Faheema Kimmie-Dhansay1, Robert Barrie2, Sudeshni Naidoo2, Tina Roberts3. 1. Division of Research and Postgraduate Studies, Faculty of Dentistry, Tygerberg Hospital - UWC Dental School, University of the Western Cape, Francie Van Zijl Drive, Parow, Cape Town, 7500, South Africa. fkimmie@uwc.ac.za. 2. Department of Community Oral Health, Faculty of Dentistry, University of the Western Cape, Cape Town, South Africa. 3. Department of Oral Biology and Dental Genetics, Faculty of Dentistry, University of the Western Cape, Cape Town, South Africa.
Abstract
BACKGROUND: The prevalence of Early Childhood Caries (ECC) in South Africa was last determined in 2002 in a national survey. Since then only few scattered studies were conducted across pocketed communities in the country. There appears to be an increasing trend in dental caries prevalence in South Africa. Since South Africa has one of the highest burden of HIV in the world, less focus was spent on Non-Communicable Diseases (NCDs), it was only when HIV patients developed NCD's did the government start evaluating NCDs. However, oral health is still not given enough attention within the health sphere. It is the hope of this systematic review to showcase the extent of dental caries amongst the future leaders of our country. OBJECTIVES: The systematic review presents the prevalence and severity of early childhood caries between age groups and provinces in South Africa from 1975 to 2014. DESIGN: A systematic review of prevalence was performed. SETTINGS AND PARTICIPANTS: All studies performed on children under the age of six who lived in South Africa were eligible to be included. PRIMARY AND SECONDARY OUTCOME MEASURES: The prevalence of ECC and the dmft scores were the primary and secondary outcome measures. RESULTS: Twenty-one studies were included in the present review. The overall prevalence was 44.94% (95% confidence interval (C.I.) 39.73-50.15%) and the overall dmft score was 2.422 (95% C.I. 2.148-2.696). CONCLUSIONS: The dmft score was the lowest in the Limpopo Province and highest in the Eastern Cape. ECC prevalence increased post-apartheid possibly on account of lifestyle changes due to the exodus from rural to urban and peri-urban areas. Registration The protocol of this systematic review was registered with PROSPERO, CRD42018112161, in November 2018.
BACKGROUND: The prevalence of Early Childhood Caries (ECC) in South Africa was last determined in 2002 in a national survey. Since then only few scattered studies were conducted across pocketed communities in the country. There appears to be an increasing trend in dental caries prevalence in South Africa. Since South Africa has one of the highest burden of HIV in the world, less focus was spent on Non-Communicable Diseases (NCDs), it was only when HIV patients developed NCD's did the government start evaluating NCDs. However, oral health is still not given enough attention within the health sphere. It is the hope of this systematic review to showcase the extent of dental caries amongst the future leaders of our country. OBJECTIVES: The systematic review presents the prevalence and severity of early childhood caries between age groups and provinces in South Africa from 1975 to 2014. DESIGN: A systematic review of prevalence was performed. SETTINGS AND PARTICIPANTS: All studies performed on children under the age of six who lived in South Africa were eligible to be included. PRIMARY AND SECONDARY OUTCOME MEASURES: The prevalence of ECC and the dmft scores were the primary and secondary outcome measures. RESULTS: Twenty-one studies were included in the present review. The overall prevalence was 44.94% (95% confidence interval (C.I.) 39.73-50.15%) and the overall dmft score was 2.422 (95% C.I. 2.148-2.696). CONCLUSIONS: The dmft score was the lowest in the Limpopo Province and highest in the Eastern Cape. ECC prevalence increased post-apartheid possibly on account of lifestyle changes due to the exodus from rural to urban and peri-urban areas. Registration The protocol of this systematic review was registered with PROSPERO, CRD42018112161, in November 2018.
Authors: Fabiano Guerra Ferreira; Igor Bastos Barbosa; Pantaleo Scelza; Marcello Bulhões Montagnana; Daniel Russano; John Neff; Miriam Zaccaro Scelza Journal: Braz Oral Res Date: 2017-09-28
Authors: Asmaa Alkhtib; Aghareed Ghanim; Meredith Temple-Smith; Louise Brearley Messer; Marie Pirotta; Michael Morgan Journal: BMC Oral Health Date: 2016-08-18 Impact factor: 2.757