scholarly journals Early childhood caries and risk factors in young children of medium-low socioeconomic status, Ecuador

2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Janeth Parra-Coronel ◽  
Diana Astudillo-Neira ◽  
Johana Ortiz-Ulloa
Keyword(s):  
Risk Factors ◽  
Socioeconomic Status ◽  
Early Childhood ◽  
Young Children ◽  
Low Socioeconomic Status ◽  
Early Childhood Caries ◽  
Low Socioeconomic ◽  
Factores De Riesgo ◽  
Childhood Caries

Introducción: La caries de la temprana infancia (CTI) es una de las enfermedades infecciosas más comunes en infantes y niños preescolares. Objetivo: Evaluar la caries de la temprana infancia y los factores de riesgo asociados con prácticas dietarías y el estado nutricional en niños de 10-48 meses de edad. Materiales y Métodos: Se realizó un estudio transversal en 142 niños de nivel socioeconómico medio-bajo de un centro infantil gubernamental en Cuenca, Ecuador. La salud dental, estado nutricional y patrones dietarios se evaluaron mediante exámenes clínicos, mediciones antropométricas y recordatorios de 24 horas, respectivamente. Resultados: La prevalencia de caries de la temprana infancia fue alta (95.8%) mayoritariamente en etapa avanzada (83.1%). No se observaron asociaciones con el estado nutricional. El consumo diario de alimentos cariogénicos fue significativamente mayor entre semana (11,1 ± 1,4) (p<0,001). La dieta fue categorizada como de bajo riesgo cariogénico (<34). La edad del niño (OR=1.1; IC 95%: 1.041, 1.160, p=0.001) y el índice de placa (OR=4.9; IC 95%: 1.331, 17.82; p=0.017) fueron determinantes positivos de caries avanzada. Conclusión: El deterioro de la salud dental de esta población se evidenció, empeorando a edades mayores sin asociación con los patrones dietarios.

The Queensland Birth Cohort Study for Early Childhood Caries: Results at 7 Years

2020 ◽  
pp. 238008442098188
Author(s):  
L. Harrison-Barry ◽  
K. Elsworthy ◽  
M. Pukallus ◽  
S.J. Leishman ◽  
H. Boocock ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Early Childhood ◽  
Birth Cohort ◽  
Low Socioeconomic Status ◽  
Early Childhood Caries ◽  
Mutans Streptococci ◽  
Birth Cohort Study ◽  
Developmental Defects ◽  
Low Socioeconomic ◽  
Childhood Caries

Aims: This study investigated caries predictors in 378 children remaining from a birth cohort of 1,052 at 7 y and compared the efficacy of home visits (HVs) and telephone contacts (TCs) for early childhood caries (ECC) prevention. Methods: The HVs or TCs were made at ages 6, 12, 18, 30, and 42 mo with annual dental clinic examinations at ages 2 to 7 y. At every visit, the parents completed validated questionnaires regarding the children’s family, medical, dental, and dietary histories. Results: The caries prevalence increased from 2% and 6% at ages 2 and 3 y to 15%, 33%, 42%, and 52% at ages 4 to 7 y. The mean caries experience (decayed, missing, and teeth extracted due to caries) of the total cohort increased from 0.1 ± 0.5 at age 2 y to 0.2 ± 1.1 at 3 y, 0.5 ± 1.6 at 4 y, 1.1 ± 2.4 at 5 y, 1.6 ± 2.6 at 6 y, and 2.0 ± 2.7 at 7 y. The prevalence of mutans streptococci (MS) in the total cohort at years 2 to 7 was 22%, 36%, 42%, 42%, 39%, and 44%, respectively. MS was strongly correlated with caries prevalence for all years (all P < 0.001). Statistical modeling employing the generalized estimating equations identified caries predictors as holding a Health Care Card (low socioeconomic status) ( P = 0.009; odds ratio [OR] = 2.05; confidence interval [CI]: 1.20–3.52), developmental defects of enamel (DDEs) ( P < 0.001; OR = 1.09; CI: 1.05–1.14), and MS counts ≤105/mL ( P = 0.001; OR = 1.63; CI: 1.24–2.14). By contrast, HVs were more protective than TCs for caries ( P = 0.008; OR = 0.42; CI: 0.22–0.80). Conclusions: This study provides prospective, clinical evidence that MS, DDEs, and low socioeconomic status are strongly correlated with early childhood caries and that HVs are more efficacious than TCs in ECC prevention. Knowledge Transfer Statement: This 7-y birth cohort study provides longitudinal clinical evidence that mutans streptococci, developmental defects of enamel, and low socioeconomic status are key risk indicators of early childhood caries.

scholarly journals Sugary Liquids in the Baby Bottle: Risk for Child Undernutrition and Severe Tooth Decay in Rural El Salvador

2020 ◽  
Vol 18 (1) ◽  
pp. 260
Author(s):  
Priyanka Achalu ◽  
Abhishek Bhatia ◽  
Bathsheba Turton ◽  
Lucy Luna ◽  
Karen Sokal-Gutierrez
Keyword(s):  
Risk Factors ◽  
Early Childhood ◽  
Risk Factor ◽  
Oral Health ◽  
Early Childhood Caries ◽  
Health Interventions ◽  
Tooth Decay ◽  
Child Undernutrition ◽  
Baby Bottle ◽  
Childhood Caries

As communities worldwide shift from consuming traditional diets to more processed snacks and sugar-sweetened beverages (SSBs), increases in child obesity and tooth decay and persistence of undernutrition are particularly apparent in Latin American countries. Further evidence of shared risk factors between child undernutrition and poor oral health outcomes is needed to structure more effective health interventions for children’s nutrition. This study aims to identify dietary, oral health, and sociodemographic risk factors for child undernutrition and severe early childhood caries (sECC) among a convenience sample of 797 caregiver–child pairs from rural Salvadoran communities. Caregiver interviews on child dietary and oral health practices were conducted, and their children’s height, weight, and dental exam data were collected. Multivariable regression analyses were performed using RStudio (version 1.0.143). Caregiver use of SSBs in the baby bottle was identified as a common significant risk factor for child undernutrition (p = 0.011) and sECC (p = 0.047). Early childhood caries (p = 0.023) was also a risk factor for developing undernutrition. Future maternal–child health and nutrition programs should coordinate with oral health interventions to discourage feeding children SSBs in the baby bottle and to advocate for policies limiting SSB marketing to young children and their families.

Sign in / Sign up

Export Citation Format

Share Document