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Prevalence of Early Childhood Caries in India – A Systematic Review

  • Akila Ganesh
  • M. S. Muthu
  • Anusha Mohan
  • Richard Kirubakaran
Review Article
  • 54 Downloads

Abstract

Early Childhood Caries (ECC) is a serious public health problem in developed as well as developing nations, with high prevalence among children around the world. This systematic review of the national literature was undertaken to document the prevalence of Early Childhood Caries. Studies evaluating the prevalence of Early Childhood Caries (ECC) in the Indian population were investigated. The method under evaluation was the use of a caries experience index to calculate the prevalence of ECC. An extensive literature search was done in the following databases: PubMed, IndMED and Cochrane upto June 2016. A modified version of the Newcastle-Ottawa Scale for cross-sectional studies was used for assessment of the quality of the studies. A systematic literature search yielded 503 publications from the various databases searched. Based on the inclusion and exclusion criteria, the final number of included studies were 54. Among the included studies, 19 studies were carried out in the state of Karnataka. Analysis of all the included studies revealed the overall prevalence of ECC in India to be 49.6%. Andhra Pradesh was found to have the highest prevalence of ECC at 63%, and the lowest prevalence was reported in Sikkim (41.92%). This review has reported a high prevalence of ECC in India. None of the states reported prevalence below 40%. The government should identify ECC as a national priority which requires significant attention.

Keywords

Caries Childhood India Prevalence Review 

Notes

Authors’ Contributions

AG, MSM and AM: Concepts, preliminary search, piloting of the study selection process, formal screening of the search results against eligibility criteria, data extraction, risk of bias (quality assessment), manuscript preparation, editing and review; RK: Concepts, risk of bias (quality assessment), manuscript preparation and review. MSM will act as guarantor for this paper.

Compliance with Ethical Standards

Conflict of Interest

None.

References

  1. 1.
    Simratvir M, Moghe GA, Thomas AM, Singh N, Chopra S. Evaluation of caries experience in 3-6-year-old children, and dental attitudes amongst the caregivers in the Ludhiana city. J Indian Soc Pedod Prev Dent. 2009;27:164–9.CrossRefGoogle Scholar
  2. 2.
    Kumarihamy SL, Subasinghe LD, Jayasekara P, Kularatna SM, Palipana PD. The prevalence of early childhood caries in 1-2 yrs olds in a semi-urban area of Sri Lanka. BMC Res Notes. 2011;4:336.CrossRefGoogle Scholar
  3. 3.
    Gaidhane AM, Patil M, Khatib N, Zodpey S, Zahiruddin QS. Prevalence and determinant of early childhood caries among the children attending the Anganwadis of Wardha district, India. Indian J Dent Res. 2013;24:199–205.CrossRefGoogle Scholar
  4. 4.
    Bhayade SS, Mittal R, Chandak S, Bhondey A. Assessment of social, demographic determinants and oral hygiene practices in relation to dental caries among the children attending Anganwadis of Hingna, Nagpur. J Indian Soc Pedod Prev Dent. 2016;34:124–7.CrossRefGoogle Scholar
  5. 5.
    Chawla HS, Gauba K, Goyal A. Trend of dental caries in children of Chandigarh over the last sixteen years. J Indian Soc Pedod Prev Dent. 2000;18:41–5.PubMedGoogle Scholar
  6. 6.
    Dash JK, Sahoo PK, Bhuyan SK, Sahoo SK. Prevalence of dental caries and treatment needs among children of Cuttack (Orissa). J Indian Soc Pedod Prev Dent. 2002;20:139–43.PubMedGoogle Scholar
  7. 7.
    Dixit S, Chaudhary M, Singh A. Molluscum contagiosum and dental caries: a pertinent combination. J Indian Soc Pedod Prev Dent. 2009;27:197–201.CrossRefGoogle Scholar
  8. 8.
    Goel P, Sequeira P, Peter S. Prevalence of dental disease amongst 5-6 and 12-13 year old school children of Puttur municipality, Karnataka State-India. J Indian Soc Pedod Prev Dent. 2000;18:11–7.PubMedGoogle Scholar
  9. 9.
    Gopinath VK, Barathi VK, Kannan A. Assessment and treatment of dental caries in semi-urban school children of Tamilnadu (India). J Indian Soc Pedod Prev Dent. 1999;17:9–12.PubMedGoogle Scholar
  10. 10.
    Goyal A, Gauba K, Chawla HS, Kaur M, Kapur A. Epidemiology of dental caries in Chandigarh school children and trends over the last 25 years. J Indian Soc Pedod Prev Dent. 2007;25:115–8.CrossRefGoogle Scholar
  11. 11.
    Henry JA, Muthu MS, Saikia A, Asaithambi B, Swaminathan K. Prevalence and pattern of early childhood caries in a rural south Indian population evaluated by ICDAS with suggestions for enhancement of ICDAS software tool. Int J Pediatr Dent. 2017;27:191–200.CrossRefGoogle Scholar
  12. 12.
    Wyne A, Darwish S, Adenubi J, Battata S, Khan N. The prevalence and pattern of nursing caries in Saudi preschool children. Int J Paediatr Dent. 2001;11:361–4.CrossRefGoogle Scholar
  13. 13.
    Mahejabeen R, Sudha P, Kulkarni SS, Anegundi R. Dental caries prevalence among preschool children of Hubli: Dharwad city. J Indian Soc Pedod Prev Dent. 2006;24:19–22.CrossRefGoogle Scholar
  14. 14.
    Jose B, King NM. Early childhood caries lesions in preschool children in Kerala, India. Pediatr Dent. 2003;25:594–600.Google Scholar
  15. 15.
    Tyagi R. The prevalence of nursing caries in Davangere preschool children and its relationship with feeding practices and socioeconomic status of the family. J Indian Soc Pedod Prev Dent. 2008;26:153–7.CrossRefGoogle Scholar
  16. 16.
    Population Size and Decadal Change, Statement 5 – Proportion of Rural and Urban population, 2001–2011. Page no. 12. Available at: http://www.censusindia.gov.in/2011census/PCA/PCA_Highlights/pca_highlights_india.html under chapter 1 Accessed 18 July 2017.
  17. 17.
    American Dental Association Statement on Early Childhood Caries. Available at: https://www.ada.org/en/about-the-ada/ada-positions-policies-and-statements/statement-on-early-childhood-caries. Accessed 23 Jan 2017.
  18. 18.
    Ganesh A, Murugan M, Mohan A. Prevalence of early childhood caries in India: a systematic review. The proposal of this systematic review has been published in PROSPERO international prospective register of systematic reviews, National Institute of Health Research registered on 165.16. Available at: http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42016035910. Accessed 24 Nov 2016.
  19. 19.
    Herzog R, Álvarez-Pasquin MJ, Díaz C, Del Barrio JL, Estrada JM, Gil Á. Are healthcare workers’ intentions to vaccinate related to their knowledge, beliefs and attitudes? A systematic review. BMC Public Health. 2013;13:154.CrossRefGoogle Scholar
  20. 20.
    Padma CM, Kumar CR, Prathap KVNR, Mallika P, Naidu GM. Early childhood caries and feeding habits of preschool children in Guntur city in Andhra Pradesh. J Indian Assoc Public Health Dent. 2011;18:784–7.Google Scholar
  21. 21.
    Kalita C, Choudhary B, Saikia AK, Sarma PC. Caries prevalence of school-going boys and girls according to cleaning methods and soft drink-taking frequency in different localities, in and around Guwahati city. J Indian Soc Pedod Prev Dent. 2016;34:249–56.CrossRefGoogle Scholar
  22. 22.
    Tewari S, Tewari S. Caries experience in 3-7 year-old children in Haryana (India). J Indian Soc Pedod Prev Dent. 2001;19:52–6.PubMedGoogle Scholar
  23. 23.
    Mittal M, Chaudhary P, Chopra R, Khattar V. Oral health status of 5 years and 12 years old school going children in rural Gurgaon, India: an epidemiological study. J Indian Soc Pedod Prev Dent. 2014;32:3–8.CrossRefGoogle Scholar
  24. 24.
    Sujlana A, Pannu PK. Family related factors associated with caries prevalence in the primary dentition of five-year-old children. J Indian Soc Pedod Prev Dent. 2015;33:83–7.CrossRefGoogle Scholar
  25. 25.
    Sachdeva A, Punhani N, Bala M, Arora S, Gill GS, Dewan N. The prevalence and pattern of cavitated carious lesions in primary dentition among children under 5 years age in Sirsa, Haryana (India). J Int Soc Prev Community Dent. 2015;5:494–8.CrossRefGoogle Scholar
  26. 26.
    Sharma KR, Bhardwaj VK. Prevalence of dental caries and its pattern among five year old school going children in Shimla city, Himachal Pradesh. J Indian Assoc Public Health Dent. 2011;9:539–43.Google Scholar
  27. 27.
    Meghashyam B, Nagesh L, Ankola A. Dental caries status and treatment needs of children of fisher folk communities, residing in the coastal areas of Karnataka region, South India. West Indian Med J. 2007;56:96–8.PubMedGoogle Scholar
  28. 28.
    Suma BS, Hiremath SS. A study of feeding habits and it’s relation to early childhood caries experience in young children of 1-3 years age in Bangalore city. J Indian Assoc Public Health Dent. 2010;8:13–9.Google Scholar
  29. 29.
    Singh A, Purohit B, Sequeira P, Acharya S. Oral health status of 5-year-old aborigine children compared with similar aged marginalised group in south western India. Int Dent J. 2011;61:157–62.CrossRefGoogle Scholar
  30. 30.
    Singh A, Bharathi MP, Sequeira P, Acharya S, Bhat M. Oral health status and practices of 5 and 12 year old Indian tribal children. J Clin Pediatr Dent. 2011;35:325–30.CrossRefGoogle Scholar
  31. 31.
    Priyadarshini HR, Hiremath SS, Puranik M, Rudresh SM, Nagaratnamma T. Prevalence of early childhood caries among preschool children of low socioeconomic status in Bangalore city, India. J Int Soc Prev Community Dent. 2011;1:27–30.CrossRefGoogle Scholar
  32. 32.
    Acharya AK, Hiremath SS. Caries experience, caries pattern and treatment needs in 2-3 and 4-6 year old urban and non-urban pre-school children. J Indian Assoc Public Health Dent. 2011;9:30–7.Google Scholar
  33. 33.
    Yashoda R, Anuradha KP, Baskar DJ, Hiremath SS. Dental caries prevalence and treatment needs among Davengere preschool children. J Indian Assoc Public Health Dent. 2011;9:193–201.Google Scholar
  34. 34.
    Singh SN, Vijayakumar N, Priyadarshini HR, Shobha M. Prevalence of early childhood caries among 3-5 year old preschoolers in schools of Marathahalli, Bangalore. Dent Res J. 2012;9:710–4.Google Scholar
  35. 35.
    Sankeshwari RM, Ankola AV, Tangade PS, Hebbal MI. Feeding habits and oral hygiene practices as determinants of early childhood caries in 3- to 5-year-old children of Belgaum city, India. Oral Health Prev Dent. 2012;10:283–90.Google Scholar
  36. 36.
    Shankar S, Naveen N, Kruthika M, Vinay S, Shaikh H. Comparison of def index with Nyvad’s new caries diagnostic criteria among three to six years old children in a school at Bangalore city. Indian J Dent Res. 2012;23:135–9.CrossRefGoogle Scholar
  37. 37.
    Prakash P, Subramaniam P, Durgesh BH, Konde S. Prevalence of early childhood caries and associated risk factors in preschool children of urban Bangalore, India: a cross-sectional study. Eur J Dent. 2012;6:141–52.PubMedPubMedCentralGoogle Scholar
  38. 38.
    Deshpande S, Dixit U, Deshpande SJ. Association between oral-health related factors and early childhood caries in children between age 36 and 72 months from rural North Karnataka. J Indian Assoc Public Health Dent. 2012;20:48–54.Google Scholar
  39. 39.
    Sankeshwari RM, Ankola AV, Tangade PS, Hebbal MI. Association of socio-economic status and dietary habits with early childhood caries among 3- to 5-year-old children of Belgaum city. Eur Arch Paediatr Dent. 2013;14:147–53.CrossRefGoogle Scholar
  40. 40.
    Anandakrishna L, Bhargav N, Hegde A, Chandra P, Gaviappa D, Shetty AK. Problematic eating and its association with early childhood caries among 46-71-month-old children using children’s eating behavior questionnaire (CEBQ): a cross sectional study. Indian J Dent Res. 2014;25:602–6.CrossRefGoogle Scholar
  41. 41.
    Prabhu P, Rajajee K, Sudheer KA, Jesudass G. Assessment of caries prevalence among children below 5 years old. J Int Soc Prev Community Dent. 2014;4:40–3.CrossRefGoogle Scholar
  42. 42.
    Shilpashree KB, Manjunath C, Ramakrishna T. Risk factors for predicting early childhood caries in Anganwadi children in Bangalore city: a cross-sectional study. J Indian Assoc Public Health Dent. 2016;14:160–3.CrossRefGoogle Scholar
  43. 43.
    Kuriakose S, Joseph E. Caries prevalence and its relation to socio-economic status and oral hygiene practices in 600 pre-school children of Kerala-India. J Indian Soc Pedod Prev Dent. 1999;17:97–100.PubMedGoogle Scholar
  44. 44.
    Retnakumari N, Cyriac G. Childhood caries as influenced by maternal and child characteristics in pre-school children of Kerala-an epidemiological study. Contemp Clin Dent. 2012;3:2–8.CrossRefGoogle Scholar
  45. 45.
    Kuriakose S, Prasannan M, Remya KC, Kurian J, Sreejith KR. Prevalence of early childhood caries among preschool children in Trivandrum and its association with various risk factors. Contemp Clin Dent. 2015;6:69–73.CrossRefGoogle Scholar
  46. 46.
    Ali YA, Chandranee NJ, Wadher BJ, Khan A, Khan ZH. Prevalence of dental caries in nursery school children of Akola city. J Indian Soc Pedod Prev Dent. 1998;16:21–5.PubMedGoogle Scholar
  47. 47.
    Venugopal T, Kulkarni VS, Nerurker RA, Damle SG, Patnekar PN. Epidemiological study of dental caries. Indian J Pediatr. 1998;65:883–9.CrossRefGoogle Scholar
  48. 48.
    Mandal KP, Tewari AB, Chawla HS, Gauba KD. Prevalence and severity of dental caries and treatment needs among population in the eastern states of India. J Indian Soc Pedod Prev Dent. 2001;19:85–91.PubMedGoogle Scholar
  49. 49.
    Mehta A, Gupta J, Bhalla S, Arora R, Bal IS. Prevalence of dental caries among 3-17 year old children studying in various government and private schools at Chandigarh. J Indian Assoc Public Health Dent. 2011;9:89–93.Google Scholar
  50. 50.
    Mehta A, Bhalla S. Assessing consequences of untreated carious lesions using pufa index among 5-6 years old school children in an urban Indian population. Indian J Dent Res. 2014;25:150–3.CrossRefGoogle Scholar
  51. 51.
    Saravanan S, Anuradha KP, Bhaskar DJ. Prevalence of dental caries and treatment needs among school going children of Pondicherry, India. J Indian Soc Pedod Prev Dent. 2003;21:1–12.PubMedGoogle Scholar
  52. 52.
    Saravanan S, Madivanan I, Subashini B, Felix JW. Prevalence pattern of dental caries in the primary dentition among school children. Indian J Dent Res. 2005;16:140–6.CrossRefGoogle Scholar
  53. 53.
    Kumar MPK, Joseph T, Varma RB, Jayanthi M. Oral health status of 5 years and 12 years school going children in Chennai city - an epidemiological study. J Indian Soc Pedod Prev Dent. 2005;23:17–22.CrossRefGoogle Scholar
  54. 54.
    Saravanan S, Kalyani V, Vijayarani MP, et al. Caries prevalence and treatment needs of rural school children in Chidambaram Taluk, Tamil Nadu, South India. Indian J Dent Res. 2008;19:186–90.CrossRefGoogle Scholar
  55. 55.
    Sarumathi T, Kumar BS, Datta M, Hemalatha VT, Nisha VA. Prevalence, severity and associated factors of dental caries in 3-6 year old children. J Clin Diagn Res. 2013;7:1789–92.Google Scholar
  56. 56.
    Karunakaran R, Somasundaram S, Gawthaman M, Vinodh S, Manikandan S, Gokulnathan S. Prevalence of dental caries among school-going children in Namakkal district: a cross-sectional study. J Pharm Bio Allied Sci. 2014;6:S160–1.CrossRefGoogle Scholar
  57. 57.
    Stephen A, Krishnan R, Ramesh M, Kumar VS. Prevalence of early childhood caries and its risk factors in 18-72 month old children in Salem, Tamil Nadu. J Int Soc Prev Community Dent. 2015;5:95–102.Google Scholar
  58. 58.
    Jaidka R, Jaidka S, Sunil MK, Singh DJ, Singh S, Sharma M. An assessment of the oral health status of 5 year old government school children in Meerut, Uttar Pradesh, India. J Indian Assoc Public Health Dent. 2011;9:503–8.Google Scholar
  59. 59.
    Shrutha SP, Vinit GBG, Giri KY, Alam S. Feeding practices and early childhood caries: a cross-sectional study of preschool children in Kanpur district, India. ISRN Dentistry. 2013; Article ID 275193, 6 pages.Google Scholar
  60. 60.
    Narang R, Saha S, Jagannath GV, Kumari M, Mohd S, Saha S. The maternal socioeconomic status and the caries experience among 2-6 years old preschool children of Lucknow city, India. J Clin Diagn Res. 2013;7:1511–3.PubMedPubMedCentralGoogle Scholar
  61. 61.
    Narang R, Saha S, Jagannatha GV. Prevalence of nursing caries and its relationship with feeding practices among preschool children of Lucknow city. J Indian Assoc Public Health Dent. 2013;11:17–23.Google Scholar
  62. 62.
    Gupta D, Momin RK, Mathur A, et al. Dental caries and their treatment needs in 3-5 year old preschool children in a rural district of India. N Am J Med Sci. 2015;7:143–50.CrossRefGoogle Scholar

Copyright information

© Dr. K C Chaudhuri Foundation 2018

Authors and Affiliations

  • Akila Ganesh
    • 1
  • M. S. Muthu
    • 2
  • Anusha Mohan
    • 2
  • Richard Kirubakaran
    • 3
  1. 1.Department of Public Health DentistrySri Ramachandra Institute of Higher Education and ResearchChennaiIndia
  2. 2.Department of Pedodontics and Preventive DentistrySri Ramachandra Institute of Higher Education and ResearchChennaiIndia
  3. 3.South Asian Cochrane CentreChristian Medical CollegeVelloreIndia

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