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BMC Public Health
Published in: BMC Public Health 1/2010

Open Access 01-12-2010 | Research article

Early childhood caries in preschool children of Kosovo - a serious public health problem

Authors: Agim Begzati, Merita Berisha, Kastriot Meqa

Published in: BMC Public Health | Issue 1/2010

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Abstract

Background

Even though it has been widely studied, early childhood caries (ECC) remains a serious public health problem, especially in countries where there is no national program of oral health assessment and no genuine primary oral health care, such as in Kosovo. The purpose of this study was to assess the prevalence of ECC and analyze caries risk factors.

Methods

The subjects were 1,008 preschool children, selected by stratified random cluster sampling, in the municipality of Prishtina, capital of Kosovo. Data were collected through clinical examination and interviews. Dmft data were recorded according to WHO criteria. Bacterial examination (CRT bacteria test) and plaque test of Greene-Vermillion were used.

Results

The mean dmft of preschool children was found to be 5.8. The prevalence of ECC was 17.36%, with a mean dmft of 11 ± 3.6. Streptococcus mutans prevalence in ECC children was 98%. A significant correlation between dmft and S mutans counts (≥105 CFU/mL saliva) was demonstrated. A correlation was also found between daily sweets consumption and dmft in children with ECC (P < 0.001). Comparing the dmft of ECC children and duration of bottle feeding showed a statistical correlation (P < 0.001). The mean plaque test was 1.52. None of the examined children had ever used fluoride.

Conclusion

The prevalence of ECC was high among preschool children in the municipality of Kosovo. We recommend increasing parents' knowledge of proper feeding habits and oral health practices, and increasing preschool children's accessibility to dental services.
Appendix
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Literature
1.
2.
3.
James PMC, Parfitt GJ, Falkner F: A study of the aetiology of labial caries of the deciduous incisor teeth in small children. Br Dent J. 1957, 103 (2): 37-40.
4.
Goose DH: Infant Feeding and Caries of the Incisors: an Epidemiological Approach. Caries Res. 1967, 1: 167-173. 10.1159/000259512.CrossRef
5.
Fass EN: Is bottle feeding of milk a factor in dental caries?. J Dent Child. 1962, 29: 245-251.
6.
Winter GB, Hamilton MC, James PMC: Role of comforter as en etiological factor in rampant caries of deciduous dentition. Arch Dis Child. 1966, 417: 207-212. 10.1136/adc.41.216.207.CrossRef
7.
Derkson GD, Ponti P: Nursing bottle syndrome: prevalence end etiology in a non fluoridated city. J Can Dent Assoc. 1982, 6: 389-393.
8.
Ripa LW: Nursing caries: a comprehensive review. Pediatr Dent. 1988, 10: 268-282.PubMed
9.
10.
Bruered B, Kinney MB, Bothwell E: Preventing baby bottle tooth decay in American Indian and Alaska native communities: a model for planning. Public Health Rep. 1989, 104 (6): 631-640.
11.
Kaste LM, Gift HC: Inappropriate Infant Bottle Feeding. Status of the Healthy People 2000 Objective. Arch Pediatr Adolesc Med. 1995, 149 (7): 786-791.CrossRefPubMed
12.
Tinanoff N, Kaste LM, Corbin SB: Early childhood caries: a positive beginning. Community Dent Oral Epidemol. 1998, 26 (1): 117-119.CrossRef
13.
Horowitz HS: Research issues in early childhood caries. Community Dent Oral Epidemiol. 1998, 26 (1): 67-81.CrossRefPubMed
14.
Drury ThF, Horowitz AM, Ismail AI, Maertens MP, Rozier RG, Selwitz RH: Diagnosing and reporting Early Childhood Caries for Research Purposes. J Public Health Dent. 1999, 59: 192-197. 10.1111/j.1752-7325.1999.tb03268.x.CrossRefPubMed
15.
Davis GN: Early childhood caries-a synopsis. Community Dent Oral Epidemiol Munksgaard. 1998, 26 (1): 106-116.CrossRef
16.
Ismail AI, Sohn W: A Systematic Review of Clinical Diagnostic Criteria of Early Childhood Caries. J Public Health Dent. 1999, 59 (3): 171-191. 10.1111/j.1752-7325.1999.tb03267.x.CrossRefPubMed
17.
Kaste LM, Selwitz RH, Oldakowski RJ, Brunelle JA, Win DM, Brown LJ: Coronal Caries in the Primary and Permanent Dentition of Children and Adolescents 1-17 Years of Age:United States, 1988-1991. J Dent Res. 1996, 75: 631-641.PubMed
18.
Davenport ES: Caries in preschool child: Aetiology. J Dent. 1990, 18: 300-303. 10.1016/0300-5712(90)90127-Z.CrossRefPubMed
19.
Hinds K, Gregory JR: National diet and nutritional survey: Children aged 1-1/2 to 4-1/2 years. Vol.2: Report of the dental survey. 1995, London: HMSO
20.
Huseinbegović A: Social and medical aspects of primary dentition caries in urban conditions. Master degree. 2001, University of Sarajevo, School of Dentistry
21.
Apostolova D, Asprovsa V, Simovska N: Circular caries-ECC-a problem at the earliest age [Abstract book]. 8 Congress of the Balkan Stomatological Society: 1-4. 2003, May ; Tirana
22.
Mazhari F, Talebi M, Zoghi M: Prevalence of Early Childhood Caries and its Risk Factors in 6-60 months old Children in Quchan. Dent Res J. 2007, 4 (2): 96-101.
23.
Kelly M, Bruerd B: The prevalence of baby bottle tooth decay among two native American populations. J Public Health Dent. 1987, 47 (2): 94-97. 10.1111/j.1752-7325.1987.tb01983.x.CrossRefPubMed
24.
Berkowitz RJ: Causes, Treatment and Prevention of Early Childhood Caries: A Microbiologic Perspective. Journal of the Canadian Dental Association. 2003, 69 (5): 304-307.PubMed
25.
Wyne AH: Early chlidhood caries: nomenclatur and case definition. Community Dent Oral Epidemiol. 1999, 27: 313-315. 10.1111/j.1600-0528.1999.tb02026.x.CrossRefPubMed
26.
Seow WK: Biological mechanisms of early childhood caries. Community Dent Oral Epidemiol. 1998, 26 (1): 8-27.CrossRefPubMed
27.
Reisine S, Douglass JM: Psychosocial and behavioral issues in early childhood caries. Community Dent Oral Epidemiol. 1998, 26 (1): 32-44.CrossRefPubMed
28.
Caufield PW, Cutter GR, Dasanayake AP: Initial acquisition of mutans streptococci by infants: evidence for a discrete window of infectivity. J Dent Res. 1993, 72 (1): 37-45. 10.1177/00220345930720010501.CrossRefPubMed
29.
Berkowitz RJ, Turner J, Green P: Primary oral infection of infants with Streptococcus mutans. Arch Oral Biol. 1980, 25: 221-224. 10.1016/0003-9969(80)90026-6.CrossRefPubMed
30.
Berkowitz RJ: Etiology of nursing caries; a microbiologic perspective. J Public Health Dent. 1996, 56 (1): 51-54. 10.1111/j.1752-7325.1996.tb02395.x.CrossRefPubMed
31.
Lopez L, Berkowitz RJ, Moss ME, Weinstein P: Mutans streptotocci prevalence in Puerto Rican babies with cariogenic feeding behaviors. Pediatr Dent. 2000, 22 (4): 299-301.PubMed
32.
Newbrun E: Sugar and dental caries: a review of human studies. Science. 1982, 217 (4558): 418-423. 10.1126/science.7046052.CrossRefPubMed
33.
Wendt LK, Hallonstein AL, Koch G: Dental caries in one- and two-year-old children living in Sweden. Part I - A longitudinal study. Swed Dent J. 1991, 15 (1): 1-6.PubMed
34.
Hunt RJ: Percent agreement, Pearson's correlation, and kappa as measures of inter-examiner reliability. J Dent Res. 1986, 65: 128-130. 10.1177/00220345860650020701.CrossRefPubMed
35.
Kneist S, Laurisch L, Heinrich-Weltzein R: Der neue CRT-Mikrobiologischer hintergrund zum nachweis von S. Mutans. Oralprophylaxe. 1999, 21: 180-185.
36.
37.
Milgrom P, Riedy CA, Weinstein P, Tanner AC, Manibusan L, Bruss J: Dental caries and its relationship to bacterial infection, hypoplasia, diet, and oral hygiene in 6- to 36-month-old children. Community Dent Oral Epidemiol. 2000, 28 (4): 295-306. 10.1034/j.1600-0528.2000.280408.x.CrossRefPubMed
38.
Karn TA, O'Sullivan DM, Tinannoff N: Colonization of mutans streptococci in 8- to 15- month-old children. J Public Health Dent. 1988, 58 (3): 248-249. 10.1111/j.1752-7325.1998.tb03001.x.CrossRef
39.
Hallonsten AL, Wendt LK, Mejar I, Birkhed D, Hakansson C, Lindwall AM, Edwardsson S, Koch G: Dental Caries and prolonged breast-feeding in 18-month- old. Swedish children. Int J Paediatr Dent. 1995, 5 (3): 149-155. 10.1111/j.1365-263X.1995.tb00298.x.CrossRefPubMed
40.
Li Y, Navia JM, Caufield PW: Colonization by mutans streptococci in mouths of 3- and 4- year -old Chinese children with or without enamel hypoplasia. Arch Oral Biol. 1994, 39 (12): 1057-1062. 10.1016/0003-9969(94)90058-2.CrossRefPubMed
41.
Holbrook WP: Dental caries and cariogenic factors in pre-school urban Icelandic children. Caries Res. 1993, 27 (5): 431-437. 10.1159/000261575.CrossRefPubMed
42.
Ge Y, Caufield PW, Fisch GS, Li Y: Streptococcus mutans and Streptococcus sanguinis Colonization Correlated with Caries Experience in Children. Caries Res. 2008, 42: 444-448. 10.1159/000159608.CrossRefPubMedPubMedCentral
43.
Borutta A, Kneist S, Eherler DP: Oral health and Occurrence of Salivary S. mutans in Small Children. Poster J Dent Oral Med. 2002, 4 (3): Poster 128
44.
Köhler B, Bjarnason S, Care R, Mackevica I, Rence I: Mutans streptococci and dental caries prevalence in a group of Latvian preschool children. Eur J Oral Sci. 1995, 103 (4): 264-266. 10.1111/j.1600-0722.1995.tb00171.x.CrossRefPubMed
45.
Köhler B, Andreen I, Jonsson B: The earlier the colonization by mutans streptococci, the higher the caries prevalence at 4 years of age. Oral Microbiol Immunol. 1988, 14-17. 10.1111/j.1399-302X.1988.tb00598.x. 3:
46.
Twetman S, Frostner N: Salivary mutans streptococci and caries prevalence in 8-year-old Swedish schoolchildren. Swed Dent J. 1991, 15 (3): 145-151.PubMed
47.
Maciel SM, Marcenes W, Sheiham A: The relationship between sweetness preference, levels of salivary mutans streptococci and caries experience in Brazilian pre-school children. International Journal of Paediatric Dentistry. 2001, 11: 123-130. 10.1046/j.1365-263x.2001.00259.x.CrossRefPubMed
48.
Ölmez S, Uzamis M, Erdem G: Association between early childhood caries and clinical, microbiological, oral hygiene and dietary variables in rural Turkish children. The Turkish Journal of Pediatrics. 2003, 45: 231-236.PubMed
49.
Holbrook WP, Kristinsson MJ, Gunnarsdóttir S, Briem B: Caries prevalence, Streptococcus mutans and sugar intake among 4-year-old urban children in Iceland. Community Dent Oral Epidemiol. 1989, 17 (6): 292-295. 10.1111/j.1600-0528.1989.tb00639.x.CrossRefPubMed
50.
Mohan A, Sallivan O, Tinnannoff N: The relationship between bottle usage/content, age, and number of teeth with mutans streptococci colonization in 6-24 month old children. Community Dent Oral Epidemiol. 1998, 26: 12-20. 10.1111/j.1600-0528.1998.tb01918.x.CrossRefPubMed
51.
Johnsen DC: Characteristics and backgrounds of children with "nursing caries.". Pediatr Dent. 1982, 4 (3): 218-224.PubMed
52.
Plat L, Cebazas MC: Early childhood dental caries. Building community system for young children. 2000, Los Angeles, CA: University of California-Los Angeles Center for Healthier Children, Families and Communities , 32-exec. summ. (p.1)
53.
Wendt LK: On oral health in infants and toddlers. Swed Dent J Suppl. 1995, 106: 1-62.PubMed
54.
Rosamund LH, Tracy W: An oral health promotion program for an urban minority population of preschool children. Community dent Oral Epidemiol. 2003, 31 (5): 392-399. 10.1034/j.1600-0528.2003.00001.x.CrossRef
55.
Featherstone JDB: The Caries Balance: The Basis for Caries Management by Risk Assessment. Oral Health Prev Dent. 2004, 2 (1): 259-264.PubMed
56.
57.
Ismail AI: Prevention of early childhood caries. Community dentistry and oral epidemiology. 1998, 26 (1): 49-61.CrossRefPubMed
58.
De Grauwe A, Aps JK, Martens LC: Early Childhood Caries (ECC): What's in a name?. Eur J Paediatr Dent. 2004, 5 (2): 62-70.PubMed
59.
Al-Shalan TA, Erickson PR, Hardie NA: Primary incisor decay before age 4 as a risk factor for future dental caries. Paediatr Dent. 1997, 19 (1): 37-41.
60.
Child JS: Risks for and prevention of infective endocarditis. Cardiology Clinics-Diagnosis and Management of Infective Endocarditis. Edited by: Child JS. 1996, Philadelphia, Pa: WB Saunders Co, 14: 327-343.
Metadata
Title
Early childhood caries in preschool children of Kosovo - a serious public health problem
Authors
Agim Begzati
Merita Berisha
Kastriot Meqa
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2010
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-10-788

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