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Socio-behavioural risk factors for early childhood caries (ECC) in Cambodian preschool children: a pilot study

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Abstract

Aim

This was to explore the socio-behavioural risk factors for ECC in Cambodia. Early childhood caries (ECC) is a significant health problem in Cambodia.

Methods

A convenience sample of 362 primary caregiver-child dyads were selected. The children were aged between birth and 6 years old and participated in a structured interview and intra-oral examination.

Results

ECC was diagnosed in 244 of 362 (65.6 %) children and 178 (50.6 %) had severe early childhood caries (sECC). There were significant associations between caries experience and tooth brushing, dietary, and nursing habits. The odds ratio (OR) for sECC in those children who started brushing before the age of 18 months was 0.41 (CI 0.18, 0.93). However, for those children who continued to breast-feed after the age of 2 years the OR was 5.31 (CI 1.50, 18.79).

Conclusions

The most prominent risk factors for ECC in the present study were lack of tooth brushing and breast-feeding past the age of 2 years.

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References

  • Abanto J, Carvalho TS, Mendes FM, et al. Impact of oral diseases and disorders on oral health-related quality of life of preschool children. Community Dent Oral Epidemiol. 2011;39:105–14.

    Article  PubMed  Google Scholar 

  • Al-Dashti AA, Williams SA, Curzon ME. Breast-feeding, bottle feeding and dental caries in Kuwait, a country with low-fluoride levels in the water supply. Community Dent Health. 1995;12:42–7.

    PubMed  Google Scholar 

  • Azevedo TD, Bezerra AC, de Toledo OA. Feeding habits and severe early childhood caries in Brazilian preschool children. Pediatr Dent. 2005;27:28–33.

    PubMed  Google Scholar 

  • Bach K. The oral health of Cambodian pre-school-aged children. Thesis submitted to the Faculty of Medicine, Dentistry and Health Science of The University of Melbourne, 2014

  • Bowen WH, Lawrence RA. Comparison of the cariogenicity of cola, honey, cow milk, human milk and sucrose. Pediatrics. 2005;116:921–7.

    Article  PubMed  Google Scholar 

  • Bratthall D, Khim SP, Outward CS. Dental caries and prevalence of mutans streptococci in a group of Cambodian children. Community Dent Oral Epidemiol. 1993;21:174–5.

    Article  PubMed  Google Scholar 

  • Brudevold F, Goulet D, Tehrani A, Attarzadeh F, Van Houte J. Intraoral demineralization and maltose clearance from wheat starch. Caries Res. 1985;19:136–44.

    Article  PubMed  Google Scholar 

  • Campus G, Solinas G, Maida C, Castiglia P. The ‘significant caries index’ (SiC): a critical approach. Oral Health Prev Dent. 2003;1:171–8.

    PubMed  Google Scholar 

  • Cambodia Demographic and Health Survey. National Institute of Statistics, Directorate General for Health [Cambodia] and ORC Macro, 2006.

  • Cambodia National Oral Health Survey 2011. Phnom Penh: Ministry of Health Cambodia, 2013.

  • Chaffee BW, Feldens CA, Vitolo MR. Association of long-duration breastfeeding and dental caries estimated with marginal structural models. Ann Epidemiol. 2014;24(6):448–54.

    Article  PubMed  PubMed Central  Google Scholar 

  • Chher T, Hak S. Ministry of Health reports on fluoride content of toothpastes sold in Cambodia 2001 and 2004.

  • Chu CH, Wong AW, Lo EC, Courtel F. Oral health status and behaviours of children in rural districts of Cambodia. Int Dent J. 2008;58:15–22.

    Article  PubMed  Google Scholar 

  • Çolak 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.

    Article  PubMed  PubMed Central  Google Scholar 

  • Crookson BT, Dearden KA, Chan K, Chan T, Stoker DD. Buddhist nuns on the move: an innovative approach to improving breastfeeding practices in Cambodia. Matern Child Nutr. 2007;3:10–24.

    Article  Google Scholar 

  • Definition of Early Childhood Caries, 2008. Available from: <http://www.aapd.org/policies/>. [18 April 2015].

  • Desclaux A, Alfieri C. Counselling and choosing between infant-feeding options: overall limits and local interpretations by health care providers and women living with HIV in resource-poor countries (Burkina Faso, Cambodia, Cameroon). Soc Sci Med. 2009;69:821–9.

    Article  PubMed  Google Scholar 

  • Field A. Regression: discovering statistics using SPSS. Sage, 2009. p. 293–356.

  • Gift HC, Reisine ST, Larach DC. The social impact of dental problems and visits. Am J Public Health. 1992;82:1663–8.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hallett KB, O’Rourke PK. Early childhood caries and infant feeding practice. Community Dent Health. 2002;19:237–42.

    PubMed  Google Scholar 

  • Hallett KB, O’Rourke PK. Social and behavioural determinants of early childhood caries. Aust Dent J. 2003;48:27–33.

    Article  PubMed  Google Scholar 

  • Kramer PF, Feldens CA, Ferreira SH, et al. Exploring the impact of oral disease and disorders on quality of life of preschool children. Community Dent Oral Epidemiol. 2013;41:327–35.

    Article  PubMed  Google Scholar 

  • Marriott BP, White AJ, Hadden L, Davies JC, Wallingford JC. How well are infant and young child World Health Organization (WHO) feeding indicators associated with growth outcomes? An example from Cambodia. Matern Child Nutr. 2010;6:358–73.

    Article  PubMed  Google Scholar 

  • Marinho VCC. Cochrane reviews of randomized trials of fluoride therapies for preventing dental caries. Eur Arch Pediatr. 2009;10:183–91.

    Article  Google Scholar 

  • Rasbridge LA, Kulig JC. Infant feeding among Cambodian refugees. MCN Am J Matern Child Nurs. 1995;20:213–8.

    Article  PubMed  Google Scholar 

  • Scannapieco FA, Torres G, Levine MJ. Salivary amylase: role in dental plaque and caries formation. Crit Rev Oral Biol Med. 1993;4:301–7.

    PubMed  Google Scholar 

  • Senarath U, Dibley MJ, Agho KE. Factors associate with nonexclusive breast-feeding in five East and South East Asian countries: a multilevel analysis. J Hum Lact. 2010;26:248–57.

    Article  PubMed  Google Scholar 

  • Sociodemographic characteristics of Cambodia, 2014. Available from: <http://www.nis.gov.kh/index/php.en>. [18 April 2015]

  • Thomson ME, Thomson CW, Chandler NP. In vitro and intra-oral investigations into the cariogenic potential of human milk. Caries Res. 1996;30:434–8.

    Article  PubMed  Google Scholar 

  • Todd RV, Durward CS, Chot C, So PK, Im P. The dental caries experience, oral hygiene and dietary practices of preschool children of factory workers in Phnom Penh, Cambodia. Int J Paediatr Dent. 1994;4:173–8.

    Article  PubMed  Google Scholar 

  • Turton BJ, Durward CS, Manton DJ. Early childhood caries and maternal caries experience in a convenience sample of Cambodian pre-schoolers. Pediatr Dent J. 2015. doi:10.1016/j.pdj.2015.02.001.

    Google Scholar 

  • Valaitis R, Hesch R, Passarelli C, Sheehan D, Sinton J. A systematic review of the relationship between breastfeeding and early childhood caries. Can J Public Health. 2000;91:411–7.

    PubMed  Google Scholar 

  • Wong MC, Clarkson J, Glenny AM, et al. Cochrane reviews on the benefits/risks of fluoride toothpastes. J Dent Res. 2011;90:573–9.

    Article  PubMed  Google Scholar 

  • World Health Organization. Oral health surveys: basic methods. 4th ed. Geneva: World Health Organization, 1997.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Dentistry, Faculty of Health Sciences, University of Puthisastra, #55 Street 180, Phnom Penh, Cambodia

    B. Turton & C. Durward

  2. Elsdon Storey Chair of Child Dental Health, Melbourne Dental School, University of Melbourne, 720 Swanston Street, Melbourne, Australia

    D. Manton

  3. Auckland District Health Board, 2 Park Road, Auckland, New Zealand

    K. Bach

  4. Department of Dentistry, Faculty of Health Sciences, University of Puthisastra, #55, Street 180, Phnom Penh, 12000, N/A = Not Applicable, Cambodia

    C. Yos

Authors
  1. B. Turton
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  2. C. Durward
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  3. D. Manton
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  4. K. Bach
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  5. C. Yos
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Corresponding author

Correspondence to B. Turton.

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Turton, B., Durward, C., Manton, D. et al. Socio-behavioural risk factors for early childhood caries (ECC) in Cambodian preschool children: a pilot study. Eur Arch Paediatr Dent 17, 97–105 (2016). https://doi.org/10.1007/s40368-015-0215-7

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  • DOI: https://doi.org/10.1007/s40368-015-0215-7

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