Gloria Matilde Escobar-Paucar, Blanca Susana Ramírez-Puerta, Luis Gonzalo Álvarez-Sánchez


Introduction: early childhood caries (ECC) is a public health problem. Recognizing caries patterns in affected children can help improve oral health programs focused on the preschool population. The aim of this study was to identify caries patterns in 3- to 5-year-old children in a low to middle-low socioeconomic area. Methods: a calibrated dentist recorded caries lesions using ICDAS criteria in 548 children attending four day-care centers in a low to middle-low socioeconomic area. ECC and S-ECC prevalence and the
proportion of affected teeth/surfaces by lesion type for homologous teeth were calculated. Results: a total
of 419 (76.5%) and 238 (43.4%) children had ECC and S-ECC, respectively. Average dmft was 3.7±3.7 and average affected surfaces were 5.8±7.7. Occlusal surfaces showed the highest caries experience, varying from 17.7% to 36.1%, showing statistical significance when compared to other molar surfaces. The upper
smooth anterior surfaces were affected from 0.2% to 17.2%, while lower smooth anterior surfaces showed values between 0.0% and 6.8%. The percentage of dental caries experience in second molars varies from 37.1% to 42%, while in lower central and lateral incisors the values range from 1.8% to 4.6%. Conclusion:
the specific caries pattern in preschool children with high prevalent ECC from a middle-low-income area indicate the need to design programs aimed at detecting early sings of dental caries in specific locations, as well as disease control strategies.

Full Text:



Do LG. Distribution of caries in children: variations between and within populations. J Dent Res. 2012; 91(6): 536-43. DOI:

World Health Organization. WHO expert consultation on public health intervention against early childhood caries: report of a meeting. Bangkok: World Health Organization; 2017.

Finucane D. Rationale for restoration of carious primary teeth: a review. Eur Arch Paediatr Dent. 2012; 13(6): 281-92

Sheiham A, Alexander D, Cohen L, Marinho V, Moyses S, Petersen PE et al. Global oral health inequalities: task group-implementation and delivery of oral health research and strategies. Adv Dent Res. 2011; 23(2):259-67. DOI:

Watt RG. Social determinants of oral health inequalities: implications for action. Community Dent Oral Epidemiol. 2012; 40 (Suppl 2): 44-8. DOI:

Colombia. Ministerio de Salud. IV Estudio Nacional de Salud Bucal – ENSAB IV: situación en salud bucal. Bogotá: Minsalud; 2014.

Whelton H. Overview of the impact of changing global patterns of dental caries experience on caries clinical trials. J Dent Res. 2004; 83(Spec No. C): C29-34. DOI:

El Batawi H, Fakhruddin KS. Patterns of dental caries among school children assessed using caries assessment spectrum and treatment tool. Eur J Dent. 2017; 11(2): 168-73. DOI:

Bruzda-Zwiech A, Filipińska R, Borowska-Strugińska B, Żądzińska E, Wochna-Sobańska M. Caries experience and distribution by tooth surfaces in primary molars in the pre-school child population of Lodz, Poland. Oral Health Prev Dent. 2015; 13(6): 557-66. DOI:

Elfrink ME, Veerkamp JS, Kalsbeek H. Caries pattern in primary molars in Dutch 5-year-old children. Eur Arch Paediatr Dent. 2006; 7(4): 236-40. DOI:

Ferro R, Besostri A, Olivieri A. Caries prevalence and tooth surface distribution in a group of 5-year-old Italian children. Eur Arch Paediatr Dent. 2009; 10(1): 33-7.

Sowole A, Sote E, Folayan M. Dental caries pattern and predisposing oral hygiene related factors in Nigerian preschool children. Eur Arch Paediatr Dent. 2007; 8(4): 206-10. DOI:

Van Loveren C, Van Palenstein Helderman W. EAPD interim seminar and workshop in Brussels May 9 2015: non-invasive caries treatment. Eur Arch Paediatr Dent. 2016; 17: 33-44. DOI:

Vanobbergen J, Lesaffre E, García-Zattera MJ, Jara A, Martens L, Declerck D. Caries patterns in primary dentition in 3-5- and 7-year-old children: spatial correlation and preventive consequences. Caries Res. 2007; 41: 16-25. DOI:

International Caries Detection and Assessment System. Rationale and evidence for the International Caries Detection and Assessment System (ICDAS II). Indianapolis: ICDAS II; 2012.

Pitts N, Ismail AI, Martignon S, Ekstrand K, Douglas G, Longbottom C. Guide for Practitioners and Educators. International Caries Classification and Management System (ICCMSTM). Implementation Workshop held June 2013. King’s College London; 2014. Disponible en: Acceso: noviembre 2019.

Pitts N. How the detection, assessment, diagnosis and monitoring of caries integrate with personalized caries management. In: Detection, assessment, diagnosis and monitoring of caries. Monographs in oral science. Vol. 21. Editors: Lussi A, Whitford GM. Switzerland: Karger; 2009, pp 1-13.

American Academy of Pediatric Dentistry (AAPD). Policy on early childhood caries (ECC): classifications, consequences, and preventive strategies. Oral Health Policies. 2016; 40(6): 60-62.

Gizani S, Vinckier F, Declerck D. Caries pattern and oral health habits in 2- to 6-year-old children exhibiting differing levels of caries. Clin Oral Investig. 1999; 3(1): 35-40.

Nørrisgaard P, Qvist V, Ekstrand K. Prevalence, risk surfaces and inter-municipality variations in caries experience in Danish children and adolescents in 2012. Acta Odontol Scand. 2016; 74(4): 291-7. DOI:

American Academy of Pediatric Dentistry (AAPD). Policy on early childhood caries (ECC): unique challenges and treatment options. Oral Health Policies. 40(6): 63-4.

Watt RG, Williams DM, Sheiham A. The role of the dental team in promoting health equity. Br Dent J. 2014; 216(1): 11-4. DOI:

Sheiham A. Dental caries affects body weight, growth and quality of life in pre-school children. Br Dent J. 2006; 201(10): 625-6. DOI:

Pitts N, Ismail AI, Martignon S, Ekstrand K, Douglas GVA, Longbottom C. ICCMS™ Guide for practitioners and educators. London: King’s College; 2014.

Nyvad B, Fejerkov O. The caries control concept. In: Fejerskov O, Nivad B; Kidd E. Dental caries the disease and its clinical management. Oxford: Wiley Blackwell; 2015, pp. 235-43.

DOI: Abstract : 80 PDF : 37

Article Metrics

Metrics Loading ...

Metrics powered by PLOS ALM

Esta publicación hace parte del Sistema de Revistas de la Universidad de Antioquia
¿Quieres aprender a usar el Open Journal system? Ingresa al Curso virtual
Este sistema es administrado por el Programa Integración de Tecnologías a la Docencia
Universidad de Antioquia
Powered by Public Knowledge Project