Severe early childhood caries: an integral approach

Losso, Estela Maris; Tavares, Maria Cristina Reis; Silva, Juliana Y. B. da; Urban, Cı́cero de Andrade

doi:10.2223/jped.1908

Cited by 49 publications

(54 citation statements)

References 48 publications

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“…The most affected elements are the upper and lower anterosuperior and molars. Anteroposterior teeth are included in more advanced cases of caries disease 20 . The second deciduous molars were the teeth most affected by caries (Figures 1 and 2).…”

Section: Resultsmentioning

confidence: 99%

Dental caries in children on deciduous dentition: art and socioeconomic aspect

Lira

Portela

2017

Braz. J. Oral Sci.

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Aim: Determine the prevalence and incidence of dental caries in children´s deciduous teeth, who were treated with ART technique. Methods: In T1, 62 children were examined for being between 3 and 6 years of age. A questionnaire was applied to the parents or guardians of the children involved in the research, to analyze their knowledge about eating habits and oral hygiene. An intra-oral examination of children from 3 to 6 years old was carried out and dental treatment was performed by the ART technique. Six months after,(T2), the clinical examination was redone to investigate the restorations´stability. Results: In T1, 94 carie cavities were found in 19 children and 86 were recommended for restoration with ART. In T2, 58 restorations were damaged or lost and 15 children had 20 new carie cavities. Conclusion: The prevalence of dental caries in the deciduous dentition was 38.8% and the incidence was 31.9%. In T2, the majority restorations class I and II were damaged or lost. ART technique is an option, despite the high failure in ART, especially for child population with deciduous teeth that has limited access to dental services. However, restorations should be supervised and healthy eating habits implemented.

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Section: Resultsmentioning

confidence: 99%

Dental caries in children on deciduous dentition: art and socioeconomic aspect

Lira

Portela

2017

Braz. J. Oral Sci.

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“…However, other studies [12,15,18] have reported that children who have the habit of unrestricted use of the bottle, wake up to feed, sleep while sucking foods containing sugar in its composition or added, are more prone to developing severe childhood caries [19]. Although the increased use of nocturnal bottle, coupled with early weaning, is considered a predisposing factor for severe childhood caries, the findings of this research did not examine the association between bottle use and the occurrence of caries (p>0.05), since 70% of children who had caries did not have this habit.…”

Section: Discussionmentioning

confidence: 99%

“…The prevalence of severe childhood caries varies from 12 to 46%, and the age range from 1 to 3 years is the most affected [7,10,11,15,19,20]. The multivariate analysis used in this study showed that the prevalence of dental caries increased significantly by 45%, which is higher than the value found in the study carried out in João Pessoa (Brazil), Piracicaba (Brazil) and Salvador (Brazil) (43.7%, 23.6% and 17.6%) respectively [7,10,29].…”

Section: Discussionmentioning

confidence: 99%

Socioeconomic, Nutritional and Behavioral Factors Associated with Severe Childhood Caries in Children Aged 18-36 Months

Costa¹,

Ferreira²,

Oliveira³

et al. 2014

Pesqui. bras. odontopediatria clín. integr.

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Objective: To relate the occurrence of severe childhood caries with nutritional, socioeconomic and behavioral factors among preschool children. Material and Methods: This cross-sectional study included 111 children aged 18-36 months who sought dental care in basic health units of São Luis, Brazil. The oral health status was measured by the DMFT index (number of decayed, missing and filled teeth), IPV/ISG. Socioeconomic, nutritional and behavioral data were collected through a questionnaire applied to parents. Caries Group was defined as DMFT ≥ 1. Data were analyzed using the Chi-square test and Fisher exact test. Poisson regression models and incidence rate ratio (IRR) were used for multivariate analysis, adopting significance level of 5% and confidence interval (CI) of 95%. Results: It was observed that 61 children (55%) were free from caries and 50 (45%) had the disease. In the Caries Group, 38 (76%) had white spot lesions, 70% had the habit of consuming sweets between meals (p=0.04) and the sucrose intake frequency was considered high (3x daily). After multivariate analysis, age (IRR=1.05, 95%CI=1.03 to 1.07, p <0.001) and consumption of sweets (IRR=1.46, 95%CI=1.11 to 1.92 p=0.006) were associated with increased incidence of caries. Conclusion: The findings of this study suggest that frequent exposure to sugars in the form of sweets between meals, lack of guidance of mothers on oral hygiene and increased age were determining factors for the occurrence of severe childhood caries.

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“…CPI is considered a serious public health problem both in developing countries and industrialized countries [6], it can bring serious consequences with local, systemic, psychological, and social repercussions [7], such as infection, loss of space in the bow, interference in quality of life, growth disturbance, effects on intellectual development, greater risk of new carious lesions in both deciduous dentition, and permanent, higher incidence of hospitalization and visits to emergency, and increase in time and cost of treatment [7,8]. However, CPI can be prevented, controlled or even reversed [7].…”

Section: Introductionmentioning

confidence: 99%

Importance of Deciduous Teeth: Maternal Perceptions and Early Childhood Caries

Castro

Reis²,

Costa³

et al. 2017

Pesqui. bras. odontopediatria clín. integr.

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Objective: To assess the perception of mothers on the importance of deciduous teeth and correlate with eating habits, oral hygiene and infant oral health status (presence or absence of early childhood caries -ECC). Material and Methods: Study's participants were 80 mothers of children of both genders, from two to five years old, with and without severe ECC. The mothers were divided into two groups according to the child's oral health. A questionnaire at the form of an interview was applied to mothers with questions on sociodemographic characteristics, eating habits and oral hygiene, and the importance of primary teeth. Mothers were asked to respond according to a Likert scale modified "strongly agree", "partially agree", "partially disagree" and "strongly disagree". The data about oral health status of the child (absence or presence of ECC) were collected from dental records. Results: It was observed that in relation to scores of oral hygiene and eating habits and the importance of primary teeth, the predominance was observed of scores above 10 points, 56.3%, 93.8% e 92.5%, respectively. For the two groups there was no significant difference. Conclusion: The largest number of preschool children's mothers that have ECC do not know the importance of primary tooth and the important functions it performs. There was no correlation between eating habits, oral hygiene and infant oral health status.

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Severe early childhood caries: an integral approach

Cited by 49 publications

References 48 publications

Dental caries in children on deciduous dentition: art and socioeconomic aspect

Dental caries in children on deciduous dentition: art and socioeconomic aspect

Socioeconomic, Nutritional and Behavioral Factors Associated with Severe Childhood Caries in Children Aged 18-36 Months

Importance of Deciduous Teeth: Maternal Perceptions and Early Childhood Caries

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