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[Perinatal risk factors of the early childhood caries]
M V Korolenkova1, A G Khachatryan2, L K Arutyunyan2
1National Medical Research Center of Dentistry and Maxillofacial Surgery, Moscow, Russia.
Insights
Adverse pregnancy events and cesarean birth delivery increase the risk and intensity of early childhood caries (ECC). These perinatal factors significantly correlate with ECC development in young children.
Area of Science:
- Pediatric Dentistry
- Public Health
- Obstetrics
Background:
- Early childhood caries (ECC) is a prevalent oral health issue.
- Understanding the influence of perinatal factors on ECC is crucial for prevention.
Purpose of the Study:
- To investigate correlations between early childhood caries (ECC) prevalence and intensity with perinatal factors.
- To examine the impact of adverse pregnancy events, mode of delivery, and birth weight on ECC.
Main Methods:
- A study involving 165 healthy children aged 3-6 years.
- Perinatal data collected via validated questionnaires.
- Statistical analysis using Exact Fisher test.
Main Results:
- ECC prevalence increased from 41.2% at age 3 to 64.8% at age 6.
- Significant positive correlation found between adverse pregnancy events and ECC risk (p<0.05).
- Higher ECC rates observed in children born via cesarean section compared to vaginal delivery, with statistical significance by age 6 (p=0.02).
Conclusions:
- Adverse pregnancy events are identified as a significant risk factor for ECC.
- Cesarean section delivery is associated with increased ECC intensity.
- Perinatal factors play a notable role in the development and severity of early childhood caries.
The Aim:
Of the study was to find possible correlations between early childhood caries (ECC) prevalence and intensity and perinatal factors, such as pregnancy and birth adverse events, terms and mode of delivery, child's weight at birth.
Materials And Methods:
The study comprised 165 3-6 years old healthy children (80 boys and 85 girls) examined in Khimki nurseries. Perinatal background data were collected through validated questionnaires.
Results:
ECC prevalence and dmft median were 41.2% and 1.2 teeth, correspondingly, in 3-years-olds and values growth up to 64.8% and 3.5 teeth was seen in 6-years-olds. Exact Fisher test showed significant positive correlation between adverse pregnancy events and caries risk, as ECC had 8.6 and 51.7% of children born from complicated and non-complicated pregnancies, correspondingly (p<0.05). In children born by cesarean section ECC was detected more often, than in born via vaginal delivery (62.8 vs 49.6%, correspondingly). The correlation became statistically significant by the age of 6 (p=0.02). In 6-years-olds we also noted significant correlation between mode of delivery and dmft numbers (p<0.05).
Conclusion:
Adverse pregnancy events and cesarean section are ECC risk factor affecting the intensity of the disease.
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