still lacking due to the methodological quality of the systematic reviews and the included primary studies.

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Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood caries

Abstract: Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood caries.

Cited by 69 publications

References 152 publications

Association between maternal socioeconomic factors, decision‐making status, and dental utilization by children with early childhood caries in sub‐urban Nigeria

Association between maternal socioeconomic factors, decision‐making status, and dental utilization by children with early childhood caries in sub‐urban Nigeria

Early childhood caries and parents’ challenges in implementing oral hygiene practices: a qualitative study

Methods for prevention of early childhood caries: Overview of systematic reviews

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