Citation Information :
Fatani B, Fatani OA, Kalantan R. Evaluation of Parents’ Awareness about the Effect of Prolonged Exposure to Milk or Sugary Liquids during Bedtime in the Development of Rampant Caries in Preschoolchildren and Infants. Int J Clin Pediatr Dent 2022; 15 (2):227-232.
Background: Nursing caries (NC) is a specific type of dental rampant caries with an infectious and transmissible potential that usually affect preschool children or infants that are still in the nursing phase. Prolonged exposure to milk or sugary liquids or other cariogenic substance during bedtime has shown to be the most common cause of rampant caries in preschoolchildren and infants which contributes to lowering of both functional and cosmetic appearance.
Aim and objective: This study aims to evaluate parents’ awareness about the effect of prolonged exposure to milk or sugary liquids during bedtime in the development of rampant caries (NC) in preschool children and infants in Riyadh, Saudi Arabia.
Materials and methods: The research design is an observational quantitative cross-sectional with a sample size of 303 participants. The targeted subjects were Saudi parents’ males and females, older than 20 and living in Riyadh, Saudi Arabia, and those under 20 years old, non-Saudi without children, and not living in Riyadh were excluded.
Results: A sample of 303 parents was analyzed. Comparison between NC knowledge and gender showed that a higher percentage of mothers (71.0%) knew that bottle-feeding during bedtime can increase the incidence of caries compared to the fathers (51.9%), p value 0.003. The relation between NC awareness and previously heard about NC showed that those who heard about NC before knew more about bottle feeding during bedtime can cause NC, p value < 0.001. Most of the parents (88.7%) who previously heard about NC also knew that oral hygiene follow-up is important in preschool children, p value < 0.001. A significant difference in knowledge existed between those who heard about NC and those who are not in terms of the proper time to follow-up with a child's oral hygiene (p value < 0.001), and the proper time to visit a dentist (p value 0.012).
Conclusion: Our study showed that the parents are significantly aware of the incidence of NC during childhood (90.4%). In addition to the significant awareness among the parents who have previously heard about NC. However, (61.7%) of the parents acknowledged the most common leading cause of early childhood caries.
Avila WM, Pordeus IA, Paiva SM, et al. Breast and bottle feeding as risk factors for dental caries: a systematic review and meta-analysis. PLoS ONE 2015;10(11):e0142922. DOI: 10.1371/journal.pone.0142922.
Curzon ME, Preston AJ. Risk groups: nursing bottle caries/caries in the elderly. Caries Res 2004;38 Suppl 1:24–33. DOI: 10.1159/000074359
Milnes AR. Description and epidemiology of nursing caries. J Public Health Dent 1996;56(1):38–50. DOI: 10.1111/j.1752–7325.1996.tb02394.x.
Johnston T, Messer LB. Nursing caries: literature review and report of a case managed under local anaesthesia. Aust Dent J 1994;39(6):373– 381. DOI: 10.1111/j.1834–7819.1994.tb03110.x.
Colombo S, Gallus S, Beretta M, et al. Prevalence and determinants of early childhood caries in Italy. Eur J Paediatr Dent 2019;20(4):267–273. DOI: 10.23804/ejpd.2019.20.04.02.
Kraljevic I, Filippi C, Filippi A. Risk indicators of early childhood caries (ECC) in children with high treatment needs. Swiss Dent J 2017;127(5):398–410. English, German.
Kelly M, Bruerd B. The prevalence of baby bottle tooth decay among two native American populations. J Public Health Dent 1987;47(2):94– 97. DOI: 10.1111/j.1752-7325.1987.tb01983.x
Meyer F, Enax J. Early childhood caries: epidemiology, aetiology, and prevention. Int J Dent 2018;2018:1415873. DOI: 10.1155/2018/1415873.
Berkowitz R. Etiology of nursing caries: a microbiologic perspective. J Public Health Dent 1996;56(1):51–54. DOI: 10.1111/j.1752–7325.1996.tb02395.x.
Berkowitz RJ, Turner J, Hughes C. Microbial characteristics of the human dental caries associated with prolonged bottle-feeding. Arch Oral Biol 1984;29(11):949–951. DOI: 10.1016/0003-9969(84) 90097-9
Barnes GP, Parker WA, Lyon TC, et al. Ethnicity, location, age, and fluoridation factors in baby bottle tooth decay and caries prevalence of Head Start children. Public Health Rep 1992;107(2):167–173.
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.
Marino RV, Bomze K, Scholl TO, et al. Nursing bottle caries: characteristics of children at risk. Clin Pediatr (Phila) 1989;28(3):129– 131. DOI: 10.1177/000992288902800305.
Freeman R, Stevens A. Nursing caries and buying time: an emerging theory of prolonged bottle feeding. Community Dent Oral Epidemiol 2008;36(5):425–433. DOI: 10.1111/j.1600–0528.2008.00425.x.
Yonezu T, Ushida N, Yakushiji M. Longitudinal study of prolonged breast- or bottle-feeding on dental caries in Japanese children. Bull Tokyo Dent Coll 2006;47(4):157–160. DOI: 10.2209/tdcpublication.47.157.
Von Burg MM, Sanders BJ, Weddell JA. Baby bottle tooth decay: a concern for all mothers. Pediatr Nurs 1995;21(6):515–519. quiz 520–1.
Ehlers V, Callaway A, Azrak B, et al. Survey of midwives’ knowledge of caries prevention in perinatal care. MCN Am J Matern Child Nurs 2014;39(4):253–259. DOI: 10.1097/NMC.0000000000000045.
ElKarmi R, Aljafari A, Eldali H, et al. Do expectant mothers know how early childhood caries can be prevented? A cross-sectional study. Eur Arch Paediatr Dent 2019;20(6):595–601. DOI: 10.1007/s40368-019- 00442-8.
Al-Sane M, Koerber A, Montero M, et al. Sociodemographic and behavioural determinants of early childhood caries knowledge among expectant mothers in Kuwait. Eur Arch Paediatr Dent 2020;22(3):449–458. DOI: 10.1007/s40368-020-00579-x.
Brecher EA, Lewis CW. Infant oral healthPediatr Clin North Am. 2018;65(5):909–921. DOI: 10.1016/j.pcl.2018.05.016.
Suprabha BS, D'Souza V, Shenoy R, et al. Early childhood caries and parents’ challenges in implementing oral hygiene practices: a qualitative study. Int J Paediatr Dent 2021;31(1):106–114. DOI: 10.1111/ipd.12696.
Özen B, Van Strijp AJ, Özer L, et al. Evaluation of possible associated factors for early childhood caries and severe early childhood caries: a multicenter cross-sectional survey. J Clin Pediatr Dent 2016;40(2):118– 123. DOI: 10.17796/1053-4628-40.2.118.
Rajan P, Krishnan R, Kumar S, et al. Knowledge and attitude about early childhood caries among pregnant mothers from low socioeconomic status: a questionnaire study. J Pharm Bioallied Sci 2017;9(Suppl 1):S85–S87. DOI: 10.4103/jpbs.JPBS_76_17.