Research Article
Volume 10 Issue 6 - 2021
Severe Early Childhood Caries (S-ECC) and General Health Status (GHS) in One to Two Year-Old Children Related to Bottle-Feeding, in Urban Indian Population- A Cross-Sectional Study
Priyanka R Acharya1*, Ashwin M Jawdekar2 and Amar N Katre3
1Ex Post-graduate Student and Senior Lecturer, Department of Pediatric and Preventive Dentistry, YMT Dental College and Hospital, Navi Mumbai, India
2Professor and Head, Department of Pediatric and Preventive Dentistry, Bharati Vidyapeeth (Deemed-to-be University) Dental College and Hospital, Navi Mumbai, India
3Professor and Head, Department of Pediatric and Preventive Dentistry, YMT Dental College and Hospital, Navi Mumbai, India
*Corresponding Author: Priyanka R Acharya, Ex Post-graduate Student and Senior Lecturer, Department of Pediatric and Preventive Dentistry, YMT Dental College and Hospital, Navi Mumbai, India.
Received: February 20, 2021; Published: May 28, 2021




Abstract

Background: Dental caries in children is a public health concern affecting more than 50% of children by 5 years of age in India with a high level of untreated disease. Improper feeding practice is a common risk factor for not only S-ECC but also poor general health; furthermore, S-ECC can be considered an earliest marker of many non-communicable diseases of adulthood. Few studies in Indian literature have assessed association of bottle-feeding with oral and general health, in the age-group of one-two years.

Aim: To assess S-ECC and General Health Status (GHS) in 1 - 2 year-old children in relation to feeding practices.

Objectives: To assess the prevalence of S-ECC and to evaluate the GHS w.r.t respiratory infections, gastrointestinal infections, constipation, developmental and nutritional parameters of children fed with or without bottle in the age group 1 - 2 years.

Methodology: 824 one to two year old children in General hospitals, well baby clinics and other private paediatric set ups were selected. The study tool recorded information such as the child's age, gender, feeding practice, mother’s age, education, socioeconomic status, dmft, anaemia, respiratory infections, GI infections, constipation, developmental milestones and BMI (height and weight) of the child, etc.

Results: Out of the total population, 9.64% exhibited S-ECC. The odds of having S-ECC (OR = 0.15; p < 0.0001), gastrointestinal infections (OR = 0.59; p = 0.0128) were lesser in Non Bottlefed children as compared to bottle-fed and statistically significant. Bedtime bottle feeding amplified the risk of S-ECC in a regression analysis (OR = 2.38; p = 0.0329). Bottle-fed children had a higher risk of having multiple conditions (dental and GHS) together such as, caries with anaemia, caries with GI infections, caries with respiratory infections and caries with delayed milestones; the odds being statistically significant. Also, Children having caries had higher risk of developing anaemia, GI infections and constipation; the odds being statistically significant. Exclusive breast feeding had protective benefits against all conditions.

Conclusion: Bottle-fed children exhibited higher S-ECC and poor GHS w.r.t. gastrointestinal infections. Bottle-fed children also exhibited higher multiple conditions like GI infections, Respiratory infections and delayed milestones in combination with S-ECC.

Keywords: Severe Early Childhood Caries (S-ECC); General Health Status (GHS); Bottle-Feeding

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Citation: Priyanka R Acharya., et al. “Severe Early Childhood Caries (S-ECC) and General Health Status (GHS) in One to Two Year-Old Children Related to Bottle-Feeding, in Urban Indian Population- A Cross-Sectional Study”. EC Paediatrics 10.6 (2021): 52-66.

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