Assessment and prevention of tooth decay in children

Authors

  • Roaa Mohammad AlDomyati Department of Pediatric Dentistry, East Jeddah Hospital, Jeddah, Saudi Arabia
  • Zainab Mohammed Alhawaj General Dentist, Gate of Wellness, Al Ahsa, Saudi Arabia
  • Ibrahim Khalid Bin Surayhid Dental Department, Al Yamamah Hospital, Riyadh, Saudi Arabia
  • Samiah Adnan Rafiq General Dentist, Ministry of Health, Jeddah, Saudi Arabia
  • Noor Shaker AL Saffar General Dentist, Ministry of Health, Qatif, Saudi Arabia
  • Abdullah Ali Almatrudi North of Riyadh Dental Center, Ministry of Health, Riyadh, Saudi Arabia
  • Fatimah Mohammad Almousa College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
  • Kholoud Abdullah Al Nemer West Riyadh Dental Center, Ministry of Health, Riyadh, Saudi Arabia
  • Abdulelah Abdullah Aldhafer College of Dentistry, Riyadh Elm University, Riyadh, Saudi Arabia
  • Rafal Abdulrahman Alsaywed College of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
  • Ali Salem Alharthi Prince Abdulmajeed Dist. Primary Healthcare Center, Ministry of Health, Jeddah, Saudi Arabia

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20223580

Keywords:

Early childhood caries, Dental decay, Risk assessment, Caries detection, Caries prevention, Xylitol, Diamine silver fluoride, Fluoride varnish

Abstract

It has been solidified by science that dental decay is transmittable. Despite improvements in other age groups, there is indication that dental decay in young children is on the rise. There has not been an improvement in practice as a result of risk assessment research. Although definite trials are required, antiseptics, chlorhexidine varnish, and polyvinylpyrrolidone iodine (PVI-I) may be useful. Despite not being extensively distributed to the most vulnerable, fluorides continue to be the most beneficial interventions. Although conclusive trials have not been carried out, fluoride varnish is a fairly efficient topical preventative for young children. The promise of silver diamine fluoride must be studied in the US. Xylitol is safe and reliable, according to the data, although it is not widely used. Despite numerous studies, wide adoption of dental sealants has not taken place, despite being a fundamental component of public policy. We draw the conclusion that while research has demonstrated the negative public health impact of tooth decay, not enough of it has been conducted to address the growing incidence of pediatric dental disease globally.  Technology must be translated from studies to practice in order to stop childhood teeth decay. This should include conducting translational studies and putting the latest technological and scientific developments into use.

References

Slade GD, Rozier RG, Zeldin LP, Margolis PA. Training pediatric health care providers in prevention of dental decay: results from a randomized controlled trial. BMC Heal Services Res. 2007;7(1):1-10.

Loesche WJ. Role of Streptococcus mutans in human dental decay. Microbiological Rev. 1986;50(4):353-80.

Van Houte J. Role of micro-organisms in caries etiology. J Dental Res. 1994;73(3):672-81.

Tanzer JM, Livingston J, Thompson AM. The microbiology of primary dental caries in humans. J Dental Education. 2001;65(10):1028-37.

Bailit H, Beazoglou T, Demby N, McFarland J, Robinson P, Weaver R. Dental safety net: current capacity and potential for expansion. J Am Dental Asso. 2006;137(6):807-15.

Berkowitz R, Jordan H. Similarity of bacteriocins of Streptococcus mutans from mother and infant. Arch Oral Biol. 1975;20(11):725-30.

Li Y, Caufield P. The fidelity of initial acquisition of mutans Streptococci by infants from their mothers. J Dental Res. 1995;74(2):681-5.

Masuda N, Shimamoto T, Kitamura K, Sobue S, Hamada S. Transmission of Streptococcus mutans in some selected families. Microbios. 1985;44(181S):223-32.

Köhler B, Bratthall D. Intrafamilial levels of Streptococcus mutans and some aspects of the bacterial transmission. Eur J Oral Sci. 1978;86(1):35-42.

Köhler B, Andreen I. Influence of caries-preventive measures in mothers on cariogenic bacteria and caries experience in their children. Arch Oral Biol. 1994;39(10):907-11.

Söderling E, Isokangas P, Pienihäkkinen K, Tenovuo J, Alanen P. Influence of maternal xylitol consumption on mother–child transmission of Mutans Streptococci: 6-year follow-up. Caries research. 2001;35(3):173-177.

Isokangas P, Soderling E, Pienihakkinen K, Alanen P. Occurrence of dental decay in children after maternal consumption of xylitol chewing gum, a follow-up from 0 to 5 years of age. J Dental Res. 2000;79(11):1885-9.

Caufield P, Cutter G, Dasanayake A. Initial acquisition of mutans Streptococci by infants: evidence for a discrete window of infectivity. J Dental Res. 1993;72(1):37-45.

Milgrom P, Riedy C, Weinstein P, Tanner A, Manibusan L, Bruss J. Dental caries and its relationship to bacterial infection, hypoplasia, diet, and oral hygiene in 6‐to 36‐month‐old children. Community Dentistr Oral Epidemiol. 2000;28(4):295-306.

Köhler B, Andréen I, Jonsson B. The earlier the colonization by mutans Streptococci, the higher the caries prevalence at 4 years of age. Oral Microbiol Immunol. 1988;3(1):14-7.

Zandoná AF, Zero DT. Diagnostic tools for early caries detection. J Am Dental Asso. 2006;137(12):1675-84.

Kavvadia K, Lagouvardos P. Clinical performance of a diode laser fluorescence device for the detection of occlusal caries in primary teeth. Int J Paediatr Dentistr. 2008;18(3):197-204.

Kühnisch J, Berger S, Goddon I, Senkel H, Pitts N, Heinrich‐Weltzien R. Occlusal caries detection in permanent molars according to WHO basic methods, ICDAS II and laser fluorescence measurements. Community Dentistr Oral Epidemiol. 2008;36(6):475-84.

Davies G, Worthington H, Clarkson J, Thomas P, Davies R. The use of fibre-optic transillumination in general dental practice. Bri Dental J. 2001;191(3):145-7.

Ekstrand KR, Martignon S, Ricketts DJN, Qvist V. Detection and activity assessment of primary coronal caries lesions: a methodologic study. Operative Dentistr. 2007;32(3):225-35.

Ismaïl AI, Sohn W, Tellez M. The International Caries Detection and Assessment System (ICDAS): an integrated system for measuring dental caries. Community Dentistr Oral Epidemiol. 2007;35(3):170-8.

Jablonski-Momeni A, Stachniss V, Ricketts D, Heinzel-Gutenbrunner M, Pieper K. Reproducibility and accuracy of the ICDAS-II for detection of occlusal caries in vitro. Caries Res. 2008;42(2):79-87.

Kutsch VK, Milicich G, Domb W, Anderson M, Zinman E. How to integrate CAMBRA into private practice. CDA. 2007;35(11):778.

Young DA, Featherstone JD. Caries management by risk assessment. Community Dentistr Oral Epidemiol. 2013;41(1):e53-63.

Dentistry AAoP. Policy on Use of a Caries-risk Assessment Tool (CAT) for Infants, Children, and Adolescents, adopted 2002, revised 2006. Available at: http://www aapd org/media/Policies_Guidelines/ P_CariesRiskAssess pdf. Accessed on 25 Nov, 2022.

Marchant S, Brailsford S, Twomey A, Roberts G, Beighton D. The predominant microflora of nursing caries lesions. Caries research. 2001;35(6):397-406.

Canettieri ACV, Kretchetoff FY, Koga-Ito CY, Moreira D, Fujarra FJC, Unterkircher CS. Production of monoclonal antibodies against Streptococcus mutans antigens. Brazilian Oral Res. 2006;20:297-302.

Smith D, Mattos-Graner R. Secretory immunity following mutans Streptococcal infection or immunization. Specialization and Complementation of Humoral Immune Responses to Infection. 2008:131-56.

Taubman MA, Nash DA. The scientific and public-health imperative for a vaccine against dental caries. Nature Rev Immunol. 2006;6(7):555-63.

Hillman J, Mo J, McDonell E, Cvitkovitch D, Hillman C. Modification of an effector strain for replacement therapy of dental caries to enable clinical safety trials. JAppl Microbiol. 2007;102(5):1209-19.

Eckert R, He J, Yarbrough DK, Qi F, Anderson MH, Shi W. Targeted killing of Streptococcus mutans by a pheromone-guided “smart” antimicrobial peptide. Antimicrob Agents Chemoth. 2006;50(11):3651-7.

Zickert I, Emilson C, Krasse B. Effect of caries preventive measures in children highly infected with the bacterium Streptococcus mutans. Archives Oral Biol. 1982;27(10):861-8.

Featherstone JD. Delivery challenges for fluoride, chlorhexidine and xylitol. Paper presented at: BMC Oral Heal. 2006.

Zhang Q, van Palenstein Helderman WH, Van't Hof MA, Truin GJ. Chlorhexidine varnish for preventing dental caries in children, adolescents and young adults: a systematic review. Eur J Oral Sci. 2006;114(6):449-55.

Tanzer J, Slee A, Kamay B, Scheer E. In vitro evaluation of three iodine-containing compounds as antiplaque agents. Antimicrobial Agents Chemothe. 1977;12(1):107-13.

Caufield PW, Wannemuehler YM. In vitro susceptibility of Streptococcus mutans 6715 to iodine and sodium fluoride, singly and in combination, at various pH values. Antimicrobial Agents Chemothe. 1982;22(1):115-9.

Tinanoff N, O'sullivan D. Early childhood caries: overview and recent findings. Pediatr Dentistr. 1997;19:12-6.

Zhan L, Featherstone JD, Gansky SA. Antibacterial treatment needed for severe early childhood caries. J Publ Heal Dentistr. 2006;66(3):174-9.

Amin MS, Harrison RL, Benton TS, Roberts M, Weinstein P. Effect of povidone-iodine on Streptococcus mutans in children with extensive dental caries. Pediatr Dentistr. 2004;26(1):5-10.

Lopez L, Berkowitz R, Spiekerman C, Weinstein P. Topical antimicrobial therapy in the prevention of early childhood caries: a follow-up report. Pediatr Dentistr. 2002;24(3):204-26.

Marinho VC, Worthington HV, Walsh T, Clarkson JE. Fluoride varnishes for preventing dental caries in children and adolescents. Cochrane Databas Systematic Rev. 2013(7).

Health NIo. Diagnosis and management of dental caries throughout life. NIH Consensus Statement. 2001;18(1):1-23.

Chu C, Lo E, Lin H. Effectiveness of silver diamine fluoride and sodium fluoride varnish in arresting dentin caries in Chinese pre-school children. J Dental Res. 2002;81(11):767-70.

Llodra J, Rodriguez A, Ferrer B, Menardia V, Ramos T, Morato M. Efficacy of silver diamine fluoride for caries reduction in primary teeth and first permanent molars of schoolchildren: 36-month clinical trial. J Dental Res. 2005;84(8):721-4.

Knight GM, McIntyre JM, Craig GG, Mulyani, Zilm PS, Gully NJ. Differences between normal and demineralized dentine pretreated with silver fluoride and potassium iodide after an in vitro challenge by Streptococcus mutans. Aust Dent J. 2007;52(1):16-21.

Mäkinen KK, Bennett CA, Hujoel PP. Xylitol chewing gums and caries rates: a 40-month cohort study. J Dent Res. 1995;74(12):1904-13.

Mäkinen KK, Hujoel PP, Bennett CA. A descriptive report of the effects of a 16-month xylitol chewing-gum programme subsequent to a 40-month sucrose gum programme. Caries Res. 1998;32(2):107-12.

Hildebrandt GH, Sparks BS. Maintaining mutans Streptococci suppression with xylitol chewing gum. J Am Dent Assoc. 2000;131(7):909-16.

Trahan L. Xylitol: a review of its action on mutans Streptococci and dental plaque--its clinical significance. Int Dent J. 1995;45(1):77-92.

Tanzer JM, Thompson A, Wen ZT, Burne RA. Streptococcus mutans: fructose transport, xylitol resistance, and virulence. J Dent Res. 2006;85(4):369-73.

Policy on the use of xylitol in caries prevention. Pediatr Dent. 2008;30(7):36-7.

Milgrom P, Ly KA, Rothen M. Xylitol and its vehicles for public health needs. Adv Dent Res. 2009;21(1):44-7.

Milgrom P, Ly KA, Tut OK. Xylitol pediatric topical oral syrup to prevent dental caries: a double-blind randomized clinical trial of efficacy. Arch Pediatr Adolesc Med. 2009;163(7):601-7.

Beauchamp J, Caufield PW, Crall JJ. Evidence-based clinical recommendations for the use of pit-and-fissure sealants: a report of the American Dental Association Council on Scientific Affairs. J Am Dent Assoc. 2008;139(3):257-68.

Griffin SO, Oong E, Kohn W. The effectiveness of sealants in managing caries lesions. J Dent Res. 2008;87(2):169-74.

Morgan MV, Adams GG, Bailey DL, Tsao CE, Fischman SL, Reynolds EC. The anticariogenic effect of sugar-free gum containing CPP-ACP nanocomplexes on approximal caries determined using digital bitewing radiography. Caries Res. 2008;42(3):171-84.

Reynolds EC, Cai F, Shen P, Walker GD. Retention in plaque and remineralization of enamel lesions by various forms of calcium in a mouthrinse or sugar-free chewing gum. J Dent Res. 2003;82(3):206-11.

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Published

2022-12-29

How to Cite

AlDomyati, R. M., Alhawaj, Z. M., Bin Surayhid, I. K., Rafiq, S. A., AL Saffar, N. S., Ali Almatrudi, A., Almousa, F. M., Al Nemer, K. A., Aldhafer, A. A., Alsaywed, R. A., & Alharthi, A. S. (2022). Assessment and prevention of tooth decay in children. International Journal Of Community Medicine And Public Health, 10(1), 496–501. https://doi.org/10.18203/2394-6040.ijcmph20223580

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Review Articles