Assessing the prevalence of early childhood caries and the associated determinants in a group of preschool children: results from a national oral health survey in Egypt

Fadl, Reham Khaled Abou El; Fattah, Mona Abdel; Ezz, Mona

doi:10.21608/edj.2015.71243

Cited by 10 publications

(4 citation statements)

References 22 publications

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“…In the last 10-years, studies conducted mainly in Northern Egypt reported an early childhood caries prevalence of 69.6% in 2013 [ 87 ] and 75% in 2014 [ 88 ]. A nationally representative study published in 2019 reported high prevalence (69.2%) with a mean dmft (decayed, missing and filled teeth) score of 3.5 among the 3-to 6-year-old children [ 20 ].…”

Section: Resultsmentioning

confidence: 99%

Oral Health Policies to Tackle the Burden of Early Childhood Caries: A Review of 14 Countries/Regions

Chen

Duangthip

Gao

et al. 2021

Front. Oral. Health

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Aim: Early childhood caries (ECC) has significant public health implications but has received inadequate global attention. There is limited information regarding the success of oral health policies implemented to address the challenges of ECC. This review aimed to summarize such policies to tackle ECC from different countries/regions.Method: Independent collaborators from 14 countries/regions (Australia, Brazil, Cambodia, China, Hong Kong, Egypt, India, Indonesia, Japan, Nigeria, Thailand, UK, USA, and Venezuela) collected the data. The ECC status, dental workforce, oral health policies on ECC prevention in different countries/regions were summarized by each country.Results: The findings indicated that ECC prevalence varied in different countries/regions. The lowest prevalence of ECC among 5-year-old children was found in Nigeria (7%), and the highest was found in Indonesia (90%). The existing dental workforce and resources are limited in most countries. The smallest dentist to population ratio was reported by Nigeria at 1:48,400, whereas the highest ratio was in Brazil (1:600). Out of 14, three (21%) countries namely India, Venezuela and Cambodia had no national oral health policies addressing ECC and four (29%) countries (Cambodia, China, India, Venezuela) had no publicly funded dental care program for 0–5-year-old children. Water fluoridation is available in four countries/regions (Australia, Brazil, Hong Kong, USA).Conclusion: ECC remains a global health challenge and dental workforce is limited. National/regional programs to tackle ECC are not yet prioritized in many countries/regions. Evidence to support demonstration projects is limited. Further research on the cost-effectiveness of interventions strategies is required for policymakers.

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Section: Resultsmentioning

confidence: 99%

Oral Health Policies to Tackle the Burden of Early Childhood Caries: A Review of 14 Countries/Regions

Chen

Duangthip

Gao

et al. 2021

Front. Oral. Health

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“…Egypt has an ECC problem. The latest national oral health survey showed that the prevalence of ECC was 69.2% [17]. Also, a global study reported that ECC prevalence exceeded 50% [18].…”

Section: Introductionmentioning

confidence: 99%

Silver Diamine Fluoride with Sodium Fluoride Varnish versus Silver Diamine Fluoride in arresting early childhood caries: A randomized field trial

Abdellatif,

Tantawi,

Elkashlan

2023

Preprint

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Background Early childhood caries (ECC) is the most prevalent chronic health problem in young children, and it can be arrested using professionally applied fluoride such as Sodium fluoride (NaF) varnish and Silver Diamine Fluoride (SDF). This trial compared two interventions to arrest ECC lesions: 38% SDF combined with 5% NaF varnish versus 38% SDF and assessed whether the arrest rate was affected by baseline lesion severity measured by ICDAS. Methods Children aged ≤ 4 years from 4 nurseries in a rural area in Alexandria, Egypt joined the study in March 2022. They were included if they had at least one active carious lesion with ICDAS codes ≥ 3. They were randomized to receive either 38% SDF with 5% NaF varnish or 38% SDF at baseline and after 6 months and 5% NaF varnish was re-applied after 3 months. The primary outcome was lesion arrest status after six months. Parents’ satisfaction with their children’s appearance was the secondary outcome. Pearson Chi-Square test was used for bivariate comparison and multi-level multiple logistic regression was used to assess the effect of the intervention on caries arrest controlling for confounders. The interaction between the intervention and baseline lesion severity (categorized into moderate and severe lesions) was assessed and the p value was calculated. Results The study included 1606 lesions in 220 children, median (IQR) age = 48(9) months. The percentages of arrested lesions after the application of SDF + NaF and SDF only were 77.7% and 73.2% (p = 0.035). In multivariable analysis, SDF + NaF had significantly greater caries arrest effect than SDF alone (AOR = 2.12, p = 0.03) with significant difference (p = 0.03) between moderate (AOR = 4.10, p = 0.005) and advanced (AOR = 1.92, p = 0.08) lesions. Most parents were satisfied with their children’s appearance with no significant difference between groups (SDF + NaF = 84.5%, SDF = 78.18%, p = 0.23). Conclusion SDF + NaF had a higher arrest rate than SDF alone and this difference was observed in moderate but not advanced lesions. The findings have implications for the non-invasive management of ECC. Trial registration This trial was registered in the clinicaltrials.gov registry (#NCT05642494) on 8/12/2022.

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“…ECC affects 48% of preschool children globally, with geographic variations (2). In Egypt, the prevalence of ECC was 67% (3). The development of ECC is related to dietary habits and the composition of consumed food (4).…”

Section: Introductionmentioning

confidence: 99%

Parental feeding styles and early childhood caries in Egyptian children: a cross- sectional study

Taha,

Essam,

Tantawi

2023

Preprint

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Background Early childhood caries (ECC) affects the quality of life for young children and has the potential to increase caries susceptibility in permanent teeth. It is linked to eating or drinking sugary meals, beverages, or snacks. It may also be linked to unhealthy eating habits including emotional eating and instrumental feeding. This study examined the relationship between parental feeding practices and ECC in Egyptian children. Methods A cross-sectional study was carried out from 2022 to 2023. It included children aged 2–6 years old attending with their parents a dental clinic in a public hospital for children in Alexandria, Egypt. Data collection included oral examination to assess ECC using dmfs and oral hygiene using plaque index. Parents were asked to fill out a questionnaire about their children’s feeding and dietary habits using the parental feeding style questionnaire (PFSQ). The PFSQ contains four domains: control over eating, prompting/encouraging to eat, instrumental feeding, and emotional feeding, with 27 items scored from 1 to 5. A higher score indicated greater adoption of a feeding style. Binary logistic regression assessed the relation between having ECC experience (dependent variable) and parental feeding styles and sugary drinks intake (independent variables) controlling for confounders identified using directed acyclic graph (DAG). Results Responses and clinical data were available for 412 children out of 450 children (response rate = 91.7%). Most children (333, 80.8%) had ECC. There were significant differences in parental feeding styles between children with and without ECC. In multivariable regression, ECC was significantly higher in older children (AOR = 2.46, 95% CI: 1.68, 3.59) and in children with more instrumental feeding (AOR = 8.13, 95% CI: 3.67, 18.01) and significantly lower in females (AOR = 0.38, 95% CI: 0.19, 0.76) and children with more prompting/ encouragement to eat (AOR = 0.34, 95% CI: 0.17, 0.67). Conclusion ECC was significantly associated with some parental feeding styles. Identifying parental feeding styles may help target at-risk children by preventive and health education programs.

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Assessing the prevalence of early childhood caries and the associated determinants in a group of preschool children: results from a national oral health survey in Egypt

Cited by 10 publications

References 22 publications

Oral Health Policies to Tackle the Burden of Early Childhood Caries: A Review of 14 Countries/Regions

Oral Health Policies to Tackle the Burden of Early Childhood Caries: A Review of 14 Countries/Regions

Silver Diamine Fluoride with Sodium Fluoride Varnish versus Silver Diamine Fluoride in arresting early childhood caries: A randomized field trial

Parental feeding styles and early childhood caries in Egyptian children: a cross- sectional study

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