Resumen
Background. Dental caries during childhood has been identified as a widespread public health problem due to its high prevalence, impact on quality of life, potential for increased risk of caries in the permanent dentition, and its negative role in general health. Although largely preventable, more effective prevention strategies are still required. In Mexico, a great variation of prevalence has been reported from 22.1% to 77.2%. Thus, we performed a scoping review to identify the prevalence of ECC in Mexico.
Study design: A search was performed in PubMed, Scopus, Latin American and Caribbean Health Sciences Literature (LILACS), Medigraphic, and EBSCO from 2000 to 2021. A total of 837 documents were identified, 43 full-text articles were assessed for eligibility, and 24 were included.
Results. University clinics had the highest prevalence, 79.81%. Day Care Centers ranged from 17.9%-82.2% (mean = 64.3%). Risk factors included bottle content, ad-lib breastfeeding, mothers’ caries index, and socioeconomic covariates.
Conclusions. Early Childhood Caries (ECC) and Severe Early Childhood Caries (SECC) remain a health problem. High variability of prevalence was noted, with treatment centers presenting the highest rates. Future protocols should determine adequate sample sizes, ensure examiner calibration, and employ contemporary caries detection indices. The consistent global use of standardized criteria is essential.
Referencias
American Academy of Pediatric Dentistry. Policy on early childhood caries (ECC): Classifications, consequences, and preventive strategies. The Reference Manual of
Pediatric Dentistry. Chicago, Ill.: American Academy of Pediatric Dentistry; 2020:7981.
Tinanoff N, Baez RJ, Diaz Guillory C, et al. Early childhood caries epidemiology, aetiology, risk assessment, societal burden, management, education, and policy: Global perspective. Int J Paediatric Dent (2019) 3:238-248.
American Academy of Pediatric Dentistry. Policy on early childhood caries (ECC): Consequences and preventive strategies. The Reference Manual of Pediatric Dentistry. Chicago, Ill.: American Academy of Pediatric Dentistry; 2021:81-4.
Pitts, N, Baez, R, Diaz-Guallory, C, et al. Early Childhood Caries: IAPD Bangkok Declaration. Int J Paediatr Dent (2019) 29:384-386.
Anil S, Anand PS. Early Childhood Caries: Prevalence, Risk Factors, and Prevention. Front Pediatr. (2017) 5:157. doi: 10.3389/fped.2017.00157
Fakhruddin KS, Ngo HC, Samaranayake LP. Cariogenic microbiome and microbiota of the early primary dentition: A contemporary overview. Oral Dis (2019) 4:982995. doi: 10.1111/odi.12932. PMID: 29969843.
Xiao J, Huang X, Alkhers N, et al. Candida albicans and early childhood caries; A systematic review and meta-analysis. Caries Res (2018) 1-2:102-12.
Chaffee BW, Feldens CA, Rodrigues PH, Vítolo MR. Feeding practices in infancy associated with caries incidence in early childhood. Community Dent Oral Epidemiol (2015) 4:338-48. doi: 10.1111/cdoe.12158.
Barjatya K, Nayak UA, Vatsal A. Association between early childhood caries and feeding practices among 3-5-year-old children of Indore, India. J Indian Soc Pedod Prev Dent (2020) 2:98-103. doi: 10.4103/JISPPD.JISPPD_60_20.
Tham R, Bowatte G, Dharmage SC, Tan DJ, Lau MXZ, Dai X, Allen KJ, Lodge CJ. Breastfeeding and the risk of dental caries: a systematic review and meta-analysis Acta Paediatrica (2015) 104: 62–84.
Pierce A, Singh S, Lee J, Grant C, Cruz de Jesus V, Schroth RJ. The Burden of Early Childhood Caries in Canadian Children and Associated Risk Factors. Front Public
Health (2019) 7:328. doi: 10.3389/fpubh.2019.00328
van Meijeren-van, Lunteren AW, Voortman T. Elfrink MEC, Wolvius EB, Kragt L.
Breastfeeding and Childhood Dental Caries: Results from a Socially Diverse Birth
Cohort Study. Caries Res (2021) 55:153–161 https://doi.org/10.1159/000514502
Vasireddy D, Sathiyakumar T, Mondal S, Sur S. Socioeconomic Factors Associated with the Risk and Prevalence of Dental Caries and Dental Treatment Trends in Children: A Cross-Sectional Analysis of National Survey of Children's Health (NSCH) Data, 2016-2019. Cureus (2021) 13(11):e19184. doi: 10.7759/cureus.19184.
Andrew L, Wallace R, Wickens N, Patel J. Early childhood caries, primary caregiver oral health knowledge and behaviours and associated sociological factors in Australia: a systematic scoping review. BMC Oral Health. (2021) 1:521. doi:
10.1186/s12903-021-01887-4.
Psoter WJ, Pendrys DG, Morse DE, Zhang H, Mayne ST. Associations of ethnicity/race and socioeconomic status with early childhood caries patterns. J Public Health Dent. (2006) 1:23-9. doi: 10.1111/j.1752-7325.2006.tb02547
Piva F, Pereira T, Blaya Luz P, Hashizume N, Neves FH, Borba de Araujo F. A Longitudinal Study of Early Childhood Caries and Associated Factors in Brazilian Children Braz Dent J. (2017) 28 (2) • https://doi.org/10.1590/0103-6440201701237
Twetman S, Boustedt K, Roswall J, et al. Systematic review suggests a relationship between moderate to late preterm birth and early childhood caries. Acta Paeditr. (2020) 12:2472-8.
Kellesarian SV, Malignaggi VR, de Freitas P, et al. Association between prenatal maternal cigarette smoking and early childhood caries: A systematic review. J Clin Exp Dent. (2017) 9:141-6.
Dye BA, Hsu KL, Afful J. Prevalence and measurement of dental caries in young children. Pediatr Dent. (2015) 3:200-16.
Ramos-Gomez FJ, Tomar SL, Ellison J, Artiga N, Sintes J, Vicuna G. Assessment of early childhood caries and dietary habits in a population of migrant Hispanic children in Stockton, California. J Dent Children. (1999) 6:395-403.
Secretaría de Salud (México). Sivepab: resultados del Sistema de Vigilancia Epidemiológica de Patologías Bucales. Mexico: Secretaría de Salud; 2018 [cited 2021 Jun2 12]. Available from:
https://www.gob.mx/cms/uploads/attachment/file/525756/20200116_archivo_SI VEPAB-18_1nov19_1_.pdf, visited september 20, 2021.
Secretaría de Salud (México). Sivepab: resultados del Sistema de Vigilancia Epidemiológica de Patologías Bucales. Mexico: Secretaría de Salud; 2022 [cited 2024 Oct 8]. Available from:
https://www.gob.mx/cms/uploads/attachment/file/525756/20200116_archivo_SI VEPAB-18_1nov19_1_.pdf, visited 20 november, 2024.
Vázquez-Nava F, Vázquez REM, Saldivar GAH, Beltrán GFJ, Almeida AVM, Vázquez RCF Allergic Rhinitis, Feeding and Oral Habits, Toothbrushing and Socioeconomic
Status Effects on Development of Dental Caries in Primary Dentition. Caries Res
(2008) 42:141–147 doi: 10.1159/000121438
Cuéllar-González MA, Hernández-Gallardo I, Mondragón-Mojica M, Martínez Herrera E, Rodríguez-López A. Prevalencia de caries y factores asociados en niños de estancias infantiles. Gac Méd Méx. (2000) 4: 391-397.
Arksey H, O’Malley L. Scoping Studies: towards a methodological framework. Int J Soc Res Methodol. (2005) 1:19-32. doi: 10.1080/1364557032000119616.
Munn Z, Peters MDJ, Stern C, Tufanaru C, McArthur A, Aromataris E. Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Med Res Methods (2018) 1:143-50.
Medina-Solís CE, Herrera MS. Rosado-Vila G, Minaya-Sánchez M, Vallejos-Sánchez AA, Casanova-Rosado JF. Pérdida dental y patrones de caries en preescolares de una comunidad suburbana de Campeche (2004). Acta Odontol. Venez 42;3.165-170.
Juárez-López L, Murrieta-Pruneda F, Ortiz-Cruz E. Prevalencia de caries y su asociación con el estado nutricional y hábitos higiénicos en preescolares (2006). Rev. Acad. Mex. Odon. Ped.18(2): 28-32
Segovia‐Villanueva, A., Estrella‐Rodríguez, R., Medina‐Solís, C. E., & Maupomé, G (2006). Dental caries experience and factors among preschoolers in Southeastern Mexico: A brief communication. Journal of public health dentistry, 66(2), 88-91
Irigoyen Camacho, M. E., Pérez, L. S., Pérez, Á. G., & Zepeda Zepeda, M. A. (2009). Relationship between severe early childhood caries, mother's oral health and mutans streptococci in a low-income group: changes from 1996 to 2007. Journal of Clinical Pediatric Dentistry, 33(3), 241-246.
Lara JS, Romano A, Murisi PU, Tedesco TK, Mendes FM, Soto-Rojas AE, Alonso C, Campus G. (2021). Impact of early childhood caries severity on oral health-related quality of life among preschool children in Mexico: A cross-sectional study. Int J Paediatr Dent. Aug 6. doi: 10.1111/ipd.12889.
Joya, T. C., & Anaya, M. D. P. A. (2009). Caries dental y hábitos bucales en población pre escolar. Revista de la Asociación Dental Mexicana, 66(4), 46-54.
Juárez-López MLA, Villa-Ramos A. Prevalencia de caries en preescolares con sobrepeso y obesidad (2010). Rev Invest Clin 62(2):115-120.
Montero Canseco D, López Morales P, Castrejón Pérez RC. Prevalencia de caries de la infancia temprana y nivel socioeconómico familiar (2011). Rev Odontol Mex 15; 2: 96-102
Martina Luna M. Estudio exploratorio: Condición nutrica y salud bucal en preescolares (2011). Rev Mex Pediat 78(5);182-184.
Favela-Ortiz, G. F., Sanín-Rivera, I. P., & Delgado-Morán, A. (2012). Caries de la infancia temprana y sus factores de riesgo. Rev Academia MeX Odontol Pediát 24(1), 11-16.
Zúñiga-Manríquez, A. G., Medina-Solís, C. E., Lara-Carrillo, E., Márquez-Corona, M. L., Robles Bermeo, N. L., Scougall-Vilchis, R. J., & Maupomé, G. (2013). Experiencia, prevalencia y severidad de caries dental asociada con el estado nutricional en infantes mexicanos de 17 a 47 meses de edad. Rev Invest Clin, 65(3), 228-36.
García-Padilla MV, & Sanín-Rivera IP (2013). Relación de caries dental y el índice de masa corporal en niños de edad preescolar. Rev Odontopediatría Latinoamericana, 3(1), 41-51.
Aguilar-Ayala JF, Duarte-Escobedo CD, Rejón-Peraza ME, Serrano-Piña R, Pinzón-Te A (2014). Prevalencia de caries de la infancia temprana y factores de riesgo asociados, Acta Pediátr Mex;35:259-266.
Molina-Frechero N, Durán-Merino D, Castañeda-Castaneira E, Juárez-López ML Dental caries experience and its relation to oral hygiene in Mexican children (2015), Gaceta Médica de México;151:455-9
Medina-Aguilar S, Silva-González G, Manzo-Palomera OR, Hernández- Rivas MI, Martin- Zermeño JE, Sánchez- Michel AA. (2015). Prevalencia de caries dental del preescolar de la región costa norte de Jalisco, (2010). Rev Tamé, 4(10), 344-9.
Ramírez, M. A. M., Hernández, A. G., Muñoz, E. E. H., Hernández, H. I., & Flores, R. R. (2020). Lactancia materna y caries de la infancia temprana. Rev. Odontopediatría Latinoamericana, 6(2), 90-98.
Joya T, Adriano P, Muerrieta JF, y cols. (2019) Odontopediatria Actual 8(23);28-32
Guizar Mendoza JM, López Ayuso CA , Amador Licona N, Lozano Palomino O, García Gutiérrez AC (2019). Determinantes del cuidado de la salud oral relacionados con la frecuencia y severidad de la caries dental en preescolares Nova Scientia 22, 11 (1): 85 – 101. ISSN 2007 – 0705, doi.org/10.21640/ns.v11i22.1708
Miguelena-Muro KE, Garcilazo-Gómez A, Sáenz-Martínez LP (2019). Caries en la infancia temprana e índice de masa corporal en una población preescolar de la Alcaldía de Xochimilco, Revista Tamé; 8 (23):916-919.
Olivas-Velazquez AK, Gastelum-Garcia VG, Valle-Urias AE, Rocha-Lopez A, Reyna-Solis CL, García-Jau RA. (2019) Prevalencia de caries en preescolares de comunidades rurales de Culiacan Sinaloa Rev Mex Med Forense; 4(suppl 1):67-69 ISSN: 2448-8011
Ramírez-Maldonado MA, González Hernández A, Huitzil Muñoz EE, Isassi Hernández H, Reyes Flores R. (2016). Lactancia materna y caries de la infancia temprana Rev Odontopediatría Latinoamericana; 62: 91-98
Santos Madrigal, N. O., Moreno, A., & Lara Flores, N. L. . (2021). Caries y salud bucal, percepciones acerca de la enfermedad. Revista De Odontopediatría Latinoamericana, 11(2). https://doi.org/10.47990/alop.v11i2.255
Martinez LPS, Escareño CO, Pérez LS, Aguirre IL (2021) Caries de la infancia temprana en población de 3 a 5 años de edad: Early childhood caries in the population of three to five years of age. South Florida Journal of Health 2(3),361-375.
Ismail AI, Sohn W. A systematic review of clinical diagnostic criteria of early childhood caries. J Public Health Dent (1999) 3:171–91. doi:10.1111/j.1752-
7325.1999.tb03267.x
Monse B, Heinrich-Weltzien R, Benzian H, Holmgren C, van Palenstein Helderman W. PUFA--an index of clinical consequences of untreated dental caries. Community
Dent Oral Epidemiol. 2010 Feb;38(1):77-82. doi: 10.1111/j.1600-
0528.2009.00514.x.
Frencken JE, de Amorim RG, Faber J, Leal SC. The Caries Assessment Spectrum and Treatment (CAST) index: rational and development. Int Dent J. (2011) 3:117-23. doi:
10.1111/j.1875-595X.2011.00022.x.
Seow WK Early Childhood Caries. Pediatr Clin North Am. (2018) 5:941-954.doi:
10.1016/j.pcl.2018.05.004.
Manzano T, Steiner-Oleveira C, Silva CM, Rodrigues LK, Nobre-dos-Santos M. Early childhood caries and mutans streptococci: a systematic review. Oral Health Prev Dent. (2010) 1:59-70.
Pedraza Contreras MGE, Alanís Tavira J, Gasca Argueta G. Niveles de S. mutans en niños con caries temprana de la infancia y en sus madres. OdontoPediatría Actual (2011) 1:42-46.
Martinez-Martinez RE , Fujiwara T, Patiño-Marin N , Hoshino T , Wilson M , Loyola-Rodríguez JP Comparison of Oral Streptococci Biofim in Caries-Free and CariesAffected Preschool Mexican Children. Acta Odontol. Latinoam. (2012) 1:27-32.
Durán-Contreras GL, Torre-Martínez HH, de la Rosa EI, Hernández RM, de la Garza Ramos M. spaP gene of Streptococcus mutans in dental plaque and its relationship with early childhood caries. Eur J Paediatr Dent. (2011) 4:220-4. PMID: 22185244.
Wongkamhaerng K, Poachanukoon O, Koontongkaew S Dental caries, cariogenic microorganisms and salivary properties of allergic rhinitis children. Int J Pediatr Otorhinolaryngol. (2014) 5:860-5.doi: 10.1016/j.ijporl.2014.03.001.
Hong L, Ahmed A, McCunniff M, Overman P, Mathew M. Obesity and dental caries in children aged 2-6 years in the United States: National Health and Nutrition Examination Survey 1999-2002. J Public Health Dent (2008) 4:227-33.doi:
10.1111/j.1752-7325.2008.00083.x.
Qadri G, Alkilizy M, Feng YS, Splieth C Overweight and dental caries: the association among German children. Int J Paediatr Dent. (2015) 3:174-82.doi:
10.1111/ipd.12110.
Ramírez-De Los Santos S, López-Pulido EI, Medrano-González IDC, Becerra-Ruiz JS, Alonso-Sanchez CC, Vázquez-Jiménez SI, Guerrero-Velázquez C, Guzmán-Flores JM.
Alteration of cytokines in saliva of children with caries and obesity. Odontology. (2021) 1:11-17. doi: 10.1007/s10266-020-00515-x.
Hsu KLC, Dhar V, Tinanoff N. Worldwide variations in methodology and reporting of early childhood caries: A scoping review. Pediatr Dent. (2021) 5:349-54.
Sajina S; Nedumgottil BM. Influence of family structure on dental caries experience of preschool children: A cross-sectional study. International Journal of Preventive and Clinical Dental Research 7(3): 43-45; 2020. DOI: 10.4103/INPC.INPC_36_20
CONEVAL (Conseno Nacional para la Evaluaciónde la Política Social) https://www.coneval.org.mx/Medicion/PublishingImages/Pobreza_2020/Pobreza_ 2016-2020.jpg (Visited on October the 20th 2021).
Gonzalez de Cossio T, Escobar-Zaragoza L, Gonzalez-Castell D, Reyes-Vazquez H, Rivera-Dommarco JA. Breastfeeding in Mexico was stable, on average, but deteriorated among the poor, whereas complementary feeding improved: results from the 1999 to 2006 National Health and Nutrition Surveys. J Nutr. (2013) 143:664–71.
Organization for Economic Co-operation and Development. (visited 2021 Nov 5). Available at: www.oecd.org/els/family/43136964. pdf.
Gonzalez de Cossio T, Escobar-Zaragoza L, Gonzalez-Castell D, Rivera-Dommarco JA. Infant feeding practices and breastfeeding deterioration in Mexico. Sálud Publica Mex. (2013) 55:S170–9 (in Spanish).
Kai Ling Kong, Brenda Burgess, Katherine S Morris, Tyler Re, Holly R Hull, Debra K Sullivan, Rocco A Paluch, Association Between Added Sugars from Infant Formulas and Rapid Weight Gain in US Infants and Toddlers. The Journal of Nutrition. (2021) 6:1572–1580, https://doi.org/10.1093/jn/nxab044
Barquera, S., Campirano, F., Bonvecchio, A. et al. Caloric beverage consumption patterns in Mexican children. Nutr J. (2010) 10:9-47 doi.org/10.1186/2891-9-47
Riggs E, Kilpatrick N, Slack-Smith L, Chadwick B, Yelland J, Muthu MS, Gomersall JC. Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood caries. Cochrane Database Syst Rev. 2019 Nov 20;2019(11):CD012155. doi: 10.1002/14651858.CD012155.pub2. PMID: 31745970; PMCID: PMC6864402.

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