Research issues in early childhood caries

Abstract

Abstract— Research 3 needed to establish what nomenclature and case definition for early childhood caries (ECC) are most relevant to health care professionals and to the public. Profiles or indexes for predicting the prevalence of ECC in communities should be developed on the basis of the socioeconomic factors, immigrant status and ethnic/racial backgrounds of populations. Future research should target risk factors of ECC, particularly prenatal and perinatal histories, nutritional status and microbiologic factors. Determining the relation of malnutrition of infants and young children, low birthweight, complicated pregnancies and traumatic births with the development of enamel linear hypoplasia deserves research attention. Factors that affect how and when infants and young children are colonized by mutans streptococci also need further study. The evaluation of chemotherapeutic preventive agents will likely yield more fruitful interventions for prevention than trying to change behaviors. Research in young children to prevent ECC, however, has particular ethical considerations. Withholding treatments or administering placebos to vulnerable subjects is not acceptable. Consequently, future clinical research likely will determine the relative rather than the absolute effectiveness of preventive regimens; the former requires large sample sizes and may necessitate multi‐center studies. Human studies may be hampered by problems of recruitment, compliance and transiency of subjects. Because federal support for research on dental caries has declined in recent years, a special initiative that focuses specifically on ECC may be necessary to obtain adequate funding for research on the disease.

Càries precoç de la infància: de la prevalença a la prevenció

“…La càries precoç de la infància (CPI) és una forma particular de càries que afecta la dentició temporal dels lactants i dels xiquets en edat preescolar, de manera que compromet, generalment, diverses dents i provoca una destrucció ràpida del teixit dentari i la subsegüent infecció (Horowitz, 1998). En relació amb l'epidemiologia, la CPI es considera un problema de salut pública (Berkowitz, 2003), amb major prevalença als països en vies de desenvolupament i en estrats socials desfavorits dels països desenvolupats, com ara poblacions d'immigrants i minories ètniques (Milnes, 1996).…”

Gastos de atención odontológica de niños con caries de infancia temprana, ocasionados a la familia y al Estado Peruano, representado por el Instituto Nacional de Salud del Niño

“…La CIT es una forma severa y particular de caries, muy virulenta y de carácter multifactorial, que afecta la dentición temporal de lactantes y niños pequeños en muchos países del mundo, comprometiendo por lo general numerosos dientes y produciendo una rápida destrucción e infección subsiguiente del tejido dentario (5,6,7). La CIT es un término que describe sólo la caries dental en dientes primarios.…”

Erken çocukluk çağı çürükleri ve etiyolojisi: Güncel literatür derlemesi

“…1966, Goose 1967, Derkson ve Ponti 1982, Arkin 1986, Ripa 1988, Bruered ve ark. 1989, Kaste ve Gift 1995, Horowitz 1998, Tinanoff ve ark. 1998, Drury ve ark.…”