Journal of Prevention and Treatment for Stomatological Diseases ›› 2019, Vol. 27 ›› Issue (4): 260-263.doi: 10.12016/j.issn.2096-1456.2019.04.011

• Review Articles • Previous Articles     Next Articles

Research progress on early childhood caries

LI Zhenzhen,LIU Shanshan,ZHANG Kai()   

  1. Department of Stomatology,The First Affiliated Hospital of Bengbu Medical College, Bengbu 233000, China
  • Received:2018-05-22 Revised:2018-07-05 Online:2019-04-20 Published:2019-04-28
  • Contact: Kai ZHANG E-mail:zk29788@163.com

Abstract:

Caries is a multifactor dynamic infectious disease with bacteria as the main factor and can affect the development of both deciduous teeth and permanent teeth. According to the fourth national oral health epidemiological survey, the prevalence rate of early childhood caries (ECC) in 5-year-old children reached 70.9%, showing an upward trend. Understanding the etiology and epidemiological characteristics of ECC is of great significance in preventing the occurrence and development of ECC. This article reviews the epidemic status, etiology and related factors of ECC. The results of a literature review show that the prevalence of ECC in China is high and regional differences are large. The main related factors include biological factors, behavioral habits factors, social and economic factors, etc.

Key words: Early childhood, Caries, Epidemiology, Biological factors, Behavior habits factors, Socioeconomic factors

CLC Number: 

  • R781.1
[1] American Academy of Pediatric Dentistry. Policy on early childhood caries (ECC): classifications, consequences, and preventive strategies[J]. Pediatr Dent, 2016,38(6):52-54.
[2] American Academy of Pediatric Dentistry. Policy on early childhood caries(ECC):unique challenges and treatment option[J]. Pediatr Dent, 2016,38(6):55-56.
[3] 李剑波, 范卫华, 赵望泓 , 等. 广东省3-5岁人群乳牙龋病抽样调查报告(2015-2016年)[J]. 口腔疾病防治, 2017,11(11):693-696.
[4] Li Y, Wulaerhan J, Liu Y , et al. Prevalence of severe early childhood caries and associated socioeconomic and behavioral factors in Xinjiang, China: a cross-sectional study[J]. BMC Oral Health, 2017,17(1):144.
doi: 10.1186/s12903-017-0432-z
[5] Gao JH, Ruan JP, Zhao L , et al. Oral health status and oral health knowledge, attitudes and behavior among rural children in Shaanxi, western China: a cross-sectional survey[J]. BMC Oral Health, 2014,14(1):144.
doi: 10.1186/1472-6831-14-144
[6] 中华人民共和国国家卫生及计划生育委员会.国家卫生计生委发布全国第四次口腔健康流行病学调查结果[EB/OL].( 2017- 09- 19)[2019-02-26].
[7] Do LG, Ha DH, Spencer AJ . Factors attributable for the prevence of dental caries in Queensland childern[J]. Community Dent Oral Epidemiol, 2015,43(5):397-405.
doi: 10.1111/cdoe.2015.43.issue-5
[8] Shackleton N, Broadbent JM, Thornley SA , et al. Inequalities in dental caries experience among 4-year-old New Zealand children[J]. Community Dent Oral Epidemiol, 2018,46(3):288-296.
doi: 10.1111/cdoe.2018.46.issue-3
[9] Ugolini A, Salamone S, Agostino P , et al. Trends in early childhood caries: an Italian perspective[J]. Oral Health Prev Dent, 2018,16(1):87-92.
[10] Khanh LN, Ivey SL, Sokal-Gutierrez K , et al. Early childhood caries, mouth pain, and nutritional threats in Vietnam[J]. Am J Public Health, 2015,105(12):2510-2517.
doi: 10.2105/AJPH.2015.302798
[11] Dabiri D, Fontana M, Kapila Y , et al. Community-based assessment and intervention for early childhood caries in rural El Salvador[J]. Int Dent J, 2016,66(4):221-228.
doi: 10.1111/idj.2016.66.issue-4
[12] Azrak EM, Huang A, Hai-Santiago K , et al. The oral health of preschool children of refugee and immigrant families in Manitoba[J]. J Can Dent Assoc, 2017,82:h9.
[13] Ribeiro TR , Da Silva Alves KS, De Miranda Mota AC, et al. Caries experience, mutans streptococci and total protein concentrations in children with protein-energy undernutrition[J]. Aust Dent J, 2014,59(1):106-113.
doi: 10.1111/adj.12145
[14] da Silva BA, Freitas-Fernandes LB, Fidalgo TK , et al. Mother-to-child transmission of Streptococcus mutans: a systematic review and meta-analysis[J]. J Dent, 2015,43(2):181-191.
doi: 10.1016/j.jdent.2014.12.001
[15] Li YH, Tanner A . Effect of antimicrobial interventions on the oral microbiota associated with early childhood caries[J]. Pediatr Dent, 2015,37(3):226-244.
[16] Neves BG, Stipp RN, Bezerra DD , et al. Molecular detection of bacteria associated to caries activity in dentinal lesions[J]. Clin Oral Investig, 2017,21(6):2053-2061.
doi: 10.1007/s00784-016-1995-9
[17] 韩轩, 霍媛媛, 张琼 , 等. 低龄儿童龋致龋微生物相关生物标志物的研究进展[J]. 口腔疾病防治, 2018,26(06):391-395.
[18] Palmer CA, Kent R, Loo CY , et al. Diet and caries-associated bacteria in severe early childhood caries[J]. J Dent Res, 2010,89(11):1224-1229.
doi: 10.1177/0022034510376543
[19] Al-Hebshi NN, Al-Maswary EA, Al-Hammadi ZO , et al. Salivary candida species carriage patterns and their relation to caries experience among yemeni children[J]. Oral Health Prev Dent, 2015,13(1):41-49.
[20] Al-Ahmad A, Auschill TM, Dakhel R , et al. Prevalence of candida albicans and candida dubliniensis in caries-free and caries-active children in relation to the oral microbiota-a clinical study[J]. Clin Oral Investig, 2016,20(8):1963-1971.
doi: 10.1007/s00784-015-1696-9
[21] Fujimoto C, Maeda H, Kokeguchi S , et al. Application of denaturing gradient gel electrophoresis (DGGE) to the analysis of microbial communities of subgingival plaque[J]. J Periodontal Res, 2003,38(4):440-445.
doi: 10.1034/j.1600-0765.2003.02607.x
[22] Simon-Soro A, Belda-Ferre P, Cabrera-Rubio R , et al. A Tissue-Dependent hypojournal of dental caries[J]. Caries Res, 2013,47(6):591-600.
doi: 10.1159/000351663
[23] Teng F, Yang F, Huang S , et al. Prediction of early childhood caries via spatial-temporal variations of oral microbiota[J]. Cell Host Microbe, 2015,18(3):296-306.
doi: 10.1016/j.chom.2015.08.005
[24] Ghazal T, Levy SM, Childers NK , et al. Factors associated with early childhood caries incidence among high caries-risk children[J]. Community Dent Oral Epidemiol, 2015,43(4):366-374.
doi: 10.1111/cdoe.2015.43.issue-4
[25] Hsieh HJ, Huang ST, Tsai CC , et al. Toothbrushing habits and risk indicators of severe early childhood caries among aboriginal Taiwanese Asia-Pacific[J]. Asia Pac J Public Health, 2014,26(3):238-247.
doi: 10.1177/1010539511430721
[26] Wagner Y, Heinrich-Weltzien R . Evaluation of a regional German interdisciplinary oral health programme for children from birth to 5 years of age[J]. Clin Oral Investig, 2017,21(1):225-235.
doi: 10.1007/s00784-016-1781-8
[27] Berendsen J, Bonifacio C , Van Gemert-Schriks M, et al. Parents′ willingness to invest in their children′s oral health[J]. J Public Health Dent, 2018,78(1):69-77.
doi: 10.1111/jphd.2018.78.issue-1
[28] Avila WM, Pordeus IA, Paiva SM . Breast and bottle feeding as risk factors for dental caries: a systematic review and Meta-Analysis[J]. PLoS One, 2015,10(11):e0142922.
doi: 10.1371/journal.pone.0142922
[29] Cui LL, Li X, Tian YL , et al. Breastfeeding and early childhood caries: a meta-analysis of observational studies[J]. Asia Pac J Clin Nutr, 2017,26(5):867-880.
[30] Al Agili DE, Alaki SM . Can socioeconomic status indicators predict caries risk in schoolchildren in Saudi Arabia? a cross-sectional study[J]. Oral Health Prev Dent, 2014,12(3):277-288.
[31] 陈霜, 曾晓娟, 刘秋林 , 等. 家庭环境因素与儿童患龋状况的相关性研究[J]. 口腔疾病防治, 2018,26(3):184-188.
[32] Peres MA, Liu PZ, Demarco FF , et al. Income trajectories affect treatment of dental caries from childhood to young adulthood: a birth cohort study[J]. Braz Oral Res, 2018,32:e36.
[33] Llena C, Calabuig E . Risk factors associated with new caries lesions in permanent first molars in children: a 5-year historical cohort follow-up study[J]. Clin Oral Investig, 2018,22(3):1579-1586.
doi: 10.1007/s00784-017-2253-5
[34] Warren JJ, Blanchette D, Dawson DV , et al. Factors associated with dental caries in a group of American Indian children at age 36 months[J]. Community Dent Oral Epidemiol, 2016,44(2):154-161.
doi: 10.1111/cdoe.12200
[35] Kumar S, Tadakamadla J, Zimmer-Gembeck MJ , et al. Parenting practices and children′s dental caries experience: a structural equation modelling approach[J]. Community Dent Oral Epidemiol, 2017,45(6):552-558.
doi: 10.1111/cdoe.2017.45.issue-6
[36] Nirunsittirat A, Pitiphat W, Mckinney CM , et al. FAdverse birth outcomes and childhood caries:a cohort study[J]. Community Dent Oral Epidemiol, 2016,44(3):239-247.
[37] Hisano K, Tanaka K, Nagata C , et al. High birthweight is associated with increased prevalence of dental caries in Japanese children[J]. Int J Dent Hyg, 2018,16(3):404-410.
doi: 10.1111/idh.2018.16.issue-3
[38] Nirunsittirat A, Pitiphat W, Mckinney CM , et al. Adverse birth outcomes and childhood caries: a cohort study[J]. Community Dent Oral Epidemiol, 2016,44(3):239-247.
[39] Zhang S, Lo EC, Liu J , et al. A review of the dental caries status of ethnic minority children in China[J]. J Immigr Minor Health, 2015,17(1):285-297.
doi: 10.1007/s10903-013-9916-3
[40] Memarpour M, Dadaein S, Fakhraei EA . Comparison of oral health education and fluoride varnish to prevent early childhood caries: a randomized clinical trial[J]. Caries Res, 2016,50(5):433-442.
doi: 10.1159/000446877
[1] TANG Can,LIU Shiyu,CHENG Lei. Factors influencing the structure of the oral microbiome [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2020, 28(6): 390-393.
[2] HUANG Shaohong,WU Linmei. The prevalence of dental caries in urban areas is lower than that in rural areas--analysis of changes in the epidemiological characteristics of caries in urban and rural areas [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2020, 28(5): 273-278.
[3] HE Yuanli,REN Biao,CHEN Xuan,ZOU Ling. Mechanism research of srtA gene on the oxidation tolerance of Streptococcus mutans [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2020, 28(5): 292-297.
[4] TANG Jing,YE Changchang,XIA Zhongyi,WU Wanhong,HUANG Ping,WU Yafei. Investigation on the influence of periodontal disease in gestation on small for gestational age [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2020, 28(5): 307-312.
[5] WU Hongyu,MA Xiaoxin,LU Haixia,FENG Xiping,GU Qin,YE Wei,XIE Yingxin,XIE Danshu,WANG Wenji. Investigation of dental caries and periodontal conditions in maintenance hemodialysis patients [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2020, 28(5): 313-317.
[6] LIU Haotian,LI Huihui,LIU Shanshan. Research progress on the relationship between enamel-related gene polymorphisms and caries susceptibility [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2020, 28(2): 123-126.
[7] MA Hong. Effect observation of onlays on the posterior teeth with subgingival defects after deep margin elevation [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(9): 582-585.
[8] LI Jiatong,ZHOU Xuedong,XU Xin,WANG Yan. Research progress of probiotics in the prevention and treatment of oral infectious diseases [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(9): 598-601.
[9] FU Zhuohui,DENG Jiaxin,CHEN Yuan,WANG Yan. Research progress into probiotics for the prevention of dental caries [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(9): 603-608.
[10] Peng ZHOU,Jianping TAN,Dan WANG,Ming TANG. The oral health status of senile dementia patients: a systematic review [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(7): 457-463.
[11] YANG Ting,ZHANG Wanting,LI Beibei,DONG Ying,CAO Hongfei,ZHAO Jin. Distribution of oral Streptococcus mutans and its correlation with dental caries in children of Bortala Mongolian Autonomous Prefecture [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(4): 219-225.
[12] WANG Zheng,CHENG Lei,ZHOU Xuedong,REN Biao. Research progress on the mechanism of radiocaries formation [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(4): 255-259.
[13] GUO Xiao,DU Xinmei,CHENG Lei,ZHOU Xuedong,LI Mingyun. Research progress on the function and metabolism of d-alanine in bacteria [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(4): 264-267.
[14] ZHANG Fan,REN Weiwei,GUAN Qin,ZHAO Hui,LI Shouhong. The management of dental fear symptoms in children in a coparticipation model [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(2): 104-106.
[15] XIAO Xiaofen,HE Shandan,CHEN Yongyi,WU Xiaoyun,ZHENG Yuyan. Study on the dental plaque microbial community in preschool children with different caries sensitivity [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(12): 763-768.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] Hong-chang LAI,Jun-yu SHI. Maxillary sinus floor elevation[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(1): 8 -12 .
[2] Pin ZHOU, Yang-fei LI. MRI study of temporomandibular joint disc position in asymptomatic volunteers[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(4): 239 -244 .
[3] Xinxin XIA, Fang FANG, Lijuan CHENG. Shaping ability of Pathfile and WaveOne in simulated root canals[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(6): 365 -368 .
[4] Yuanhong LI, Xinyi FANG, Yu QIU, Lei CHENG. Experimental study on the effects of green tea on salivary flow rate and pH value[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(9): 560 -564 .
[5] Chengzhang LI. Masticatory muscles in occlusion[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(12): 755 -760 .
[6] . [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(1): 1 .
[7] Zhirong WU, Shiguang Huang. Research progress on the etiology, clinical examination and treatment of peri-implantitis[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(6): 401 -405 .
[8] Xiaowu YAO, Shisheng CHEN, Zizheng LU, Minxiao LIN. Clinical report and literature review on the amyloidosis of salivary glands[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(8): 533 -536 .
[9] Lan LIAO, Lijun ZENG. Updated research on digitalization in aesthetic restoration[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(7): 409 -414 .
[10] Yu LU, Chengxia LIU, Zhongjun LIU. Role of TRAF6 in inflammatory responses of human osteoblast-like cells with Enterococcusfaecalis[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(7): 420 -425 .
This work is licensed under a Creative Commons Attribution 3.0 License.