Dental and Medical Problems

Dent Med Probl
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ISSN 1644-387X (print)
ISSN 2300-9020 (online)
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Dental and Medical Problems

2017, vol. 54, nr 3, July-September, p. 241–246

doi: 10.17219/dmp/76441

Publication type: original article

Language: English

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Creative Commons BY-NC-ND 3.0 Open Access

Caries pattern in three-year old preschool children

Wzorzec próchnicy u dzieci przedszkolnych w wieku 3 lat

Dorota Olczak-Kowalczyk1,A,B,C,D,E,F, Anna Turska-Szybka1,A,D,E,F, Izabela Strużycka2,A,F, Dariusz Gozdowski3,C,E,F, Teresa Bachanek4,A,C,F, Urszula Kaczmarek5,A,C,E,F

1 Department of Pediatric Dentistry, Medical University of Warsaw, Warsaw, Poland

2 Department of Comprehensive Dentistry, Medical University of Warsaw, Warsaw, Poland

3 Department of Experimental Design and Bioinformatics, Department of Agriculture and Biology, Warsaw University of Life Sciences, Warsaw, Poland

4 Department of Conservative Dentistry with Endodontics, Medical University of Lublin, Lublin, Poland

5 Department of Conservative and Pedodontics, Medical University of Wroclaw, Wrocław, Poland

Abstract

Background. Analysis of the results of epidemiological studies of Polish children showed that caries in children can occur very early, and their incidence and intensity increase with age. According to an epidemiological study, 53.8% children at the age of 3 reported an average of 2.4 tooth decay. There is insufficient information about the intensity of decay, the pattern of caries in primary dentition and the treatment undertaken in the group of 3-years-old children with tooth decay.
Objectives. The aim of this study was to evaluate the intensity of caries and their pattern in primary dentition in 3 year-old children with early childhood caries.
Material and Methods. The study enrolled children at the age of 3 with early childhood caries included in the program “The monitoring of oral health and its determinants among Polish population in 2015”. The presence of caries, fillings and extractions was assessed in teeth and their surfaces.
Results. In 353 3-year-old children with active caries, dmft reached 4.45 ±3.63, dmfs 6.84 ±8.78. In maxilla, 13.4% of the teeth was decayed (dmft = 2.67 ±2.5), in the mandible 8.9% (dmft = 1.78 ±1.67) (p < 0.001). Mandibular molars were the most frequently affected by caries, then the maxillary central incisors and the maxillary molars. Of the surfaces affected by caries, 31.9% were proximal, 29.3% smooth and 38.3% occlusal surfaces. Fillings were stated in 6.4% of primary teeth. Due to caries, 1.2% of the teeth were extracted.
Conclusion. Caries lesions in 3-year-old children, appearing symmetrically on both sides of the dental arches, more often affect maxillary than mandibular teeth. Their appearance on the smooth and proximal surfaces of the teeth, involving more than one tooth surface, few fillings and premature incisors loss indicate significant prophylactic and therapeutic negligence.

Key words

epidemiological studies, primary dentition, distribution of caries, preschool children, treatment needs

Słowa kluczowe

badania epidemiologiczne, uzębienie mleczne, rozkład próchnicy, dzieci w wieku przedszkolnym, potrzeby w zakresie leczenia

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