Published 2020-07-16
Keywords
- circular caries,
- early childhood caries,
- primarry teeth,
- babybottle,
- breast-feeding
How to Cite
Abstract
In the early childhood, at the age of 1 to 1.5 year, immediately after teeth eruption, a special form of caries which spreads only over the primary teeth, often appears. The aim of this study was to determine local factors that affect the occurrence of this dental disease in early childhood.Materials and methods: Our examinees were children 1.5-3.5 years old, where during the standard check-ups we diagnosed starting phases of circular caries: initial lesion (white spot) and superficial form. The mothers of children with diagnosed circular caries were provided with a pre-prepared questionnaire containing data on: the length of the breastfeeding period, the infant's feeding with a bottle and the most commonly consumed contents, oral hygiene habits after feeding the infant, and tooth brushing. Results: Only 30% of mothers breastfed (children) by the 6-th month and 40% by the third month and shorter. About 15% of mothers received fluoride prophylaxis during pregnancy and lactation. The largest percentage of respondents (48%) were fed with a baby bottle, over a prolonged period of time, up to three or more years, mostly with industrial juices (48%). They were mostly consumed at night (40%). Oral-hygiene measures after bottle feeding were observedonly in 16%. The daily frequency of tooth brushing in young children is at most once a day (32%). Conclusion: The analysis of the results showed that circular caries is more common in children who have been breastfed for shorter period and who used the bottle in their daily diet. The most commonly consumed are industrial juices, which are considered "cariogenic drinks" because they are potentially dangerous to primary teeth, especially when consumed at night (pH of saliva drops to 0).
Downloads
References
2. De Grauwe A, Aps JK, Martens LC. Early childhood caries (ECC): what’s in a name? Eur J Paediatr Dent 2004; 5 (2):62–70.
3. Markova N. Early Childhood Caries. Sofia. 2003;63(1):42-50
4. Seale NS,CasamassimoPS. Access to dental care for children in the United States: a survey of general practitioners. J Am Dent Assoc 2003;134(12):1630-40.
5. Douglass JM, Douglass AB, Silk HJ. A practical guide to infant oral health. Am Fam Physician 2004;70(11):2113-20.
6. Kokoceva - Ivanovska O. Etiopathogenetics and preventive aspects of circular caries on the deciduous teeth. Master Thesis. Faculty of Dental Medicine, Ss Cyril & Methodius University of Skopje, Macedonia, 2002: 57-73
7. Markova N. Early Childhood Caries. Sofia.2003;63(1):42-50
8. Rajić D. Decja preventivna stomatologija, Zagreb: Jumena,1985.
9. American Academy of Pediatric Dentistry Policy on Early Childhood Caries (ECC): classifications, consequences, and preventive strategies. Reference
manual. Pediatr Dent. 2015;37(6):50−52
10. Leong PM1, Gussy MG, Barrow SY, de Silva-Sanigorski A, Waters E. A systematic review of risk factors during the first year of life for early childhood caries. Int J Paediatr Dent 2013;23(4):235-50
11. Fontana M. The clinical, environmental, and behavioral factors that foster early childhood caries: evidence for caries risk assessment. Pediatr Dent 2015;37(3):217−25.
12. Moss S. The relationship between diet, saliva and baby bottle tooth decay. Int Dent J 1996;46 (Supplement 1):399 – 402
13.Victora CG, Bahl R, Barros AJ, Franca GV, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: epidemiology, mechanisms and lifelong effect. Lancet 2016; 387 (10017):475−90
14. Chaffee BW, Feldens CA, Rodrigues PH, Vitolo MR. Feeding practices in infancy associated with caries incidence in early childhood. Community Dent Oral Epidemiol 2015;43:338−48
15. Dilley G.J. Prolonged Nursing Habit: A profile of patients and their families. J Dent Child 1980; 1980:102-108
16.Oliveira BH, Salazar M, Carvalho DM, Falcao A, Campos K, Nadanovsky P. Biannual fluoride varnish applications and caries incidence in preschoolers: a 24-month follow-up randomized placebo-controlled clinical trial. Caries Res 2014;48(3):228−36.
17.Vulovic M. Beloica D., Gajic M., Stefanovic R. Preventivna stomatologija, Beograd: 2002
18.Garcia R, Borrelli B, Dhar V, Douglass J, Gomez FR, Hieftje K, et al. Progress in early childhood caries and opportunities in research, policy, and clinical management. Pediatr Dent 2015;37(3):294−9
19. WHO Expert Consultation on Public Health Intervention against Early Childhood Caries
Report of a meeting.Bangkok, Thailand, 26–28 January 2016
20. Prakash P, Subramaniam P, Durgesh BH, Konde S. Prevalence of early childhood caries and associated risk factors in preschool children of urban Bangalore, India: a cross-sectional study. Eur J Dent. 2012; 6(2):141−52
21. Valaitis R, Hesch R, Passarelli C, Sheehan D, Sinton J. A systematic review of the relationship between breastfeeding and early childhood caries. Can J Public Health 2000; 91(6):411–7.
22. Tham R, Bowatte G, Dharmage SC, Tan DJ, Lau MX, Dai X, et al. Breast feeding and the risk of dental caries:a systematic review and meta- analysis. Acta Paediatrica 2015;104(467):62−84.
23. Dewar G. Parenting Science [Internet]. Breastfeeding on demand: a cross-cultural perspective. (http://www.parentingscience.com/breastfeeding-ondemand.
html, accessed 22 February 2017).
24. Feldens CA, Giugliani ER, Duncan BB, Drachler Mde L, Vitolo MR. Long-term effectiveness of a nutritional program in reducing early childhood caries: a randomized trial. Community Dent Oral Epidemiol 2010; 38(4):324–32.10.1111/j.1600-0528.2010.00540.x
25.Bobinac T. Ph saliva values after natural and sugar added juices consumption. V Congres of the the Balkan Stomatological Society (Abstracts) Thessaloniki: Balkan Stomatological Society and Dental Society of Thessaloniki2000:14
26. Carčev M. Превентивна стоматологија. Скопје, 2006.
27. Wright JT, Hanson N, Ristic H, Whall CW, Estrich CG, Zentz RR. Fluoride toothpaste efficacy and safety in children younger than 6 years: a systematic
review. JADA 2014;145(2):182−9.