scholarly journals Relationship between Severe Early Childhood Caries and breast milk`s lactose among 12-24 month old children.

Author(s):  
Hamidreza Poureslami ◽  
Maryam Sharifi ◽  
Mahla Vahedi ◽  
Salehe Sabouri ◽  
Parnian Poureslami ◽  
...  

Abstract Aim: The study aimed to investigate the relationship between the occurrence of Severe Early Childhood Caries (S-ECC) and breast milk lactose, in infants aged 12 to 24 months.Material and Methods: This cross-sectional descriptive-analytical study was carried out in April to July 2020 on 30 children aged 12 to 24 months with or without S-ECC who were solely breastfed Also, the mothers answered questions about their breastfeeding. After the child's dental visit, the mother was asked to express 10 to 20 ml of her milk as a sample and give it to the researchers. The samples were immediately kept at -4 ° C and then they were tested to lactose measurement. Finally, the test results were analyzed by SPSS 21 software. Results: The average amount of lactose in the breast milk of cases with S-ECC infant was 5.74g/100 ml, and the average amount of lactose in the breast milk of cases without S-ECC infant was 4.64g/100 ml. There was no significant difference in lactose concentration between the two groups (p=0/64). The average number of breastfeeding times in cases with S-ECC infants was 7.87 per day while in the healthy cases this was 7.33 per day. There was no significant difference between the numbers of breastfeeding times per day in the two groups.Conclusion: According to this study, the average level of lactose in the breast milk samples was lower than the average level of lactose in breast milk in other countries, and the amount of lactose in breast milk of children with S-ECC was slightly higher than the amount of lactose in breast milk in children with healthy teeth.

2021 ◽  
Author(s):  
Hamidreza Poureslami ◽  
Maryam Sharifi ◽  
Mahla Vahedi ◽  
Salehe Sabouri ◽  
Parnian Poureslami ◽  
...  

Abstract Aim: The study aimed to investigate the relationship between occurrence of Severe Early Childhood Caries (S-ECC) and breast milk lactose, in infants aged 12 to 24 months.Material and Methods: This cross-sectional descriptive-analytical study performed on 30 children aged 12 to 24 months with or without S-ECC who were solely breastfed, and mothers answered questions about their breastfeeding. After the child's dental visit, the mother was asked to express 10 to 20 ml of her milk as a sample and give it to the researchers. The samples were immediately kept at -4 ° C and then they were tested to lactose measurement. Finally, the test results were analyzed by SPSS 21 software. Results: the average amount of lactose in the breast milk sof cases with S-ECC infant was 5.74g/100 ml and the average amount of lactose in the breast milk of cases without S-ECC infant was 4.64g/100 ml. There was no significant difference in lactose concentration between the two groups (p=0/64). The average number of breastfeeding times in cases with S-ECC infants was 7.87 per day while in the healthy cases this was 7.33 per day. There was no significant difference between the numbers of breastfeeding times per day in two groups.Conclusion: According to this study, the average level of lactose in the breast milk samples was lower than the average level of lactose in breast milk in other countries and the amount of lactose in breast milk of children with S-ECC was slightly higher than the amount of lactose in breast milk in children with healthy teeth.


Author(s):  
Dhanalakshmi Ravikumar ◽  
Pratibha Ramani ◽  
R. Gayathri

Background and Objectives: Early childhood caries is a major public health problem especially in young children. ECC affects the quality of life of young children by affecting the chewing ability of children due to the development of pain and swelling, and this may indirectly affect the nutritional status of a child. The present study was done to assess the level of salivary malondialdehyde in children with and without Early childhood caries. The main objective of the study is to determine the salivary malondialdehyde levels and to compare it with the three groups of children with different caries experiences. Materials and Methods: It is cross-sectional observational research carried out at Saveetha Dental College and Hospitals. Children between 3-6 years were examined and 20 caries-free, 20 children with ECC as well as 20 children with S-ECC were recruited for the study. The caries status was assessed using dmfs and the severity of caries was assessed using pufa index. Salivary samples were collected and analysed for salivary malondialdehyde levels. Statistical Analysis: The data was entered and analysed using SPSS software version 20.0. One-way ANOVA was done to determine the difference in malondialdehyde levels between the groups. “Post-hoc Tukey” test was done to measure the intergroup significance. A “P value of < 0.05” was measured as statistically “significant” and P < 0.001 was deemed as statistically “highly significant”. Pearson’s correlation was done to correlate pufa values with malondialdehyde levels. Results: The results demonstrated that there was a statistically significant difference in salivary malondialdehyde levels among caries-free, ECC as well as S-ECC children. There was a positive correlation between the pufa score and salivary malondialdehyde levels. Conclusion: 1. There is a significant difference in the salivary malondialdehyde levels among caries-free, ECC as well as S-ECC children. There was a positive correlation of salivary malondialdehyde levels and pufa score in ECC and S-ECC children.


2020 ◽  
Vol 6 (1) ◽  
pp. 11-22
Author(s):  
Lala Viodita ◽  
Rizanda Machmud ◽  
Hidayati Hidayati

Dental caries is the most commonly found for oral and dental diseases. It could appear in permanent and even desidual teeth. One of the oral  and dental diseases prevalent to children of age 1-5 years old is termed Early Childhood Caries (ECC) which was an acute dental infection that rapidly develop from one third of primary servical maxillary incisivus into the whole teeth making white to yellowish cavity with soft caries tissue. Diet pattern gives big influence on incidence of caries. to find the relationship between children diet pattern with the case of ECC. observational analytical using cross- sectional design. Sample size was 50 children of age 2-3 years old in three different Comprehensive Treatment Post (CTP) in working area of Tanah Garam primary healthcare in Solok City. ECC prevalence in Tanah Garam District of Solok City in 2018 was 56 %. Diet pattern found mostly was cariogenic for 52 %. There was significant relationship between diet pattern with the case of ECC in Tanah Garam District of Solok City with p = 0.01. There was significant relationship between diet pattern with the case of ECC in Tanah Garam District Solok City.


2020 ◽  
Vol 32 (3) ◽  
pp. 226
Author(s):  
Susi Susi ◽  
Rahmi Khairani Aulia ◽  
Murniwati Murniwati ◽  
Minarni Minarni

Pendahuluan: Early childhood caries (ECC) merupakan karies yang mengenai gigi sulung pada anak-anak dibawah usia 71 bulan. Pemerintah Indonesia menargetkan anak dibawah usia 12 tahun bebas karies pada tahun 2030. Tahun 2017 prevalensi ECC pada anak usia 2-3 tahun di Bukittinggi adalah 51.5%.Hal ini masih sangat jauh dari target pemerintah Indonesia. Pola minum susu dan pola makan merupakan faktor resiko karies. Tujuan penelitian adalah menganalisis hubungan antara pola minum susu  dengan early childhood caries. Metode: Jenis penelitian deskriptif dengan cross-sectional study di Posyandu Bukittinggi. Subyek dipilih secara multistage random sampling sebanyak 146 pasang ibu dan anak dengan rentang umur 2 sampai 5 tahun. Pola minum susu diobservasi menggunakan kuesioner pada ibu sedangkan ECC diperiksa secara visual. Data dikumpulkan dan dianalisa dengan chi square test dengan nilai kepercayaan 95%. Data diambil oleh enam orang dokter gigi muda pada Fakultas Kedokteran Gigi Universitas Andalas yang telah dikalibrasi sebelumnya. Data dianalisis menggunakan chi-square test. Hasil: Prevalensi ECC di Bukittinggi adalah 101 (69,2%) dengan indeks def-t rata-rata 3,00 ± SD 4,02 pada 95% CI (3,23 – 4,54). Sampel dengan ASI ekslusif 74 (50,7%) mempunyai indeks def-t lebih rendah dibanding non-ekslusif (3,70 vs. 4,07) dengan nilai p=0,678. Sampel dengan ASI dan makanan pendamping 68 (46,6%) mempunyai indeks def-t lebih rendah dibanding non ASI dan MP (3,51 vs. 4,21) dengan p=0,787. Simpulan: Secara statitik tidak terdapat pengaruh pola minum air susu ibu terhadap terjadinya early childhood caries pada anak di bawah usia lima tahun, namun kejadian early childhood caries lebih rendah pada pemberian ASI ekslusif dibandingkan dengan ASI non ekslusif.Kata kunci: ASI, early childhood caries, indeks def-t, makanan pendamping, prevalensi. ABSTRACTIntroduction: Early childhood caries (ECC) are caries that affect primary teeth in children under 71 months of age. The Indonesian government is targeting children under 12 years of age to be free from caries by 2030. In 2017, ECC prevalence in children aged 2-3 years in Bukittinggi was 51.5%. This data is still very far from the target of the Indonesian government. The pattern of milk consumption and dietary habit are caries risk factors. This research aimed to analyse the relationship between breast milk consumption pattern and early childhood caries. Methods: This was a descriptive study with a cross-sectional study at Bukittinggi Integrated Healthcare Centre (Posyandu). The subjects were selected by multistage random sampling, which obtained as many as 146 pairs of mothers and children aged 2 to 5 years. The breast milk consumption pattern was observed using a mother’s questionnaire while the ECC was examined visually. Data were collected and analysed using the chi-square test with a confidence value of 95%. Six young dentists took the data at the Faculty of Dentistry Andalas University who had been calibrated before. Data were analysed using the chi-square test. Results: The prevalence of ECC in Bukittinggi was 101 (69.2%) with the def-t index mean of 3.00 ± SD 4.02 at 95% CI (3.23 - 4.54). Samples with exclusive breastfeeding 74 (50.7%) had a lower def-t index than non-exclusive (3.70 vs 4.07) with the p-value=0.678. Samples with breast milk and complementary foods was 68 (46.6%), which showed a lower def-t index than non-breast milk and complementary food (3.51 vs 4.21) with p=0.787. Conclusion: Statistically, there is no effect of the pattern of breast milk consumption on the occurrence of early childhood caries in children under the age of five years, however, the incidence of early childhood caries is lower in exclusive breastfeed-ing children compared to non-exclusive breastfeeding.Keywords: Breast milk, early childhood caries, def-t index, complementary food, prevalence.


Author(s):  
Gülçin Bulut ◽  
Yelda Sorguc

INTRODUCTION: Cariogenic microorganisms play an important role in the development of caries. Although there are many researches on Streptococcus mutans as being a primary causative factor in caries, there is a lack in evaluation of relation between oral candidiasis and severe early childhood caries (S-ECC). The purpose of this study is to determine the frequency of candida carriage, characterize different Candida species, and investigate their relationship with caries in 5-year-old children with S-ECC and with no caries. METHODS: This study was conducted on a total of 42 children aged 5-years with (Group S-ECC, n=21) and without caries (control group, n=21). Plaque samples were taken from the buccal, lingual and cervical surfaces of the teeth using a sterile cotton swab and cultured on Sabouraud Agar, Patota Agar and Chrome Agar for fungal growth. Number of candida colonies were recorded, their species were identified and germ tube test was used for virulance marker. RESULTS: The candidal carriage in the S-ECC and control groups was 52.4% and 9.5%, respectively. The intergroup difference was statistically significant (p=0.003). The incidence of C.albicans among all candida species was determined as 92%. The only isolated non-albicans Candida was C.Dupliniensis, the incidence in all candida species was 8 percent. The frequency of C.albicans was significantly higher in the S-ECC group (p=0.006). The virulence factor showed a significant difference between the groups (p=0.006). DISCUSSION AND CONCLUSION: This study shows a strong relation between the presence of candida and S-ECC. C.albicans was the most common among detected candida species.


2021 ◽  
Vol 31 (3) ◽  
pp. 196-200
Author(s):  
Abdulla Varoneckas ◽  
Kotryna Jasinskaitė ◽  
Asta Varašiūtė

Purpose: The aim of this review was to assess the relationship between adverse birth outcomes and early childhood caries. Methods: Two reviewers searched different databases from February 2020. Results: 1376 articles were shown after the initial electronic databases search. The authors identified 10 studies investigating the incidence of dental caries among children with primary dentition, covering 79284 children, with their age ranging from 0,5 to 6 years. The studies were published from 2010 to 2020 and included retrospective, cohort, case control and cross-sectional studies. Conclusion: The found scientific evidence demonstratedthat children with adverse birth outcomes are more likely to experience caries than healthy children.


2020 ◽  
Vol 40 (8) ◽  
Author(s):  
Linan Shi ◽  
Jinhai Jia ◽  
Chunnian Li ◽  
Caiyun Zhao ◽  
Ting Li ◽  
...  

Abstract Early childhood caries (ECC) is one of the most prevalent chronic infectious diseases in children. The effective prevention and treatment are heavy burdens and study hotspots for pediatric dentists. Many studies had investigated the relationship between preterm, low birth weight (LBW) and ECC; however, the results were inconsistent. The present study was conducted with an evidence-based study to figure out the relationship between preterm, LBW and ECC for the first time. After searching the database, case–control and cross-sectional studies relevant to the relationship between preterm, LBW and ECC up to December 2019 were included. The data about odds ratio (OR) and 95% confidence interval (95% CI) were extracted and calculated with STATA 14.0 Software. A total of 22 studies were included in this meta-analysis, 9 studies of which did not only explore the relationship between ECC with preterm, but also study the relationship between ECC and LBW, 7 studies of which explored the relationship between preterm and ECC, and 6 studies of which studied the relationship between LBW and ECC. The meta-analysis results showed that the preterm increased the risk of ECC (OR = 1.59, 95% CI: 1.36–1.87) significantly. There was no difference between LBW and normal birth weight in the incidence of ECC (OR = 1.12, 95% CI: 0.94–1.33). The meta-analysis results of adjustment OR about LBW were similar to the crude OR (OR = 1.05, 95% CI: 0.71–1.57). This meta-analysis indicated that preterm increased the risk of ECC significantly; however, LBW was not a risk factor for ECC.


2021 ◽  
Vol 10 (2) ◽  
pp. 74-79
Author(s):  
Sunanda Sundas ◽  
Barun Kumar Sah ◽  
Neha Dhakal ◽  
Amita Rai ◽  
Neera Joshi

Background: Early childhood caries (ECC) is major oral health problem of young children. Risk factors for ECC are poor oral hygiene and feeding practices. Prevalence and severity of ECC is increasing with change in lifestyle and diet pattern in developing countries. Objectives: To assess the association between feeding practices and severity of early childhood caries in preschool children. Methods: An analytical cross-sectional study was conducted with convenient sample of 96 children up to six years age in Peoples Dental College from July to December 2020. Clinical examination included the recording of dental caries (dmft) using WHO criteria. The self-validated questionnaire consisting seven questions about feeding practices was asked to mothers. The Chi-square test was performed to determine association between severity of ECC and feeding pattern. Results: Mean dmft was 6.77 ± 5.91. Prevalence of severe-ECC (S-ECC) was highest in youngest age group. Caries experience was similar in breast fed, bottle fed, and mixed. There was no significant difference in non-severe ECC and ECC in relation to duration of breast or bottle feeding but frequency of night feeding was associated with S-ECC. Children given ready-made infant formula solid food had more S-ECC (13, 92%) compared to non-severe ECC (1, 7.1%) which was statistically significant. Children given homemade gram flour food were noted to have less of S-ECC (5, 27.5%) than nonsevere ECC (13, 72.5%) which was statistically significant. Conclusion: Present study revealed that multiple night feeding and weaning with readymade food are significant factors for S-ECC.


2017 ◽  
Vol 20 (1) ◽  
pp. 43-52 ◽  
Author(s):  
Anuradha Kuppan ◽  
Steven Rodrigues ◽  
Victor Samuel ◽  
Mahesh Ramakrishnan ◽  
Hassan S. Halawany ◽  
...  

Deciphering the relative importance of genetic and environmental factors, which play a major role in the prevalence of early childhood caries (ECC), can help clinicians with planning a long-term preventive treatment. The objective of the study was to determine the prevalence and heritability of ECC among monozygotic (MZ) and dizygotic (DZ) twins in Chennai, India, in the year 2013. A cross-sectional study was designed to estimate the prevalence of ECC among twins. Zygosity classification for the survey framework was adapted from a highly accurate parental report questionnaire pertaining to the physical similarity between twins. The associated heritability index was estimated. The Decayed, Missing, Filled Surface (DMFS) Index was used as the diagnostic criterion for dental caries. The prevalence of ECC was estimated at 18.7%. The correlation coefficient between the twin pair showed significant correlation. The heritability index for ECC was estimated at 15% higher prevalence of ECC found among children in the age group 25–36 months. The heritability estimate indicated a relatively low genetic influence for early childhood caries among twins. There was no significant difference detected in the concordance rate for the MZ and DZ twins. Further research could be directed toward the prevalence of ECC among higher age group children to explore the role of genetic and environmental factors.


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