Gaur S, Nayak R
Department of Pedodontics and Preventive Dentistry, Manipal College of Dental Sciences, Manipal University, Manipal, Karnataka, India.
J Indian Soc Pedod Prev Dent. 2011 Oct-Dec;29(4):305-9. doi: 10.4103/0970-4388.86375.
The prevalence of severe early childhood caries (sECC) is high in developing nations like India. It has local as well as systemic manifestations.
This study evaluated the influence of sECC and its management on growth parameters and quality of life (QoL) of preschool children from low socioeconomic status families.
100 preschool children (50 with sECC and 50 with no dental caries; mean age 5.42 ± 0.74 years) from low socioeconomic status were studied. QoL; Decayed, extracted and filled teeth (def) index; Height (Ht); Weight (Wt); Head circumference (HC); Mid arm circumference (MAC); and, Body Mass Index (BMI) were recorded at baseline and compared after six months of dental rehabilitation. The test group included children with sECC having def > 6 and at least one pulpally involved tooth.The control group children did not have DC (def =0). Both the groups were age, gender and socioeconomic status matched.
Statistical analysis was done using Statistical Package for the Social Sciences (SPSS) v.11.0 computer software. Chi-square test, Analysis of Variance (ANOVA), Fisher's exact and paired t tests were performed for comparing the groups at baseline and six month recall visit.
Baseline measurements showed that 46% of children with sECC had Wt below 3rd percentile (underweight; mean 15.49 ± 1.87Kg) which was less than the controls (mean Wt 16.34 ± 1.46 kg). They also complained of pain (40%), avoidance of hard food (24%), noticed Wt loss (18%) and sleep disturbances (12%). After 6 months of dental rehabilitation, there was a significant improvement in their Wt (P= 0.002) and QoL.
sECC negatively influenced the Wt and QoL of children. Awareness, education of parents and facilitation of oral health services may help in improving their Wt and QoL.
在印度等发展中国家，重度幼儿龋齿（sECC）的患病率很高。它有局部和全身表现。
本研究评估了sECC及其治疗对来自社会经济地位低下家庭的学龄前儿童生长参数和生活质量（QoL）的影响。
研究了100名来自社会经济地位低下的学龄前儿童（50名患有sECC，50名无龋齿；平均年龄5.42±0.74岁）。记录了生活质量、龋失补牙（def）指数、身高（Ht）、体重（Wt）、头围（HC）、上臂中部周长（MAC）和体重指数（BMI），并在牙齿修复6个月后进行比较。试验组包括def>6且至少有一颗牙髓受累牙齿的sECC儿童。对照组儿童无龋齿（def=0）。两组在年龄、性别和社会经济地位上相匹配。
使用社会科学统计软件包（SPSS）v.11.0计算机软件进行统计分析。进行卡方检验、方差分析（ANOVA）、Fisher精确检验和配对t检验，以比较基线和6个月回访时的组间差异。
基线测量显示，46%的sECC儿童体重低于第3百分位数（体重不足；平均15.49±1.87kg），低于对照组（平均体重16.34±1.46kg）。他们还抱怨疼痛（40%）、避免食用硬食物（24%）、体重减轻（18%）和睡眠障碍（12%）。牙齿修复6个月后，他们的体重（P=0.002）和生活质量有显著改善。
sECC对儿童的体重和生活质量有负面影响。提高认识、对家长进行教育以及提供口腔健康服务可能有助于改善他们的体重和生活质量。
