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Early childhood caries and feeding practices in kindergarten children
Ghalib Qadri1, Abdul Nourallah, Christian H Splieth
1Department of Preventive and Pediatric Dentistry, Ernst Moritz Arndt Universitiy, Greifswald, Germany.
Insights
Bottlefeeding significantly increases early childhood caries (ECC) rates in Syrian preschool children. High caries prevalence necessitates urgent preventive and restorative dental programs.
Area of Science:
- Pediatric Dentistry
- Public Health
- Epidemiology
Background:
- Early Childhood Caries (ECC) poses a significant global oral health challenge.
- Understanding the prevalence and risk factors for ECC is crucial for targeted interventions.
Purpose of the Study:
- To determine the prevalence and severity of ECC in Syrian preschool children.
- To investigate the association between feeding practices and ECC in this population.
Main Methods:
- A cross-sectional study involving 400 children aged 3-5 years in Latakia, Syria.
- Dental examinations using DMFT, DMFS indices, and an ECC scoring system.
- Data collection on children's feeding practices.
Main Results:
- Caries prevalence was 70%, with a mean DMFT of 4.25.
- ECC affected 48% of children, with 24% exhibiting severe forms.
- Bottlefeeding was significantly associated with higher caries prevalence and severity compared to breastfeeding (P = .036).
Conclusions:
- Syrian preschool children exhibit a high burden of caries and ECC.
- Bottlefeeding is a significant risk factor for increased caries rates.
- Urgent implementation of preventive and restorative dental programs is recommended due to high untreated caries rates.
Objective:
To determine the prevalence and severity of early childhood caries (ECC) and its relation to feeding practices in Syria.
Method And Materials:
A total of 400 children aged 3 to 5 years (mean age ± SD, 4.2 ± 0.5) were screened from 20 randomly selected kindergartens in Latakia, Syria. Dental examinations were carried out by a specialist in pediatric dentistry using DMFT and DMFS indices and an ECC scoring system. Information regarding feeding practices during early childhood was also collected.
Results:
Caries was seen in 70% of the children, with a total mean DMFT value of 4.25 ± 4.2 per child. The mean values increased from 2.4 ± 3.2 DMFT at age 3 to 5.6 ± 4.9 at age 5 (4.1 ± 6.3 and 12.8 ± 12.0 DMFS, respectively). Age and feeding practices showed statistically significant associations with caries (P < .001). The mean DMFT in the bottlefed children was 5.33 ± 4.6 compared with only 3.27 ± 3.5 in predominantly breastfed children. Forty-eight percent of the children had ECC, and 24% showed a severe degree with carious defects and open caries lesions. A significantly higher prevalence and severity of ECC was observed in children who were bottlefed (z-statistic, -2.1; P = .036) compared with breastfed children.
Conclusion:
In addition to a high prevalence of caries and ECC in preschool children, bottlefeeding led to even higher caries rates in Syria. Since the caries was largely untreated, preventive and restorative dental programs should be implemented.
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