International Journal of Clinical Pediatric Dentistry

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VOLUME 15 , ISSUE S2 ( Special Issue-2 (Cariology), 2022 ) > List of Articles

RESEARCH ARTICLE

Association of Anthropometric Measurements, Hemoglobin Level and Salivary Parameters among Caries-free and S-ECC Children

Urvashi Sudani, Medha Wadhwa, Neelam Joshi, Kinjal S Patel

Citation Information :

DOI: 10.5005/jp-journals-10005-2144

License: CC BY-NC 4.0

Published Online: 16-03-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Context: The implication of severe dental caries in children may have its effect on general health apart from affecting the orodental tissues. Many children reporting with severe caries have shown weighing less due to malnourishment resulting in anemia and modified somatic growth. Aims: Study aimed to assess and compare anthropometric measurements, hemoglobin level, and salivary parameters among caries-free and severe early childhood caries (E-CCC) children. Settings and design: For caries-free group [Group I] and S-ECC group [Group II] data were obtained from age-matched children with similar socioeconomic status. Materials and methods: Children with severe caries and without caries from the age-group 36 years participated in the study. Children were measured for height, weight, measurement of mid-upper arm circumference, and waist circumference. Hemoglobin level was recorded. The collected unstimulated saliva was assessed for flow rate, salivary pH, and its buffering capacity. Statistical analysis used: Both descriptive and inferential statistical analyses were carried out using Windows software and SPSS (21). Tests of significance namely t-test and Chi-square test were used along with regression analysis. Results: Caries experience showed no statistical difference for age and gender among the sample population. Significant difference was found for all anthropometric measurements. When comparison for hemoglobin was done for both groups I and II, significant difference was observed [p = 0.003]. Conclusion: Children with severe dental caries in the present study had low hemoglobin which, if persisted, can lead to anemia. Though the anthropometric parameters may appear normal in children diagnosed with severe early childhood caries, pediatric dentist should ensure the hemoglobin level test, as iron deficiency can affect growth and development of the child, if left undiagnosed.


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  1. Bagherian A, Asadikaram G. Comparison of some salivary characteristics between children with and without early childhood caries Indian J. Dent. Res 2012;23(5):628–632. DOI: 10.4103/0970-9290.107380
  2. Policy on Early Childhood Caries (ECC): Classifications, Consequences, and Preventive Strategies. Pediatr Dent. 2016 Oct;38(6):52-54. PMID: 27931420. https://pubmed.ncbi.nlm.nih.gov/27931420/
  3. Sheller B, Shervin S, Davidson BW. Body mass index of children with severe early childhood caries Pediatr Dent 2009; 3(3):216–221. https://pubmed.ncbi.nlm.nih.gov/19552226/
  4. Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion. (2019). BMI Percentile Calculator for Child and Teen. U.S. Department of Health & Human Services. [online] Available from https://www.cdc.gov/healthyweight/bmi/calculator.html. [Last accessed November, 2021]
  5. Saleem SM. Modified Kuppuswamy scale updated for year 2018. Indian J Res 2018;7(3):6–7. https://www.researchgate.net/publication/323846030_MODIFIED_KUPPUSWAMY_SCALE_UPDATED_FOR_YEAR_2018
  6. Köksal E, Tekçiçek M, Yalçin SS, et al. Association between anthropometric measurements and dental caries in Turkish school children Cent Eur J Public Health 2011;19(3):147–151. DOI: 10.211/cejph.3648
  7. Mishu MP, Tsakos G, Heilmann A, et al. Dental caries and anthropometric measures in a sample of 5- to 9-year-old children in Dhaka, Bangladesh. Community Dent Oral Epidemiol 2018;46(5):449–456. DOI: 10.1111/cdoe.12412
  8. Schroth RJ, Levi J, Kliewer E, et al. Association between iron status, iron deficiency anaemia, and severe early childhood caries: a case-control study BMC Pediatr 2013; 13: 22.DOI: 10.1186/1471-2431-13-22
  9. Wong MCM, Schwarz E, LoECM. Patterns of dental caries severity in Chinese kindergarten children. Community Dent Oral Epid 1997; 25:343–347.DOI: 10.1111/j.1600-0528.1997.tb00952.x
  10. Dawes C. Physiological factors affecting salivary flow rate, oral sugar clearance and the sensation of dry mouth in man. J Dent Res1987;66:648–653. DOI: 10.1177/00220345870660S107
  11. Tanner JM, Whitehouse RH, Takaishi M. Standards from birth to maturity for height, weight, height velocity, and weight velocity: British children. Arch Dis Child 1996;41:613–635. DOI: 10.1136/adc.41.220.613
  12. Early Detection and Referral of Children with Malnutrition. (2019). The Mother and Child Health and Education Trust A U.S. 501(c)(3) non profit organization. [online] Available from https://motherchildnutrition.org/early-malnutrition-detection/detection-referral-children-with-acute-malnutrition/interpretation-of-muac-indicators.html. [Last accessed November, 2021].
  13. Looker AC, Dallman PR, Carroll MD, et al. Prevalence of iron deficiency in the United States. JAMA 1997;277:973–976. DOI: 10.1001/jama.1997.03540360041028
  14. Kapur D, Agarwal KN, Sharma S. Detecting iron deficiency anemia among children (9-36 months of age) by implementing a screening program in an urban slum. Indian Pediatr 2002;39(7):671–676. https://pubmed.ncbi.nlm.nih.gov/12147896/
  15. Shaoul R, Gaitini L, Kharouba J, et al.The association of childhood iron deficiency anaemia with severe dental caries. Acta Paediatr 2012,101(2):e76–e79. DOI: 10.4103/2231-0762.97697
  16. Sinha N, Deshmukh PR, Garg. Epidemiological correlates of nutritional anemia among children (6–35 months) in rural Wardha, Central IndiaBS. Indian J Med Sci 2008;62:45–54. DOI: 10.4103/0019-5359.39366
  17. Fretham SJ, Carlson ES, Georgieff MK. The role of iron in learning and memory. Adv Nutr 2011;2:112–121. DOI: 10.3945/an.110.000190
  18. Kavanagh DA, O’Mullane DM, Smeeton N. Variation of salivary flow rate in adolescents. Arch Oral Biol 1998;43:347–352. DOI: 10.1016/s0003-9969(98)00020-x
  19. Prabhakar AR,Dodawad R, Raju OS. Evaluation of flow rate, pH, buffering capacity, calcium, total proteins and total antioxidant capacity levels of saliva in caries free and caries active children: An in vivo study. Int J Clin Pediatr Dent 2009;2:9–12. DOI: https://doi.org/10.5005/jp-journals-10005-1034
  20. Nasiru WO, Taiwo JO, Ibiyemi O. Salivary flow rate, buffering capacity and dental caries among 6-12 year old schoolchildren, age and gender in Nigeria: a comparative study IOSR J Dent Med Sci 2019;18(1):72–79. DOI: 10.9790/0853-1801017279
  21. Edgar WM, Highman SM, Manning RH. Saliva stimulation and caries prevention Adv Dent Res 1994;8(2):239–245. DOI: 10.1177/08959374940080021701
  22. Lenander-Lumikari M, Loimaranta V. Saliva and Dental Caries. Adv Dent Res2000; 14: 40–47. DOI:10.1177/08959374000140010601
  23. Diaz de Guillory C, Schoolfield JD, Johnson D, et al. Co-relationships between glandular salivary flow rates and dental caries. Gerodontology 2014;31(3):210–219. DOI: 10.1111/ger.12028
  24. Kaur A, Kwatra K S, Kamboj P. Evaluation of non microbial salivary caries activity parameters and salivary biochemical indicators in predicting dental caries. J Indian Soc Pedod Prev Dent 2013;30(3):212–217. DOI: 10.4103/0970-4388.105013
  25. Sakeenabi B, Hiremath SS. Dental Caries experience and salivary streptococcus mutans, lactobacilli scores, salivary flow rate and salivary buffer capacity among 6 years old Indian school childrenJ Clin Exp Dent 2011;3(5):e412–e417. DOI: https://doi.org/10.4103/2231-0762.97697
  26. Birkhed D, Heintze U. Salivary secretion rate, buffer capacity and pH. In: Tenouvo J (Ed). Human Saliva: Clinical Chemistry and Microbiology, Volume 1. Boca Raton, FL: CRC Press; 1989. pp. 25–73. https://www.taylorfrancis.com/chapters/edit/10.1201/9781003210399-2/salivary-secretion-rate-buffer-capacity-ph-dowen-birkhed-ulf-heintze
  27. Russell JI, MacFarlane TW, Aitchison TC, et al. Caries prevalence and microbiological and salivary caries activity tests in Scottish adolescents. Community Dent Oral Epidemiol 1990;18:120–125. DOI: 10.1111/j.1600-0528.1990.tb00035.x
  28. Cunha-Cruz J, Scott J, Rothen M, et al. Northwest practice-based research collaborative in evidence-based dentistry. Salivary characteristics and dental caries: evidence from general dental practices J Am Dent Assoc 2013;144(5):e31–e40. DOI: 10.14219/jada.archive.2013.0159
  29. Zhou Q, Bai J, Qin M. Relationship between cariogenic microbe, salivary buffer capacity and early childhood caries. Chinese J Stomatol 2007;42:581–584. https://pubmed.ncbi.nlm.nih.gov/18215361/
  30. Swerdlove CK. Relation between the incidence of dental caries and the pH of normal resting saliva. J Dent Res 1942;21:73–81. DOI: 10.1177/00220345420210011101
  31. Malekipour MR, Messripour M, Shirani F. Buffering capacityof saliva in patients with active dental caries. Asian J Biochem 2008;3:280–283. DOI: 10.3923/ajb.2008.280.283
  32. Lamberts BL, Pederson ED, Shklair IL. Salivary pH-rise activities in caries-free and caries-active naval recruits. Arch Oral Biol 1983;28(7):605–608. DOI: 10.1016/0003-9969(83)90008-0
  33. Sullivan A. Correlation between caries incidence and secretion rate/buffer capacity of stimulated whole saliva in 5-7-year-old children matched for lactobacillus count and gingival state. Sweden Dent J 1990;14(3):131–135. https://pubmed.ncbi.nlm.nih.gov/2255991/
  34. Tukia-kulmala H, Tenovuo J. Intra- and inter-individual variation in salivary flow rate, buffer effect, Lactobacilli, and mutans streptococci among 11 to 12-year old schoolchildren. Acta Odontol Scand1993;51(1):31–37. DOI: 10.3109/00016359309041145
  35. Tulunoglu O, Demirtas S, Tulunoglu I. Total antioxidant levels of saliva in children related to caries, age and gender. Int J Paediatr Dent2006;16(3):186–191. DOI: 10.1111/j.1365-263X.2006.00733.x
  36. Pandey P, Reddy NV, Rao VA, et al. Estimation of salivary flow rate, pH, buffer capacity, calcium, total protein content and total antioxidant capacity in relation to dental caries severity, age and gender. Contemp Clin Dent 2015;6(Suppl 1):S65–S71. DOI:10.4103/0976-237X.152943vvvv
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