G Mangla Ritu, Kapur Raman, Dhindsa Abhishek, Madan Manish
Redaer, Department of Pedodontics and Preventive Dentistry, Himachal Institute of Dental Sciences, Paonta Sahib, Himachal Pradesh India.
Professor, Department of Pedodontics and Preventive Dentistry, Swami Devi Dyal Hospital and Dental College, Panchkula, Haryana India.
Int J Clin Pediatr Dent. 2017 Apr-Jun;10(2):183-187. doi: 10.5005/jp-journals-10005-1431. Epub 2017 Jun 1.
To assess the prevalence, distribution, and associated risk factors of severe early childhood caries (S-ECC) among 12- to 36-month-old children of district Sirmaur, Himachal Pradesh, India.
The present study was conducted on a random sample of 510 children, both boys and girls, between 12 and 36 months of age randomly selected from various government-sponsored day-care centers, private day-care centers, and vaccination centers. Caries was recorded using World Health Organization criteria. Statistical analysis was done by using chi-square test and Mann-Whitney test. A two-sided p value was calculated for each statistical test. Multiple logistic regressions were done to calculate the risk of S-ECC from independent variables.
In the present study, S-ECC was found in 21% of 510, 12 to 36 months old children of Sirmaur district, Himachal Pradesh. The S-ECC was found to be significantly higher in 25 to 36 months old children's age group and was 27.8% in them as compared with 8% in 12 to 24 months old children.
Providing anticipatory guidance and education to parents is essential for the promotion of optimal oral health of their children. There is a need for moving upstream to propose and implement policies and programs to improve the oral health of the very young, especially in a developing country like India, which lacks much data on S-ECC.
Mangla RG, Kapur R, Dhindsa A, Madan M. Prevalence and associated Risk Factors of Severe Early Childhood Caries in 12- to 36-month-old Children of Sirmaur District, Himachal Pradesh, India. Int J Clin Pediatr Dent 2017;10(2):183-187.
评估印度喜马偕尔邦锡尔毛尔地区12至36个月大儿童中重度婴幼儿龋（S-ECC）的患病率、分布情况及相关危险因素。
本研究对从各类政府资助的日托中心、私立日托中心和疫苗接种中心随机选取的510名12至36个月大的儿童（包括男孩和女孩）进行了抽样调查。使用世界卫生组织的标准记录龋齿情况。采用卡方检验和曼-惠特尼检验进行统计分析。对每个统计检验计算双侧p值。进行多元逻辑回归以计算自变量导致S-ECC的风险。
在本研究中，印度喜马偕尔邦锡尔毛尔地区510名12至36个月大的儿童中，21%患有S-ECC。发现25至36个月龄儿童组的S-ECC显著更高，该组为27.8%，而12至24个月龄儿童组为8%。
向家长提供预期指导和教育对于促进其子女的最佳口腔健康至关重要。有必要采取上游策略来提出并实施政策和项目，以改善幼儿的口腔健康，尤其是在像印度这样缺乏大量S-ECC数据的发展中国家。
Mangla RG, Kapur R, Dhindsa A, Madan M. 印度喜马偕尔邦锡尔毛尔地区12至36个月大儿童中重度婴幼儿龋的患病率及相关危险因素。《国际临床儿科牙科学杂志》2017；10(2):183 - 187。
