Abstract
Early childhood caries is prevalent disease worldwide involving 1.76 billion children even though it is preventable with proper measures. Early childhood caries not only cause local discomfort but also hampers overall growth and development of child. Early childhood caries requires invasive treatments as it progress to later stages so early intervention is helpful to prevent these invasive procedures like restoration and extraction. Various procedures such as fluoride application, oral hygiene maintenance, motivational interviewing, diet counselling, oral health education programs are used for prevention, among them motivational interviewing is the emerging modality for prevention. Motivational interviewing is client centred counselling approach which elicits the behavior change by helping clients to explore and resolve ambivalence. It was first introduced for treating alcoholism now it is implemented in various fields for management of disease such as diabetes mellitus, cardiovascular diseases, reducing sexual behavior and pain management. In some of the researches it is found that the preventive measures accompanied with motivational interviewing are more effective than the conventional health education and intervention. Though there are many researches are present on the motivational interviewing in prevention of early childhood caries, better designed and reported interventions are still needed.
Highlights
1.1 Early Childhood CariesIn last five decades dental health problems are increasing gradually in India, mainly dental caries [1]
Various procedures such as fluoride application, oral hygiene maintenance, motivational interviewing, diet counselling, oral health education programs are used for prevention, among them motivational interviewing is the emerging modality for prevention
Early childhood caries (ECC) shows multifactorial aetiology, among them cariogenic microorganisms stands first Streptococcus Mutans, it is the main culprit for ECC followed by poor dietary and feeding habits and low socioeconomic status
Summary
In last five decades dental health problems are increasing gradually in India, mainly dental caries [1]. Childhood caries is one of the most common diseases involving 1.76 billion children worldwide affecting primary teeth [2] Early childhood caries (ECC) is a preventable disease defined as the “presence of one or more decayed (nonactivated or cavitated lesions), missing (due to caries), or filled tooth surfaces in any primary tooth in a child under the age of six.” [3] main reason for initiation and progression of ECC is inappropriate nursing practices. It mainly affects maxillary primary anteriors followed by primary molars. It is found that for the treatment of ECC extensive restorative procedures and extractions are required at an early age which are often expensive [12]
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