scholarly journals Disease Management of Early Childhood Caries: ECC Collaborative Project

2014 ◽  
Vol 2014 ◽  
pp. 1-10 ◽  
Author(s):  
Man Wai Ng ◽  
Francisco Ramos-Gomez ◽  
Martin Lieberman ◽  
Jessica Y. Lee ◽  
Richard Scoville ◽  
...  
Keyword(s):  
Early Childhood ◽  
Disease Management ◽  
Health Care Providers ◽  
Early Childhood Caries ◽  
Standard Of Care ◽  
The United States ◽  
Care Providers ◽  
Restorative Treatment ◽  
Wide Scale ◽  
Childhood Caries

Until recently, the standard of care for early childhood caries (ECC) has been primarily surgical and restorative treatment with little emphasis on preventing and managing the disease itself. It is now recognized that surgical treatment alone does not address the underlying etiology of the disease. Despite costly surgeries and reparative treatment, the onset and progression of caries are likely to continue. A successful rebalance of risk and protective factors may prevent, slow down, or even arrest dental caries and its progression. An 18-month risk-based chronic disease management (DM) approach to address ECC in preschool children was implemented as a quality improvement (QI) collaborative by seven teams of oral health care providers across the United States. In the aggregate, fewer DM children experienced new cavitation, pain, and referrals to the operating room (OR) for restorative treatment compared to baseline historical controls. The teams found that QI methods facilitated adoption of the DM approach and resulted in improved care to patients and better outcomes overall. Despite these successes, the wide scale adoption and spread of the DM approach may be limited unless health policy and payment reforms are enacted to compensate providers for implementing DM protocols in their practice.

scholarly journals Viewpoint: Early childhood caries: a New Zealand perspective

2014 ◽  
Vol 6 (2) ◽  
pp. 169 ◽  
Author(s):  
Katie Bach ◽  
David Manton
Keyword(s):  
Early Childhood ◽  
New Zealand ◽  
Dental Caries ◽  
Health Care Providers ◽  
Early Childhood Caries ◽  
Hospital Admissions ◽  
Care Providers ◽  
Common Chronic Disease ◽  
Primary Health Care Providers ◽  
Childhood Caries

Dental caries, primarily a preventable disease, remains the most common chronic disease of childhood and one of the most common reasons for hospital admissions for children in New Zealand. The most vulnerable children are shouldering the burden of the disease, with Maori and Pacific children having greater experience and severity of dental caries. Early childhood caries has deleterious effects on a child’s oral and general health and significant numbers of preschool-aged children experience pain and infection. Early identification by primary health care providers of children at high risk of developing early childhood caries can ensure these children are referred to the appropriate oral health services to receive appropriate and timely management. KEYWORDS: Dental care for children; dental caries; New Zealand; preschool child

scholarly journals Early Childhood Caries - Essential Information for Primary Healthcare Providers

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Saniya Mariam ◽  
Nishath Ahmed Liyakat ◽  
Vidya Kanamkote Narayanan ◽  
Sridhar Kalyanasundaram ◽  
Kandamaran Krishnamurthy
Keyword(s):  
Health Care ◽  
Early Childhood ◽  
Health Care Providers ◽  
Early Childhood Caries ◽  
Healthcare Providers ◽  
Well Being ◽  
Care Providers ◽  
Essential Information ◽  
Primary Health Care Providers ◽  
Childhood Caries

Early Childhood Caries (ECC) is one of the most common chronic infectious diseases of childhood. It represents a significant disease burden with long-term consequences for a child's health and well-being. Primary health care providers (pediatricians, family physicians, pediatric nurses) are the first point of contact for parents for any child health-related issues as they see them repeatedly in the first few years of life for vaccinations and "well-baby" visits. However, their awareness regarding caries in primary dentition and its complications may be limited. This article has summarized important information on ECC, focusing on the health care provider's role in its early diagnosis and prevention.

scholarly journals Applications of Silver Diamine Fluoride in Dentistry

2021 ◽  
pp. 163-170
Author(s):  
Sayali Deshpande ◽  
Amit Reche ◽  
Priyanka Paul Madhu ◽  
Kumar Gaurav Chhabra ◽  
Sunaina Mutyalwar
Keyword(s):  
United States ◽  
Early Childhood ◽  
Early Childhood Caries ◽  
Dental Treatment ◽  
Silver Ions ◽  
The United States ◽  
Control Agent ◽  
Silver Diamine Fluoride ◽  
Patient Cooperation ◽  
Childhood Caries

Various studies published in the literature around the world indicate a significant prevalence of early childhood caries (ECC). Treatment of early childhood caries (ECC) using silver diamine fluoride (SDF) has become a viable alternative, particularly for young and anxious children, because traditional restorative treatments is unlikely to combat this prevalent condition. Arrested caries is identified by the hardening of teeth and it changes its color from dark brown to black. More restorative treatments can be performed if necessary. Traditional ECC restorative treatments are not always inexpensive or feasible, as they involve patient cooperation to achieve a satisfactory result. Japan was the first country to promote silver diamine fluoride in 1960. SDF has been used to prevent the spread of caries in various Asian nations, including Japan and China. It was enacted as a fluoride to treat sensitive teeth in the United States by Food and Drug Administration ( FDA). For young children or individuals with specific needs, it is painless and simple to use .The fluoride in SDF stimulates remineralization while the silver ions act as an antimicrobial agent when applied to carious lesions and stop cariogenic biofilms from growing. SDF also prevents future degradation of the dentin's collagen. With a 38 percent use rate, SDF has been utilized in a number of nations. According to a review, SDF is a harmless, economical caries control agent with a wide utilisation in dentistry, and it may meet the WHO Millennium Development Goal (MDG) as well as the United States Institute of Medicine's criteria. The applications of SDF in dental treatment are discussed in this article.

Longitudinal Evaluation of Salivary Iga-S in Children with Early Childhood Caries Before and After Restorative Treatment

2019 ◽  
Vol 43 (4) ◽  
pp. 239-243 ◽  
Author(s):  
Aline dos Santos Letieri ◽  
Liana Bastos Freitas-Fernandes ◽  
Ana Paula Canedo Valente ◽  
Tatiana Kelly da Silva Fidalgo ◽  
Ivete Pomarico Ribeiro de Souza
Keyword(s):  
Early Childhood ◽  
Streptococcus Mutans ◽  
Flow Rate ◽  
Total Protein ◽  
Early Childhood Caries ◽  
Dental Treatment ◽  
Restorative Treatment ◽  
Lactobacillus Spp ◽  
Childhood Caries

Background: Our aim was to compare salivary levels of secretory immunoglobulin A (s-IgA) in children with early childhood caries (ECCG) and those who are caries-free (CFG) and verify these levels in a follow-up period after restorative treatment. Materials and methods: We selected 46 systemically healthy children in the complete primary dentition period, who were allocated into two groups: CFG (n = 23) and ECCG (dmf-s > 0; n = 23). Unstimulated whole saliva was obtained at baseline from both groups and during the follow-up period (7 days, 1, 2 and 3 months) in the ECCG group. The s-IgA was measured using an ELISA assay, and total protein was assessed using the Bradford method. We also evaluated the flow rate (mL/min), Streptococcus mutans and Lactobacillus spp. counting using selective media plaques. The data were submitted to statistical analysis using the software SPSS 20.0 (SPSS Inc, IL, USA) with a confidence interval set at 95%. Results: Salivary s-IgA levels were higher in baseline of ECCG than in CFG (p<0.05). No statistically significant differences were observed between s-IgA salivary levels at baseline and the evaluations after dental treatment in ECCG (p>0.05). However, we observed two different changes in s-IgA levels among participants: one group presented s-IgA reduction, and the other group demonstrated its maintenance. It was shown that patients from the ECCG group who presented a reduction in s-IgA levels during follow-up also showed a decrease in Streptococcus mutans and Lactobacillus spp. count (p<0.05), in contrast to patients who did not present this reduction. The flow rate and total protein were similar between groups (p>0.05). Conclusions: The present data support the idea that children with early childhood caries present higher levels of s-IgA in saliva than caries-free children. The restorative dental treatment does not have a significant influence on salivary levels of this immunoglobulin during the follow-up period.

Disease Management of Early Childhood Caries: Results of a Pilot Quality Improvement Project

2012 ◽  
Vol 23 (3A) ◽  
pp. 193-209 ◽  
Author(s):  
Man Wai Ng ◽  
Gay Torresyap ◽  
Alex White ◽  
Patrice Melvin ◽  
Dionne Graham ◽  
...  
Keyword(s):  
Early Childhood ◽  
Quality Improvement ◽  
Disease Management ◽  
Early Childhood Caries ◽  
Quality Improvement Project ◽  
Improvement Project ◽  
Childhood Caries

Early Childhood Caries Prevention: A Training Project for Primary Care Providers

2005 ◽  
Vol 16 (2) ◽  
pp. 244-247 ◽  
Author(s):  
Lois A. Wessel ◽  
Scott Wolpin ◽  
Jen Sheen ◽  
David Krol ◽  
Kathie Westpheling ◽  
...  
Keyword(s):  
Primary Care ◽  
Early Childhood ◽  
Early Childhood Caries ◽  
Primary Care Providers ◽  
Caries Prevention ◽  
Care Providers ◽  
Training Project ◽  
Childhood Caries
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