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Review
. 2022 Jun 17;12(3):295-308.
doi: 10.4103/jispcd.JISPCD_56_22. eCollection 2022 May-Jun.

Prevalence and Risk Factors for ECC Among Preschool Children from India along with the Need of its Own CRA Tool- A Systematic Review

Saima Yunus Khan  1 , Faraha Javed  1 , Mohammad Hassan Ebadi  2 , Robert J Schroth  3
Affiliations
Review

Prevalence and Risk Factors for ECC Among Preschool Children from India along with the Need of its Own CRA Tool- A Systematic Review

Saima Yunus Khan et al. J Int Soc Prev Community Dent. .

Abstract

Introduction: Caries in the deciduous dentition of children under six years of age is termed as early childhood caries (ECC). ECC is prevalent among Indian children and identifying modifiable risk factors is important for prevention. This systematic review was undertaken to describe the burden of ECC in India, its prevalence, associated risk factors along with its repercussions on childhood health.

Materials and methods: A search was conducted for published Indian studies on ECC through electronic databases and complemented with hand search. The protocol for the present systematic review was registered at PROSPERO (Ref No.CRD42022306234)Care was taken to include studies which could represent all parts of India- Central, North, South, East and West. Included papers were reviewed for prevalence of ECC and reported risk factors.

Results: Overall 37 studies on ECC in India were identified relating to prevalence, 11 reported risk factors and two reported on the association between severe ECC and nutritional health and well-being. The prevalence of ECC in India in these studies varied from16% to 92.2%. This systematic review revealed that ECC is prevalent among Indian children and highlights the need of preventive intervention and early risk assessment by its own caries risk assessment (CRA) tool. Occurrence seems to be firmly connected with age, snacking frequency, feeding and oral hygiene habits and with social determinants of health including parental education level, low socioeconomic status and number of siblings.

Keywords: Caries risk; Early Childhood Caries (ECC); India; logistic regression; pre school child; prevalence; systematic review.

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Conflict of interest statement

All authors declare that there is no conflict on interest.

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References

    1. American Academy of Pediatric Dentistry. Policy on Early Childhood Caries (ECC): Classifications, Consequences, and Preventive Strategies. The Reference Manual of Pediatric Dentistry. Chicago, Ill: American Academy of Pediatric Dentistry; 2020. pp. 79–81.
    1. Tinanoff N, Baez RJ, Diaz Guillory C, Donly KJ, Feldens CA, McGrath C, et al. Early childhood caries epidemiology, aetiology, risk assessment, societal burden, management, education, and policy: Global perspective. Int J Paediatr Dent. 2019;29:238–48. - PubMed
    1. Subramaniam P, Prashanth P. Prevalence of early childhood caries in 8 - 48 month old preschool children of bangalore city, south india. Contemp Clin Dent. 2012;3:15–21. - PMC - PubMed
    1. Livny A, Assali R, Sgan-Cohen HD. Early childhood caries among a bedouin community residing in the eastern outskirts of jerusalem. BMC Public Health. 2007;7:167. - PMC - PubMed
    1. Gaidhane AM, Patil M, Khatib N, Zodpey S, Zahiruddin QS. Prevalence and determinant of early childhood caries amongthe children attending the Anganwadis of Wardha district, India. Indian Journal of Dental Research. 2013;24:199–205. - PubMed