Prevalence, and early childhood caries risk indicators in preschool children in suburban Nigeria

Morenike O Folayan, Kikelomo A Kolawole, Elizabeth O Oziegbe, Titus Oyedele, Olusegun V Oshomoji, Nneka M Chukwumah, Nneka Onyejaka, Morenike O Folayan, Kikelomo A Kolawole, Elizabeth O Oziegbe, Titus Oyedele, Olusegun V Oshomoji, Nneka M Chukwumah, Nneka Onyejaka

Abstract

Background: Early Childhood Caries (ECC) is defined as the presence of caries lesion in an primary tooth in children below the age of 71 months. It is a significant public health problem with consequences for the growth and development of affected children. The objective of this study was to determine the prevalence and ECC risk indicators in a suburban population in Nigeria.

Methods: The data of 497 children aged 6 months to 71 months who were recruited through a household survey conducted in Ile-Ife, Nigeria was analysed for prevalence of ECC and risk indicators. Information on children's ages, sex, socioeconomic status, tooth brushing habits, sugary snacks consumption, use of fluoridated toothpaste, birth rank, infant-feeding practices, breastfeeding practices, maternal age at childbirth, and maternal knowledge of oral health was obtained. Children's oral hygiene and caries status was also determined. Risk factors associated with ECC were determined using logistic regression analysis.

Results: Thirty-three (6.6%) children had ECC. Four (0.8%) had severe ECC. The four risk indicators for ECC were the child's gender, mothers' knowledge of oral health, consumption of sugary snacks in between meals more than three times a day, and the child's oral hygiene status. Females (PR: -0.06; 95% CI: -0.01- -0.01; p = 0.02), and children with mothers who had good knowledge of oral health (PR: -0.06; 95% CI: -0.11--0.008; p = 0.02) were less likely to have ECC. Children who consumed sugary snacks in between meals three times a day or more (PR: 0.05; CI: 0.003 - 0.01; P = 0.04) and children with fair oral hygiene (PR: 0.05; 95% CI: 0.005-0.10; p = 0.03) were more likely to have ECC.

Conclusions: The prevalence of ECC in the study population was low. Promoting good oral hygiene practices and enhancing mothers' knowledge of oral health may help reduce further, the risk for ECC in the study population.

Figures

Fig. 1
Fig. 1
Hierarchical model for data analysis

References

    1. Marcenes W, Kassebaum NJ, Bernabe E, Flaxman A, Naghavi M, Lopez A, et al. Global burden of oral conditions in 1990–2010: A systematic analysis. J Dent Res. 2013;2013(92):592–7. doi: 10.1177/0022034513490168.
    1. American Academy of Paediatric Dentistry: Policy on Early Childhood Caries (ECC): Classification, consequences and preventive strategies. 2011. Reference Manual 2011. Retrieved 14th March 2014 from: .
    1. Resini SD, Douglass JM. Psychosocial and behavioral issues in early childhood caries. Community Dent Oral Epidemiol. 1998;26:32–44. doi: 10.1111/j.1600-0528.1998.tb02092.x.
    1. Prakash P, Subramania MP, 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;6:141–2.
    1. Stecksén-Blicks C, Borssén E. Dental caries, sugar-eating habits and toothbrushing in groups of 4-year-old children 1967–1997 in the city of Umea, Sweden. Caries Res. 1999;33:409–14. doi: 10.1159/000016544.
    1. Tomar SL, Reeves AF. Changes in the oral health of US children and adolescents and dental public health infrastructure since the release of the Healthy People 2010 Objectives. Acad Pediatr. 2009;9:388–95. doi: 10.1016/j.acap.2009.09.018.
    1. Hallet KB, O’Rourke PK. Pattern and severity of early childhood caries. Community Dent Oral Epidemiol. 2006;34:25–35. doi: 10.1111/j.1600-0528.2006.00246.x.
    1. Mehta A, Bhalla S. Assessing consequences of untreated carious lesions using pufa index among 5–6 years old school children in an urban Indian population. Indian J Dent Res. 2014;25:150–3. doi: 10.4103/0970-9290.135906.
    1. Kassebaum NJ, Bernabé E, Dahiya M, Bhandari B, Murray CJ, Marcenes W: Global Burden of Untreated Caries: A Systematic Review and Metaregression. J Dent Res. 2015;94:650-8.
    1. Acs G, Lodolini G, Kaminski S, Cisneros GJ. Effect of nursing caries on body weight in pediatric population. Pediatr Dent. 1992;14:302–5.
    1. Clarke M, Locker D, Berall G, Pencharz P, Kenny DJ, Judd P. Malnutrition in a population of young children with severe early childhood caries. Paediatr Dent. 2006;28:254.
    1. Sheiham A. Dental caries affects body weight, growth and quality of life in pre-school children. Br Dent J. 2006;201(10):625–6. doi: 10.1038/sj.bdj.4814259.
    1. Ginsburg KR. American Academy of Pediatrics Committee on Communications; American Academy of Pediatrics Committee on Psychosocial Aspects of Child and Family Health. The importance of play in promoting health child development and maintaining strong parent–child bonds. Pediatrics. 2007;119:182–91. doi: 10.1542/peds.2006-2697.
    1. Li Y, Wang W. Predicting caries in permanent teeth from caries in primary teeth: an eight-year cohort study. J Dent Res. 2002;81(8):561–6. doi: 10.1177/154405910208100812.
    1. Benjamin R. Oral health, the silent epidemic. Pub Health Rep. 2010;125:158.
    1. Reisine S, Douglass JM. Psychosocial and behavioural issues in early childhood caries. Community Dent Oral Epidemiol. 1998;26:32–44. doi: 10.1111/j.1600-0528.1998.tb02092.x.
    1. Tinanoff N. Introduction to early childhood caries conference: initial description and current understanding. Community Dent Oral Epidemiol. 1998;26:5–7. doi: 10.1111/j.1600-0528.1998.tb02089.x.
    1. Declerck D, Leroy R, Martens L, Lesaffre E, Garcia-Zattera MJ, Broucke VS, et al. Factors associated with prevalence and severity of caries experience in preschool children. Community Dental Oral Epidemiol. 2008;36:168–78. doi: 10.1111/j.1600-0528.2007.00385.x.
    1. van Palenstein Helderman WH, Soe W, van 't Hof MA. Risk factors of early childhood caries in a Southeast Asian population. J Dent Res. 2006;85:85–8. doi: 10.1177/154405910608500115.
    1. Folayan MO, Sowole CA, Owotade FJ, Sote E. Impact of infant feeding practices on caries experience of preschool children. J Clin Pediatr Dent. 2010;34:297–301. doi: 10.17796/jcpd.34.4.pjp25217558072up.
    1. Iida H, Auinger P, Billings RJ, Weitzman M. Association between infant breastfeeding and early childhood caries in the United States. Pediatrics. 2007;120:879–86. doi: 10.1542/peds.2006-0124.
    1. Masumo R, Bardsen A, Mashoto K, Åstrøm AN. Prevalence and socio-behavioral influence of early childhood caries, ECC, and feeding habits among 6-36months old children in Uganda and Tanzania. BMC Oral Health. 2012;12:24. doi: 10.1186/1472-6831-12-24.
    1. Oliveira AF, Chaves AM, Rosenblatt A. The influence of enamel defects on the development of early childhood caries in a population with low socioeconomic status: a longitudinal study. Caries Res. 2006;40:296–302. doi: 10.1159/000093188.
    1. Elfrink ME, Schuller AA, Veerkamp JS, Poorterman JH, Moll HA, ten Cate BJ. Factors increasing the caries risk of second primary molars in 5-year-old Dutch children. Int J Paediatr Dent. 2010;20:151–7. doi: 10.1111/j.1365-263X.2009.01026.x.
    1. Hallett KB, O'Rourke PK. Social and behavioural determinants of early childhood caries. Aust Dent J. 2003;48:27–33. doi: 10.1111/j.1834-7819.2003.tb00005.x.
    1. Finlayson TL, Siefert K, Ismail AI, Sohn W. Maternal self-efficacy and 1-5-year-old children's brushing habits. Community Dent Oral Epidemiol. 2007;35:272–81. doi: 10.1111/j.1600-0528.2007.00313.x.
    1. Leong PM, Gussy MG, Barrow SY, de Silva-Sanigorski A, Waters E. A systematic review of risk factors during first year of life for early childhood caries. Int J Paediatr Dent. 2013;23:235–50. doi: 10.1111/j.1365-263X.2012.01260.x.
    1. Moynihan PJ, Holt RD. The national diet and nutrition survey of 1.5 to 4.5 year old children: summary of the findings of the dental survey. British Dental Journal. 1996;181:328–32. doi: 10.1038/sj.bdj.4809251.
    1. Finlayson TL, Siefert K, Ismail AI, Sohn W. Psychosocial factors and early childhood caries among low-income African-American children in Detroit. Community Dent Oral Epidemiol. 2007;35:439–48. doi: 10.1111/j.1600-0528.2006.00352.x.
    1. Folayan MO, Adeniyi AA, Chukwumah N, Onyejaka N, Esan A, Sofola OO. Programme guidelines for promoting good oral health for children in Nigeria: a position paper. BMC Oral Health. 2014;14:128. doi: 10.1186/1472-6831-14-128.
    1. Folayan MO, Chukumah NM, Onyejeka N, Adeniyi A, Olatosi O. Appraisal of the national response to caries epidemic in children in Nigeria. BMC Oral Health. 2014;14:76. doi: 10.1186/1472-6831-14-76.
    1. Folayan MO, Kolawole KA, Oyedele T, Chukumah NM, Onyejaka N, Agbaje H. Oziegbe EO. Oshomoji OV: Association between preventive oral health habits of parents and caries experience in children resident in a sub-urban Nigeria population. 2014;14:156.
    1. Araoye MO. Research methodology with statistics for health and social science. Nathadex Publisher, Ilorin. 2003;115–9.
    1. Sowole CA, Sote EO. Early childhood caries: experience in Nigerian children at Lagos. Niger Postgrad Med J. 2007;14:314–8.
    1. Olusanya O, Okpere O, Ezimokhai M. The importance of social class in voluntary fertility control in developing country. West Afr J Med. 1985;4:205–12.
    1. Folayan MO, Idehen EE, Ufomata D. The effect of sociodemographic factors on dental anxiety in children seen in a suburban Nigerian hospital. Int J Paediatr Dent. 2003;13:20–6. doi: 10.1046/j.1365-263X.2003.00411.x.
    1. World Health Organisation: Exclusive breastfeeding. Retrieved 4th January 2014 from: .
    1. Drury TF, Horowitz AM, Ismail AI, Maertens MA, Rozier RG, Selwitz RH. Diagnosing and reporting early childhood caries for research purpose. Journal of Public Health Dentistry. 1999;59:192–7. doi: 10.1111/j.1752-7325.1999.tb03268.x.
    1. World Health Organisation . Oral Health Surveys: basic Methods. Geneva: World Health Organisation; 1997.
    1. Krapp K: Dental Indices. Encyclopedia of Nursing & Allied Health. Ed. Vol. 2. Gale Cengage. . retrieved 2nd January 2012 from: .
    1. Greene JC, Vermillion JR. The simplified oral hygiene index. J Am Dent Assoc. 1964;68:7–13. doi: 10.14219/jada.archive.1964.0034.
    1. Nunes AM, da Silva AA, Alves CM, Hugo FN, Ribeiro CC. Factors underlying the polarization of early childhood caries within a high-risk population. BMC Public Health. 2014;14:988. doi: 10.1186/1471-2458-14-988.
    1. Folayan MO, Sowole CA, Kola-Jebutu A, Owotade FJ. Risk factors for rampant caries in children from southwestern Nigeria. Afr J Med Med Sci. 2012;41:249–55.
    1. Niji R, Arita K, Abe Y, Lucas ME, Nishino M, Mitome M. Maternal age at birth and other risk factors in early childhood caries. Pediatr Dent. 2010;32:493–8.
    1. Ola DO, Gambôa ABO, Folayan MO, Marcene W: Family structure, socio-economic position and oral health services utilisation in Nigerian senior secondary school pupils. Journal of Public Health Dentistry 2012; Sep 13. doi: 10.1111/j.1752-7325.2012.00362.x.
    1. Altman DG. Practical statistics for medical research. Boca Raton, Florida: Chapman and Hall; 2004.
    1. Sowole A, Sote E, Folayan M. Dental caries pattern and predisposing oral hygiene related factors in Nigerian preschool children. Eur Arch Paediatr Dent. 2007;8:206–10. doi: 10.1007/BF03262598.
    1. U.S. Department of Health and Human Services . Oral health in America: a report of the Surgeon General – executive summary. Rockville, MD: National Institutes of Health U.S. Department of Health and Human Services, National Institute of Dental and Craniofacial Research; 2000.
    1. Marrs JA, Trumbley S, Malik G. Early childhood caries: determining the risk factors and assessing the prevention strategies for nursing intervention. Pediatr Nurs. 2011;37:9–15.
    1. Folayan MO, Kolawole KA, Chukwumah NM, Oyedele T, Agbaje H, Onyejaka N, Oziegbe EO, Oshomoji OV: Effectiveness of the use of caries prevention tools in reducing caries risk in a sub-urban population of children in Nigeria (Abstract 83). Abstract presented at the IAPD Congress, Glasgow, Ireland. July 1st to 4th, 2015.
    1. Marinho VCC, Higgins JPT, Logan S, Sheiham A. Fluoride toothpastes for preventing dental caries in children and adolescents (Review) John Wiley & Sons, Ltd: The Cochrane Collaboration; 2009.
    1. Tinanoff N, Reisine S. Update on early childhood caries since the Surgeon General's Report. Acad Pediatr. 2009;9:396–403. doi: 10.1016/j.acap.2009.08.006.
    1. Davies GM, Blinkhorn FA, Duxbury JT. Caries among 3-year-olds in greater Manchester. Br Dent J. 2001;190:381–4.
    1. Szatko F, Wierzbicka M, Dybizbanska E, Struzycka I, Iwanicka-Frankowska E. Oral health of Polish three-year-olds and mothers’ oral health-related knowledge. Community Dent Health. 2004;21:175–80.
    1. Harrison R, Wong T, Ewan C, Contreras B, Phung Y. Feeding practices and dental caries in an urban Canadian population of Vietnamese preschool children. ASDC J Dent Child. 1997;64:112–7.
    1. Harrison R, White L. A community-based approach to infant and child oral health promotion in a British Columbia First Nations community. Can J Community Dent. 1997;12:7–14.
    1. Milnes AR. Description and epidemiology of nursing caries. J Public Health Dent. 1996;56:38–50. doi: 10.1111/j.1752-7325.1996.tb02394.x.
    1. Peterson PE: The world oral health report. Continuous improvement of oral health in the 21st century - the approach of the WHO Global Oral Health Programme. WHO, Geneva. 2003. Retrieved 31st March 2015 from. .
    1. Colak H, Dülgergil CT, Dalli M, Hamidi MM. Early childhood caries update: A review of causes, diagnoses, and treatments. J Nat Sci Biol Med. 2013;4:29–38. doi: 10.4103/0976-9668.107257.
    1. Folayan MO, Ozeigbe E, Oyedele T, Ola D. Factors limiting dental service utilization by pupils in Ile-Ife, Nigeria. Nigeria Journal of Health Sciences. 2013;16:18–23.
    1. ICDAS: Research. Retrieved 14th March 2015 from: .
    1. Li R, Scanlon KS, Serdula MK. The validity and reliability of maternal recall of breastfeeding practice. Nutr Rev. 2005;63:103–10. doi: 10.1111/j.1753-4887.2005.tb00128.x.
    1. Folayan MO, Sofola OO, Oginni AB. Caries incidence in a cohort of primary school students in Lagos State, Nigeria followed up over a 3 years period. Eur Arch Paediatr Dent. 2012;13:312–8. doi: 10.1007/BF03320833.

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