Early childhood caries epidemiology, aetiology, risk assessment, societal burden, management, education, and policy: Global perspective

Norman Tinanoff, Ramon J. Baez, Carolina Diaz Guillory, Kevin J. Donly, Carlos Alberto Feldens, Colman McGrath, Prathip Phantumvanit, Nigel B. Pitts, W. Kim Seow, Nikolai Sharkov, Yupin Songpaisan, Svante Twetman

Research output: Contribution to journalReview articlepeer-review

60 Scopus citations

Abstract

Background: This paper is a summary of the proceedings of the International Association of Paediatric Dentistry Bangkok Conference on early childhood caries (ECC) held in 3-4 November 2018. Aim: The paper aims to convey a global perspective of ECC definitions, aetiology, risk factors, societal costs, management, educational curriculum, and policy. Design: This global perspective on ECC is the compilation of the state of science, current concepts, and literature regarding ECC from worldwide experts on ECC. Results: Early childhood caries is related to frequent sugar consumption in an environment of enamel adherent, acid-producing bacteria in a complex biofilm, as well as developmental defects of enamel. The seriousness, societal costs, and impact on quality of life of dental caries in pre-school children are enormous. Worldwide data show that ECC continues to be highly prevalent, yet infrequently treated. Approaches to reduce the prevalence include interventions that start in the first year of a child's life, evidence-based and risk-based management, and reimbursement systems that foster preventive care. Conclusions: This global perspective on ECC epidemiology, aetiology, risk assessment, global impact, and management is aimed to foster improved worldwide understanding and management of ECC.

Original languageEnglish (US)
Pages (from-to)238-248
Number of pages11
JournalInternational Journal of Paediatric Dentistry
Volume29
Issue number3
DOIs
StatePublished - May 2019

Keywords

  • aetiology
  • early childhood caries
  • epidemiology
  • management
  • policy

ASJC Scopus subject areas

  • Dentistry(all)

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