Parenting practices and oral health behaviors of children in rural Egypt: gender differences in a household survey

Tantawi, Maha El; Aly, Nourhan M.; Atteya, Sara; Abdellatif, Enas B.; Yassin, Randa

doi:10.1186/s12903-022-02054-z

Cited by 9 publications

(4 citation statements)

References 36 publications

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“…70% of 6-year-old children worldwide already suffer from dental caries, and in economically underdeveloped regions, the situation is even more severe due to a lack of oral health awareness, education, and corresponding prevention and treatment channels [10,11]. Changing diet structures and an unhealthy lifestyle are causing an increase in children's oral diseases.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the incidence and influencing factors of dental caries and periodontitis in children aged 5–12 in Jinhua, Zhejiang province

2024

JOCPD

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This study aims to examine the prevalence of dental caries and periodontitis among children aged 5-12 years in Jinhua, Zhejiang province, and analyze the influencing factors of dental caries and periodontitis. A total of 280 children meeting the study criteria for a first-time oral examination were retrospectively analyzed and divided into caries (n = 190), no-caries (n = 90), periodontitis (n = 85) and non-periodontitis group (n = 195) groups based on the presence of caries or periodontitis. An analysis of general survey questionnaires and logistic regression of dental caries and periodontitis among children in different groups was conducted. Caries disease was diagnosed in 67.86% with an average decayed missing filled tooth (DMFT) of 2.94, and periodontitis was diagnosed in 30.36% of 280 children. The independent risk factors for dental caries were daily brushing habits, parental supervision (assisted) brushing, place of residence and frequency of eating desserts or beverages (p < 0.05). Periodontitis was not related to parental education and knowledge of oral health care (p > 0.05). Periodontitis is independent of plaque, tartar, mastery of brushing methods, regular oral examination, and gargling after meals (p < 0.05). While daily brushing habits, parental supervision (assisted) brushing, place of residence and frequency of eating desserts or beverages were protective factors for dental caries (p < 0.05). According to the prevalence of dental caries and periodontitis among children aged 5-12 in this area as well as the analysis of influencing factors, further effective measures can be taken to reduce the incidence of adverse influencing factors, thereby reducing the risk of dental caries and periodontitis for children.

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Section: Discussionmentioning

confidence: 99%

Analysis of the incidence and influencing factors of dental caries and periodontitis in children aged 5–12 in Jinhua, Zhejiang province

2024

JOCPD

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“…A sugar score was produced by summing the points of all sugary products that were consumed daily. The score ranged from 0 to 8 with higher scores indicating greater daily sugar consumption [ 49 ]. Oral hygiene was clinically assessed using the plaque index (PlI) of Silness and Loe [ 50 ] on 6 index teeth (#52, 55, 64, 72, 75, and 84) and averaging the scores to obtain the child’s score.…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of nanosilver fluoride and silver diamine fluoride in arresting early childhood caries: a randomized controlled clinical trial

Quritum,

Abdella,

Amer

et al. 2024

BMC Oral Health

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Background One of the most prevalent health problems affecting children worldwide is untreated caries in primary teeth. Agents to arrest caries are used to manage untreated decay in children in disadvantaged communities. Nano Silver Fluoride (NSF) overcomes the staining problems of Silver Diamine Fluoride (SDF). This study compared the clinical cariostatic effect of NSF to 38% SDF for arresting caries lesions. Methods The study included 360 children younger than 4 years, with at least one active lesion, ICDAS score ≥ 3, recruited from nurseries in a rural area in Alexandria, Egypt, in 2022. They were randomly assigned to receive a single application of NSF at baseline, or two applications of SDF at baseline and after 6 months. The arrest of active carious lesions was assessed after 6 and 12 months using ICDAS criteria, and parents’ satisfaction with child appearance was also assessed. Chi-Square test was used to compare the groups and multi-level multiple logistic regression was used to assess the effect of the intervention on caries arrest at lesion level and binary logistic regression was used to assess the effect at patient level. Results 1853 active lesions were included in children whose mean (SD) age was 42.3 (8.2) months. The arrest rate was significantly higher in the NSF than the SDF group at lesion level (78.4% and 65.0% at 6 months and 71.3% and 56.3% at 12 months, p < 0.001). In regression analysis, NSF had significantly higher odds of caries arrest than SDF at lesion level (at 6 months, AOR = 2.57, 95% CI: 1.55, 4.26 and at 12 month, AOR = 3.27, 95% CI: 1.89, 5.67). Parents of children receiving NSF had significantly greater satisfaction with their children’s dental appearance than those receiving SDF: (97.2% and 76.1%, respectively, p < 0.001). Conclusion NSF demonstrated greater effectiveness in arresting caries in preschool children without inducing black staining of teeth and with greater parental satisfaction than SDF. NSF can be an alternative to SDF in arresting caries especially in underprivileged communities. Trial registration The trial was registered in the clinicaltrials.gov registry (#NCT05255913)-16/02/2022.

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“…The sugar consumption score was created by adding the points of each of the eight products if they were consumed at least once daily. The score ranged from 0 to 8 where higher scores indicated greater daily sugar consumption [ 32 ]. Oral hygiene was assessed using the plaque index (PlI) of Silness and Loe [ 33 ] on 6 index teeth (#52, 55, 64, 72, 75, and 84) and averaging the scores (which ranged from zero, no plaque accumulation to 3, abundant visible plaque) to obtain the child’s score.…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of silver diamine fluoride versus sodium fluoride varnish combined with mother’s motivational interviewing for arresting early childhood caries: a randomized clinical trial

Yassin,

Amer,

Tantawi

2023

BMC Oral Health

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Background Silver Diamine Fluoride (SDF) has gained attention as one of the minimally invasive modalities to manage ECC although it causes black staining of treated carious lesions. A possible affordable alternative may be Sodium Fluoride (NaF) varnish combined with good oral hygiene promoted by parental Motivational Interviewing (MI). The study compared the effectiveness of 38% SDF solution and 5% NaF varnish supported by parental MI in arresting ECC. Materials and methods Children aged ≤ 4 years old with at least one active carious lesion (ICDAS score ≥ 3) were randomly assigned to treatment by a single application of 38% SDF solution or a single application of 5% NaF varnish supported by two MI sessions for mothers at baseline and after three months. Chi-Squared test was used to compare groups and multilevel logistic regression analysis was used to assess the effect of the interventions on ECC arrest adjusting for confounders. The interaction between the type of intervention and baseline lesion severity, moderate (ICDAS 3/4) or advanced (ICDAS 5/6), was also assessed. Results The study included 165 children with 949 active lesions. After 6 months, there were no significant differences between SDF and NaF/MI groups in overall caries arrest (63.7% and 58.1%, p = 0.08), and in moderate lesions (72.9% and 69.6%, p = 0.52). However, in advanced lesions, the arrest rate was significantly higher in the SDF than the NaF/ MI group (60.3% and 50.0%, P = 0.01). Multilevel multiple logistic regression showed no significant differences between the interventions (AOR = 1.56, P = 0.27) with significant interaction between the intervention and baseline lesion severity (p < 0.001). Moderate lesions treated with SDF (AOR = 3.69, P = 0.008) or NaF/MI (AOR = 3.32, P < 0.001) had significantly higher odds of arrest than advanced lesions treated with NaF/ MI with no difference between advanced lesions treated with SDF or NaF/ MI (AOR = 1.85, P = 0.155) in arrest rate. Conclusion NaF/ MI can be an alternative to SDF in arresting advanced and moderate ECC lesions without staining with stronger effect on moderate lesions (ICDAS 3/4). Trial registration The trial was retrospectively registered at clinicaltrial.gov registry (#NCT05761041) on 9/3/2023.

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Parenting practices and oral health behaviors of children in rural Egypt: gender differences in a household survey

Cited by 9 publications

References 36 publications

Analysis of the incidence and influencing factors of dental caries and periodontitis in children aged 5–12 in Jinhua, Zhejiang province

Analysis of the incidence and influencing factors of dental caries and periodontitis in children aged 5–12 in Jinhua, Zhejiang province

Effectiveness of nanosilver fluoride and silver diamine fluoride in arresting early childhood caries: a randomized controlled clinical trial

Effectiveness of silver diamine fluoride versus sodium fluoride varnish combined with mother’s motivational interviewing for arresting early childhood caries: a randomized clinical trial

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