Beyond the dmft The human and economic cost of early childhood caries

被引:378
作者
Casamassimo, Paul S. [1 ]
Thikkurissy, Sarat [2 ]
Edelstein, Burton L. [3 ]
Maiorini, Elyse [4 ]
机构
[1] Nationwide Childrens Hosp, Dept Dent, Columbus, OH 43205 USA
[2] Ohio State Univ, Coll Dent, Dept Dent, Div Pediat Dent, Columbus, OH 43210 USA
[3] Columbia Univ, Coll Dent Med, Sect Social & Behav Sci, New York, NY USA
[4] Columbia Univ, Coll Dent Med, Div Community Hlth, New York, NY USA
关键词
Dental caries; quality of life; pediatric dentistry; caries susceptibility; CHILDRENS ORAL-HEALTH; YOUNG-CHILDREN; PRESCHOOL-CHILDREN; DENTAL EMERGENCIES; OPERATING-ROOM; RISK; CARE; PAIN; MALTREATMENT; POPULATION;
D O I
10.14219/jada.archive.2009.0250
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Background. Early childhood caries (ECC) is the most common disease of childhood and often is accompanied by serious comorbidities affecting children, their families, the community and the health care system. This report describes morbidity and mortality associated with ECC and its treatment. Methods. The authors reviewed the literature for descriptions and quantification of morbidity associated with ECC and organized a wide range of studies into a visual model-the morbidity and mortality pyramid-that begins to convey the breadth and depth of ECC's penetration. Results. ECC exacts a toll on children, affecting their development, school performance and behavior, and on families and society as well. In extreme cases, ECC and its treatment can lead to serious disability and even death. In finding access to care and managing chronic pain and its consequences, families experience stress and, thus, a diminished quality of life. Communities devote resources to prevention and management of the condition. The health care system is confronted with management of the extreme consequences of ECC in hospital emergency departments and operating rooms. Conclusions. Traditional epidemiologic measures such as the decayed-missing-filled teeth (dmft) index do not adequately portray the effects of ECC on children, families, society and the health care system. Clinical Implications. The impact of prevention and management of ECC requires the attention of health care professionals and decision makers and extends well beyond the dental office to regulatory and child advocacy agencies as well as public health officials and legislators.
引用
收藏
页码:650 / 657
页数:8
相关论文
共 68 条
[1]  
Acs George, 1992, Pediatric Dentistry, V14, P302
[2]  
Acs George, 1999, Pediatric Dentistry, V21, P109
[3]  
Adams P.F., 1996, Vital Health Stat, V10, P1
[4]  
*AL COUNT PUBL HLT, 2006, MOR TOOTH UNTR DENT
[5]   Acetaminophen safety and hepatotoxicity - where do we go from here? [J].
Amar, Patrick J. ;
Schiff, Eugene R. .
EXPERT OPINION ON DRUG SAFETY, 2007, 6 (04) :341-355
[6]  
American Academy on Pediatric Dentistry Clinical Affairs Committee-Infant Oral Health Subcommittee, 2008, Pediatr Dent, V30, P90
[7]  
[Anonymous], 2002, DIABETES CARE, V26, P917
[8]  
*AUSTR I HLTH WELF, 2006, AUSTR HLTH 2006, P37
[9]  
BINGAMAN J, 2007, WASHINGTON POST 0318
[10]   Children's school performance: Impact of general and oral health [J].
Blumenshine, Stephanie L. ;
Vann, William F., Jr. ;
Gizlice, Ziya ;
Lee, Jessica Y. .
JOURNAL OF PUBLIC HEALTH DENTISTRY, 2008, 68 (02) :82-87