Current knowledge about early childhood caries in the gulf cooperation council with worldwide reflection: Scoping review of the scientific literature (2010-2021)

The content quality and educational significance of early childhood caries on short video platforms

BACKGROUND

Early clinical screening and prevention can reduce the incidence and severity of early childhood caries (ECC). With the development of social media, TikTok and Douyin were used as important tools for ECC popularization and early screening. The purpose of this study was to evaluate the educational impact from the integrity, accuracy and quality of ECC-related short videos on TikTok and Douyin.

METHODS

We searched for short videos related to ECC on the mobile application TikTok and Douyin on April 15, 2024. The search keywords were as follows: "Early childhood caries" on TikTok in both English and Japanese, and Chinese search on Douyin. The first 100 short videos were selected as samples for each group. we applied an instrument called DISCERN, which consisted of 3 sections and a total of 16 questions to evaluate the quality of each short video, and used a checklist to rate the content of videos. The accuracy of the content was evaluated based on the Children's Caries Risk Assessment and Management Guidelines.

RESULTS

A total of 115 short videos were assessed for the useful information quality of ECC, including 78 Chinese, 26 English, and 11 Japanese. The score for the content quality of short videos showed that each of the three groups assigned the highest scores to the sections on symptoms and treatment, with Chinese short videos achieving the top ratings. The DISCERN scores for useful short videos in each group were 33.10 ± 3.49 in Chinese, 29.54 ± 2.37 in English, and 28.27 ± 2.61 in Japanese, respectively. Compared with English and Japanese videos, Chinese videos had the highest DISCERN score with significant differences (p < 0.05). Meanwhile, in Chinese short videos, healthcare professionals or organizations uploaded videos with higher DISCERN scores, which were more comprehensive and extensive than those uploaded by private users.

CONCLUSIONS

It is necessary for more healthcare professionals and institutions to join in to improve the quality of content on short video platforms and solve more health problems for patients through short videos.

Perceptions of mothers of preschool children towards oral health services - a qualitative study

BACKGROUND

Poor oral health, especially dental caries in early childhood is a major public health concern. Parental oral health knowledge, behavior, and perceptions are important elements in determining the child's oral health status. The aim of the study was to investigate the perceptions of mothers of preschool children in Qatar towards their children's oral health and their experiences with oral health services provided to children.

METHODS

The study is based on qualitative methods using focus groups. Purposive sampling was used to recruit mothers of preschool children at two kindergartens in the city of Doha, Qatar. The focus group consisted of a series of open-ended questions about the oral health of children and the opinion of mothers towards the current oral health services provided in the country. An inductive thematic content analysis at the statement level approach was used to analyze the qualitative data.

RESULTS

Twelve mothers between the ages of 20 and 41 years old from two kindergartens participated in two separate focus groups. The average number of children per mother was 5 with 45 months being the mean age of children. Several themes emerged from analyzing the data retrieved from the discussion with mothers. For oral health knowledge, mothers demonstrated a different level of oral health knowledge, from good to poor. As for experiences with health services, recognized the value of oral health services in Qatar but expressed difficulties in access to oral health services for their children with almost all having had some negative experiences. Regarding the anticipated role of mothers in the oral health of their children, mothers were very positive about their potential role in supporting their children's oral health. The mothers also gave recommendations to improve oral health services for young children.

CONCLUSION

Mothers showed positive attitudes towards the oral health of their children and they recognized the importance of a good oral health care system.

Understanding and reducing delayed dental care for early childhood caries: a structural equation model approach

OBJECTIVE

This study aimed to examine the factors that affect treatment delay in early childhood caries (ECC), guided by a modern medical model. This study attempted to analyze the pathways influenced by these factors and provide a theoretical foundation for designing targeted intervention programs.

METHODS

Data were collected from young children who visited the department of stomatology at a tertiary hospital from January to December 2023. Data were collected via a general information survey questionnaire, the Scale of Oral Health Outcomes for 5-year-old Children (SOHO-5), the Children's Fear Survey Schedule-Dental Subscale-Chinese (CFSS-DS-C), the Parental Caregiver Perceptions Questionnaire-8 (P-CPQ-8), the Family Impact Scale (FIS-8), and the Perceived Barriers to Health Care-Seeking Decision-Chinese (PBHSD-C). The data in this study were analyzed using a variety of statistical tests, including the Kruskal-Wallis and Mann-Whitney tests, correlation analysis, multiple stepwise regression analysis, and structural equation modeling (SEM).

RESULTS

The treatment delay score of early childhood caries was 36.77 ± 10.11, indicating that the state of early childhood caries was currently at a moderate level of delay. The SOHO-5 score was 6.41 ± 1.78, the CFSS-DS-C score was 23.60 ± 6.91, the P-CPQ-8 score was 18.43 ± 4.33, and the FIS-8 score was 18.66 ± 4.28. Multi-factor analysis revealed key factors affecting treatment delay, including permanent residence, medical insurance type, oral health habits, reasons for visit, first symptoms, the time of first discovery of oral problems, brushing teeth before bedtime every day, a genetic history of dental caries and the staging of dental caries. A positive correlation existed between oral health, children's dental fear and treatment delay, whereas social support was negatively correlated with treatment delay. The SEM, which is based on the modern medical model, revealed that children's dental fear plays a mediating role in the relationships among social support, oral health, and treatment delay.

CONCLUSION

The present study developed a novel model to study the ECC treatment delay, elucidated the causal links between the identified variables, and proposed potential intervention strategies to enhance oral health awareness, knowledge, and skills among young children and their parents. These strategies can help improve children's dental visiting behavior and reduce treatment delay.

The Role of Nationality in Childhood Caries in Qatar

Childhood primary dentition caries prevalence and experience is higher among Qatari than non-Qatari nationality children in Qatar but only this bivariate association has been described.

OBJECTIVES

There were two objectives. First, to understand the variation of primary dentition caries among 4- to 8-year-old children in Qatar across nationality classified into four groups, and second, to explore whether the association persisted in the presence of socio-demographic and behavioural indicators.

METHODS

The study used data from the Qatar Child Oral Health Survey 2017 (QCOHS 2017). Detailed information was collected through a parental dual-language questionnaire and an oral epidemiological examination conducted by calibrated dentist examiners. Children in 20 kindergartens and 40 schools across Qatar were recruited. Data were weighted to represent the Qatar child population.

RESULTS

Overall, 1154 children aged 4-8 years old (48.9% female, 51.1% male) participated. Qatari children made up 26.3%, Non-Qatari (N-Q) Arabic children 44.2% N-Q Indian sub-continent 16.4% and N-Q Other 13.1%. There were no significant differences by nationality for age or sex, but differences existed for kindergarten/school type and parents' highest level of education. Among behavioural indicators, Qatari and N-Q Arabic children began toothbrushing later, and more N-Q Other children brushed 2+ times a day and had made a check-up visit in the last 12 months. More Qatari children were in the highest tertial for sugar intake and drank bottled water with no fluoride. All N-Q children had a significantly lower prevalence and experience of caries. The means ratio (95% CI) for N-Q Arabic (0.78; 0.65-0.94), Indian (0.58; 0.46-0.72) and other children (0.61; 0.42-0.88) were all significant against Qatari nationality children. Multivariable models showed an attenuation of the association with caries with the means ratio for N-Q Arabic (0.92; 0.73-1.16), Indian (0.79; 0.57-1.11) and other children (0.94; 0.61-1.44) being non-significant compared to Qatari nationality children. The variables which were significantly associated with caries were parental education, toothbrushing frequency, sugar intake and check-up visiting in the last 12 months in the multivariable models.

CONCLUSIONS

Primary dentition caries in children resident in Qatar differed by nationality. The association of primary dentition caries with nationality was markedly attenuated and non-significant in the presence of socio-demographic and behavioural variables, pointing towards the importance of these variables as the pathways to improving primary dentition caries prevalence and experience of children in Qatar.

Oral health promotion: a qualitative study to explore perspectives of kindergarten nurses at Qatar

BACKGROUND

The oral health of preschool children remains a concern globally. Kindergarten and school nurses can improve oral health by reducing the incidence of Early Childhood Caries (ECC) among children. This study aimed to explore the perceptions of kindergarten nurses about a proposed oral health promotion program to be implemented in primary health centres and kindergartens.

METHODS

The qualitative research used in-depth interviews of 12 kindergarten nurses who were audio-recorded and transcribed verbatim. Qualitative data analysis software was used (NVivo9 MANUF). Four major themes emerged and were analysed to explore contextual patterns within the data.

RESULTS

The major themes included participants acknowledged the high prevalence of caries in children and identified several causes within the local context, including parental practices, poor dietary habits, the impact of cultural lack of oral health knowledge and limitations in the healthcare system. However, the study results' themes also revealed complex barriers and enablers regarding the implementation of the program highlighting interpersonal, structural, systemic, and social elements.

CONCLUSION

Kindergarten nurses maintained an affirmative attitude towards oral health promotion programs and were enthusiastic about initiating and supporting these programs. This qualitative study brought out critical socio-biological-cultural factors that influence the oral health promotion of preschool children.

Evaluating practices toward dental health among primary school children in Rwanda

BACKGROUND

Dental diseases pose a global health problem that significantly affects overall well-being and quality of life. They are frequently neglected in many regions, despite the availability of preventive measures and it remains unclear whether these measures are effectively implemented in practice. Therefore, this study aimed to evaluate dental health practices among primary school children in both rural and urban areas of Rwanda.

METHODS

A cross-sectional study was conducted on 195 school children including 96 from a rural area and 99 from an urban area. Data were collected through a questionnaire and analyzed using SPSS version 21. To compare practices between the rural and urban groups, Fisher's exact test was utilized, with a significance level set at 0.05.

RESULTS

The findings show significant differences in dental health practices between rural and urban areas, revealing that rural children were less likely to visit the dentist regularly (p = 0.026) and had a higher frequency of sugary drink consumption (p = 0.002). Additionally, disparities were found in the materials used for tooth brushing (p < 0.001) and the timing of toothbrush replacement (p = 0.011), indicating that rural children often use inappropriate brushing materials and replace their toothbrushes less frequently.

CONCLUSION

This study highlights significant differences in dental health practices between rural and urban children in Rwanda. Rural children were less likely to visit the dentist, consumed more sugary drinks, and used inappropriate brushing materials with less frequent toothbrush replacement. These findings underscore the need for targeted interventions to improve oral health awareness and practices especially in rural areas.

Assessment of knowledge, attitude, and practice on early childhood caries among dental undergraduates and residents in China

BACKGROUND

Early childhood caries (ECC) causes severe, widespread oral health issues in children. Dental undergraduates and residents are expected to have a solid understanding of ECC for children's oral health promotion. This study aimed to evaluate the knowledge, attitude, and clinical practice on ECC among dental undergraduates and residents in China.

METHODS

A 23-item electronic questionnaire was distributed to 598 dental undergraduates (4th- and 5th-year undergraduates) and residents (1st-, 2nd-, and 3rd-year residents) at the School of Stomatology, Wuhan University, China (in April-May 2023). SPSS Statistics was used to analyze the data using the Chi-square test at a significance level of 0.05.

RESULTS

A total of 422 questionnaires were completed by participants (recovery rate: 70.6%) from various academic levels. Around 77.3% of participants had heard of ECC (mainly from textbooks), and only 27.5% considered themselves familiar with it. Residents (79.8%) had higher risk awareness of ECC on children's overall health than undergraduates (58.3%) (p < 0.05), but only 54.0% of participants correctly defined ECC. Most participants had a positive understanding of ECC's pathogenic factors and preventive measures, including feeding patterns (71.6%), fluoride application (93.4%), and teeth cleaning (93.1%). Furthermore, only 50.2% of participants encountered ECC cases in clinic.

CONCLUSIONS

Despite having a suboptimal level of ECC-related knowledge and practice, dental undergraduates and residents in China demonstrated a more positive attitude towards its etiology-based prevention. Strengthening ECC education, guidance, and practice may enable them to gain a better understanding of ECC learning, which would benefit children's oral health.

Early childhood caries and its associated factors among 5-years-old Myanmar children

Introduction

Children's oral health plays a crucial role in their overall well-being and there is a significant gap in our understanding of early childhood caries (ECC) in Myanmar. This study aims to bridge this knowledge deficit by investigating the prevalence, causes, and potential interventions for ECC in the Myanmar population, providing crucial insights for future dental health policies and practices.

Methods

Generally healthy 5-year-old kindergarten children from 7 districts in city were recruited. ECC was assessed through clinical examinations using decayed, missed, filled teeth (dmft). Additionally, demographic data of the children and their caregivers, along with information about the children's oral health-related behaviors, were gathered using a structured questionnaire.

Results

Out of the 496 children, the overall prevalence of dental caries was 87.1% (mean dmft score: 5.57, SD: 4.6). Caries experience was categorized as severe (45.8%) and non-severe (41.3%). Decayed teeth constituted the major component of the dmft index (97.8%). Multiple logistic regression analysis revealed two significant factors associated with ECC prevalence: late toothbrushing initiation (OR: 2.54, p = 0.001) and dental visit experience (OR: 2.46, p = 0.010).

Discussion

The study highlights the alarming ECC prevalence in 5-year-old children in Mandalay, Myanmar, with mostly untreated decayed teeth. The findings emphasize early preventive oral health measures for young children to reduce ECC burden in Myanmar.