Assessment of overall caries risk and mode of birth delivery in infants and children with and without ECC: a cross-sectional study.

IF 2.3 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

European Archives of Paediatric Dentistry Pub Date : 2024-09-27 DOI:10.1007/s40368-024-00946-y

G Felsypremila, K C Vignesh, M S Muthu, C D Mohanapriya, Charmine Pricilla, T Gayathri

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Abstract

Purpose: The study assessed the caries risk in infants and children with and without early childhood caries (ECC) using American Academy of Pediatric Dentistry Caries Risk Assessment Tool (AAPD CRAT) and identified the association between caries risk and mode of birth delivery.

Methods: This cross-sectional study included 96 infants and children with all maxillary and mandibular primary anterior teeth and at least two primary molars erupted clinically in the oral cavity. The details on the mode of birth delivery were noted in a preformed template along with the demographic details, followed by caries risk assessment (CRA) to assess the caries risk of an individual. The outcome assessment for overall caries risk was performed for the ECC and non-ECC group and compared against the mode of birth delivery. Descriptive statistics were performed for all the study variables (gender, overall caries risk, mode of birth delivery, and term of delivery). The Chi-square test was used to compare the categorical variables between the two groups (ECC and non-ECC groups).

Results: The high caries risk category contributed to 52.1% and 68.8% in the ECC and non-ECC groups, respectively. The prevalence of vaginal mode of delivery was 41.7% and 52.1% in the ECC and non-ECC groups, respectively. Caries risk increases with increasing age and the non-ECC group shows more risk (68.8%) than the ECC group. In comparison with the variables against the groups (ECC and non-ECC), Chi-square test revealed that only the term of delivery (p value = 0.035) and overall caries risk (p = 0.045) showed statistically significant difference.

Conclusion: The proportion of high caries risk subjects was significantly more in the non-ECC groups. Children delivered by the C-section mode showed high caries risk (66.7%) when compared with the vaginal mode of delivery (53.3%). A validated CRAT for predicting caries risk is required.

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一项横断面研究：评估患有和未患有婴幼儿龋齿的婴幼儿的总体龋齿风险和分娩方式。

目的：该研究使用美国儿科牙科学会龋病风险评估工具（AAPD CRAT）评估了患有和未患有儿童早期龋病（ECC）的婴幼儿的龋病风险，并确定了龋病风险与分娩方式之间的关联：这项横断面研究包括96名婴幼儿，他们的上颌和下颌初级前牙全部萌出，口腔中至少有两颗初级磨牙临床萌出。研究人员在预先制作的模板中记录了分娩方式的详细信息以及人口统计学详细信息，随后进行了龋病风险评估（CRA），以评估个体的龋病风险。对ECC组和非ECC组的总体龋齿风险进行结果评估，并与分娩方式进行比较。对所有研究变量（性别、总体龋齿风险、分娩方式和产期）进行了描述性统计。对两组（ECC 组和非 ECC 组）之间的分类变量进行了卡方检验：结果：龋齿高风险组在 ECC 组和非 ECC 组中分别占 52.1%和 68.8%。ECC组和非ECC组的阴道分娩率分别为41.7%和52.1%。龋齿风险随着年龄的增长而增加，非幼儿保育组的龋齿风险（68.8%）高于幼儿保育组。在对各组（ECC 组和非 ECC 组）的变量进行比较时，卡方检验（Chi-square test）显示，只有分娩时间（p 值 = 0.035）和总体龋齿风险（p = 0.045）显示出统计学上的显著差异：结论：龋齿风险高的受试者比例在非ECC组中明显更高。结论：与阴道分娩方式（53.3%）相比，剖腹产方式分娩的儿童龋齿风险较高（66.7%）。需要一种经过验证的 CRAT 来预测龋齿风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Archives of Paediatric Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.40

自引率

9.10%

发文量

期刊介绍： The aim and scope of European Archives of Paediatric Dentistry (EAPD) is to promote research in all aspects of dentistry for children, including interceptive orthodontics and studies on children and young adults with special needs. The EAPD focuses on the publication and critical evaluation of clinical and basic science research related to children. The EAPD will consider clinical case series reports, followed by the relevant literature review, only where there are new and important findings of interest to Paediatric Dentistry and where details of techniques or treatment carried out and the success of such approaches are given.