A Cross-Sectional Study on the Oral Health of the Infants and Toddlers at the National Guard, Jeddah, Saudi Arabia

Ba-Akdah Raniah A, Nooh Ayman, Alsairafi Mawadda A, E. Maha, Baharoon Maysa, Alshaaby Nouf, A. Huda, Hawsawy Enas I, Balkhair Ola, Alghamdi Mohamed, Alhagan Nasser
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Abstract

Background: The high prevalence of dental caries among preschool children had been reported in literature. However, studies on dental caries and related problems among infants and toddlers in Saudi Arabia are lacking. Aim: This study assessed the oral health status of the infants and toddlers in the Iskan Primary Health Care (PHC) Center for the National Guard in Jeddah, Saudi Arabia. Settings and Design: The assessment included 151 children between the ages of 5 to 36 months during 2015 to 2016. Materials and Methods: The caregivers were provided with a structured questionnaire. Oral examinations on the children were based on the WHO’s assessment form and criteria. Statistical Analysis: Frequency, mean, standard deviation, and regression analysis were used for the risk assessment of the caries. Results: Dental caries was reported in 9% of the children in the Center, and 95.5% of them were categorized as severe early childhood caries (S-ECC). More than half of the children were bottle-fed. About 70% of the caregivers never cleaned their children’s mouth. The caries among the children was highly associated with bottle-feeding during their sleep. Conclusions: Nocturnal bottle-feeding, failure to clean the children’s mouths, and the use of cleaning materials other than toothpaste were identified as the risk factors that promoted the development of caries among the children. With these findings, we recommend that the mothers and the medical professionals should be trained on necessary oral health practices. Early preventive dental health services within the National Guard health services should be initiated.
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沙特阿拉伯吉达国民警卫队婴幼儿口腔健康的横断面研究
背景:已有文献报道学龄前儿童龋齿的高发。然而,沙特阿拉伯缺乏对婴幼儿龋齿及相关问题的研究。目的:本研究评估了沙特阿拉伯吉达国民警卫队伊斯坎初级保健(PHC)中心婴幼儿的口腔健康状况。环境与设计:该评估包括2015年至2016年期间151名5至36个月大的儿童。材料与方法:对护理人员进行结构化问卷调查。对儿童的口试是根据世界卫生组织的评估表格和标准进行的。统计分析:采用频率分析、平均值分析、标准差分析和回归分析进行龋病风险评估。结果:中心儿童龋齿发生率为9%,其中重度早期龋齿(S-ECC)占95.5%。一半以上的孩子是用奶瓶喂养的。大约70%的看护人从不给孩子清洁口腔。孩子们的龋齿与他们睡觉时用奶瓶喂奶高度相关。结论:夜间喂奶、不清洁口腔、使用牙膏以外的清洁材料是促进儿童龋齿发生的危险因素。根据这些发现,我们建议对母亲和医疗专业人员进行必要的口腔卫生培训。应在国民警卫队保健服务部门内开展早期预防性牙科保健服务。
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