Early Childhood Caries with the Perspective of Pediatrician

Abstract

ÖzetAmaç: Erken süt çocuğu diş çürüğü 24-72 ay çocuklarda en az bir ya da daha fazla diş çürüğü, süt dişlerinde kayıp ya da dolgu olması olarak tanımlanmak-tadır. Etyolojik faktörlerin değişim göstermesi nedeniyle erken süt çocuğu diş çürüklerinin prevalansı tüm dünyada farklılık göstermektedir. Bu çalışmanın amacı Türkiye'nin güneydoğu Anadolu bölgesinde erken süt çocuğu diş çürü-ğü prevalansını ve etyolojik faktörlerini belirlemek ve pediatrist bakışı açısı ile değerlendirmektir. Gereç ve Yöntem: Pediatri polikliniğimize herhangi bir şi-kayetle başvuran, yaşları 24-72 ay arasında değişen olgular çalışmaya dahil edildi. Diş çürüğü olanlar ve olmayan değerlendirildi ve yetkili kişi tarafından ailelere bir anket doğrultusunda sorular soruldu. Bu anket; anne sütü, vitamin D kullanımı, multivitamin kullanımı, demir desteği, biberon ve emzik kullanı-mı, yoğurt tüketimi, asitli içekler, aynı doğrultuda diş fırçalama alışkanlıkla-rı, diş hekimi tarafından kontrolü, ebeveynlerin sigara kullanımını içermekte idi. Bulgular: Çalışmaya 553 hasta dahil edildi. Erken süt çocuğu diş çürüğü % 33,1 olarak tespit edildi. Bu çalışmanın sonucunda; emzik kullanımı, multivitamin desteği ve asitli içeceklerin erken süt çocuğu diş çürüğüne anlamlı derecede katkıda bulunmakta olduğu belirlendi. Tartışma: Çocukluk yaş grubunda biz emzik kullanımından, gereksiz multivitamin desteğinden, asidik içecek-lerden kaçınılması gerektiğini ya da bu gıdaların verilmesinden sonra dişlerin fırçalanmasını öneriyoruz. Anahtar KelimelerErken Süt Çocuğu Diş Çürüğü; Multivitamin; Emzik Abstract Aim: Early childhood caries are characterized by the presence of at least one or more decayed, missing or filled teeth surfaces in any primary tooth of a child 24-72 months of age. The prevalance of early childhood caries is variable among the world because of wide range of contributing aetiological factors. Aim of this study to determine the prevalance and aetiologic factors of early childhood caries, in South East Anatolia Region of Turkey and evaluated as a pediatrician view. Material and Method: Patients admitted to pediatric polyclinics for any reason, aging between 24 to 72 months, were enrolled in this study. The children who had dental caries and who had not were examined by a dentist. Families were requested to voluntarily answer questions asked by our staff who follow a questionnaire. This questionnaire contains breastfeeding, usage of vitamin D, multivitamin formulations, iron supplements, baby bottle and pacifier, as well as consumpion of yogurt, acidic drinks, in addition to health habits of brushing teeth, check up by the dentist, cigarette usage of parents (mother, father or both). Results: 553 patients were included the study. Early childhood caries was determined to be 33,1 %. As a result of this study, we found that pacifier usage, multiviamin supplements and acidic drinks were significantly contributing to early childhood caries. Discussion: We advise refrainment from pacifier usage and unnecesary consumption of multivitamin supplemantation, aci...

Analysis of IgA Anti-S mutans Serotype c and e in ECC Patients and Its Correlation towards Saliva Viscosity and DMFT Score

“…More appropriate protein intake might be need for patient with ECC. As reported by previous study that multivitamin usage and tooth decay relation is not a widely questioned phenomena in ECC [22]. Our finding might be valuable for the strategy to prevent ECC focusing on S mutans serotype c and the role of specific IgA against this S mutans saliva.…”

“…In ECC patients, S mutans serotype e may be more immunogenic than serotype c and higher salivary viscosity may be due to its high protein contain as well as IgA content. score, the lower IgA anti-S mutans Decreased IgA levels, sk factor in patients re appropriate protein intake might be As reported by previous study that multivitamin usage and tooth decay relation is not a widely questioned phenomena in ECC [22]. Our finding might be valuable for the strategy to prevent ECC by serotype c and the role of S mutans serotype in serotype e may be more immunogenic than serotype c and higher salivary viscosity may be due to its high protein Part of this study was supported by Universitas Indonesia PUPT grant provided by The Ministry of Research and Technology and Higher he Republic of Indonesia 2016.…”

Association of parental-reported vitamin D supplementation with dental caries of 3-year-old children in Poland: a cross-sectional study

“…ECC has a number of causes and develops as a reaction to a combination of various socio-demographic and behavioural factors [8]. Some studies have shown an association of low vitamin D levels and dental caries in children, while others have not shown any correlation or the association [4,5,[9][10][11][12][13][14][15][16][17][18][19][20][21][22]. There is clinical evidence of the association of vitamin D deficiency with dental caries in the primary dentition among Canadian populations; they are at risk of vitamin D deficiency due to high latitude geographical location [16].…”

“…Studies on the molecular basis of vitamin D and vitamin D receptor (VDR) have concluded that vitamin D influences tooth germ formation; it contributes to the regulation of enamel and dentine formation and maturation, and controls the stages of tooth crown development [22]. In addition, vitamin induces the formation of certain antimicrobial peptides (AMPs) such as defensins and cathelicidins, which are relevant elements in breaking the membrane integrity of the oral bacteria [15,22,23]. Salivary antimicrobial peptides concentrations showed large differences between individuals, with a significantly higher level of salivary defences in cariesfree children.…”

Associations of nutritional status, sugar and second-hand smoke exposure with dental caries among 3- to 6-year old Malaysian pre-schoolers: a cross-sectional study

“…Besides that, second-hand smoke brings harm to children's general heath, including dental health. It is suggested that the exposure to second-hand smoke at home increases the risk of caries among children [12,15], but some studies found no association [16,17]. Moreover, obesity and caries are health problems that exist concurrently, mostly due to their common risk factors, including consumption of food high in calories, increased stress, and low socioeconomic status [18].…”