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CORRELATION OF ORAL HEALTH HOME-CARE PRACTICES, SNACKING HABITS AND DENTAL CARIES EXPERIENCE AMONG HIV-POSITIVE
1Department of Paediatric Dentistry and Orthodentists, School of Dental Sciences, University of Nairobi, Kenya.
Insights
Dental caries is common in HIV-positive children, especially those consuming frequent sugary snacks or syrups. Good oral hygiene, like brushing twice daily, significantly reduces caries risk.
Area of Science:
- Pediatric Dentistry
- Public Health
- Infectious Diseases
Background:
- HIV infection can impact oral health in children.
- Dental caries remains a significant issue in pediatric populations, particularly those with chronic illnesses.
- Limited data exists on the oral health practices and caries experience of HIV-positive children in Kenya.
Purpose of the Study:
- To investigate the association between oral hygiene practices, dietary habits (snacking), and dental caries experience.
- To assess these factors in HIV-positive children aged 3-15 years attending a specific clinic.
- To inform targeted oral health interventions for this vulnerable group.
Main Methods:
- A cross-sectional descriptive study was conducted at Kenyatta National Hospital.
- Two hundred and twenty HIV-positive children were recruited using consecutive sampling.
- Data on socio-demographics, oral care, and snacking were collected via interviews; dental caries was assessed through oral examination.
Main Results:
- The prevalence of dental caries was 65%, with mean dmft/DMFT scores of 1.75/1.08.
- Over half of the children (57.3%) brushed daily; 18.6% consumed sweetened snacks regularly.
- Caries experience was higher with frequent sweetened snack consumption and syrupy medication use; it was lowest with twice-daily brushing.
Conclusions:
- HIV-infected children with increased intake of sweetened snacks and syrupy medications had significantly higher dental caries experience.
- Poor dental attendance was noted among the study participants.
- Findings highlight the need for improved oral hygiene education and reduced sugar intake in HIV-positive children.
Objective:
To determine the correlation of oral health home-care practices, snacking habits and dental caries experience among 3-15 year-old-HIV-positive children attending out-patient clinic at the Kenyatta National Hospital, Kenya.
Design:
Cross-sectional descriptive study.
Setting:
Kenyatta National Hospital comprehensive care centre out-patient clinic.
Subjects:
Two hundred and twenty participants were selected by consecutive sampling. The children's socio-demographic characteristics and oral health home-care practices were obtained from parent or guardian interviews. Oral examination of the children was carried out to determine the presence of dental caries.
Results:
Of the 220 children in the study, 126 (57.3%) brushed their teeth at least once a day. Forty one (18.6%) children regularly consumed sweetened snacks daily. Almost all children (75.5%) were taking medication in the form of tablets and capsules. One hundred and seventy nine (81.4%) children had never had a dental visit. The prevalence of dental caries was 65% while the mean dmft and DMFT scores were 1.75 and 1.08 respectively. Caries experience was significantly higher for those children who frequently consumed sweetened snacks and those who took their medication in the form of sweetened syrups while it was lowest in those who brushed their teeth at least twice a day.
Conclusion:
Dental caries experience was significantly higher among HIV-infected children who had increased frequency of consumption of sweetened snacks and those who used syrupy medication. There was poor attendance for dental treatment among the children.
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