Kalita Chandana, Langthasa Meghali, Saikia Anjan Kumar, Saikia Ankumoni, Medhi Sthitaprajna
Department of Conservative Dentistry and Endodontics, Government Dental College, Dibrugarh, Assam, India.
Department of Pediatric and Preventive Dentistry, Government Dental College, Dibrugarh, Assam, India.
J Indian Soc Pedod Prev Dent. 2023 Jul-Sep;41(3):197-203. doi: 10.4103/jisppd.jisppd_350_23.
Dental caries among children is one of the most common health-related issues worldwide.
To find out the prevalence of dental caries among 2-5 years old children in Kamrup district of Assam with reference to breastfeeding and associated variables.
In this community-based cross-sectional study, 1439 children were examined from 15 wards of Kamrup Metro and four randomly chosen blocks of Kamrup Rural. Children were examined to assess the mean decayed/filled primary teeth (dmft) index, and a self-administered validated questionnaire was given to the mothers to collect data on the practice of breastfeeding initiation, its duration, and dental hygiene habits.
Dental caries prevalence was found to be higher in urban areas (54.6%) than rural areas (45.4%). The frequency of using toothpaste was highest among the tooth-cleaning materials. A significant difference in caries prevalence was observed among the children, those who brushed twice a day, and those who did not brush (P = 0.039). The difference was significant in the mean dmft of children from the upper socioeconomic class (P = 0.023) compared with the other classes. A significant difference was also observed between breastfeeding duration (P = 0.010), exclusive and nonexclusive breastfeeding, time of initiation of breastfeeding within 12 h (P < 0.001), and alternative feeding with caries prevalence (P < 0.001).
Dental caries were higher in urban localities and upper socioeconomic classes. Breastfeeding initiation and duration may play an important role in the causation of dental caries. No significant association was found between colostrum, prelacteal feeding, and caries prevalence.
儿童龋齿是全球最常见的与健康相关的问题之一。
了解阿萨姆邦卡姆鲁普地区2至5岁儿童龋齿的患病率，并参考母乳喂养及相关变量。
在这项基于社区的横断面研究中，从卡姆鲁普都会区的15个病房和卡姆鲁普农村地区随机选择的4个街区检查了1439名儿童。对儿童进行检查以评估乳牙龋失补牙面均（dmft）指数，并向母亲发放一份经过验证的自填问卷，以收集关于母乳喂养开始时间、持续时间和口腔卫生习惯的数据。
发现城市地区龋齿患病率（54.6%）高于农村地区（45.4%）。在清洁牙齿的材料中，使用牙膏的频率最高。每天刷牙两次的儿童与不刷牙的儿童之间，龋齿患病率存在显著差异（P = 0.039）。与其他社会经济阶层相比，社会经济阶层较高的儿童平均dmft存在显著差异（P = 0.023）。母乳喂养持续时间（P = 0.010）、纯母乳喂养和非纯母乳喂养、12小时内开始母乳喂养的时间（P < 0.001）以及与龋齿患病率的替代喂养之间也存在显著差异（P < 0.001）。
城市地区和社会经济阶层较高的人群中龋齿患病率较高。母乳喂养的开始时间和持续时间可能在龋齿的发生中起重要作用。未发现初乳、产前喂养与龋齿患病率之间存在显著关联。
