Assessing the Impact of Early Childhood Caries on the Development of First Permanent Molar Decays

Fatma Songur, Sera Simsek Derelioglu, Sinan Yilmaz, Zahide Koşan, Fatma Songur, Sera Simsek Derelioglu, Sinan Yilmaz, Zahide Koşan

Abstract

Aim: The aim of this study was to evaluate whether the treated and untreated severe early childhood caries (ECC) in children would make any impact on the Permanent First Molar (PFM) decays. Materials and Methods: Our descriptive epidemiological study was conducted in Ataturk University, Faculty of Dentistry, Department of Pediatric Dentistry/Erzurum-Turkey, between 2011 and 2017. We included a total of 90 children (44 girls, 46 boys), and divided them into 3 equal groups. They were 6-9 years old with a mean age of 7.38 ± 0.89. Group 1 consisted of the patients who had previously been treated under GA, Group 2 included the patients with untreated ECC and with no previous dental treatment, and Group 3 consisted of the patients who had been periodically treated in normal clinical settings. Each patient was processed through; dmft scoring and PFM caries evaluation process in accordance with International Caries Detection and Assessment System (ICDAS), respectively. The obtained data was analyzed with SPSS v20.0. And also, we used One-way ANOVA, Kruskal-Wallis and Mann Whitney U tests. Results: In accordance with ICDAS, we found that Group 3 had the highest mean number of PFMs (2 ± 1.43) and Group 2 had the lowest (1.43 ± 1.45). In Group 2, the number of ICDAS-determined carious PFMs were significantly lower than the other groups (p < 0.05). However, ICDAS score 6 was 0 in Group 1, while it was determined higher as 4.2% in Group 2. Conclusion: In respect to our research outcomes, which revealed that regardless of treated or not severe ECC had a significant impact on the PFMs, we strongly recommend that the parent of the children experiencing ECC should be informed about the risk of future caries in PFMs.

Keywords: ICDAS; early childhood caries; first permanent molar teeth caries; general anesthesia; window of infectivity.

References

    1. Luca R, Stanciu I, Ivan A, Vinereanu A. Knowledge on the first permanent molar-audit on 215 Romanian mothers. OHDMBSC. (2003) 2:27–32.
    1. Zouashkiani T, Mirzakhan T. Parental knowledge about presence of the first permanent molar and its effect on health of the this tooth in 7–8 years-old children (2006). J Mash Dent Sch. (2006) 30:225–32.
    1. Powell LV. Caries prediction: a review of the literature. Community Dent Oral Epidemiol. (1998) 26:361–71. 10.1111/j.1600-0528.1998.tb01974.x
    1. Eriksen HM, Dimitrov V. Ecology of oral health: a complexity perspective. Eur J Oral Sci. (2003) 111:285–90. 10.1034/j.1600-0722.2003.00053.x
    1. Powell LV. Caries risk assessment: relevance to the practitioner. JADA. (1998) 129:349–53. 10.14219/jada.archive.1998.0209
    1. D'Mello GI. Long-term Oral and General Health Outcomes in Adolescents who had Extensive Decay in Early Childhood (Thesis, Doctor of Clinical Dentistry: ). University of Otago (2011).
    1. Raadal M, Espelid I. Caries prevalence in primary teeth as a predictor of early fissure caries in permanent first molars. Community Dent Oral Epidemiol. (1992) 20:30–4. 10.1111/j.1600-0528.1992.tb00669.x
    1. Silva FA, Oliveira CAGR, Tannure PN, de Paula VAC, de Souza SouzaIPR. Early childhood caries as a possible predictor for caries in first permanent molars. Int J Dev Res. (2014) 4:1085–7.
    1. Topaloglu-Ak A, Eden E. Caries in primary molars of 6–7-year-old Turkish children as risk indicators for future caries development in permanent molars. J Dent Sci. (2010) 5:150–5. 10.1016/S1991-7902(10)60022-0
    1. Vallejos-Sanchez AA, Medina-Solís CE, Casanova-Rosado JF, Maupomé G, Minaya-Sanchez M, Pérez-Olivares S. Caries increment in the permanent dentition of Mexican children in relation to prior caries experience on permanent and primary dentitions. J Dent. (2006) 34:709–15. 10.1016/j.jdent.2006.01.003
    1. Zemaitiene M, Grigalauskiene R, Andruskeviciene V, Matulaitiene ZK, Zubiene J, Narbutaite J, et al. . Dental caries risk indicators in early childhood and their association with caries polarization in adolescence: a cross-sectional study. BMC Oral Health. (2016) 17:2. 10.1186/s12903-016-0234-8
    1. Caruana EJ, Roman M, Hernández-Sánchez J, Solli P. Longitudinal studies. J Thorac Dis. (2015) 7:E537–40. 10.3978/j.issn.2072-1439.2015.10.63
    1. Honkala E, Nyyssönen V, Kolmakow S, Lammi S. Factors predicting caries risk in children. Eur J Oral Sci. (1984) 92:134–40. 10.1111/j.1600-0722.1984.tb00869.x
    1. Gray M, Marchment M, Anderson R. The relationship between caries experience in the deciduous molars at 5 years and in first permanent molars of the same child at 7 years. Community Dent Health. (1991) 8:3–7.
    1. Li Y, Wang W. Predicting caries in permanent teeth from caries in primary teeth: an eight-year cohort study. J Dent Res. (2002) 81:561–6. 10.1177/154405910208100812
    1. Tagliaferro EP, Pereira AC, Meneghim Mde C, Ambrosano GM. Assessment of dental caries predictors in a seven-year longitudinal study. J Public Health Dent. (2006) 66:169–73. 10.1111/j.1752-7325.2006.tb02575.x
    1. Skeie M, Raadal M, Strand G, Espelid I. The relationship between caries in the primary dentition at 5 years of age and permanent dentition at 10 years of age–a longitudinal study. Int J Pediatr Dent. (2006) 16:152–60. 10.1111/j.1365-263X.2006.00720.x
    1. Greene JG, Vermillion JR. The simplified oral hygiene index. JADA. (1964) 68:7–13. 10.14219/jada.archive.1964.0034
    1. Ismail A, Sohn W, Tellez M, Amaya A, Sen A, Hasson H, et al. . The International Caries Detection and Assessment System (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol. (2007) 35:170–8. 10.1111/j.1600-0528.2007.00347.x
    1. Grund K, Goddon I, Schüler IM, Lehmann T, Heinrich-Weltzien R. Clinical consequences of untreated dental caries in German 5-and 8-year-olds. BMC Oral Health. (2015) 15:140. 10.1186/s12903-015-0121-8
    1. Nunes-Dos-Santos DL, Almeida De Deus Moura LDF, Deus Moura Lima MD, Soares Pereira Lopes T, Silva De Moura M. Is severe early childhood caries predictive of caries and fluorosis in permanent teeth? Ten-year follow-up. Rev Odontol UNESP. (2017) 46:164–73. 10.1590/1807-2577.17916
    1. Peretz B, Ram D, Azo E, Efrat Y. Preschool caries as an indicator of future caries: a longitudinal study. Pediatr Dent. (2003) 25:114–8.
    1. van Palenstein Helderman W, Van't Hof M, Van Loveren C. Prognosis of caries increment with past caries experience variables. Caries Res. (2001) 35:186–92. 10.1159/000047454
    1. Vanobbergen J, Martens L, Lesaffre E, Bogaerts K, Declerck D. The value of a baseline caries risk assessment model in the primary dentition for the prediction of caries incidence in the permanent dentition. Caries Res. (2001) 35:442–50. 10.1159/000047488
    1. American Academy of Pediatric Dentistry Policy on early childhood caries (ECC): classifications, consequences, and preventive strategies. Pediatr Dent. (2008) 30 (Suppl. 7):40.
    1. Çolak H, Dülgergil ÇT, Dalli M, Hamidi MM. Early childhood caries update: a review of causes, diagnoses, and treatments. J Nat Sc Biol Med. (2013) 4:29. 10.4103/0976-9668.107257
    1. Hussein AS, Abu-Hassan MI, Schroth RJ, Ghanim AM. Parent's perception on the importance of their children's first dental visit (A cross-sectional pilot study in Malaysia). JODR. (2013) 23:1–6. 10.12816/0012189
    1. Hajishengallis E, Parsaei Y, Klein MI, Koo H. Advances in the microbial etiology and pathogenesis of early childhood caries. Mol Oral Microbiol. (2017) 32:24–34. 10.1111/omi.12152
    1. Leong PM, Gussy MG, Barrow SYL, de Silva-Sanigorski A, Waters E. A systematic review of risk factors during first year of life for early childhood caries. Int J Pediatr Dent. (2013) 23:235–50. 10.1111/j.1365-263X.2012.01260.x
    1. Li Y, Ge Y, Saxena D, Caufield P. Genetic profiling of the oral microbiota associated with severe early-childhood caries. J Clin Microbiol. (2007) 45:81–7. 10.1128/JCM.01622-06
    1. Selwitz RH, Ismail AI, Pitts NB. Dental caries. Lancet. (2007) 369:51–9. 10.1016/S0140-6736(07)60031-2
    1. Seale NS, Randall R. The use of stainless steel crowns: a systematic literature review. Pediatr Dent. (2015) 37:145–60.

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