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Managing Early Childhood Caries with Atraumatic Restorative Treatment and Topical Silver and Fluoride Agents

Author

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  • Duangporn Duangthip

    (Faculty of Dentistry, The University of Hong Kong, Hong Kong, China)

  • Kitty Jieyi Chen

    (Faculty of Dentistry, The University of Hong Kong, Hong Kong, China)

  • Sherry Shiqian Gao

    (Faculty of Dentistry, The University of Hong Kong, Hong Kong, China)

  • Edward Chin Man Lo

    (Faculty of Dentistry, The University of Hong Kong, Hong Kong, China)

  • Chun Hung Chu

    (Faculty of Dentistry, The University of Hong Kong, Hong Kong, China)

Abstract

Early childhood caries (ECC) is a significant global health problem affecting millions of preschool children worldwide. In general, preschool children from families with 20% of the lowest family incomes suffered about 80% of the ECC. Most, if not all, surveys indicated that the great majority of ECC was left untreated. Untreated caries progresses into the dental pulp, causing pain and infection. It can spread systemically, affecting a child’s growth, development and general health. Fundamental caries management is based on the conventional restorative approach. Because preschool children are too young to cope with lengthy dental treatment, they often receive dental treatment under general anaesthesia from a specialist dentist. However, treatment under general anaesthesia poses a life-threatening risk to young children. Moreover, there are few dentists in rural areas, where ECC is prevalent. Hence, conventional dental care is unaffordable, inaccessible or unavailable in many communities. However, studies showed that the atraumatic restorative treatment had a very good success rate in treating dentine caries in young children. Silver diamine fluoride is considered safe and effective in arresting dentine caries in primary teeth. The aim of this paper is to review and discuss updated evidence of these alternative approaches in order to manage cavitated ECC.

Suggested Citation

  • Duangporn Duangthip & Kitty Jieyi Chen & Sherry Shiqian Gao & Edward Chin Man Lo & Chun Hung Chu, 2017. "Managing Early Childhood Caries with Atraumatic Restorative Treatment and Topical Silver and Fluoride Agents," IJERPH, MDPI, vol. 14(10), pages 1-13, October.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:10:p:1204-:d:114482
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    References listed on IDEAS

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    1. Khanh, L.N. & Ivey, S.L. & Sokal-Gutierrez, K. & Barkan, H. & Ngo, K.M. & Hoang, H.T. & Vuong, I. & Thai, N., 2015. "Early childhood caries, mouth pain, and nutritional threats in Vietnam," American Journal of Public Health, American Public Health Association, vol. 105(12), pages 2510-2517.
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    Cited by:

    1. Oana Elena Stoica & Daniela Esian & Anamaria Bud & Alexandra Mihaela Stoica & Liana Beresescu & Cristina Ioana Bica, 2022. "The Assessment of Early Server Childhood Caries Status in Abandoned Institutionalized Children," IJERPH, MDPI, vol. 19(14), pages 1-10, July.
    2. Pichet Chanpum & Duangporn Duangthip & Chutima Trairatvorakul & Siriporn Songsiripradubboon, 2020. "Early Childhood Caries and Its Associated Factors among 9- to 18-Month Old Exclusively Breastfed Children in Thailand: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(9), pages 1-10, May.
    3. Stefano Cianetti & Stefano Pagano & Michele Nardone & Guido Lombardo, 2020. "Model for Taking Care of Patients with Early Childhood Caries during the SARS-Cov-2 Pandemic," IJERPH, MDPI, vol. 17(11), pages 1-17, May.

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