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VOLUME 11 , ISSUE 5 ( October, 2010 ) > List of Articles

RESEARCH ARTICLE

The Prevalence and Risks of Early Childhood Caries (ECC) in Toronto, Canada

Thikriat Al-Jewair, James L. Leake

Citation Information : Al-Jewair T, Leake JL. The Prevalence and Risks of Early Childhood Caries (ECC) in Toronto, Canada. J Contemp Dent Pract 2010; 11 (5):1-8.

DOI: 10.5005/jcdp-11-5-1

License: CC BY-NC 3.0

Published Online: 01-10-2010

Copyright Statement:  Copyright © 2010; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim

To determine the prevalence and risks of early childhood caries (ECC) among children less than 71 months of age in Toronto, Canada, and to evaluate the association between parental/ caregiver depression and ECC.

Methods and Materials

A secondary analysis of data previously collected by the Toronto Public Health as part of the 2003 Toronto Perinatal and Child Health Survey was performed. The 90-item survey was conducted over the telephone to 1,000 families with children from zero years (birth) to six years of age. Parents/caregivers were asked about factors related to the development and health of their children. For this study, only children younger than six years of age (less than 71 months) were included (n=833). The primary outcome of interest was self-reported and measured by the response to the question of whether a physician/dentist had ever told the parent/caregiver his/her child had ECC.

Results

The prevalence of ECC was 4.7 percent (37 of 791 children). The child's age, his/her history of dental visits, teeth brushing, the use of fluoridated toothpaste, the parent's/caregiver's depressive tendencies, the language spoken at home, and the household annual income were all significant in the bivariate analysis. Multiple logistic regression identified four factors associated with ECC: the child's age (being three years of age or older), having at least one parent/ caregiver with depression, not speaking English at home, and having an annual household income less than $40,000 in Canadian dollars (CAD).

Conclusion

While a child's age, home language, and household income are known risks for ECC, the finding that parental/caregiver depression may be related to ECC is new.

Clinical Significance

Multiple risk factors are involved in the development of early childhood caries. Of particular importance are demographic (e.g., child's age), social (e.g., annual household income), and psychosocial factors (e.g., parental/ caregiver depression) that are indirectly linked to ECC. More attention needs to be placed on understanding the role and process by which these factors influence the development of ECC.

Citation

Al-Jewair TS, Leake JL. The Prevalence and Risks of Early Childhood Caries (ECC) in Toronto, Canada. J Contemp Dent Pract [Internet]. 2010 October; 11(5):001-008. Available from: http://www.thejcdp.com/journal/view/ volume11-issue5-al-jewair


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  1. A case-control study to determine the risk factors, marker and determinants for the development of nursing caries in the four-year-old population of North York [Toronto] [Msc Thesis]. Toronto: University of Toronto; 1998 [cited 2007 Dec 2]. Available from: http://ttspace.library.utoronoto.ca/ bitstream/1807/11989/1/MQ34044.pdf
  2. Report of the sample survey of the oral health of Toronto children aged 5, 7, and 13. Toronto: University of Toronto and Toronto Public Health, 2000 [revised 2001 Jan 18; cited 2007 Nov 24]. Available from: http://www.toronto.ca/health/hsi/pdf/hsi_child_ oral_health.pdf
  3. Early childhood caries and access to dental care among children of Portuguesespeaking immigrants in the city of Toronto. J Can Dent Assoc. 2008; 74(9):805.
  4. Prevalence of caries among preschool-aged children in a northern Manitoba community. J Can Dent Assoc. 2005; 71(1):27.
  5. Nursing caries in the Inuit children of the Keewatin. J Can Dent Assoc. 1988; 54(10):751-8.
  6. Psychosocial and behavioral issues in early childhood caries. Community Dent Oral Epidemiol. 1998; 26 (1 Suppl):32-44.
  7. Prevalence of early childhood caries in 4 Manitoba communities. J Can Dent Assoc. 2005; 71(8):567.
  8. Baby-bottle tooth decay: are we on the right track? Int J Circumpolar Health. 1998; 57 Suppl 1:155-62.
  9. Risk factors for dental caries in young children: a systematic review of the literature. Community Dent Health. 2004; 21(1 Suppl):71-85.
  10. Psychosocial factors and early childhood caries among low-income African-American children in Detroit. Community Dent Oral Epidemiol. 2007; 35(6):439-48.
  11. Surviving social assistance: 12-month prevalence of depression in solesupport parents receiving social assistance. CMAJ 1998; 158(7):881-8.
  12. Maternal depressive symptoms and infant health practices among low-income women. Pediatrics 2004; 113(6):e523-9.
  13. Toronto Perinatal and Child Health Survey 2003. Toronto, Ontario [cited 2007 Jan 7]. Available from: http://www.toronto.ca/health/hsi/hsi_survey_2003.htm
  14. Ethnicity, aging, and oral health outcomes: a conceptual framework. Adv Dent Res. 1997; 11(2):203-9.
  15. National Longitudinal Study of Children and Youth, 1996 [cited 2008 Oct 11]. Available from: http://www.statcan.ca/english/sdds/document/4450_DLI_D13_T22_V1_E.pdf
  16. Gender differences in the association between substance use and elevated depression symptoms in a general adolescent population. Addiction. 2005; 100(4):525-35.
  17. Measuring depression in the community: a comparison of telephone and personal interviews. Public Opin Q. 1982; 46(1):110-21.
  18. Self-rated health and postnatal depressive symptoms among immigrant mothers in Québec. Women Health. 2007; 45(4):1-17.
  19. Yes, parenting does make a difference to the development of children in Canada. In: Human Resources Development Canada, Statistics Canada. Growing up in Canada. National Longitudinal Survey of Children and Youth. 1996.
  20. Provisional agenda item 13.1. Global strategy for infant and young child feeding. Fifty-fourth world health assembly, 2001 [cited 2008 Jan 24]. Available from: http://ftp.who.int/gb/archive/ pdf_files/WHA54/ea54id4.pdf
  21. Prevalence of early childhood caries in a population of children with history of maltreatment. J Public Health Dent. 2008; 68(2):94-101.
  22. Breast-feeding and early childhood caries: an assessment among Brazilian infants. Int J Pediatr Dent. 2004; 14(6):439-45.
  23. Risk indicators for early childhood caries in Taiwan. Community Dent Oral Epidemiol. 2006; 34(6):437-45.
  24. One-year prevalence of psychiatric disorder in Ontarians 15 to 64 years of age. Can J Psychiatry. 1996; 41(9):559-63.
  25. Risk factors for dental caries in the five-year-old South Australian population. Aust Dent J. 2006; 51(2):130-9.
  26. Final report of the study on early childhood caries. Toronto: Toronto Public Health, 2000.
  27. Determinants of health in children and the problem of early childhood caries. Pediatr Dent. 2003; 25(4):328-33.
  28. Determining the prevalence and risk factors for early childhood caries in a community dental health clinic. Pediatr Dent. 2007; 29(5):387-96.
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