Dental Caries in Children Aged 0 to 5, from the Andes Municipality, Colombia. An Evaluation Using the International Caries Detection and Assessment System - ICDAS

Authors

  • Blanca S. Ramírez Puerta University of Antioquia
  • Gloria Escobar Paucar University of Antioquia
  • Ángela M. Franco Cortés University of Antioquia
  • Emilia M. Ochoa Acosta University of Antioquia, Co-operative University of Colombia
  • Gabriel J. Otálvaro Castro University of Antioquia
  • Andrés A. Agudelo Suárez University of Antioquia

DOI:

https://doi.org/10.17533/udea.rfnsp.v35n1a10

Keywords:

dental caries, ICDAS, baseline, epidemiology, oral health, primary teeth

Abstract

The lack of information on dental caries limits the actions of the program called “Alliance for a Cavity Free Future” in the Andes municipality, Colombia. Objective: to establish a baseline for dental caries in primary dentition among children aged 0 to 5. Methodology: a total of 623 children were examined in order to detect the presence of dental caries and its severity. This analysis was conducted using the criteria of the International Caries Detection and Assessment System, ICDAS. In addition, the experience and prevalence ratios were calculated along with the cICDAS 5-6, mft and cICDAS 1-6 mft indices. Results: 38.2% of the children had experienced severe caries; the percentage of caries experienced increased to 88.4% when initial and moderate dental caries lesions were included. The data showed that 4.9% of the one-year-olds had untreated severe carious lesions, and this percentage increased to 53.6% for five-year-olds. The dICDAS 5-6 mft index was 0.15±0.8 for one-year-olds and 2.79±3.6 for five-year-olds, increasing to 1.97±2.9 and 9.61±4.6, respectively when initial and moderate dental caries lesions were included- dICDAS 1-6 mft. Discussion: 
dental caries is present from the first year in 58.8% of children, this is twice the amount reported for Colombia and for the same age (29.3%). Conclusion: the findings highlight the need to design comprehensive strategies for controlling the disease. Such strategies should include oral health in the early policies and programs dealing with early childhood.
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Author Biographies

Blanca S. Ramírez Puerta, University of Antioquia

Master in Epidemiology. Specialist in Public Health Management. Dentist. University of Antioquia. Colombia.

Gloria Escobar Paucar, University of Antioquia

Master in Public Health, Dentist, Pediatric Dentist. University of Antioquia. Colombia.

Ángela M. Franco Cortés, University of Antioquia

PhD in Social Sciences, Childhood and Youth, Master in Epidemiology. Dentist. University of Antioquia. Colombia.

Emilia M. Ochoa Acosta, University of Antioquia, Co-operative University of Colombia

Master in Education and Human Development. Dentist. University of Antioquia, Co-operative University of Colombia. Colombia.

Gabriel J. Otálvaro Castro, University of Antioquia

Master in Education, Dentist. University of Antioquia. Colombia.

Andrés A. Agudelo Suárez, University of Antioquia

Doctor in Public Health. Dentist. Specialist in Service Administration. University of Antioquia. Colombia.

References

(1). American Academy of Pediatrics. Policy statement. Maintaining and Improving the Oral Health of Young Children. Pediatrics 2014; 134: 1224-1229

(2). Marcenes W, Kassebaum NJ, Bernabé E, Flaxman A, Naghavi M, Lopez A, Murray CJ. Global Burden of Oral Conditions in 1990-2010: A Systematic Analysis. Journal of Dental Research. 2013; 92 (7): 592-597

(3). American Academy of Pediatric Dentistry (AAPD). Definitions, Oral Health Policies, and Clinical Guidelines. Policy on Early Childhood Caries (ECC): Classifications, consequences and preventive strategie. 2014-15. Disponible en http://www.aapd.org/media/Policies_Guidelines/P_ECCClassifications.pdf. Consultado: noviembre 16 de 2014

(4). Cadavid AS, Lince CM, Jaramillo MC. Dental caries in the primary dentition of a Colombian population according to the icdas criteria. Braz Oral Res 2010; 24 (2): 211-6

(5). Ramírez-Puerta BS, Franco-Cortés AM, Ochoa-Acosta E, Escobar-Paucar G. Experiencia de caries en dentición primaria en niños de 5 años, Medellín, Colombia. Rev Fac Nac Salud Pública 2015; 33 (3): 345-352

(6). Escobar G, Ramírez BS, Franco A, Tamayo AM, Castro JF. Experiencia de caries dental en niños de 1 a 5 años de bajos ingresos. Medellín. Colombia. CES odontol 2009;22(1):21-28

(7). Ramírez-Puerta BS, Escobar-Paucar G, Franco-Cortés AM, Martínez-Pabón MC, Gómez-Urrea L. Caries de la infancia temprana en niños de uno a cinco años. Medellín, Colombia, 2008. Rev Fac Odont Univ Ant 2011; 22 (2): 164-172

(8). De Grauwe A, Aps JK, Martens LC. Early childhood caries (ECC): what’s in a name. Eur J Pediatr Dent 2004; 5: 62-70

(9). Sheiham A. Dental caries affects body weight, growth and quality of life in pre-school children. Br Dent J 2006; 201 (10): 625-626

(10). Malden PE, Thomson WM, Jokovic A, Locker D. Changes in parent-assessed oral health-related quality of life among young children following dental treatment under general anaesthetic. Community Dent Oral Epidemiol 2008; 36 (2): 108-117

(11). Oliveira LB, Sheiham A, Bönecker M. Exploring the association of dental caries with social factors and nutritional status in Brazilian preschool children. Eur J Oral Sci. 2008; 116 (1): 37-43

(12). Norberg C, Hallström Stalin U, Matsson L, Thorngren-Jerneck K, Klingberg G. Body mass index (BMI) and dental caries in 5-year-old children from southern Sweden. Community Dent Oral Epidemiol 2012; 40 (4): 315-322.

(13). Alkarimi HA, Watt RG, Pikhart H, Sheiham A, Tsakos G. Dental Caries and Growth in School-Age Children. Pediatrics 2014; 133 (3): e616 - e623.

(14). República de Colombia. Resolución 1841, por la cual se adopta el Plan Decenal de Salud Pública 2012-2021. La salud la construimos todos. Ministerio de Salud y de la Protección Social, 2013.

(15). Hobdell M, Petersen PE, Clarkson J, Johnson N. Global goals for oral health 2020. Int Dent J 2003; 53 (5): 285-288.

(16). Alianza por un futuro libre de caries. Capítulo Colombia. Disponible en: http://www.alianzaporunfuturolibredecaries.org/es/co/colombia-chapter#.VtbrRtJ_Okp. Consultado marzo 4 de 2016

(17). Colombia. Ministerio de Salud y Protección Social. IV Estudio Nacional de Salud Bucal. ENSAB IV: Para saber cómo estamos y saber qué hacemos. Bogotá: Ministerio de Salud y Protección Social 2013-2014. Disponible en:https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/PP/ENSAB-IVSituacion-Bucal-Actual.pdf. Consultado el 4 de febrero de 2016

(18). Pitts NB. Modern concepts of caries measurements. J Dent Res 2004; 83: 43-7.

(19). International Caries Detection and Assessment System. Coordinating Committee. Rationale and evidence for the International Caries Detection and Assessment System (ICDAS II). In: Stookey G, editor. Proceedings of the 2005. Annual Indiana Conference, July 6-9, 2005. Indianapolis, IN: Indiana University School of dentistry; 2006. Revised in December 2008 in Bogota, Colombia and in July 2009 in Budapest, Hungary.

(20). Pitts NB, Ismail AI, Martignon S, Ekstrand K, Douglas GVA, Longbottom C. ICCMS™ Guide for Practitioners and Educators. International Caries Classification and Management System (ICCMSTM). Implementation Workshop held June 2013. King’s College London, 2014.

(21). World Health Organization. Oral health surveys: basic methods, 5th edition, Ginebra 2013.

(22). Colombia, Ministerio de la Protección Social. Aspectos metodológicos para la construcción de línea base para el seguimiento a las metas del objetivo 3 del Plan Nacional de Salud Pública. Documento Técnico. Bogotá 2010. Disponible en: https:// www.minsalud.gov.co/Documentos%20y%20Publicaciones/ DOCUMENTO%20T%C3%89CNICO%20L%C3%8DNEA%20 DE%20BASE%20CON%20ATLAS%20VERSI%C3%93N%20 3%20-%20ABRIL%202010.pdf. Consultado el 4 de febrero de 2016

(23). Thomson WM, Poulton R, Milne BJ, Caspi A, Broughton JR, Ayres KM. Socioeconomic inequalities in oral health in childhood and adulthood in a birth cohort. Community Dent Oral Epidemiol 2004; 32 (5): 345–353.

(24). Mouradian WE, Wehr E, Crall JJ. Disparities in children’s oral health and access to dental care. JAMA 2000; 284 (20): 2625-31.

(25). Vargas CM, Ronzio CR. Disparities in early childhood caries. BMC Oral Health. 2006; 6 Supl 1: S3.

(26). Leong PM, Gussy MG, Barrow SY, de Silva-Sanigorski A, Waters E. A systematic review of risk factors during first year of life for early childhood caries. Int J Paediatr Dent 2013; 23 (4): 235-250.

(27). Selwitz RH, Ismail A, Pitts NB. Dental caries. Lancet 2007; 369 (9555): 51-59.

(28). Nyvad B, Fejerskov O. The caries control concept. En. Fejerskov O, Nyvad B, Kidd E. Dental Caries. John Wiley and Sons, 2015: 236-243

(29). Watt RG, Williams DM, Sheiham A. The role of the dental team in promoting health equity. Br Dent J; 2014; 216: 11-14

(30). Splieth CH, Christiansen J, Foster Page LA. Caries Epidemiology and Community Dentistry: Chances for Future Improvements in Caries Risk Groups. Outcomes of the ORCA Saturday Afternoon Symposium, Greifswald, 2014. Part 1. Caries Res; 2016; 50: 9-16

(31). Plutzer K, Spencer AJ: Efficacy of an oral he alth promotion intervention in the prevention of early childhood caries. Community Dent Oral Epidemiol 2008; 36 (4): 335-346

(32). Palenstein Helderman W, Holmgren C, Monse B, Benzian H. Caries prevention and control in low and middle income countries. En. Fejerskov O, Nyvad B, Kidd E. Dental Caries. John Wiley and Sons, 2015: 405-422

(33). Petersen PE. World Health Organization global policy for improvement of oral health - World Health Assembly 2007. Int Dent J; 2008 58 (3): 115-121

(34). Clarkson J, Watt RG, Rugg-Gunn AJ, Pitiphat W, Ettinger RL, Horowitz AM, et al. Proceedings: 9th world congress on preventive dentistry (WCPD) “community participation and global alliances for lifelong oral health for all” Phuket, Thailand, September 7–10, 2009. Adv Dent Res 2010; 22 (1): 2-30

(35). República de Colombia. Ministerio de Salud y Protección Social. Lineamientos Estrategia Incremental de Cuidado Bucal y Protección Específica en Salud Bucal para la Primera Infancia, Infancia y Adolescencia. Soy Generación más Sonriente. Versión 2.0. [Consultado 7 de marzo de 2016] Bogotá, 2015. Disponible en: http://www.consultorsalud.com/sites/consultorsalud/files/lineamientos_soy_generacion_mas_sonriente.pdf.

Published

2016-12-21

How to Cite

1.
Ramírez Puerta BS, Escobar Paucar G, Franco Cortés Ángela M, Ochoa Acosta EM, Otálvaro Castro GJ, Agudelo Suárez AA. Dental Caries in Children Aged 0 to 5, from the Andes Municipality, Colombia. An Evaluation Using the International Caries Detection and Assessment System - ICDAS. Rev. Fac. Nac. Salud Pública [Internet]. 2016 Dec. 21 [cited 2025 Mar. 13];35(1):91-8. Available from: https://revistas.udea.edu.co/index.php/fnsp/article/view/26344

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