Socio-demographic correlates of early childhood caries prevalence and severity in a developing country - South Africa

Postma, Thomas Corné; Ayo‐Yusuf, Olalekan A.; Wyk, P J van

doi:10.1111/j.1875-595x.2008.tb00182.x

Cited by 33 publications

(38 citation statements)

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“…Future caries-preventive approaches are needed for the primary dentition, especially in early childhood, as international studies report a high or even rising prevalence of early childhood caries [Jin et al, 2003;Postma et al, 2008;Treuner and Splieth, 2013]. Early childhood caries is clearly linked to socio-economic status and still persists after the caries decline.…”

Section: Exceptions and Pocketsmentioning

confidence: 99%

Caries Epidemiology and Community Dentistry: Chances for Future Improvements in Caries Risk Groups. Outcomes of the ORCA Saturday Afternoon Symposium, Greifswald, 2014. Part 1

Splieth

Christiansen²,

Page

2016

Caries Res

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This paper reviews the first part of the outcomes of the ORCA Saturday Afternoon Symposium 2014 dealing with ‘caries epidemiology and community dentistry: chances for future improvements in caries risk groups'. After the caries decline in many countries, there are remaining pockets of higher caries levels, mostly in the primary dentition and/or linked to a low socio-economic status (SES). The review into the evidence of caries-preventive measures clearly points to the use of fluorides, especially toothbrushing with fluoridated toothpaste and collective measures such as water fluoridation. In contrast to several unsuccessful high-risk approaches, community and public health programmes seem to be able to ensure a population-wide access and compliance in risk groups. Their simple and evidence-based measures mostly combine regular plaque removal and fluoride applications via toothbrushing, at least for children and adolescents. For the future, the common risk factor approach which addresses associations between oral health, social deprivation, diet, hygiene, smoking, alcohol use and stress should lead to combined efforts with other community health and education specialists. Further engagement with public policy, community leaders and administration is needed in order to strengthen healthy choices and behaviour, e.g. in ‘healthy' schools and kindergartens. It seems advisable that these population programmes also aim at improving upstream factors.

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Section: Exceptions and Pocketsmentioning

confidence: 99%

Caries Epidemiology and Community Dentistry: Chances for Future Improvements in Caries Risk Groups. Outcomes of the ORCA Saturday Afternoon Symposium, Greifswald, 2014. Part 1

Splieth

Christiansen²,

Page

2016

Caries Res

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“…Advanced forms of this disease, severe ECC, can destroy the primary dentition and is the major reason for hospital visits for young children (42). Severe ECC disproportionately affects disadvantaged ethnic and socioeconomic groups and can affect over 50% of the children in these groups (2,19,23,38,55).…”

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confidence: 99%

Cultivable Anaerobic Microbiota of Severe Early Childhood Caries

Mathney²,

et al. 2011

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Severe early childhood caries (ECC), while strongly associated with Streptococcus mutans using selective detection (culture, PCR), has also been associated with a widely diverse microbiota using molecular cloning approaches. The aim of this study was to evaluate the microbiota of severe ECC using anaerobic culture. The microbial composition of dental plaque from 42 severe ECC children was compared with that of 40 caries-free children. Bacterial samples were cultured anaerobically on blood and acid (pH 5) agars. Isolates were purified, and partial sequences for the 16S rRNA gene were obtained from 5,608 isolates. Sequence-based analysis of the 16S rRNA isolate libraries from blood and acid agars of severe ECC and caries-free children had >90% population coverage, with greater diversity occurring in the blood isolate library. Isolate sequences were compared with taxon sequences in the Human Oral Microbiome Database (HOMD), and 198 HOMD taxa were identified, including 45 previously uncultivated taxa, 29 extended HOMD taxa, and 45 potential novel groups. The major species associated with severe ECC included Streptococcus mutans, Scardovia wiggsiae, Veillonella parvula, Streptococcus cristatus, and Actinomyces gerensceriae. S. wiggsiae was significantly associated with severe ECC children in the presence and absence of S. mutans detection. We conclude that anaerobic culture detected as wide a diversity of species in ECC as that observed using cloning approaches. Culture coupled with 16S rRNA identification identified over 74 isolates for human oral taxa without previously cultivated representatives. The major caries-associated species were S. mutans and S. wiggsiae, the latter of which is a candidate as a newly recognized caries pathogen.

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“…Some studies have considered the individual contribution of socioeconomic context or the development of dental caries in children [22,23]. These studies found that social status, low paternal education, and low family income provide worst oral health conditions [24,25,26,27,28,29]. On the other hand, other studies have demonstrated that these factors cannot be considered a determining factor [30].…”

Section: Discussionmentioning

confidence: 99%

“…Palavras-chave: Serviços de saúde; Epidemiologia; Cárie dentária 24 Rev Odonto Cienc 2017;32(1): [23][24][25][26][27] Dental caries in children assisted on a dental school clinic | De Sousa et al …”

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“…O DMFT foi associado ao gênero (OR: 2.36, IC 95%: 1.38-4.01). CONCLUSÃO: As crianças atendidas nesta clínica escola de Odontopediatria apresentaram alta prevalência de cárie dentária não tratada, principalmente associada à educação paterna e IHO-S (dentição primária) e gênero (dentição permanente).Palavras-chave: Serviços de saúde; Epidemiologia; Cárie dentária 24 Rev Odonto Cienc 2017;32(1): [23][24][25][26][27] Dental caries in children assisted on a dental school clinic | De Sousa et al …”

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Dental caries in children assisted on a dental school clinic: prevalence and associated factors

Sousa

Maia

Alves

et al. 2017

Rev. Odonto Ciênc. (Online)

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OBJECTIVE: This study aimed to determine the factors associated with dental caries on primary and permanent dentition of a pediatric dental school clinic users. METHODS: A retrospective study of information collected from 313 dental records obtained from 2011 to 2013. The prevalence of tooth decay on primary (dmft) and permanent dentition (DMFT). Sociodemographic factors, dietary and hygiene habits were analyzed, as well Data were analyzed using Chi-square or Fisher exact test (α = 0.05). RESULTS: Average dmft was 3.47 ± 3.78 and 3.46 ± 3.05 for 0-6 and 7-9 range age, respectively (p = 0.781). Average DMFT was 0.80 ± 1.25 and 3.16 ± 3.72 for the range of 7-9 and ≥ 10 years, respectively (p = 0.00). The restorative treatment need due to dental caries was highly prevalent (78% of dmft and 54% of DMFT). Dmft was associated with paternal education (OR: 0.37, 95% CI: 0.13-1.05) and OHI-S (OR: 2.39, 95% CI: 1.22-4.66). DMFT was associated with gender (OR: 2.36, 95% CI: 1.38-4.01). CONCLUSION: Children assisted in this dental school clinic had a high prevalence of untreated dental caries, mainly associated with paternal education and OHI-S (primary dentition), and gender (permanent dentition).Keywords: Health Services; Epidemiology; Dental caries Cárie dentária na dentição decidua e permanente em uma clínica escola de odontopediatria: prevalência e fatores associados RESUMO OBJETIVO: Este estudo teve como objetivo determinar os fatores associados à cárie dentária na dentição decídua e permanente de usuários de uma clínica pública de Odontopediatria. MÉTODOS: Foi realizado um estudo retrospectivo com informações coletadas de 313 prontuários odontológicos obtidos entre 2011 a 2013. Foram analisados a prevalência de cárie dentária na dentição primária (ceo) e permanente (CPO-D), assim como fatores sociodemográficos e hábitos dietéticos e de higiene oral. Os dados foram analisados utilizando teste Qui-quadrado ou exato de Fisher (α = 0,05). RESULTADOS: O ceo-d médio foi de 3,47 ± 3,78 e 3,46 ± 3,05 para as faixas etárias de 0-6 e 7-9, respectivamente (p = 0,781). O CPO-d médio foi de 0,80 ± 1,25 e 3,16 ± 3,72 para as faixas de idade de 7-9 e ≥ 10 anos, respectivamente (p = 0,00). A necessidade de tratamento restaurador devido à cárie dental foi altamente prevalente (78% do ceo-d e 54% do CPO-d). O ceo-d foi associado com educação paterna (OR: 0.37, IC 95%: 0.13-1.05) e IHO-S (OR: 2.39, IC 95%: 1.22-4.66). O DMFT foi associado ao gênero (OR: 2.36, IC 95%: 1.38-4.01). CONCLUSÃO: As crianças atendidas nesta clínica escola de Odontopediatria apresentaram alta prevalência de cárie dentária não tratada, principalmente associada à educação paterna e IHO-S (dentição primária) e gênero (dentição permanente).Palavras-chave: Serviços de saúde; Epidemiologia; Cárie dentária 24 Rev Odonto Cienc 2017;32(1): [23][24][25][26][27] Dental caries in children assisted on a dental school clinic | De Sousa et al.

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Socio-demographic correlates of early childhood caries prevalence and severity in a developing country - South Africa

Abstract: The study findings support the implementation of an integrated primary oral health care strategy in order to address the underlying socio-economic determinants of ECC in South Africa.

Cited by 33 publications

References 27 publications

Caries Epidemiology and Community Dentistry: Chances for Future Improvements in Caries Risk Groups. Outcomes of the ORCA Saturday Afternoon Symposium, Greifswald, 2014. Part 1

Caries Epidemiology and Community Dentistry: Chances for Future Improvements in Caries Risk Groups. Outcomes of the ORCA Saturday Afternoon Symposium, Greifswald, 2014. Part 1

Cultivable Anaerobic Microbiota of Severe Early Childhood Caries

Dental caries in children assisted on a dental school clinic: prevalence and associated factors

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