Dental caries in 6-12-year-old indigenous and non-indigenous schoolchildren in the Amazon basin of Ecuador

Medina, Widman; Hurtig, Anna-Karin; Sebastián, Miguel San; Quizhpe, Edy; Romero, Cristian

doi:10.1590/s0103-64402008000100015

Cited by 27 publications

(43 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…We observed a higher childhood caries prevalence and severity than some reports from Latin America writ large, Ecuador nationwide, and community studies of similar indigenous populations in Ecuador's Amazon basin [18,32,33]. However, limited research exists on the prevalence and severity of caries among children under age 6, a critical period for the development of eating and oral hygiene habits.…”

Section: Prevalence Of Caries and Mouth Paincontrasting

confidence: 53%

Early Childhood Dental Caries, Mouth Pain, and Malnutrition in the Ecuadorian Amazon Region

So¹,

Ellenikiotis²,

Husby³

et al. 2017

Preprint

View full text Add to dashboard Cite

Malnutrition and dental caries in early childhood remain persistent and intertwined global health challenges, particularly for indigenous and geographically-remote populations. To examine the prevalence and associations between early childhood dental caries, parent-reported mouth pain and malnutrition in the Amazonian region of Ecuador, we conducted a cross-sectional study of the oral health and nutrition status of 1,407 children from birth through age 6 in the "Alli Kiru" program (2011Kiru" program ( -2013. We used multivariate regression analysis to examine relationships between severe caries, parent-reported mouth pain measures, and nutritional status. The prevalence of dental caries was 65.4%, with 44.7% of children having deep or severe caries, and 33.8% reporting mouth pain.The number of decayed, missing and filled teeth dmft) increased dramatically with age.Malnutrition was prevalent, with 35.9% of children stunted, 1.1% wasted, 7.4% underweight, and 6.8% overweight. As mouth pain increased in frequency, odds for severe caries increased. For each unit increase in mouth pain frequency interfering with sleeping, children had increased odds for underweight (AOR: 1.27; 95% CI: 1.02 -1.54) and decreased odds for overweight (AOR: 0.76; 95% CI: 0.58 -0.97). This relationship was most pronounced among 3-6 year-olds. Early childhood caries, mouth pain and malnutrition were prevalent in this sample of young children.Parent-reported mouth pain was associated with severe caries, and mouth pain interfering with sleeping was predictive of poor nutritional status. We demonstrate the utility of a parsimonious parent-reported measure of mouth pain to predict young children's risk for severe early childhood caries and malnutrition, which has implications for community health interventions.

show abstract

Section: Prevalence Of Caries and Mouth Paincontrasting

confidence: 53%

Early Childhood Dental Caries, Mouth Pain, and Malnutrition in the Ecuadorian Amazon Region

So¹,

Ellenikiotis²,

Husby³

et al. 2017

Preprint

View full text Add to dashboard Cite

show abstract

“…Studies of other indigenous populations in North America and Australia have also shown that ECC is a near-universal and commonly severe experience by five-to six-years of age [22]. The most prominent risk factor for ECC in this population was the rapid access to stores that sold junk food-despite the rural setting and limited resources, three quarters of families could access junk food within a five-minute walk from their house, and nearly half of children reportedly consumed junk food at least once a day.…”

Section: Caries Experiencementioning

confidence: 99%

“…The 2009 national oral health survey found that 76% of children age 6-to15 had caries [20]. A study in the Amazonian region of Ecuador found that, among six-year-olds, 92% of indigenous children and 95% of non-indigenous children had caries, with a mean of 6.4 and 8.4 decayed teeth respectively (i.e., approximately 1/3 of their 20 total primary teeth) [22].…”

Section: Introductionmentioning

confidence: 99%

Early childhood caries and malnutrition: baseline and two-year follow-up results of a community-based prevention intervention in Rural Ecuador

et al. 2016

View full text Add to dashboard Cite

Background: The global "nutrition transition" has increased children's consumption of sugary snacks and beverages (junk food), compounding their risk for poor oral health and malnutrition. The purpose of this study was to examine the relationship between early childhood caries (ECC) and malnutrition in a community context. Methods: This is a baseline and two-year follow-up analysis of a community-based preventive oral health and nutrition intervention for 1,575 children, from birth through age six, in an indigenous population in rural Ecuador. Trained community volunteers, preschool teachers and dentists provided children and families with nutrition and oral health education, toothbrushes and fluoride toothpaste, fluoride varnish, and referral for dental treatment, three times per year. Annual data collection included mother interviews, child dental examinations and measurements of height and weight. Descriptive and bivariate analyses were completed in SPSS. Results: At baseline, nearly half of children consumed junk food daily. ECC began in infancy, increasing steadily thereafter. Among one-year-olds, 53.8% had caries with a mean of 2.1 decayed teeth; and among six-year-olds, 98.6% had caries with a mean of 10.5 decayed teeth, and half experienced mouth pain. At two-year follow-up, reported junk food consumption was cut in half; and the prevalence and severity of caries and mouth pain were reduced. Children who entered the intervention in their first year of life experienced the greatest dental improvements. Children who entered in their first two years and attended the entire two-year intervention experienced a one-third reduction in stunting malnutrition, with greatest improvement among those whose caries increment was controlled. Conclusions: ECC and caries-related malnutrition were reduced for children who participated in this prevention-oriented community oral health and nutrition intervention, especially those beginning in the first two years of life. Oral health and nutrition promotion should be incorporated into all maternal-child health programs, from pregnancy and birth onward.

show abstract

“…Estos valores al comparar con la escala de categorización de estado de salud bucal OMS (1997) indican valores para ceod considerados altos en dentición decidua, en dentición mixta ceod moderado y CPOD bajo, y en la dentición permanente moderado.…”

Section: Discussionunclassified

Dental health status and diet of indigenous children from the Pykasu community of the Paraguayan Chaco

Amarilla

Cañete

Ferrer

et al. 2016

Mem. Inst. Investig. Cienc. Salud

View full text Add to dashboard Cite

Los indígenas de la comunidad de Pykasú del Chaco Paraguayo (etnia Guaraní Ñandéva) no tienen acceso a los servicios de salud bucal por los problemas de distancia y las condiciones viales. Este estudio observacional descriptivo transversal tuvo como objetivo determinar el estado de salud bucodental y dieta de 57 niños de 3 a 13 años de dicha comunidad, utilizando los índices ceod y CPOD, IHO-S y el índice de hemorragia del surco de Mühlemann. La media del ceod en la dentición decidua fue alta (5), en la dentición mixta los valores de ceod fueron moderados (3.5) y el CPOD bajo (1.6), y en la permanente el CPOD fue moderado (3.6) según la escala de la OMS. En cuanto a la escala IHOS, el 65% de la población tenía un valor del índice considerado como regular. Un alto porcentaje de la población (94,8%) presentó hemorragia al sondaje mayor al 10% de las superficies de los dientes sondados. La dieta era equilibrada y el consumo de azúcares y almidones refinados poco frecuente, además del consumo de frutos de la zona de alto contenido de fibras como el algarrobo que es consumido por todos los niños, en su mayoría más de 6 vainas al día.Palabras clave: salud pública, IHOS, CPOD, ceod, Índice de sangrado del surco de Mühlemann, dieta, comunidad indígena de Pykasú, Chaco Paraguayo. Dental health status and diet of indigenous children from the Pykasu community of the Paraguayan Chaco A B S T R A C TThe indigenous people of the community of Pykasu of the Paraguayan Chaco (ethnic group Guaraní Ñandeva) have no access to oral health problems due to distance and road conditions. This descriptive cross-sectional observational study aimed to determine the oral health status and diet of 57 children in this community between 3 and 13 years, using DMFs and DMFT indices, OHI-S and Mühlemann Groove bleeding rate. The average of the DMFs in the deciduous dentition was high (5), in the mixed dentition DMFs values were moderate (3.5) and DMFT low (1.6) while DMFT values were moderate in the permanent one (3.6) according to the scale of the WHO. In relation to OHI-S scale, the majority of subjects (65%) has an index value considered to be regular. The majority of the population (94.8%) presented hemorrhage on probing greater than 10% of the surfaces of the probed teeth. The diet was balanced and the consumption of sugars and starches refined was little frequent, as well as consumption of fruits of the area with high fiber content like the carob tree which is consumed by 100% of the children, mostly more than 6 pods a day.

show abstract

Dental caries in 6-12-year-old indigenous and non-indigenous schoolchildren in the Amazon basin of Ecuador

Cited by 27 publications

References 3 publications

Early Childhood Dental Caries, Mouth Pain, and Malnutrition in the Ecuadorian Amazon Region

Early Childhood Dental Caries, Mouth Pain, and Malnutrition in the Ecuadorian Amazon Region

Early childhood caries and malnutrition: baseline and two-year follow-up results of a community-based prevention intervention in Rural Ecuador

Dental health status and diet of indigenous children from the Pykasu community of the Paraguayan Chaco

Contact Info

Product

Resources

About