International Journal of Clinical Pediatric Dentistry

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VOLUME 12 , ISSUE 4 ( July-August, 2019 ) > List of Articles

Original Article

Caries Experience and Oral Health-related Factors of Kuwaiti Preschool Children and their Mothers: A Pilot Study

Fatemah AAM Husain, Abrar N Alanzi

Keywords : Dental caries, Oral health, Preschool children

Citation Information : Husain FA, Alanzi AN. Caries Experience and Oral Health-related Factors of Kuwaiti Preschool Children and their Mothers: A Pilot Study. Int J Clin Pediatr Dent 2019; 12 (4):283-287.

DOI: 10.5005/jp-journals-10005-1652

License: CC BY-NC 4.0

Published Online: 01-08-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim: The objective of this study was to investigate the association between the caries experience and oral-health-related behavior of Kuwaiti preschool children and their mothers. Materials and methods: A convenience sample of 84 participants (42 child–mother pairs) was selected. Data regarding children\'s and mothers’ demographics, oral hygiene practices, and dietary habits were obtained by questionnaires. Oral clinical examinations were carried out on the participant children and mothers to determine their caries experience (decayed, missing, and filled teeth index-dmft/DMFT). Results: An estimated 19% of children were caries-free and 66% of mothers have untreated caries. The mean dmft index of the preschool children was 3.90 ± 2.9, and the mean DMFT index of their mothers was 12.38 ± 5.4. Mothers’ untreated caries was significantly associated with their children\'s untreated caries (r = 0.183, p < 0.05). No correlation was found between the brushing frequencies of children and their mothers (p = 0.582). High consumption of sugary snacks and sugary beverages was detected among the children and mothers with a significant association (p < 0.05). The mean dmft of the children was found to be significantly lower among the young mothers, less than 30 years, (2.4 ± 2.1) compared to that among the mothers older than 30 years (4.3 ± 2.9, p < 0.05). Conclusion: There was a high prevalence of early childhood caries in the preschool children studied. A positive correlation was found between the dental caries experience and sugar consumption of the Kuwaiti preschool children and those of their mothers. Clinical significance: The oral health status and dietary habits of mothers are potentially significant risk factors for the development of early childhood caries in their children. Pediatric dentists need to identify the main caries risk factors in their community in order to implement appropriate preventive dental care and educational programs.


  1. Sukumaran A, Pradeep SA. Early childhood caries: prevalence, risk factors, and prevention. Front Pediatr 2017 Jul 18;5:157. DOI: 10.3389/fped.2017.00157.
  2. Drury T, Horowitz A, et al. Diagnosing and reporting early childhood caries for research purposes. J Public Health Dent 1999;59(3):192–197. DOI: 10.1111/j.1752-7325.1999.tb03268.x.
  3. Congiu G, Campus G, et al. Early childhood caries (ECC) prevalence and background factors: a review. Oral Health Prev Dent 2014;12(1): 71–76.
  4. Al-Mutawa SA, Shyama M, et al. Dental caries experience of Kuwaiti school children. Community Dent Health 2006 Mar;23(1):31–36.
  5. Azizi Z. The prevalence of dental caries in primary dentition in 4- to 5-year-old preschool children in northern Palestine. Int J Dent 2014;2014:839419. DOI: 10.1155/2014/839419.
  6. El-Nadeef MA, Hassab H, et al. National survey of the oral health of 5-year-old children in the United Arab Emirates. East Mediterr Health J 2010 Jan;16(1):51–55. DOI: 10.26719/2010.16.1.51.
  7. Harris R, Nicoll AD, et al. Risk factors for dental caries in young children: a systematic review of the literature. Community Dent Health 2004 Mar; 21(Suppl 1):71–85.
  8. Crawford A, Lennon M. Dental attendance patterns among mothers and their children in an area of social deprivation. Community Dental Health 1992 Sep;9(3):289–294.
  9. Grytten J, Rossow I, et al. Longitudinal study of dental health behaviour and other caries predictors in early childhood. Community Dent Oral Epidemiol 1988 Dec;16(6):356–359. DOI: 10.1111/j.1600-0528.1988.tb00581.x.
  10. Okada M, Kawamura M, et al. Influence of oral health attitude of mothers on the gingival health of their school age children. ASDC J Dent Child 2001 Sep-Dec;68(5–6):379–383; 303.
  11. Dye BA, Vargas CM, et al. Assessing the relationship between children's oral health status and that of their mothers. J Am Dent Assoc 2011 Feb;142(2):173–183. DOI: 10.14219/jada.archive.2011.0061.
  12. Dini EL, Holt RD, et al. Caries and its association with infant feeding and oral health-related behaviours in 3-4-year-old Brazilian children. Community Dent Oral Epidemiol 2000 Aug;28(4):241–248. DOI: 10.1034/j.1600-0528.2000.280401.x.
  13. Chan SC, Tsai JS, et al. Feeding and oral hygiene habits of personal children in Hong Kong and their caregivers’ dental knowledge and attitudes. Int J Pediatr Dent 2002 Sep;12(5):322–331. DOI: 10.1046/j.1365-263X.2002.00389.x.
  14. American Dental Association. Proceedings of the Conference on the Clinical Testing of Cariostatic Agents, October 1968. Chicago, Ill: Council on Dental Research and Council on Dental Therapeutics, American Dental Association; 1972.
  15. Al-Malik M, Holt R, et al. The relationship between erosion, caries and rampant caries and dietary habits in preschool children in Saudi Arabia. Int J Pediatr Dent 2001 Nov;11(6):430–439. DOI: 10.1046/j.0960-7439.2001.00308.x.
  16. Sayegh A, Dini E, et al. Oral health, sociodemographic factors, dietary and oral hygiene practices in Jordanian children. J Dent 2005 May;33(5):379–388. DOI: 10.1016/j.jdent.2004.10.015.
  17. Vigild M, Skougaard M, et al. Dental caries and dental fluorosis among 4-,6-,12- and 15- year-old children in kindergartens and public schools in Kuwait. Community Dent Health 1996 Mar;13(1):47–50.
  18. Al-Mutawa S, Al-Duwairi Y, et al. The trend of dental caries experience of children in Kuwait. Dent News 2002;9(3):9–13.
  19. Ariga J, Al-Mutawa S, et al. School Oral Health Program in Kuwait. Med Princ Pract 2014;23(Suppl 1):43–46. DOI: 10.1159/000356504.
  20. Morris R, Gillespie G, et al. Early childhood caries in Kuwait review and policy recommendations. East Mediterr Health J 1999 Sep;5(5): 1014–1022.
  21. Murtomaa H, Al-Zaabi F, et al. Caries experience in a selected group of children in Kuwait. Acta Odontol Scand 1995 Dec;53(6):389–391. DOI: 10.3109/00016359509006006.
  22. Mannaa A, Carlén A, et al. Dental caries and associated factors in mothers and their preschool and school children—A cross-sectional study. J Dent Sci 2013 Jun;8(2):101–108. DOI: 10.1016/j.jds.2012. 12.009.
  23. Ersin N, Eronat N, et al. Association of maternal-child characteristics as a factor in early childhood caries and salivary bacterial counts. J Dent Child 2006 May-Aug;73(2):105–111.
  24. Smith R, Badner V, et al. Maternal risk indicators for childhood caries in an inner city population. Community Dent Oral Epidemiol 2002 Jun;30(3):176–181. DOI: 10.1034/j.1600-0528.2002.300303.x.
  25. Ringelberg M, Matonski G, et al. Dental caries experience in three generations of families. J Public Health Dent 1974;34(3):174–180. DOI: 10.1111/j.1752-7325.1974.tb04000.x.
  26. Weintraub J, Prakash P, et al. Mothers’ caries increases odds of children's caries. J Dent Res 2010 Sep;89(9):954–958. DOI: 10.1177/002 2034510372891.
  27. Okada M, Kawamura M, et al. Influence of parents’ oral health behaviour on oral health status of their school children. Int J Pediatr Dent 2002 Mar;12(2):101–108. DOI: 10.1046/j.1365-263X.2002. 00338.x.
  28. Sarnat H, Kagan A, et al. The relation between mothers attitude toward dentistry and the oral status of their children. Pediatr Dent 1984 Sep;6(3):128–131.
  29. Sasahara H, Kawamura M, et al. Relationship between mothers’ gingival condition and caries experience of their 3-year old children. Int J Pediatr Dent 1998 Dec;8(4):261–267. DOI: 10.1046/j.1365-263x.1998.00091.x.
  30. Hallett KB, O'Rourke PK. Social and behavioural determinants of early childhood caries. Aust Dent J 2003 Mar;48(1):27–33. DOI: 10.1111/j.1834-7819.2003.tb00005.x.
  31. Ibrahim S, Nishimura M, et al. A longitudinal study of early childhood caries risk, dental caries and lifestyle. Pediatr Dent J 2009 Sep;19(2):174–180. DOI: 10.1016/S0917-2394(09)70171-5.
  32. Rossow I, Kjaemes U, et al. Pattern of sugar consumption in early childhood. Community Dent Oral Epidemiol 1990 Feb;18(1):12–16. DOI: 10.1111/j.1600-0528.1990.tb00654.x.
  33. Bozorgmehr E, Hajizamani A, et al. Oral health behavior of parents as a predictor of oral health status of their children. ISRN Dent May 8;2013; 741783. DOI: 10.1155/2013/741783.
  34. Kinirons M, McCabe M. Familial And maternal factors affecting the dental health and dental attendance of preschool children. Community Dent Health 1995 Dec;12(4):226–229.
  35. Thomas J, Startup R. Social influences on the dental health behaviour of 5 year-old. Health Educ J 1990 Sep;50(3):111–114. DOI: 10.1177/001789699105000303.
  36. Rajab L, Peterson P, et al. Oral health behaviour of schoolchildren and parents in Jordan. Int J Pediatr Dent 2002 May;12(3):168–176. DOI: 10.1046/j.1365-263X.2002.00359.x.
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