Database: EMBASE <: international biomedical and pharmaceutical literature, 1988 - May 2000. [Trial access until 3/2001. Feedback welcome to medical.library@umich.edu] Search Strategy (You Saved Citations 1-18 From Set 54): ----------------------------------------------------------------------------- 1 Bottle feeding/ 429 2 exp Infant nutrition/ 8898 3 breastfeeding.mp. 1121 4 ((bottle: or breast: or formula: or infant:) adj3 (food or 9710 feed:)).mp. 5 ((baby or babies or infant) adj3 (formula: or bottle:)).mp. 1485 6 "bbtd".mp. 5 7 ((baby or babies or infant: or bottle: or nursing) adj3 98 (decay: or caries)).mp. 8 or/1-7 12971 9 exp Tooth demineralization/ 7492 10 demineralization.mp. 879 11 caries.mp. 1798 12 caires.mp. 0 13 craies.mp. 0 14 careis.mp. 1 15 carise.mp. 0 16 (teeth adj3 cavit:).mp. 32 17 (tooth adj3 cavit:).mp. 97 18 (dental adj3 cavit:).mp. 85 19 (dentin adj3 cavit:).mp. 19 20 (enamel adj3 cavit:).mp. 10 21 (teeth adj3 decay:).mp. 58 22 (tooth adj3 decay:).mp. 58 23 (dental adj3 decay:).mp. 47 24 (dentin adj3 decay:).mp. 0 25 (enamel adj3 decay:).mp. 1 26 (active adj decay).mp. 5 27 (rampant adj3 decay:).mp. 4 28 (recurrent adj3 decay:).mp. 5 29 (white adj spot:).mp. 231 30 carious.mp. 109 31 cariology.ti,ab. 2 32 (non-cavitated adj3 lesion:).mp. 0 33 (noncavitated adj3 lesion:).mp. 1 34 Tooth remineralization/ 788 35 (dental adj3 fissure:).mp. 14 36 (tooth adj3 fissure:).mp. 8 37 (teeth adj3 fissure:).mp. 1 38 caries-free.mp. 29 39 cariesfree.mp. 0 40 Cariogenic agents/ 3 41 precavit:.mp. 2 42 (filled adj3 teeth).mp. 45 43 (filled adj3 tooth).mp. 9 44 (oral adj fissure:).mp. 17 45 (tooth adj3 remineraliz:).mp. 1 46 (teeth adj3 remineraliz:).mp. 5 47 dft.mp. 542 48 dfs.mp. 980 49 dmf:.mp. 1235 50 cariogeni:.mp. 164 51 or/9-50 12313 52 8 and 51 124 53 limit 52 to (human and english language and yr=1975-2000) 86 54 limit 53 to preschool child < 1 to 6 years > 18 55 from 54 keep 1-18 18 *************************** <1> UI - 1999398682 AU - Lin Y-TJ AU - Tsai C-L IN - Dr. Y.-T.J. Lin, Department of Dentistry, Chang Gung Memorial Hospital, Kaohsiung Medical Center, 123, Ta Pei Rd, Niao Sung Hsiang, Kaohsiung Hsien; Taiwan. TI - Caries prevalence and bottle-feeding practices in 2-year-old children with cleft lip, cleft palate, or both in Taiwan. SO - Cleft Palate-Craniofacial Journal Vol 36(6) (pp 522-526), 1999. AB - Objective: The purposes of this study were to investigate the caries prevalence in cleft lip, cleft palate, or both in children under the age of 2 years and to evaluate parental attitudes toward bottle-feeding, dental care, and their relationship to baby bottle tooth decay (BBTD) in Taiwan. Design: Randomized and prospective study. Setting: Institutional setting. Patients and Methods: One hundred twenty-three 2-year-old children (68 boys and 55 girls) with cleft lip, cleft palate, or both were selected for this study. A questionnaire that asked questions about knowledge of oral health, knowledge and beliefs about BBTD, children's feeding habits, children's dental care, and parenting attitudes toward children with clefts was completed by the parents or caretakers. Children were divided into bottle-feeding and non- bottle-feeding groups according to the questionnaire responses of parents or caretakers. Each child was examined with a dental mirror and explorer under focused flashlight using defs index to determine the presence of BBTD. Results: Thirty-nine percent (48) subjects reported a bottle-feeding habit; the overall prevalence of BBTD was 15.4%. The habit of bottle-feeding was significantly related to BBTD (p = .019). The defs score for children who were bottle-fed was significantly higher than children who were not bottle- fed (p = .045). Parents or caretakers of both bottle-feeding and non-bottle- feeding children showed no significant differences in their attitudes toward bottle-feeding and feeding habits (p > .05). However, parents of non-bottle- fed children had significantly better dental care than parents of bottle-fed children in brushing frequency (p < .001) and brushing before bed (p < .001). Conclusions: Children with clefts who took a bottle to bed showed an increased risk of developing BBTD. The parents or caretakers of bottle-fed children also showed a lack of motivation to perform regular preventive dental home care for their children. This suggests that oral health promotion programs should begin in infancy for children with clefts and their parents. [References: 21] <2> UI - 1999161192 AU - Magraith KS AU - Kilpatrick NM IN - Dr. K.S. Magraith, 118 Barnard Street, North Adelaide, SA 5006; Australia. TI - Oral health for the preschool child (multiple letters) [9]. SO - Medical Journal of Australia Vol 170(9) (pp 455-456), 1999. <3> UI - 1998250099 AU - Kurien M AU - Mathew J AU - Job A AU - Zachariah N IN - M. Kurien, Department of ENT, Christian Medical College, Vellore, Tamil Nadu; India. TI - Ludwig's angina. SO - Clinical Otolaryngology & Allied Sciences Vol 22(3) (pp 263-265), 1997. AB - A 13 year review of patients diagnosed to have Ludwig's angina admitted to the Christian Medical College and Hospital, Vellore, India, between March 1982 and April 1995 is presented. The patients were either admitted to the ENT or paediatric surgical units. There were 41 patients, 24% bring children and 76% adults. The clinical profile and outcome of these two groups were compared. In the paediatric group, none had dental caries while in the adult group, 52% had associated dental caries. In children, 70% were controlled with conservative medical management unlike the adults of whom 81% needed incision and drainage. Tracheostomy was necessary in 10% of the children and in 52% of the adults. The mortality was 10% in both groups. [References: 12] <4> UI - 1998079554 AU - Barcroft BD AU - Shen TJ AU - Lew DB IN - Dr. D.B. Lew, Crippled Children's Fdn Research Ctr, Univ. Tennessee-Memphis College Med., Department of Pediatrics, 50 North Dunlap Street, Memphis, TN 38103; United States. TI - Ulcerative contact gingivitis due to the nickel component of stainless steel crowns. SO - Pediatric Asthma Allergy & Immunology Vol 11(4) (pp 221-226), 1997. AB - While contact dermatitis to nickel is common, contact mucositis to the nickel component of dental devices rarely occurs. A 2-year old boy with multiple nursing bottle decay underwent restorative treatment with stainless steel crowns. One month later, he developed gingival inflammation that progressed to severe ulcerative contact gingivitis. Patch tests revealed that he was sensitized to nickel. After a battery of prescreening patch tests to the materials for restorative treatment, the patient was successfully treated with composite resin crowns. [References: 20] <5> UI - 97356516 AU - Uderzo C AU - Fraschini D AU - Balduzzi A AU - Galimberti S AU - Arrigo C AU - Biagi E AU - Pignanelli M AU - Nicolini B AU - Rovelli A IN - C. Uderzo, Clinica Pediatrica dell'Universita, Ospedale S Gerardo, Via Donizetti 106, 20052 Monza MI; Italy. TI - Long-term effects of bone marrow- transplantation on dental status in children with leukaemia. SO - Bone Marrow Transplantation Vol 20(10) (pp 865-869), 1997. AB - Minimal data about oral and dental health in long-term survivors after BMT are available. We studied the dental status of 27 children (19 males, eight females) with leukaemia, followed up with a routine oral examination, panoramic tomogram and, when necessary, an endoral radiograph at a median of 2 years (range 1-10) after BMT. Community periodontal index treatment necessity (CPITN), dental caries, missing or filled permanent teeth (DMFT) and dento-facial alterations according to WHO criteria were registered and evaluated. Median age of the patients at BMT was 9 years (range 1.1-17.9). The mean DMFT score ranged from 1.6 to 12.4 according to age at examination and was slightly higher than that which we previously reported in children who received chemotherapy alone, CPITN showed the presence of soft deposits in 77.7%, serious gingivitis in 59.2% and parodontal involvement in 3.7% of cases. Dento-facial abnormalities were found in 55.5% of patients, while 62.9% of the patients had tooth abnormalities or agenesis. Nine out of 27 patients (33%) had root hypoplasia. A negative impact on DMFT index due to multiple post-BMT factors was found. Age is the crucial factor in determining a developmental defect of enamel and root. The follow-up of long-term survivors after BMT should include regular dental examination. [References: 26] <6> UI - 97234781 AU - Tang JMW AU - Altman DS AU - Robertson DC AU - O'Sullivan DM AU - Douglass JM AU - Tinanoff N IN - D.M. O'Sullivan, Univ. of Connecticut Health Center, Department of Pediatric Dentistry, MC1610, 263 Farmington Ave., Farmington, CT 06030-1610; United States of America. E-Mail: osullivan@sun.uchc.edu. TI - Dental caries prevalence and treatment levels in Arizona preschool children. SO - Public Health Reports Vol 112(4) (pp 319-329), 1997. AB - Objectives. To assess the prevalence of dental caries in a large group of preschool children, to determine the extent to which the children received dental treatment, to examine the association between demographic and socioeconomic factors and the prevalence of caries, and to compare these findings with those from previous studies of preschool populations in the United States. Methods. Dental caries exams were performed on 5171 children ages 5 months through 4 years, and a parent or other caregiver was asked to complete a questionnaire giving information about the child and her or his household. The children were recruited from Head Start programs; Women, Infants, and Children (WIC) nutrition programs; health fairs; and day care centers in a representative sample of Arizona communities with populations of more than 1000 people. Results. Of the 994 one-year-old children examined, 6.4% had caries, with a mean dmft (decayed, missing [extracted due to caries], and filled teeth) score of 0.18. Nearly 20% of the 2-year-olds had caries, with a mean dmft of 0.70. Thirty-five percent of the 3-year-olds had caries, with a mean draft of 1.35, and 49% of the 4-year-olds had caries, with a mean draft of 2.36. Children whose caregivers fell into the lowest education category had a mean draft score three times higher than those with caregivers in the highest education category. Children with caregivers in the lowest income category had a mean dmft score four times higher than those with caregivers in the highest category. Children younger than age 3 had little evidence of dental treatment, and most of the children with caries in each age group had no filled or extracted teeth. Conclusions. The data show that dental caries is highly prevalent in this preschool population, with little of the disease being treated. Timing of diagnostic examinations and prevention strategies for preschool children need to be reconsidered, especially for children identified as having a high risk of caries. [References: 40] <7> UI - 96071071 AU - Bruerd B AU - Jones C IN - IHS Dental Services Branch, 5300 Homestead Rd. NE, Albuquerque, NM 87110; United States of America. TI - Preventing baby bottle tooth decay: Eight-year results. SO - Public Health Reports Vol 111(1) (pp 63-65), 1996. AB - Baby bottle tooth decay (BBTD) is a preventable dental disease that affects more than 50% of American Indian/Alaska Native (AI/AN) children. A community-oriented program to prevent BBTD was implemented in 12 AI/AN communities in 1986. In 1989, the overall prevalence of BBTD for the 12 sites combined decreased from 57% to 43%, which represented a 25% reduction (P<.001). Funding for the formal program was discontinued in 1990. In 1994, the Indian Health Service Dental Program and Head Start funded an assessment of the current prevalence of BBTD and the level of program implementation at the 12 original sites. This paper describes the findings. At the five sites where both one to one counseling and community based educational activities had continued, BBTD prevalence was reduced by 38% (P<.001) over the eight- year period. <8> UI - 93193497 AU - Bernard-Bonnin A-C AU - Pelletier H AU - Turgeon JP AU - Allard-Dansereau C AU - Petit N AU - Chabot G AU - Masson P IN - Clinique externe de pediatrie, Hopital Sainte-Justine, 3175 Cote Sainte-Catherine,Montreal, Que. H3T 1C5; Canada. TI - Cariogenic feeding habits and fluoride supplementation during infancy and early childhood. SO - Canadian Journal of Public Health. Revue Canadienne de Sante Publique Vol 84(2) (pp 90-93), 1993. AB - Parents of 240 children between nine months and three years of age were interviewed using a questionnaire in order to determine cariogenic feeding habits and fluoride supplementation. Mean age of weaning from the bottle was 14.6 months. After 18 months of age, children from minority ethnic groups were more frequently bottle-fed than French-Canadian children (p < .005). Giving a bottle in bed (34.6% of cases) was more often practised by less educated mothers (p = .007) or by minority ethnic groups (p = .002), and was seen as a cariogenic factor by 31% of parents. Fluoride was given in half of cases, mainly by highly educated mothers (p = .001) and was mentioned as a preventive measure by 27% of parents. Physicians should be aware of poor parental knowledge and practices of preventive dentistry, and must discuss cariogenic feeding habits and fluoride supplementation during well-baby visits. <9> UI - 93159683 AU - Winter GB AU - Goodman JR AU - Holroyd I IN - Institute of Dental Surgery, Eastman Dental Hospital,London WC1X 8LD; United Kingdom. TI - Children are losing their teeth [26]. SO - British Medical Journal Vol 306(6891) (pp 1544), 1993. <10> UI - 92196275 AU - Sargent JD AU - Attar-Abate L AU - Meyers A AU - Moore L AU - Kocher-Ahern E IN - Dartmouth-Hitchcock Medical Center, 1 Medical Center Dr.,Lebanon, NH 03756; United States of America. TI - Referrals of participants in an urban WIC program to health and welfare services. SO - Public Health Reports Vol 107(2) (pp 173-178), 1992. AB - The Special Supplemental Food Program for Women, Infants, and Children (WIC) provides supplemental food, nutrition education, and referrals to available health and welfare services. Recipients are income-eligible pregnant and postpartum women, their infants, and their children who are younger than 5 years of age. Although studies have documented the nutritional benefits of the program, the extent to which WIC nutritionists help eligible women to obtain available health and welfare services, and the degree to which this referral activity promotes health, is largely unknown. The researchers examined the referral activity at one urban WIC clinic, but did not evaluate the outcomes. Of 1,850 persons seen, there were 762 referrals by WIC nutritionists for 597 persons at the Lawrence, MA, clinic during a 2- month period. Of the 597 persons, 494 (83 percent) were WIC participants and 103 (17 percent) were nonparticipants. The rate of referrals for WIC participants was 27 percent. Multiple referrals were common, with 127 people receiving more than one referral. WIC nutritionists at this site offered a variety of referrals to their clients. The majority of referrals (61.7 percent) were for supplemental food. Nonnutrition-related referrals were to medical and dental services (20.5 percent), developmental and educational services (12.5 percent), and social services (5.4 percent). Nonnutrition- related referrals for women included referrals for family planning, substance abuse, job training, teenaged parenting, and high school equivalency programs. Infants and children were referred for dental care, growth failure, the Head Start Program, kindergarten enrollment, early intervention, and protective services. WIC nutritionists are in an ideal position to evaluate a broad spectrum of health issues and to refer participants to health and welfare services because clients return regularly for vouchers and nutrition counselling. The authors conclude that WIC nutritionists should be given formal training in the evaluation of, and referral for, nonnutrition-related issues in order to maximize their health advocacy role. <11> UI - 92196274 AU - Barnes GP AU - Parker WA AU - Lyon Jr TC AU - Drum MA AU - Coleman GC IN - Baylor College of Dentistry, 3302 Gaston Ave.,Dallas, TX 75246; United States of America. TI - Ethnicity, location, age, and fluoridation factors in baby bottle tooth decay and caries prevalence of Head Start children. SO - Public Health Reports Vol 107(2) (pp 167-173), 1992. AB - Baby bottle tooth decay (BBTD) is a term applied to a specific form of rampant decay associated with inappropriate bottle or breast feeding of infants and young children. Although the prevalence of BBTD has been studied in individual ethnic groups, comparison studies are rare. Head Start children have frequently served as study subjects for assessing the prevalence of BBTD. The purpose of this study was to compare BBTD and caries prevalence among Head Start children who are members of four ethnic groups in five southwestern States. Age, residence, and fluoridation status were also compared for the total sample and ethnic categories. The sampling process was a stratified random site selection; it was used to obtain data on 1,230 children. This number constituted 3 percent of the children enrolled in Head Start in Public Health Service Region VI (Arkansas, Louisiana, New Mexico, Oklahoma, and Texas) where the study was conducted. The criterion for determining the presence of BBTD was based on the number of carious deciduous maxillary incisors observed. The severity of the condition was reported as two of four and three of four of the target teeth affected. Thus, two levels of severity are reported. BBTD was prevalent in approximately 24 percent and 15 percent of the total sample, depending on the severity criterion used. Native American children had a significantly higher (P<0.05) prevalence than Hispanic, white, and black subjects. Rural children had significantly higher (P<0.05) prevalence of BBTD than nonrural children for all ethnic groups except whites. The prevalence of decayed and filled (df) surfaces of primary dentition was significantly greater for all rural than for nonrural groups (P<0.05). Children attending centers showed no significant differences based on fluoride status for the total sample or other variables. BBTD and caries prevalence increased with age. Studies are needed to identify predisposing factors among the ethnic groups and residence status in order for more effective preventive regimens to be developed, implemented, and evaluated. <12> UI - 91312464 AU - Fraschini D AU - Uderzo C AU - Rovelli A AU - Bonomi M AU - Balduzzi A AU - Adamoli Locasciulli LA AU - Pignanelli M AU - Tagilabue R AU - Ebanista P AU - Masera G IN - Department of Dentistry, S.Paolo Hospital, Universita Degli Studi di Milano, Milan; Italy. TI - Oral and dental status in leukemic children treated with bone marrow transplantation. SO - Bone Marrow Transplantation Vol 8(SUPPL. 1) (pp 64-65), 1991. AB - 14 leukemic children, who underwent Bone Marrow Transplantation (BMT), were evaluated for oral and dental status. 11/14 (78.6) patients had dental abnormalities (agenesia, crown opacity and ipoplasya, impaired root development). 11/14 presented multiple caries. Temporomandibular joint function was altered in 1/14 patient. Parodontal abnormalities incidence was similar to a normal population. In conclusion we found an increased incidence in agenesis and root abnormalities. <13> UI - 91303685 AU - Corbin SB TI - Oral disease prevention technologies for community use. SO - International Journal of Technology Assessment in Health Care Vol 7(3) (pp 327-344), 1991. AB - Dentistry is perhaps the most prevention oriented of the many disciplines in health care. This article examines technologies for the prevention of caries (including the use of fluoride, oral hygiene and prophylaxis, sealants, and dietary modifications), periodontal disease, and soft-tissue lesions that can be used in community-oriented programs. <14> UI - 91294290 AU - O'Malley B AU - Brown AC AU - Tate M AU - Hertzler AA AU - Rojas MH IN - Department of Food and, Nutrition Science, Northern Arizona University,Flagstaff, AZ 86011; United States of America. TI - Infant feeding practices of migrant farm laborers in northern Colorado. SO - Journal of the American Dietetic Association Vol 91(9) (pp 1084-1087), 1991. AB - The purpose of this study was to provide descriptive information on migrant farm laborers' infant feeding practices in northern Colorado. We used a survey questionnaire to interview 49 families with a 6- to 23-month-old child who was enrolled in the Migrant Head Start Center. Sixteen (33%) of the mothers breast-fed their infants, but only five (14%) of the 35 Mexican Americans breast-fed. Thirty-four (69%) of the mothers used formula and seven (14%) gave their child cow's milk at birth. Introduction of solids occurred at a mean of 6.6 months. Of the respondents, 13 (27%) introduced solids before 4 months of age, whereas 29 (59%) introduced solids before the age of 6 months. Thirty-six (73%) of the migrant put their child to bed with a sweetened beverage, milk, or formula in a bottle. Diarrhea in the children was reported by 39 (80%) of the migrants, with 15 (31%) stating that it occurred at least once per month. One third (n = 16) of the respondents reported that their children had constipation lasting 1 to 14 days, but for most (n = 10) it occurred less than once per month. Results suggest that migrant families need more dietary recommendations about breast-feeding, introduction of liquids/solid foods, proper formula preparation, avoidance of baby bottle tooth decay, and treatment of diarrhea and constipation. <15> UI - 91144445 AU - Tenovuo J IN - Department of Cariology, Institute of Dentistry, University of Turku, Lemminkaisenkatu 2, SF-20520 Turku; Finland. TI - The microbiology and immunology of dental caries in children. SO - Reviews in Medical Microbiology Vol 2(2) (pp 76-82), 1991. AB - The early establishment of 'mutans streptococci' (alpha-haemolytic oral streptococci), in particular Streptococcus mutans and S. sobrinus, in the primary dentition seems to be associated with the development of caries at pre-school age. The most common route for transmission of these bacteria is via salivary contacts between the mother and her child. The earlier and the heavier the infection, the more extensive progression of caries can be expected. On the other hand, early and frequent challenge by oral mutans streptococci can induce both serum and salivary antibodies against the antigenic components of these bacteria, sometimes even in predentate babies. High levels of anti-S. mutans antibodies in serum, and perhaps also in saliva, seem to reduce the development of caries in the primary dentition. Several factors, such as long-term breast feeding, dental treatment of the mothers during pregnancy and early and frequent mother-child saliva contacts, may modify the child's immune response to mutans streptococci. So far, however, our konwledge of the natural development and efficiency of antibodies against cariogenic bacteria in children is only fragmentary, and much more data are required before vaccination experiments in young children can be justifie <16> UI - 90167846 AU - Pendrys DG AU - Stamm JW IN - Department of Behavioral Sciences and Community Health, AG 017, School of Dental Medicine, University of Connecticut Health Center, Farmington, CT 06032; United States of America. TI - Relationship of total fluoride intake to beneficial effects and enamel fluorosis. SO - Journal of Dental Research Vol 69(SPEC. ISS. FEB.) (pp 529-538), 1990. <17> UI - 89247156 AU - Crespi P AU - Nesnay ME AU - Surace L IN - Department of Pediatric Dentistry, School of Dental Medicine, State University of New York, Stony Brook, NY; United States of America. TI - Nursing caries in the infant and pre-school child. SO - Children's Hospital Quarterly Vol 1(1) (pp 53-56), 1989. <18> UI - 89088749 AU - Marino RV AU - Bomze K AU - Scholl TO AU - Anhalt H IN - Department of Pediatrics, Winthrop University Hospital, Mineola, NY; United States of America. TI - Nursing bottle caries: Characteristics of children at risk. SO - Clinical Pediatrics Vol 28(3) (pp 129-131), 1989. AB - Nursing bottle caries is a pattern of extensive decay in newly erupted maxillary incisors. We examined nutritional, demographic, and behavioral characteristics of children with this condition and age/sex-matched controls, generating a profile of factors associated with increased risk for the development of this disease. Parents of 24 consecutive bottle caries patients seen in a private pediatric dental office completed a questionnaire. Controls were children receiving routine primary pediatric health services at a university based clinical office. Children with bottle caries were more likely to be living in a single parent household (p = 0.005). A higher incidence of sleep difficulties and strong temper also was reported (p = 0.05). Cases were more likely to take the bottle to bed and, to an older age than controls. They received less professional advice regarding weaning as well as less fluoride supplementation (p = 0.025). Clinical recognition of this profile may foster provision of specific anticipatory guidance resulting in primary prevention of this condition.