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Published on: March 31, 2021
Caries prevalence and risk factors among children aged 0 to 36 months
Ana Paula Pires dos Santos1, Vera Mendes Soviero
1School of Dentistry, University of the State of Rio de Janeiro, Brasil.
Insights
Dental caries affects over 40% of young children, with thick dental biofilm being the primary risk factor. Early childhood caries prevention requires a focus on oral hygiene quality.
Area of Science:
- Pediatric Dentistry
- Oral Health Research
- Public Health
Background:
- Early childhood caries (ECC) is a significant public health concern.
- Identifying risk factors for ECC is crucial for effective prevention strategies.
Purpose of the Study:
- To determine the prevalence of dental caries and associated risk factors in children up to 36 months old.
- To investigate the relationship between oral hygiene, diet, feeding habits, and socioeconomic status with ECC.
Main Methods:
- A cross-sectional study involving 100 children aged up to 36 months.
- Data collection included questionnaires on risk factors and clinical dental examinations.
- Statistical analysis using the chi-squared test to identify significant associations.
Main Results:
- The prevalence of caries, including white spot lesions, was 41.6%.
- Maxillary incisors were most affected, with white spots being the most common lesion.
- A statistically significant association was found between caries and the presence of dental biofilm (p < 0.001).
Conclusions:
- Dental biofilm accumulation is the most critical factor in early childhood caries.
- Socioeconomic status, feeding habits, and dietary intake showed no significant association with caries in this sample.
- Emphasis on improving oral hygiene quality is essential for ECC prevention.
Abstract:
The aim of this study was to assess the prevalence of caries and risk factors in outpatients of the Pediatric Ambulatory of the Pedro Ernesto University Hospital aging up to 36 months. After signing informed consent forms, the parents answered a structured questionnaire in order to evaluate risk factors for dental caries, including socioeconomic status, oral hygiene and dietary habits. A single investigator carried out the dental examination which assessed the presence of caries, biofilm and gingival bleeding. The data were analyzed by means of the Epi Info program, utilizing the chi-squared test. The children's mean age was 22.9 months. The prevalence of caries, including white spot lesions, was 41.6%, and the mean def-s was 1.7 (+/- 2.5). The most affected teeth were the maxillary incisors, and the most common lesion was the white spot. No significant associations were found between the prevalence of caries and socioeconomic status, frequency of oral hygiene, nocturnal bottle- and breast-feeding or cariogenic food and beverage intake during the day. However, the association between caries and oral hygiene quality (dental biofilm) was statistically significant (p < 0.001). The results suggest that the presence of a thick biofilm was the most important factor for the occurrence of early childhood caries in the evaluated sample.
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