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      Cross-Sectional Evaluation of Awareness of Prevention of Dental Caries Among General Pediatricians in Ghaziabad District, India

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          Abstract

          Background:

          Oral diseases are largely preventable and it is hoped that with the early exposure to oral health-care activities, the prevalence of oral diseases will be reduced in children and they would be more receptive to dental services. Aim: The present study evaluated the awareness of prevention of dental caries among pediatricians in Ghaziabad district, India.

          Subjects and Methods:

          A cross-sectional survey was undertaken among the pediatricians in Ghaziabad district, India. Total subjects including in the survey were 88 pediatricians, through systemic random sampling. Both the gender was including Male-37.8% (35/88) and Female-62.2% (53/88). Pre-tested, structured and self administered questionnaire was used in the survey and data analysis was done by using ‘SPSS’ software version 16.0 (IBM, United States).

          Results:

          Our study indicated that most of the pediatricians in Ghaziabad district had moderate knowledge 39.7% (35/88), followed by good knowledge 36.5% (32/88) and poor knowledge 23.8% (21/88) about dental caries. Practice guidelines and opinions of pediatricians in the survey were moderate 64.7% (57/88) in about more than half, followed by poor 23.8% (21/88) and followed by good 11.5% (10/88). The attitude for prevention of dental caries was positive in almost everybody 81.8% (72/88).

          Conclusion:

          The present survey concluded that pediatricians in Ghaziabad district, India had a good attitude and practices, but had moderate knowledge and lacked proper awareness about dental caries.

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          Most cited references17

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          Oral health risk assessment timing and establishment of the dental home.

          , J. Hale (2003)
          Early childhood dental caries has been reported by the Centers for Disease Control and Prevention to be perhaps the most prevalent infectious disease of our nation's children. Early childhood dental caries occurs in all racial and socioeconomic groups; however, it tends to be more prevalent in low-income children, in whom it occurs in epidemic proportions. Dental caries results from an overgrowth of specific organisms that are a part of normally occurring human flora. Human dental flora is site specific, and an infant is not colonized until the eruption of the primary dentition at approximately 6 to 30 months of age. The most likely source of inoculation of an infant's dental flora is the mother or another intimate care provider, through shared utensils, etc. Decreasing the level of cariogenic organisms in the mother's dental flora at the time of colonization can significantly impact the child's predisposition to caries. To prevent caries in children, high-risk individuals must be identified at an early age (preferably high-risk mothers during prenatal care), and aggressive strategies should be adopted, including anticipatory guidance, behavior modifications (oral hygiene and feeding practices), and establishment of a dental home by 1 year of age for children deemed at risk.
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            Prevalence of early childhood caries and associated risk factors in preschool children of urban Bangalore, India: A cross-sectional study

            Objectives: Early childhood caries (ECC) is a devastating form of dental decay with multi-factorial origin. The aim of this cross-sectional study is to investigate the prevalence and related risk factors of ECC in preschool children of urban Bangalore (India). Methods: A random sample of 1,500 children aged between 8 and 48 months were selected from various parts of urban Bangalore. The status of dental caries was recorded according to the World Health Organization (WHO) criteria. Information regarding oral hygiene practices, feeding habits, socio-economic status, birth weight, and educational status of the mother was obtained through a structured questionnaire given to mothers of preschool children. The data was subjected to statistical analysis using the Statistical package for social sciences (SPSS) version 12. Results: The prevalence of ECC in preschool children was 27.5%, while the mean deft was 0.854. ECC increased significantly with age. Children whose mothers had no schooling and those who belonged to low socioeconomic group showed higher caries prevalence. A significant increase in caries prevalence was found in children accustomed to the practice of on-demand breast feeding and bottle feeding at night. Caries also increased significantly when snacks were consumed between meals. However, increased frequency of tooth-brushing, parental supervision, use of a baby toothbrush, and fluoridated dentifrice significantly decreased caries prevalence. Conclusion: ECC is a serious public health problem in this population and measures to increase awareness should be undertaken. The target candidates for oral health promotion programs should include mothers, general dentists, pediatricians, nurses, primary care health workers, care-takers at day-care centers and gynecologists.
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              Nursing caries, linear hypoplasia, and nursing and weaning habits in Tanzanian infants.

              A cross-sectional survey on the prevalence of rampant caries in infants and a case-control study were executed to determine the prevalence of rampant caries and its etiology. A total of 2192 infants aged between 1 and 4.0 yr from nine regions of Tanzania comprised the sample of the prevalence survey. The overall prevalence of rampant caries resembling nursing caries was 6.8%. The prevalence varied considerably between 1.5% and 12.8% in the different regions and was closely associated with the varying prevalence of linear hypoplasia but not with fluoride content in drinking water. The relative risk of developing rampant caries in the presence of linear hypoplasia was 14.5. The case-control study comprised 116 cases, infants with rampant caries and 243 controls, without the disorder. Risk factors such as breast feeding frequency and duration during day and night, bottle feeding and weaning habits were assessed through a structured interview with the mother. Bottlefeeding was performed in only a minority of the infants for a short period (1.1 months) and in a low exposure frequency (0.4 daily) and was not associated with rampant caries. The frequency of sugar moments in the supplementary diet was on average 1.5 times per day and was not associated with rampant caries. The duration and frequency of breast feeding during the day was also not associated. The habit of allowing infants to sleep with the breast nipple in their mouths and the presence of linear hypoplasia were strongly associated with rampant caries. Odds ratios for these variables were 17.8 and 15.6 respectively. Based on these associations it is concluded that rampant caries in this sample was caused by the habit of allowing infants to sleep with the breast nipple in their mouths, whereas linear hypoplasia is considered to be a predisposing factor.
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                Author and article information

                Journal
                Ann Med Health Sci Res
                Ann Med Health Sci Res
                AMHSR
                Annals of Medical and Health Sciences Research
                Medknow Publications & Media Pvt Ltd (India )
                2141-9248
                2277-9205
                Sep-Oct 2014
                : 4
                : Suppl 3
                : S302-S306
                Affiliations
                [1] Department of Public Health Dentistry, Shree Bankey Bihari Dental College and Research Centre, Ghaziabad, India
                [1 ] Department of Prosthodontics, Shree Bankey Bihari Dental College and Research Centre, Ghaziabad, India
                [2 ] Department of Public Health Dentistry, ITS Dental College, Ghaziabad, India
                [3 ] Department of Oral Pathology, Shree Bankey Bihari Dental College and Research Centre, Ghaziabad, India
                [4 ] Department of Oral and Maxillofacial Pathology and Microbiology, Dasmesh Institute of Research and Dental Sciences, Faridkot, Punjab, India
                [5 ] Department of Oral and Maxillofacial Pathology and Microbiology, Mansarovar Dental College and Research Centre, Bhopal, India
                Author notes
                Address for correspondence: Dr. Puneet Kumar, Department of Public Health Dentistry, Shree Bankey Bihari Dental College and Research Centre, Ghaziabad, Uttar Pradesh, India. E-mail: dhirk160@ 123456gmail.com
                Article
                AMHSR-4-302
                10.4103/2141-9248.141976
                4212394
                25364606
                9cfe1cd4-58d6-4586-9a68-e974b356a5d8
                Copyright: © Annals of Medical and Health Sciences Research

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Categories
                Original Article

                Medicine
                dental caries,pediatricians,prevention
                Medicine
                dental caries, pediatricians, prevention

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