Developmental enamel defects are associated with early childhood caries: Case-control study.
case-control studies
deciduous
dental caries
tooth
Journal
International journal of paediatric dentistry
ISSN: 1365-263X
Titre abrégé: Int J Paediatr Dent
Pays: England
ID NLM: 9107511
Informations de publication
Date de publication:
Jan 2020
Jan 2020
Historique:
received:
21
05
2019
revised:
13
08
2019
accepted:
22
08
2019
pubmed:
30
8
2019
medline:
24
12
2019
entrez:
30
8
2019
Statut:
ppublish
Résumé
Knowledge on the association between developmental enamel defects (DED) and early childhood caries (ECC) has importance for the drafting of prevention measures and oral healthcare planning. To compare the frequency of ECC in children with and without DED and verify their association with sociodemographic factors. This case-control study was carried out with Brazilian children aged one to five years. The case group made up of 98 children with ECC and the control group was made up of 98 children without ECC. DED were classified in diffuse opacity, demarcated opacity and enamel hypoplasia (Developmental Defects of Enamel Index). Sociodemographic data were collected by a questionnaire answered by parents. Statistical analysis used McNemar's test and logistic regression analyses. In the bivariate analysis, ECC was more frequent among children from families with poorer socioeconomic conditions (lower monthly household income [P ≤ .001] and lower maternal schooling [P = .001]) and among those with DED (P ≤ .001). The final logistical model showed that children with DED (OR: 1.94) and a monthly household income less than two Brazilian minimum salaries (OR: 2.24) were more likely to have ECC. The occurrence of DED and lower household income were pre-disposing factors for the occurrence of ECC.
Sections du résumé
BACKGROUND
BACKGROUND
Knowledge on the association between developmental enamel defects (DED) and early childhood caries (ECC) has importance for the drafting of prevention measures and oral healthcare planning.
AIM
OBJECTIVE
To compare the frequency of ECC in children with and without DED and verify their association with sociodemographic factors.
DESIGN
METHODS
This case-control study was carried out with Brazilian children aged one to five years. The case group made up of 98 children with ECC and the control group was made up of 98 children without ECC. DED were classified in diffuse opacity, demarcated opacity and enamel hypoplasia (Developmental Defects of Enamel Index). Sociodemographic data were collected by a questionnaire answered by parents. Statistical analysis used McNemar's test and logistic regression analyses.
RESULTS
RESULTS
In the bivariate analysis, ECC was more frequent among children from families with poorer socioeconomic conditions (lower monthly household income [P ≤ .001] and lower maternal schooling [P = .001]) and among those with DED (P ≤ .001). The final logistical model showed that children with DED (OR: 1.94) and a monthly household income less than two Brazilian minimum salaries (OR: 2.24) were more likely to have ECC.
CONCLUSIONS
CONCLUSIONS
The occurrence of DED and lower household income were pre-disposing factors for the occurrence of ECC.
Types de publication
Journal Article
Langues
eng
Pagination
11-17Informations de copyright
© 2019 BSPD, IAPD and John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Références
Nanci A. Enamel: composition, formation, and structure. In: Nanci A, ed. Ten Cate's oral histology development, structure, and function. St Louis: Mosby; 2008:141-190.
Clarkson J. A review of terminology, classifications, and indices of developmental defects of enamel. Adv Dent Res. 1989;3:104-109.
Zheng S, Deng H, Bao Y. The study on the clinical manifestation of developmental enamel defects in primary dentition. Hua Xi Kou Qiang Yi Xue Za Zhi. 2003;21:200-204.
Ruschel HC, Vargas-Ferreira F, Toyo MF, Kramer PF, Feldens CA. Developmental defects of enamel in primary teeth: highly prevalent, unevenly distributed in the oral cavity and not associated with birth weight. Eur Arch Paediatr Dent. 2019;20(3):241-248.
Andrade NS, Dos Santos IT, Lima L, et al. Impact of developmental enamel defects on quality of life in 5-year-old children. Int J Paediatr Dent. 2019;29(5):557-565.
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.
Targino AG, Rosenblatt A, Oliveira AF, Chaves AM, Santos VE. The relationship of enamel defects and caries: a cohort study. Oral Dis. 2011;17:420-426.
Carvalho JC, Silva EF, Gomes RR, Fonseca JA, Mestrinho HD. Impact of enamel defects on early caries development in preschool children. Caries Res. 2011;45:353-360.
Kirthiga M, Murugan M, Saikia A, Kirubakaran R. Risk factors for early childhood caries: a systematic review and meta-analysis of case control and cohort studies. Pediatr Dent. 2019;41:95-112.
GBD 2015 Disease and Injury Incidence and Prevalent Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet 2016; 388:1545-1602.
Kassebaum NJ, Smith A, Bernabé E, et al. Global, regional, and national prevalence, incidence, and disability-adjusted life years for oral conditions for 195 countries, 1990-2015: a systematic analysis for the global burden of diseases, injuries, and risk factors. J Dent Res. 2017;96:380-387.
Phantumvanit P, Makino Y, Ogawa H, et al. WHO Global Consultation on Public Health Intervention against Early Childhood Caries. Community Dent Oral Epidemiol. 2018;46:280-287.
Tinanoff N, Baez RJ, Dias Guillory C, et al. Early childhood caries epidemiology, aetiology, risk assessment, societal burden, management, education, and policy: global perspective. Int J Paediatr Dent. 2019;29:238-248.
Fisher-Owens SA, Gansky SA, Platt LJ, et al. Influences on children's oral health: a conceptual model. Pediatrics. 2007;120:e510-e520.
Schüler IM, Haberstroh S, Sawczynski K, Lehmann T, Heinrich-Weltzien R. Dental caries and developmental defects of enamel in the primary dentition of preterm infants: case-control observational study. Caries Res. 2018;52:22-31.
Hong L, Levy SM, Warren JJ, Broffitt B. Association between enamel hypoplasia and dental caries in primary second molars: a cohort study. Caries Res. 2009;43:345-353.
Corrêa-Faria P, Paixão-Gonçalves S, Paiva SM, Pordeus IA, Marques LS, Ramos-Jorge ML. Association between developmental defects of enamel and early childhood caries: a cross-sectional study. Int J Paediatr Dent. 2015;25:103-109.
World Health Organization. Oral Health Surveys: basic methods. 4th ed. Geneva, Switzerland: World Health Organization, 1997. https://apps.who.int/iris/bitstream/handle/10665/41905/9241544937.pdf?sequence=1&isAllowed=y. Accessed September 4, 2019.
Federation Dentaire Internationale: Commission on Oral Health Research and Epidemiology. A review of the developmental defects of enamel index (DDE index). Int Dent J. 1992;42:411-426.
Li Y, Navia JM, Caufield PW. Colonization by mutans streptococci in the mouths of 4-and 4-year-old Chinese children with or without enamel hypoplasia. Arch Oral Biol. 1994;39:1057-1062.
Law V, Seow WK, Townsend G. Factors influencing oral colonization of Mutans streptococci in young children. Aust Dent J. 2007;52(2):93-100, quiz 159.
ICCMS Caries Management. International Caries Classification and Management System. https://www.iccms-web.com/. Accessed September 4, 2019.
Kanchanakamol U, Tuongratanaphan S, Tuongratanaphan S, et al. Prevalence of developmental enamel defects and dental caries in rural pre-school Thai children. Community Dent Health. 1996;13:204-207.
Montero MJ, Douglass JM, Mathieu GM. Prevalence of dental caries and enamel defects in Connecticut Head Start children. Pediatr Dent. 2003;25:235-239.
Farsi N. Developmental enamel defects and their association with dental caries in preschoolers in Jeddah, Saudi Arabia. Oral Health Prev Dent. 2010;8:85-92.
American Academy of Pediatric Dentistry. Policy on early childhood caries (ECC): classifications, consequences, and preventive strategies. Pediatr Dent. 2017;39:59-61.
Needleman HL, Allred E, Bellinger D, Leviton A, Rabinowitz M, Iverson K. Antecedents and correlates of hypoplastic enamel defects of primary incisors. Pediatr Dent. 1992;14:158-166.
Cortines A, Corrêa-Faria P, Paulsson L, Costa PS, Costa LR. Developmental defects of enamel in deciduous incisors of infants born preterm: prospective cohort. Oral Dis. 2019;25:543-549.
Wellappuli N, Amarasena N. Influence of family structure on dental caries experience of preschool children in Sri Lanka. Caries Res. 2012;46:208-212.
Duijster D, Verrips GH, van Loveren C. The role of family functioning in childhood dental caries. Community Dent Oral Epidemiol. 2014;42:193-205.