Diagnosing and Reporting Early Childhood Caries for Research Purposes: A Report of a Workshop Sponsored by the National Institute of Dental and Craniofacial Research, the Health Resources and Services Administration, and the Health Care Financing Administration

Drury, Thomas F.; Horowitz, Alice M.; Ismaïl, Amid I.; Maertens, M P; Rozier, R. Gary; Selwitz, Robert H.

doi:10.1111/j.1752-7325.1999.tb03268.x

Cited by 442 publications

(306 citation statements)

References 11 publications

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“…37 Unfortunately, 23% of the infants in this study met the criteria for S-ECC. 25 Regression modeling was necessary to control for the influence of confounders to determine whether prenatal 25OHD levels were associated with ECC.…”

Section: Discussionmentioning

confidence: 99%

“…Infants' teeth were assessed for caries by using established recommendations. 25 ECC and S-ECC were defined according to recognized definitions. 25 Incipient and noncavitated caries of enamel (white spot lesions) were recorded.…”

Section: Methodsmentioning

confidence: 99%

“…25 ECC and S-ECC were defined according to recognized definitions. 25 Incipient and noncavitated caries of enamel (white spot lesions) were recorded. Individual cumulative totals of the number of decayed, extracted, and filled primary teeth and cumulative totals of the number of decayed primary teeth (decayed teeth [dt] score) were determined.…”

Section: Methodsmentioning

confidence: 99%

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Prenatal Vitamin D and Dental Caries in Infants

Lavelle²,

et al. 2014

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WHAT'S KNOWN ON THIS SUBJECT: Many young children are at risk for caries, which is the most common chronic disease of childhood. As primary teeth begin to develop in utero, prenatal influences are believed to affect the integrity of enamel and subsequent resistance to decay. WHAT THIS STUDY ADDS:This study shows, for the first time, that maternal prenatal 25-hydroxyvitamin D levels may have an influence on the primary dentition and the development of early childhood caries. Specifically, lower levels are associated with increased risk of caries in infants. abstract OBJECTIVES: Inadequate maternal vitamin D (assessed by using 25-hydroxyvitamin D [25OHD]) levels during pregnancy may affect tooth calcification, predisposing enamel hypoplasia and early childhood caries (ECC). The purpose of this study was to determine the relationship between prenatal 25OHD concentrations and dental caries among offspring during the first year of life.METHODS: This prospective cohort study recruited expectant mothers from an economically disadvantaged urban area. A prenatal questionnaire was completed and serum sample drawn for 25OHD. Dental examinations were completed at 1 year of age while the parent/ caregiver completed a questionnaire. The examiner was blinded to mothers' 25OHD levels. A P value # .05 was considered significant. RESULTS:Overall, 207 women were enrolled (mean age: 19 6 5 years). The mean 25OHD level was 48 6 24 nmol/L, and 33% had deficient levels. Enamel hypoplasia was identified in 22% of infants; 23% had cavitated ECC, and 36% had ECC when white spot lesions were included in the assessment. Mothers of children with ECC had significantly lower 25OHD levels than those whose children were caries-free (41 6 20 vs 52 6 27 nmol/L; P = .05). Univariate Poisson regression analysis for the amount of untreated decay revealed an inverse relationship with maternal 25OHD. Logistic regression revealed that enamel hypoplasia (P , .001), infant age (P = .002), and lower prenatal 25OHD levels (P = .02) were significantly associated with ECC.CONCLUSIONS: This study found that maternal prenatal 25OHD levels may have an influence on the primary dentition and the development of ECC. Pediatrics 2014;133:e1277-e1284

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Prenatal Vitamin D and Dental Caries in Infants

Lavelle²,

et al. 2014

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“…Caries experience was expressed using the dmft index (decayed, missing due to caries and filled teeth) [10]; for each child, a dmft score (sum of decayed, filled or missing due to caries deciduous teeth) was calculated. As was suggested by the participants of the Bethesda workshop on early childhood caries, both non-cavitated (d 1 ) and cavitated caries lesions (dcomponent of WHO index) were recorded [11]. Dental caries lesions at the d 1 level were scored according to the criteria described by Fyffe et al [12].Theoretically, teeth should be dried before caries experience is recorded at the d 1 level.…”

Section: Clinical Examinationmentioning

confidence: 99%

Risk factors for caries incidence in a cohort of Flemish preschool children

Leroy

Bogaerts

Martens³

et al. 2011

Clin Oral Invest

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The main objective of this study was to identify the risk factors for the incidence of visible caries experience in a cohort of preschool children living in Flanders. Data were collected from 1,057 children; validated questionnaires on oral health-related behaviour were completed by parents at birth (2003)(2004), at age 3 (2007) and 5 years (2009). At ages 3 and 5, the children were examined by trained dentists. Logistic regression analyses were performed with the following as outcome variables: visible caries experience at age 3 and increment in visible caries experience between ages 3 and 5. At ages 3 and 5, enamel and/or dentinal caries experience was observed in 22% and 41% of the cohort, respectively. The multivariable logistic regression analyses revealed that the presence of visible plaque accumulation on at least one primary tooth was a significant risk factor for visible caries experience at age 3 and for an increment in caries experience between ages 3 and 5. Children with previous caries experience at age 3 had significantly higher odds for new caries lesions at age 5. Presence of visible plaque and previous caries experience are confirmed as significant risk factors for visible caries experience in preschool children. Interventions aimed at caries prevention should focus on very young children and on the control of plaque accumulation. The presence of visible plaque accumulation as a screening tool to identify young children at risk for future caries experience shows high potential.

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“…A secondary outcome is precavitated white spot lesions. The National Institute of Dental and Craniofacial Research (NIDCR) Criteria are being used to diagnose dental caries [16] with supplemental information from a NIDCR workshop for precavitated lesions [17]. Other secondary outcome measures include salivary levels of mutans streptococci and lactobacilli, and oral health-related behavior changes in the mothers from baseline to post-intervention.…”

Section: Outcomes and Data Collectionmentioning

confidence: 99%