International Journal of Clinical Pediatric Dentistry

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VOLUME 17 , ISSUE 8 ( August, 2024 ) > List of Articles

ORIGINAL RESEARCH

The Oral Health Status and Anthropometric Measurements of Children at Early Childhood Development Centers in an Informal Settlement in Pretoria, South Africa

Ahmed Bhayat, Thomas K Madiba, Marion Beeforth, Ntombizodwa R Nkambule

Keywords : Body mass index, Dental caries

Citation Information : Bhayat A, Madiba TK, Beeforth M, Nkambule NR. The Oral Health Status and Anthropometric Measurements of Children at Early Childhood Development Centers in an Informal Settlement in Pretoria, South Africa. Int J Clin Pediatr Dent 2024; 17 (8):903-906.

DOI: 10.5005/jp-journals-10005-2868

License: CC BY-NC 4.0

Published Online: 23-09-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Objectives: Early childhood caries (ECC) continue to increase, especially among low socioeconomic communities. This study was conducted in an informal settlement comprising mostly foreigners who have settled in the area. Given the limited dental and medical services available to these communities, this study aimed to determine the dental and medical disease profile of these inhabitants. The objective was to determine the oral health status and the body mass index (BMI) of children attending crèches in an informal settlement. Materials and methods: Oral health data, including dental caries (DC), soft tissue lesions, fluorosis, erosion, and trauma, were recorded using the World Health Organization (WHO) recommended methods. The examiners were calibrated, and all examinations took place at the crèches under natural sunlight. The BMI was calculated by a team of dieticians who were blinded to the oral health status. The height and weight were measured by calibrated examiners under standardized conditions. Results: There were a total of 169 participants; the mean age was 4.02 years (±1.13; 1–7) and there was an equal distribution of males and females (49.7% females and 49.3% males). The prevalence of DC was 39.1%, with 19% having 4 or more carious teeth. The mean decayed, missing, and filled teeth (dmft) and plaque scores [Simplified Oral Hygiene Index (OHI-S)] were 1.58 (±2.70) and 0.65 (±0.43), respectively, and the mean dmft score increased with increasing age. The mean d component contributed 99% of the total mean dmft score (1.56). The mean BMI was 15.44, and this decreased significantly (p = 0.009) while the OHI increased significantly (p < 0.001) as the number of carious teeth increased. Conclusion: The prevalence of caries was relatively high, and those with caries had multiple decayed teeth. The d component contributed almost 100% to the mean score, indicating a lack of access to dental care. The mean BMI score was inversely proportional to the number of carious teeth, which could imply that those with caries had difficulty eating.


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  1. Hayden C, Bowler JO, Chambers S, et al. Obesity and dental caries in children: a systematic review and meta-analysis. Community Dent Oral Epidemiol 2013;41(4):289–308. DOI: 10.1111/cdoe.12014
  2. Nkambule NR, Madiba TK, Bhayat A. Dental caries, body mass index, and diet among learners at selected primary schools in Pretoria, Gauteng Province, South Africa. J Contemp Dent Pract 2019;20(11):1241–1248.
  3. Abed R, Bernabe E, Sabbah W. Family impacts of severe dental caries among children in the United Kingdom. Int J Environ Res Public Health 2019;17(1):109. DOI: 10.3390/ijerph17010109
  4. Anil S, Anand PS. Early childhood caries: prevalence, risk factors, and prevention. Front Pediatr 2017;18(5):157. DOI: 10.3389/fped.2017.00157
  5. Çolak H, Dülgergil ÇT, Dalli M, et al. Early childhood caries update: a review of causes, diagnoses, and treatments. J Natural Sci Biol Med 2013;4(1):29–38. DOI: 10.4103/0976-9668.107257
  6. Warren J, Blanchette D, Dawson D, et al. Factors associated with dental caries in a group of American Indian children at age 36 months. Community Dent Oral Epidemiol 2016;44(2):154–161. DOI: 10.1111/cdoe.12200
  7. Ndekero TS, Carneiro LC, Masumo RM. Prevalence of early childhood caries, risk factors and nutritional status among 3-5-year-old preschool children in Kisarawe, Tanzania. PLoS one 2021;16(2):e0247240. DOI: 10.1371/journal.pone.0247240
  8. Govender L, Pillay K, Siwela M, et al. Assessment of the nutritional status of four selected rural communities in KwaZulu-Natal, South Africa. Nutrients 2021;13(9):2920. DOI: 10.3390/nu13092920
  9. Mamabolo R, Alberts M, Steyn N, et al. Prevalence and determinants of stunting and overweight in 3-year-old black South African children residing in the Central Region of Limpopo Province, South Africa. Public Health Nutrition 2005;8(5):501–508. DOI: 10.1079/PHN2005786
  10. Modjadji P, Mashishi J. Persistent malnutrition and associated factors among children under five years attending primary healthcare facilities in Limpopo Province, South Africa. Int J Environ Res Public Health 2020;17(20):7580. DOI: 10.3390/ijerph17207580
  11. http://www.raosoft.com/samplesize.html (Accessed July 2021)
  12. World Health Organization. Oral health surveys: basic methods:. World Health Organization; 2013.
  13. Monse B, Heinrich-Weltzien R, Benzian H, et al. PUFA–an index of clinical consequences of untreated dental caries. Community Dent Oral Epidemiol 2010;38(1):77–82. DOI: 10.1111/j.1600-0528.2009.00514.x
  14. Bartlett D, Ganss C, Lussi A. Basic erosive wear examination (BEWE): a new scoring system for scientific and clinical needs. Clin Oral Investig 2008:12(Suppl 1):S65–S68. DOI: 10.1007/s00784-007-0181-5
  15. Rozier RG. Epidemiologic indices for measuring the clinical manifestations of dental fluorosis: overview and critique. Adv Dent Res 1994;8(1):39–55. DOI: 10.1177/08959374940080010901
  16. Kramer IR, Pindborg JJ, Bezroukov V, et al. Guide to epidemiology and diagnosis of oral mucosal diseases and conditions: World Health Organization. Community Dent Oral Epidemiol 1980;8(1):1–26. DOI: 10.1111/j.1600-0528.1980.tb01249.x
  17. Greene JC. The oral hygiene index-development and uses. J Periodontol 1967;38(6):625–637.
  18. WHO Anthro. 2005, Beta version Feb 17th, 2006: Software for assessing growth and development of the world's children. Geneva: WHO, 2006 (http://www.who.int/childgrowth/software/en/)
  19. Cashin K, Oot L. Guide to Anthropometry: A Practical Tool for Program Planners, Managers, and Implementers. Washington, DC. 2018.
  20. van Wyk PJ, van Wyk C. Oral health in South Africa. Int Dent J 2004;54(6 suppl 1):373–377. DOI: 10.1111/j.1875-595x.2004.tb00014.x
  21. Mothupi KA, Nqcobo CB, Yengopal V. Prevalence of early childhood caries among preschool children in Johannesburg, South Africa. J Dent Child (Chic) 2016;83(2):83–87.
  22. Thekiso M, Yengopal V, Rudolph MJ, et al. Caries status among children in the West Rand District of Gauteng Province, South Africa. SADJ 2012;67(7):318–320.
  23. Sukumaran N, Sharma V, Bhat PK. Dental caries, body mass index, and socioeconomic status among preschoolers in private preschools and Anganwadi centers in Bengaluru City: a comparative study. Int J Clin Pediatr Dent 2020;13(6):630–634. DOI: 10.5005/jp-journals-10005-1848
  24. Gerdin EW, Angbratt M, Aronsson K, et al. Dental caries and body mass index by socio-economic status in Swedish children. Community Dent Oral Epidemiol 2008;36(5):459–465. DOI: 10.1111/j.1600-0528.2007.00421.x
  25. Alshehri YFA, Park JS, Kruger E, et al. Association between body mass index and dental caries in the Kingdom of Saudi Arabia: systematic review. Saudi Dent J 2020;32(4):171–180. DOI: 10.1016/j.sdentj.2019.11.002
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