Primary Tooth Extraction Pattern Among Turkish Children with Severe Early Childhood Caries Treated Under General Anesthesia

Merve Candan,Burak Buldur

doi:10.1590/pboci.2020.030

Abstract

Objective: To determine the frequency and distribution of extracted primary teeth due to severe Early Childhood Caries (ECC) in young pediatric patients treated under general anesthesia. Material and Methods: This study employed a retrospective design and consisted of a total of 1644 children (1011 boys, 633 girls) children aged 3 to 5 who had been diagnosed with several ECC and treated under general anesthesia in a dental faculty between 2013-2019. The data was obtained from the medical and dental forms obtained from the faculty database. The patients were divided according to age groups and sex. A total of 2605 teeth were classified according to the sex, tooth number, and age groups. Results: Of the subjects, 14% (n = 245) were 3 years old, 31% (n = 505) were 4 years old, 55% (n = 894) were 5 years old. The mean ± SD age of subjects was 4.2 ± 0.8 yr. While the most extracted teeth were found to be maxillary primary central incisors and molar teeth, the less were found to be mandibular primary canines. While there was a statistically significant difference between canines and incisors with molars (p<0.05), no difference existed between incisors and molars. There was a statistically significance difference among all age groups (p<0.05). While 3 years old group had the less number of extracted teeth, 5 years old group had the most number of extracted teeth. Conclusion: Severe ECC causes higher tooth extraction in patients treated under general anesthesia. Effective personal and community programs should be initiated to prevent ECC and mitigate its potential disruptive impacts in children’s oral health.

Highlights

Dental caries is one of the most common chronic diseases worldwide, triggered by genetic, behavioral, environmental and microbial factors [1,2]
This study aimed to determine the frequency and distribution of extracted primary teeth due to severe Early Childhood Caries (ECC) in young pediatric patients treated under general anesthesia
The study sample consisted of children aged 3 to 5 who had been diagnosed with several ECC and treated under general anesthesia

Summary

Introduction

Dental caries is one of the most common chronic diseases worldwide, triggered by genetic, behavioral, environmental and microbial factors [1,2]. Childhood Caries (ECC) is defined as the presence of one or more decayed, lost or filled tooth surfaces in any tooth in a child aged 71 months or younger [2]. Severe ECC is defined as the number of tooth decay, missing or filled tooth surfaces at least 4 years old at 4 years old, at least 5 years old at 4 years old, and at least 6 years old at 5 years old [3]. The prevalence of ECC varies greatly with various factors such as race, culture and ethnicity [3,4]. The prevalence rate of ECC is between 1 and 12% in most developed countries, it is as high as 70% among less developed and disadvantaged groups in developed countries [9,11]

Methods

Results

Discussion

Conclusion