Beyond the dmft: the human and economic cost of early childhood caries.
ABSTRACT Early childhood caries (ECC) is the most common disease of childhood and often is accompanied by serious comorbidities affecting children, their families, the community and the health care system. This report describes morbidity and mortality associated with ECC and its treatment.
The authors reviewed the literature for descriptions and quantification of morbidity associated with ECC and organized a wide range of studies into a visual model--the morbidity and mortality pyramid--that begins to convey the breadth and depth of ECC's penetration.
ECC exacts a toll on children, affecting their development, school performance and behavior, and on families and society as well. In extreme cases, ECC and its treatment can lead to serious disability and even death. In finding access to care and managing chronic pain and its consequences, families experience stress and, thus, a diminished quality of life. Communities devote resources to prevention and management of the condition. The health care system is confronted with management of the extreme consequences of ECC in hospital emergency departments and operating rooms.
Traditional epidemiologic measures such as the decayed-missing-filled teeth (dmft) index do not adequately portray the effects of ECC on children, families, society and the health care system.
The impact of prevention and management of ECC requires the attention of health care professionals and decision makers and extends well beyond the dental office to regulatory and child advocacy agencies as well as public health officials and legislators.
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ABSTRACT: Background: Mutans streptococci (MS) are closely related to the development of dental caries and are usually established in the oral cavity during early childhood. The aim of the study was to identify factors associated with the presence of MS in Swedish 1-year-olds. Methods: Parents completed a questionnaire on different caries-associated factors and an oral bacterial sample was collected from 1,050 (526 boys, 524 girls) 1-year-olds. Multiple logistic regression analyses were performed to identify risk factors for colonization with MS. Results: MS were found in 27% of the 1-year-olds with teeth. High or very high MS scores (2–3) were found in 72 (7%) of the children. MS score was correlated to the number of erupted teeth (p<0.001). No difference due to gender was found. Multiple logistic regression analysis showed that presence of bacteria was associated with: no tooth brushing, caries in a sibling, other beverages than water between meals, and more than 8 erupted teeth. MS scores of 2–3 were associated with night meals (bottle-feeding and/or breastfeeding), other beverages than water between meals, and more than 8 erupted teeth. Conclusions: Number of teeth present, diet, oral hygiene habits and family aspects were factors associated with presence of MS in 1-year-olds. For those with high or very high MS scores, dietary habits play an important role.BMC Oral Health 12/2014; · 1.15 Impact Factor
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ABSTRACT: New approaches for chemomechanical caries removal require effective materials with antibacterial properties for removal of infected dentin. Apacaries gel is a newly developed material comprised polyphenol from mangosteen extracts and papain mixed in gel preparation.International journal of clinical pediatric dentistry. 05/2014; 7(2):77-81.
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ABSTRACT: Evaluate the coexistence of iron deficiency and early childhood caries.Evaluate whether iron deficiency can be considered as a risk marker for early childhood caries.Estimate the incidence of iron deficiency in children with early childhood caries.To evaluate and compare the iron status of children with and without severe early childhood caries.International journal of clinical pediatric dentistry. 01/2013; 6(1):1-6.