Rampant Caries

Guzmán-Armstrong, Sandra

doi:10.1177/10598405050210050501

Cited by 16 publications

(15 citation statements)

References 11 publications

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“…Deep anatomic grooves, which are prone to food retention, combined with poor oral hygiene habits and a lack of preventive measures, makes the teeth more susceptible, especially to pit and fissure caries [38]. …”

Section: Discussionmentioning

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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Section: Discussionmentioning

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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“…Malposition of the teeth, deep anatomy grooves, and areas of retention due to the natural morphology of the tooth structure can cause difficulties in tooth brushing, and fluoride penetration, and thus be considered as caries risk factors, especially for pit and fissure caries. [Guzman-Armstrong, 2005]; 3) Dietary and taste preferences: In general, there are multiple potential effects of diet. Diet can influence the amount and type of plaque formation and debris and the presence of relative numbers of cariogenic microorganisms on tooth surfaces.…”

Section: Introductionmentioning

confidence: 99%

Genetic and Environmental Factors Associated with Dental Caries in Children: The Iowa Fluoride Study

Wang¹,

Willing

Marazita³

et al. 2012

Caries Res

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Dental caries remains the most common chronic childhood disease. Despite strong evidence of genetic components, there have been few studies of candidate genes and caries. In this analysis we tried to assess genetic and environmental factors contributing to childhood caries in the Iowa Fluoride Study. Environmental factors (age, sex, race, tooth-brushing frequencies and water fluoride level) and three dental caries scores (d₂fs-total, d₂fs-pit/fissure, and d₂fs-smooth surface) were assessed in 575 unrelated children (mean age 5.2 years). Regression analyses were applied to assess environmental correlates. The Family-Based Association Test was used to test genetic associations for 23 single nucleotide polymorphism (SNP) markers in 7 caries candidate genes on 333 Caucasian parent-child trios. We evaluated the associations between caries status and the level of both single and multiple SNPs (haplotype) respectively. Permutation procedure was performed for correction of inflated type I errors due to multiple testing. Age, tooth-brushing frequency and water fluoride level were significantly correlated to at least one carious score. Caries on pit and fissure surfaces was substantially higher than on smooth surfaces (61 vs. 39%). SNPs in three genes (DSPP, KLK4 and AQP5) showed consistent associations with protection against caries. Of note, KLK4 and AQP5 were also highlighted by subsequent haplotype analysis. Our results support the concept that genes can modify the susceptibility of caries in children. Replication analysis in independent cohorts is highly needed in order to verify the validity of our findings.

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“…And a baseline plaque scores > 1.5 (the Turesky Modification of the Quigley-Hein index) [ 31 , 32 ] was also required. Participants were excluded if they had rampant caries [ 33 ] or orthodontic appliances, or were immunocompromised (such as systemic diseases, any adverse medical history, or long-term medication use).…”

Section: Methodsmentioning

confidence: 99%

Efficacy of tooth brushing via a three-dimensional motion tracking system for dental plaque control in school children: a randomized controlled clinical trial

et al. 2022

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Background School children are in a developmental period in which permanent teeth replace primary dentition. It is also a period with a high incidence of gingivitis and caries, which can be improved with adequate tooth brushing. Advances in information technology have led to the development of smart health devices that assist in tooth brushing. We compared the effectiveness of computer-assisted toothbrushing using a toothbrushing instruction (TBI) method called the smart toothbrush and smart mirror (STM) system with that of conventional TBI (verbal instructions) for plaque control in school children. Methods This randomized controlled clinical trial analyzed and compared the reduction of the modified Quigley-Hein plaque index between the two methods in 42 school children. The participants were randomly assigned to the STM system group (n = 21) or conventional-TBI group (n = 21). The plaque indices were evaluated at baseline, immediately after TBI (day 0), and 1 week and 1 month after TBI. Results The STM system and conventional TBI led to an average reduction of 40.50% and 40.57%, respectively, in whole mouth plaque. Reductions in the plaque indices within each tested time period were observed in both groups (P < 0.001), and the mean plaque reduction did not differ between the two groups (P = 0.44). Conclusions The present study tested a computer assisted system for TBI, more studies are needed to confirm its usefulness in different objectives. Clinical relevance The computer-assisted STM system may be an alternative of TBI for children. Trial registration ClinicalTrials.gov (NCT04627324) Registered 13/11/2020—Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT04627324.

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Rampant Caries

Cited by 16 publications

References 11 publications

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

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

Genetic and Environmental Factors Associated with Dental Caries in Children: The Iowa Fluoride Study

Efficacy of tooth brushing via a three-dimensional motion tracking system for dental plaque control in school children: a randomized controlled clinical trial

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