| Autor: |
Azrak, Mohamed El, Huang, Alice, Hai-Santiago, Khalida, Bertone, Mary F., DeMaré, Daniella, Schroth, Robert J. |
| Předmět: |
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| Zdroj: |
Journal of the Canadian Dental Association; Sep2017, p1-1, 1p, 7 Charts |
| Abstrakt: |
Introduction: Children of newcomers to Canada have been identified as at moderately high risk for developing early childhood caries (ECC). The purpose of this study was to investigate the oral health of preschool children of refugee and immigrant families in Winnipeg. Methods: Children < 72 months of age and their parent or primary caregiver were recruited through several newcomer settlement agencies, dental clinics and community programs. Parents and caregivers completed a short questionnaire with the assistance of a research team member. Children underwent a dental examination. Results of the questionnaire were combined with those of the clinical examination and subjected to statistical analysis. Results: We recruited 211 children. Their mean age was 40.2 ± 15.4 months, and 54.0% were boys. Overall, 45.5% of the children had ECC and 31.8% had severe ECC (S-ECC). The mean decayed, missing and filled teeth (dmft) score was 2.2 ± 3.8 (range 0-19), while the mean decayed, missing, filled surfaces (dmfs) score was 4.8 ± 11.0 (range 0-63). Infant dental enucleation was observed in 6 children. Logistic regression analyses showed that increasing age, the presence of debris on teeth, parents believing their child has dental problems and the presence of enamel hypoplasia were significantly and independently associated with ECC and S-ECC (p = 0.05). Conclusions: ECC is prevalent in children of newcomer families in Manitoba. These data will inform advocacy efforts to improve access to dental care and tailor early childhood oral health promotion and ECC prevention activities for refugees and recent immigrants. Early childhood caries (ECC) is a particularly damaging form of tooth decay observed in the toddler and preschool population.1 Preventing early caries development is important, as those with ECC are at increased risk of developing future decay during childhood and adolescence.2 Over the last 20 years, North American trends show a significant increase in the prevalence of ECC.3 Several groups in Canada are at high risk, including Indigenous children, refugees and other newcomers, those experiencing poverty and those living in rural regions of the country where there is reduced access to care.4-8 The term "newcomer" encompasses both refugees and immigrants.9 In fact, there are 3 categories of newcomers to Canada: family (to reunify families), economic and refugee class immigrants.10 [ABSTRACT FROM AUTHOR] |
| Databáze: |
Supplemental Index |
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