Early childhood caries: current evidence for aetiology and prevention

Gussy, Mark, Waters, Elizabeth, Walsh, Orla and Kilpatrick, Nicola 2006, Early childhood caries: current evidence for aetiology and prevention, Journal of paediatrics and child health, vol. 42, no. 1-2, pp. 37-43.

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Title Early childhood caries: current evidence for aetiology and prevention
Author(s) Gussy, Mark
Waters, Elizabeth
Walsh, Orla
Kilpatrick, Nicola
Journal name Journal of paediatrics and child health
Volume number 42
Issue number 1-2
Start page 37
End page 43
Publisher Blackwell Scientific Publications
Place of publication Melbourne, Vic.
Publication date 2006-01
ISSN 1034-4810
1440-1754
Keyword(s) cariogenic
child
dental care
dental caries
diet
fluorides
preschool
Summary Background: Despite the fact that it is largely preventable, dental caries (decay) remains one of the most common chronic diseases of early childhood. Dental decay in young children frequently leads to pain and infection necessitating hospitalization for dental extractions under general anaesthesia. Dental problems in early childhood have been shown to be predictive of not only future dental problems but also on growth and cognitive development by interfering with comfort nutrition, concentration and school participation. Objective: To review the current evidence base in relation to the aetiology and prevention of dental caries in preschool-aged children. Methods: A search of MEDLINE, CINALH and Cochrane electronic databases was conducted using a search strategy which restricted the search to randomized controlled trials, meta-analyses, clinical trials, systematic reviews and other quasi-experimental designs. The retrieved studies were then limited to articles including children aged 5 years and under and published in English. The evidence of effectiveness was then summarized by the authors. Conclusions: The review highlighted the complex aetiology of early childhood caries (ECC). Contemporary evidence suggests that potentially effective interventions should occur in the first 2 years of a child's life. Dental attendance before the age of 2 years is uncommon; however, contact with other health professionals is high. Primary care providers who have contact with children well before the age of the first dental visit may be well placed to offer anticipatory advice to reduce the incidence of ECC.
Language eng
Field of Research 111717 Primary Health Care
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2006, Paediatrics and Child Health Division (Royal Australasian College of Physicians
Persistent URL http://hdl.handle.net/10536/DRO/DU:30008989

Document type: Journal Article
Collection: School of Health and Social Development
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