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Wednesday, December 1, 2010

Early Childhood Caries Prevalence in KSA


   Prevalence of Dental Caries
   Early Childhood Caries risk group
Prevalence of Dental Caries
5 times more common than asthma
7 times more common than hay fever
Caries Rate
18% aged 2 to 4 years
52% aged 6 to 8 years
67% aged 12 to 17 years
among children in Saudi Arabia, including
preschool children.10-12 Several studies have
reported caries prevalence among preschool
children in various parts of Saudi Arabia.10-12 Wyne
et al.10 examined a random sample of preschool
children in Al-Ahsa, in the Eastern Region of
Saudi Arabia, and reported a caries prevalence
of 62.7% with a mean dmft score of 2.9 in
those children. Al-Malik et al. reported a caries
prevalence of 73% with a mean dmft score of 4.8
among a random sample of 2-5-year-old children
Paul examined 5-year-old children in two
nurseries in Al-Kharj, a small town in the Central
Region of Saudi Arabia, and reported a caries
prevalence of 83.5% with a mean dmft score of
8.5 among these children
A total of 789 preschool children, 379 (48%) male
and 410 (52%) female, were examined for dental
caries. Mean age of the children was 4.7 (SD
0.5) years ranging from three to five years. Three
hundred and fifty one (44.5%) children were from
government preschools and 438 (55.5%) from
private preschools.
The overall caries prevalence
among the sample was 74.8%. There was no
significant difference (p>.05) in caries prevalence
in relation to gender of the children. However,
the caries prevalence was significantly higher
(p<.05) among children in government preschools
as compared to children in private preschools
(Table 1).
Table 1. Caries prevalence in relation to gender and type of preschool.
Table 2. Tooth-specific caries prevalence in preschool children.
High-Risk Groups for Caries
Children with special health care needs
Children from low socioeconomic and ethnocultural groups
Children with suboptimal exposure to topical
or systemic fluoride
Children with poor dietary and feeding habits
Children whose caregivers and/or siblings
have caries
Children with visible caries, white spots,
plaque, or decay
Socioeconomic Factors
The rate of early childhood dental caries is near epidemic proportions in populations with low socioeconomic status.
Ethnocultural Factors
Increased rate of dental caries in certain ethnic groups
Diet/feeding practices and child-rearing techniques influenced by culture
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