The Burden of Early Childhood Caries in Canadian Children and Associated Risk Factors

作者：Andrew Pierce, Sarbjeet Singh, JuHae Lee, Cameron G. Grant, Vivianne Cruz de Jesus, Robert J. Schroth · 发表于：Frontiers in Public Health · 年份：2019 · DOI：10.3389/fpubh.2019.00328 · 被引用次数：115 · 研究领域：Dental Health and Care Utilization、Oral microbiology and periodontitis research、Cleft Lip and Palate Research

Introduction: Early childhood caries (ECC) is one of the important caries occurring in children under the age of six. ECC common in many population groups in Canada. Objective: The purpose of this review was to identify the burden of ECC in Canada, prevalence of ECC and its impact on childhood health, and associated risk factors for ECC. Methods: A systematic review was conducted to review published Canadian studies on ECC identified through searches of electronic databases. Databased searched included PubMed, Medline, Cinahl and the library catalogue of the University of Manitoba. Known publications on ECC that were not identified by the electronic search were also considered. Only the studies that reported the prevalence of ECC or caries in preschool aged children were considered. In-depth assessments were restricted to those studies that employed logistic regression analysis to investigate relationship between ECC and risk factors or nutritional status and quality of life. Results: A total of 36 studies were identified that related to ECC in Canadian children. Overall, 27 related to prevalence and 12 reported on risk factors, 4 related to the association between severe ECC and nutritional health and well-being, while only 1 related to the oral microbiome composition. Published studies reveal that anywhere from zero to 98% of children in Canada may be affected by ECC. Commonly identified risk factors include age, sex, socio-economic status, parental beliefs, family characte...