International Journal of Clinical Pediatric Dentistry

Register      Login

VOLUME 16 , ISSUE S3 ( November, 2023 ) > List of Articles

ORIGINAL RESEARCH

Association between Serum Iron, Serum Ferritin Levels, and Severe Early Childhood Caries: A Case–Control Study

Yoshita Atri

Keywords : Serum ferritin, Serum iron, Severe early childhood caries

Citation Information :

DOI: 10.5005/jp-journals-10005-2704

License: CC BY-NC 4.0

Published Online: 11-01-2024

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Aim: The presence of extensive dental caries leads to pain, inflammation, and discomfort and hence interferes with their nutritional intake, which includes iron deficiency anemia. This study was undertaken to determine whether any correlation exists between severe early childhood caries (S-ECC), serum iron, and serum ferritin levels in children. Materials and methods: A total of 688 children were examined in the age-group of 2–6 years, and 82 children who fulfilled the selection criteria were equally divided into group I, that is, case group (carious group n = 41) and group II, that is, control group (caries-free group n = 41), on the basis of decayed, missing, and filled primary teeth (dmft) scores. All the selected children in both groups underwent blood investigations through phlebotomy for assessment of serum iron and serum ferritin levels. Results: The mean values of variables, that is, hemoglobin (Hb), serum iron, serum ferritin, total iron-binding capacity (TIBC), and unsaturated iron-binding capacity (UIBC), are lower in the case group when compared to control group. The differences observed were statistically significant in case of dmft and UIBC values at p < 0.05 but not significant in cases of other variables like Hb, serum iron, serum ferritin, and TIBC values. Conclusion: An inverse relationship was found between S-ECC, serum iron, and serum ferritin levels, but the evidence is still inconclusive.


HTML PDF Share
  1. Al-Shalan T, Al-Askar A. In vitro effect of different concentrations of iron on the initiation of dental caries: pilot study. Saudi Dent J 2006;18(2):86–90.
  2. Bruerd B, Jones C. Preventing baby bottle tooth decay: eight-year results. Public Health Rep 1996;111(1):63–65.
  3. Ripa LW. Nursing caries: a comprehensive review. Pediatr Dent 1988;10(4):268–282.
  4. Schwartz SS, Rosivack RG, Michelotti P. A child's sleeping habit as a cause of nursing caries. ASDC J Dent Child 1993;60(1):22–25.
  5. Kaste LM, Gift HC. Inappropriate infant bottle feeding. Status of the healthy people 2000 objective. Arch Pediatr Adolesc Med 1995;149(7):786–791. DOI: 10.1001/archpedi.1995.02170200076012
  6. Veerkamp JS, Weerheijm KL. Nursing-bottle caries: the importance of a development perspective. ASDC J Dent Child 1995;62(6):381–386.
  7. Kreulen CM, de Soet HJ, Hogeveen R, et al. Streptococcus mutans in children using nursing bottles. ASDC J Dent Child 1997;64(2):107–111.
  8. Weinstein P, Domoto P, Wohlers K, et al. Mexican-American parents with children at risk for baby bottle tooth decay: pilot study at a migrant farmworkers clinic. ASDC J Dent Child 1992;59(5):376–383.
  9. Ayhan H, Suskan E, Yildirim S. The effect of nursing or rampant caries on height, body weight and head circumference. J Clin Pediatr Dent 1996;20(3):209–212.
  10. Holt RD, Joels D, Winter GB. Caries in pre-school children. The Camden study. Br Dent J 1982;153(3):107–109. DOI: 10.1038/sj.bdj.4804862
  11. Harding M. A third study of caries in preschool aged children in Camden. Br Dent J 1988;165(6):202. DOI: 10.1038/sj.bdj.4806569
  12. Winter GB, Hamilton MC, James PM. Role of the comforter as an aetiological factor in rampant caries of the deciduous dentition. Arch Dis Child 1966;41(216):207–212. DOI: 10.1136/adc.41.216.207
  13. Goose DH. Infant feeding and caries of the incisors: an epidemiological approach. Caries Res 1967;1(2):167–173. DOI: 10.1159/000259512
  14. Babeely K, Kaste LM, Husain J. Severity of nursing-bottle syndrome and feeding patterns in Kuwait. Commun Dent Oral Epidemiol 1989;17(5):237–239. DOI: 10.1111/j.1600-0528.1989.tb00624.x
  15. Clarke M, Locker D, Berall G, et al. Malnourishment in a population of young children with severe early childhood caries. Pediatr Dent 2006;28(3):254–259.
  16. Sheiham A. Dental caries affects body weight, growth and quality of life in pre-school children. Br Dent J 2006;201(10):625–626. DOI: 10.1038/sj.bdj.4814259
  17. Kranz S, Smiciklas-Wright H, Siega-Riz AM, et al. Adverse effect of high added sugar consumption on dietary intake in American preschoolers. J Pediatr 2005;146(1):105–111. DOI: 10.1016/j.jpeds.2004.08.077
  18. Sadeghi M, Darakhshan R, Bagherian A. Is there an association between early childhood caries and serum iron and serum ferritin levels? Dent Res J (Isfahan) 2012;9(3):294–298.
  19. Killip S, Bennett JM, Chambers MD. Iron deficiency anemia. Am Fam Physician 2007;75(5):671–678.
  20. Siberry GK, Iannone R. The Harriet Lane Handbook, 15th edition. St Louis, Missouri: Mosby Inc; 2000. p. 329.
  21. Iranna Koppal P, Sakri MR, Akkareddy B, et al. Iron deficiency in young children: a risk marker for early childhood caries. Int J Clin Pediatr Dent 2013;6(1):1–6. DOI: 10.5005/jp-journals-10005-1176
  22. Gruebbel AO. A measurement of dental caries prevalence and treatment service for deciduous teeth. J Dent Res 1994;23:163–168. DOI: 10.1177/00220345440230030201
  23. Vadiakas G. Case definition, aetiology and risk assessment of early childhood caries (ECC): a revisited review. Eur Arch Paediatr Dent 2008;9(3):114–125. DOI: 10.1007/BF03262622
  24. Migita DS, Christakis DA, Saint S. Saint-Frances Guide to Pediatrics, 1st edition. Philadelphia: Lippincott, Williams and Wilkins; 2003. pp. 536–546.
  25. Manios Y, Moschonis G, Kolotourou M, et al. Iron deficiency prevalence and dietary patterns by school district in Istanbul. J Hum Nutr Diet 2007;20(6):549–557. DOI: 10.1111/j.1365-277X.2007.00825.x
  26. Grant CC, Wall CR, Brewster D, et al. Policy statement on iron deficiency in pre-school-aged children. J Paediatr Child Health 2007;43:513–521. DOI: 10.1111/j.1440-1754.2007.01128.x
  27. Mohebbi SZ, Virtanen JI, Vahid-Golpayegani M, et al. Feeding habits as determinants of early childhood caries in a population where prolonged breastfeeding is the norm. Commun Dent Oral Epidemiol 2008;36(4):363–369. DOI: 10.1111/j.1600-0528.2007.00408.x
  28. Bowen WH. Response to Seow: biological mechanisms of early childhood caries. Commun Dent Oral Epidemiol 1998;26(1 Suppl):28–31. DOI: 10.1111/j.1600-0528.1998.tb02091.x
  29. 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
  30. Bansal K, Goyal M, Dhingra R. Association of severe early childhood caries with iron deficiency anemia. J Indian Soc Pedod Prev Dent 2016;34(1):36–42. DOI: 10.4103/0970-4388.175508
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.