Hussein, Y., El-Tekeya, M., Dowidar, K., El Tantawi, M. (2017). DIFFERENCES BETWEEN CHILDREN WITH EARLY CHILDHOOD CARIES AND CARIES FREE CHILDREN IN ORAL HEALTH HABITS: A CASE CONTROL STUDY. Alexandria Dental Journal, 42(1), 28-32. doi: 10.21608/adjalexu.2017.57853
Yosra A. Hussein; Magda M. El-Tekeya; Karin L. Dowidar; Maha El Tantawi. "DIFFERENCES BETWEEN CHILDREN WITH EARLY CHILDHOOD CARIES AND CARIES FREE CHILDREN IN ORAL HEALTH HABITS: A CASE CONTROL STUDY". Alexandria Dental Journal, 42, 1, 2017, 28-32. doi: 10.21608/adjalexu.2017.57853
Hussein, Y., El-Tekeya, M., Dowidar, K., El Tantawi, M. (2017). 'DIFFERENCES BETWEEN CHILDREN WITH EARLY CHILDHOOD CARIES AND CARIES FREE CHILDREN IN ORAL HEALTH HABITS: A CASE CONTROL STUDY', Alexandria Dental Journal, 42(1), pp. 28-32. doi: 10.21608/adjalexu.2017.57853
Hussein, Y., El-Tekeya, M., Dowidar, K., El Tantawi, M. DIFFERENCES BETWEEN CHILDREN WITH EARLY CHILDHOOD CARIES AND CARIES FREE CHILDREN IN ORAL HEALTH HABITS: A CASE CONTROL STUDY. Alexandria Dental Journal, 2017; 42(1): 28-32. doi: 10.21608/adjalexu.2017.57853
DIFFERENCES BETWEEN CHILDREN WITH EARLY CHILDHOOD CARIES AND CARIES FREE CHILDREN IN ORAL HEALTH HABITS: A CASE CONTROL STUDY
1Faculty of Dentistry, Alexandria University, Egypt. Resident, Department of Dentistry, Medical Research Institute, Alexandria University, Egypt
2Professor of Pediatric Dentistry, Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Egypt.
3Professor of Dental Public Health, Department of Preventive Dental Sciences, College of Dentistry, University of Dammam, Saudi Arabia.
Abstract
INTRODUCTION: Early Childhood Caries (ECC) is a multifactorial disease and has numerous biological, psychological and behavioral factors. It is a significant public health problem with consequences for the growth and development of affected children OBJECTIVES: The aim of the study was to assess differences between children with early childhood caries and caries free children in socioeconomic background, previous dental visits, oral hygiene practices and dietary habits. MATERIALS AND METHODS: Parents responded to a questionnaire about children’s background (age, sex, parental occupation and education and birth rank), in addition to previous dental visits, nursing history, tooth brushing frequency, use of fluoridated toothpaste, parental supervision of brushing and dietary habits (snack type, frequency and daily quantity). Clinical examination assessed caries using World Health Organization criteria and plaque using Loe and Silness Plaque index. The sample consisted of 84, 4-5-year-old children who visited the pediatric dentistry clinic of the Faculty of Dentistry, Alexandria University in 2016. Equal number of cases (children with ECC) and controls (caries free children) were included. RESULTS: Children with ECC were significantly more likely to be first borne compared to caries free children (71.4% and 52.4%, P= 0.006). Previous dental visits were reported in 38.1% of children with ECC compared to 4.8% of caries free children (p < 0.0001). Exclusive breast feeding was reported in 83.3% of children with ECC compared to 59.5% of caries free children (p=0.02). Plaque index in children with ECC was significantly higher (0.70±0.53) than that of caries free children (0.39±0.50, p=0.001). CONCLUSIONS: Being first borne, history of previous dental visits, exclusive breast feeding and high plaque index were factors that differed significantly between children with ECC and caries free children
1. American Academy of Pediatric Dentistry. Policy on early childhood caries (ECC): classifications, consequences, and preventive strategies. Pediatr Dent. 2014; 36:50-2.
2. Livny A, Assali R, SganCohen H. Early childhood caries among a Bedouin community residing in the eastern outskirts of Jerusalem. BMC Public Health. 2007;7:167.
3. Inglehart MR, Filstrup SL, Wandera A. Oral health and quality of life in children. In: Inglehart M, Bagramian R, editors. Oral healthrelated quality of life. Chicago: Quintessence Publishing Co; 2002. pp. 79–88.
4. Schroth RJ, Brothwell DJ, Moffatt ME. Caregiver knowledge and attitudes of preschool oral health and early childhood caries (ECC) Int J Circumpolar Health. 2007;66:153–67.
5. Dini EL, Holt RD, Bedi R. Caries and its association with infant feeding and oral health-related behaviors in 3-4-yearold Brazilian children. Community Dent Oral Epidemiol. 2000; 28:241-8.
6. Berkowitz RJ, Jones P. Mouth to mouth transmission of the bacterium streptococcus mutans between mother and child. Arch Oral Biol. 1985; 30:377-9.
7. Gordon Y, Reddy J. Prevalence of dental caries, patterns of sugar consumption and oral hygiene practices in infancy in S. Africa. Community Dent Oral Epidemiol. 1985; 13:310- 4.
8. Seow WK, Amaratunge A, Bennett R, Bronsch D, Lai PY. Dental health of aboriginal pre-school children in Brisbane, Australia. Community Dent Oral Epidemiol. 1996; 24:187- 90.
9. Marino RV, Bomze K, Scholl TO, Anhalt H. Nursing bottle caries: Characteristics of children at risk. ClinPediatr (Phila). 1989; 28:129-31.
10. Tsai AI, Johnsen DC, Lin YH, Hsu KH. A study of risk factors associated with nursing caries in Taiwanese children aged 24-48 months. Int J Paediatr Dent. 2001; 11:147-9.
11. AbdelAziz WE, Dowidar KM, El Tantawi MM. Association of healthy eating, juice consumption, and bacterial counts with early childhood caries. Pediatr Dent. 2015; 37:462-7.
12. World Health Organization. Oral Health Survey. Basic Methods. 4th ed. Geneva, Swizerland: WHO;1997.
13. Saklad M. Grading of patients for surgical procedures. Anesthesiol 1941; 2:281-4. Quoted from: Pasternak LR. Risk assessment in ambulatory surgery. Challenges and new trends. Can J Anesth. 2004;51: R1-5.
14. SilnessJ, Loe H. Periodontal disease in pregnancy II. Corelation between oral hydiene and periodontal condition. ActaOdontolScand. 1964; 22:112-35.
15. Kuriakose S, Joseph E. Caries prevalence and its relation to socio-economic status and oral hygiene practices in 600 preschool children of Kerala-India. J Indian SocPedodPrev Dent. 1999; 17:97-100.
16. Eronat N, Koparal E. Dental caries prevalence, dietary habits, tooth-brushing, and mother's education in 500 urban Turkish children. J Marmara Univ Dent Fac. 1997; 2:599- 604.
17. Wyne AH, Al-Ghannam NA, Al-Shammery AR, Khan NB. Caries prevalence, severity and pattern in pre-school children. Saudi Med J. 2002; 23:580-4.
18. Lulic-Dukic 0, Juric H, Dukic W, Glavina D. Factors predisposing to early childhood caries (ECC) in children of pre-school age in the city of Zagreb, Croatia. CollAntropol. 2001; 25:297-302.
19. Nicolau B, Marcenes W, Allison P, SheihamA . The life course approach: explaining the association between height and dental caries in Brazilian adolescents. Community Dent Oral Epidemiol. 2005; 33:93-8.
20. Folayan MO, Owotade F, Oziegbe EO, Fadeyibi R. Effect of birth rank on the caries experience of children from a suburban population in Nigeria J Dent Oral Hyg. 2010; 2:27-30.
21. Kinirons M, McCabe M. Familial and maternal factors affecting the dental health and dental attendance of preschool children. Community Dent Health. 1995; 12: 226–9.
22. Szatko F, Wierzbicka M, Dybizbanska E, Struzycka I, Iwanicka-Frankowska E. Oral health of Polish three yearolds and mothers’ oral health-related knowledge. Community Dent Health. 2004; 21: 175–80.
23.Jabbarifar SE, Ahmady N, Sahafian SAR, Samei F, Soheillipour S. Association of parental stress and early childhood caries. Dent Res J. 2009; 6: 65-70.
24. Quinonez R, Keels M, Vann W Jr, McIver F, Heller K, Whitt J. Early childhood caries: analysis of psychosocial and biological factors in a high–risk population. Caries Res. 2000; 35: 376–83.
25. Kuriakose S, Prasannan M, Remya KC, Kurian J, Sreejith KR. Prevalence of early childhood caries among preschool children in Trivandrum and its association with various risk factors. ContempClin Dent. 2015; 6: 69–73.
26. Nobile CGA, Fortunato L, Bianco A, Pileggi C, Pavia M. Pattern and severity of early childhood caries in Southern Italy: a preschool-based cross-sectional study.BMC Public Health. 2014; 14:206-18.
27. Avila WM, Pordeus IA, Paiva SM, Martins CC. Breast and bottle feeding as risk factors for dental caries: A systematic review and meta-analysis. PLoS One. 2015;10: e0142922.
28. Perera PJ, Fernando MP, Warnakulasooriya TD, Ranathunga N. Effect of feeding practices on dental caries among preschool children: a hospital based analytical cross sectional study. Asia Pac J ClinNutr. 2014; 23:272–7.
29. Du M, Luo Y, Zeng X, Alkhabit N, Bedi R. Caries in preschool children and its risk factors in 2 provinces in China. Quintessence Int. 2007; 38:143–51.
30.Roberts G, Cleaton-Jones P, Fatti L, Richardson B, Sinwel R, Hargreaves J, et al. Patterns of breast and bottle feeding and their association with dental caries in 1- to 4-year-old South African children. A case control study of children with nursing caries. Community Dent Health. 1994; 11:38– 41.
31. Sayegh A, Dini EL, Holt RD, Bedi R. Oral health, sociodemographic factors, dietary and oral hygiene practices in Jordanian children. J Dent. 2005; 33:379-88.
32. Alaluusua S, Malmivirta R. Early plaque accumulation: A sign for caries risk in young children. Community Dent Oral Epidemiol. 1994; 22:273-6. 33. Mohebbi SZ, Virtanen JI, Vahid-Golpayegani M, Vehkalahti MM. Early childhood caries and dental plaque among 1-3-year-olds in Tehran, Iran. J Indian SocPedodPrev Dent. 2006; 24:177-81.