Pattern and severity of early childhood caries in Southern Italy: a preschool-based cross-sectional study

Nobile, Carmelo G. A.; Lombardo, Fortunato; Bianco, Aida; Pileggi, Claudia; Pavia, Maria

doi:10.1186/1471-2458-14-206

Cited by 89 publications

(113 citation statements)

References 40 publications

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“…We found that baby bottle use did not increase ECC incidence (p=0.56). In addition to our group, Nobile et al [18] also reported that baby bottle use did not increase ECC prevalance. American Academy of Pediatric Dentistry (AAPD) recommends that baby bottle should be used at an early age from-first twelve month's of age and then children between 12-18 months should be made accustomed to using cup and finally children older than 18 months should only use cup [1].…”

Section: Discussionsupporting

confidence: 69%

Early Childhood Caries with the Perspective of Pediatrician

Bucak¹

2016

Ann Clin Anal Med

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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...

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Section: Discussionsupporting

confidence: 69%

Early Childhood Caries with the Perspective of Pediatrician

Bucak¹

2016

Ann Clin Anal Med

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“…Other studies demonstrating the association between breastfeeding over 18 months and increased caries risk did not adjust for confounders [Yonezu et al, 2006;Prakasha Shrutha et al, 2013;Nobile et al, 2014]. Our analysis, adjusted for confounders, did not observe an association between prolonged full or any breastfeeding for >12 months and increased caries risk ( tables 4 , 5 ).…”

Section: Discussioncontrasting

confidence: 51%

“…An increased risk of dental caries associated with prolonged breastfeeding has been reported in several studies [Yonezu et al, 2006;Saraiva et al, 2007;Feldens et al, 2012;Prakasha Shrutha et al, 2013;Chaffee et al, 2014;Hong et al, 2014a;Nobile et al, 2014;Jain et al, 2015;Kato et al, 2015]. Compared to cow's milk, human milk presents more cariogenic properties responsible for dental caries, because it contains more carbohydrates but less calcium, phosphorus, and protein [Erickson and Mazhari, 1999;Bowen and Lawrence, 2005].…”

mentioning

confidence: 99%

Breastfeeding Duration and Childhood Caries: A Cohort Study

et al. 2016

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This cohort study was conducted in Khon Kaen, Thailand, to test the hypothesis that a longer breastfeeding duration increases the risk for dental caries in primary teeth. We collected information on infant feeding practices and potential confounders using a structured questionnaire to interview mothers or caregivers during the second trimester of pregnancy and after birth at 21 days and at 3, 12, 18, 24, and 36 months. Regardless of other liquids and foods, full breastfeeding was defined as feeding breast milk but not formula, while any breastfeeding was feeding breast milk with or without formula. Two calibrated dentists measured dental caries when the children were 3-4 years of age using the decayed, missing, and filled surfaces (dmfs) index following the World Health Organization criteria. Negative binomial regression with a generalized linear model was used to estimate relative risks (RRs) and 95% confidence intervals (CIs) using dmfs as an outcome. Log-binomial regression was performed to model the caries prevalence. Of 556 children, 88.1% had dental caries with a mean dmfs of 14.2. Full breastfeeding for 6-11 months was significantly associated with a lower dmfs (adjusted RR 0.77, 95% CI 0.63, 0.93) and a lower caries prevalence (adjusted RR 0.45, 95% CI 0.22, 0.90). The frequency of sleeping while breast- or bottle-feeding increased the caries risk in a dose-response manner. There was no association between duration of any breastfeeding and dental caries. In conclusion, full breastfeeding for 6-11 months may protect against dental caries in primary teeth. Prolonged breastfeeding was not associated with dental caries in this population.

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“…Previous studies had found that the level of education of caregivers, especially mothers, was notably associated with undertaking preventive measures in children (44)(45)(46). In our study, the education of caregivers was relatively high: 63% of participants had university degree and the others were high school graduates.…”

Section: Acta Facultatis Medicaementioning

confidence: 52%

Measuring Potential of Preschool Facility Staff to Prevent Early Childhood Caries

Jaksic-Gvozdic¹,

Janković²,

Pajović³

et al. 2016

Acta Facultatis Medicae Naissensis

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The aim of this study was to investigate the possible potential of preschool staff through a newly designed questionnaire and evaluate their role in the prevention of early childhood caries (EEC) in Serbia where extremely high prevalence of this preventable disease was recorded.We preformed a cross-sectional study of 268 preschool staff using specially prepared semistructured questionnaire for measuring potential of secondary children's caregivers to prevent EEC. The questionnaire was tested on a pilot sample and after that all collected data were analyzed trough construction of correlation matrix with the evaluation of the value of each question, reliability testing, factorial analysis and estimating of its validity using SPSS software.The tested questionnaire had good internal consistency based on the Cronbach's alpha coefficient value of 0.873 calculated directly and similar value (0.899) after applied Spearman-Brown "prediction" formula. Using exploratory factorial analysis and orthogonal rotation, we identified two domains that emerged with similar loadings (4.043 and 3.183). The first factor (domain) reflected attitudes of the study participants towards prevention of EEC, and the second factor (domain) showed behaviour of the study participants, which includes preventive actions against EEC.The total score of the questionnaire was correlated positively with oral health knowledge (Spearman's correlation coefficient 0.331, p=000) and inversely with the length of employment, where each additional year of employment decreased the total score of the questionnaire by 1.20. These findings could partially explain an extremely high prevalence of EEC in young children and indicate that preschool teachers should be more engaged in health education activities and motivation programs.

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Pattern and severity of early childhood caries in Southern Italy: a preschool-based cross-sectional study

Cited by 89 publications

References 40 publications

Early Childhood Caries with the Perspective of Pediatrician

Early Childhood Caries with the Perspective of Pediatrician

Breastfeeding Duration and Childhood Caries: A Cohort Study

Measuring Potential of Preschool Facility Staff to Prevent Early Childhood Caries

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