ArticleInternational journal of environmental research and public health2017
Early Childhood Dental Caries, Mouth Pain, and Malnutrition in the Ecuadorian Amazon Region.
Article in International journal of environmental research and public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.
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Who cites it
33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 63 citations in OpenAlex.
- Dental caries experience in Indigenous children and adolescents: a systematic review and meta-analysis assessing worldwide disparities and time trends (1968-2024).Clinical oral investigations · 2026Pooled it
- Individual, Family, and Socioeconomic Contributors to Dental Caries in Children from Low- and Middle-Income Countries.International journal of environmental research and public health · 2022Pooled it
- Prevalence of stunting and obesity in Ecuador: a systematic review.Public health nutrition · 2021Pooled it
- Ultra-processed foods and early childhood caries in 0-3-year-olds enrolled at Primary Healthcare Centers in Southern Brazil.Public health nutrition · 2021Trial
- Altered Surrogate Markers of Inflammation in Perinatal HIV-Exposed Children with Caries.JDR clinical and translational research · 2025Article
- Social determinants of oral health in an indigenous community of Chile: preliminary data of a mixed qualitative and quantitative study.BMC oral health · 2025Article
- Untreated early childhood caries is a potential disability: policy and programme implications for Africa.Frontiers in oral health · 2025Review
- Study on the association between malnutrition, early childhood caries and caries activity among children aged 3-5 years.BMC oral health · 2024Article
- A Review on Maternal Parenting, Child's Growth Stunting, and Oral Health.European journal of dentistry · 2024Article
- Household, dietary, and clinical characteristics of childhood caries and overweight progression-A prospective cohort study.International journal of paediatric dentistry · 2024Article
- Maternal depression in first 1000 days of life and early childhood caries prevalence at 48 months of age.Clinical oral investigations · 2023Article
- Social and Preventive Factors That Explain Oral Health among Pregnant Women in the Canton of Cuenca, Ecuador.Healthcare (Basel, Switzerland) · 2023Article
- Caries Experience in Preschoolers in Three Ecuadorian Communities.Children (Basel, Switzerland) · 2023Article
- Fewer Children in Families Associated with Lower Odds of Early Childhood Caries: A Sample from Three Countries.International journal of environmental research and public health · 2023Article
- Investigating the access barriers to oral and dental health services for children from the perspective of parents attending the health centers of Kerman.Dental research journal · 2023Article
- Narrative review of the prevalence and distribution of acute pain in children in the self-care setting.Paediatric & neonatal pain · 2022Review
- Caries Experience and Treatment Needs in Urban and Rural Environments in School-Age Children from Three Provinces of Ecuador: A Cross-Sectional Study.Dentistry journal · 2022Article
- Prevalence of Caries According to the ICDAS II in Children from 6 and 12 Years of Age from Southern Ecuadorian Regions.International journal of environmental research and public health · 2022Article
- Cross-Sectional Analysis of Oral Healthcare vs. General Healthcare Utilization in Five Low- and Middle-Income Countries.Frontiers in oral health · 2022Article
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Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Malnutrition and dental caries in early childhood remain persistent and intertwined global health challenges, particularly for indigenous and geographically-remote populations. To examine the prevalence and associations between early childhood dental caries, parent-reported mouth pain and malnutrition in the Amazonian region of Ecuador, we conducted a cross-sectional study of the oral health and nutrition status of 1407 children from birth through age 6 in the "Alli Kiru" program (2011-2013). We used multivariate regression analysis to examine relationships between severe caries, parent-reported mouth pain measures, and nutritional status. The prevalence of dental caries was 65.4%, with 44.7% of children having deep or severe caries, and 33.8% reporting mouth pain. The number of decayed, missing and filled teeth (dmft) increased dramatically with age. Malnutrition was prevalent, with 35.9% of children stunted, 1.1% wasted, 7.4% underweight, and 6.8% overweight. As mouth pain increased in frequency, odds for severe caries increased. For each unit increase in mouth pain frequency interfering with sleeping, children had increased odds for being underweight (Adjusted Odds Ratio (AOR): 1.27; 95% CI: 1.02-1.54) and decreased odds for being overweight (AOR: 0.76; 95% CI: 0.58-0.97). This relationship was most pronounced among 3-6 year-olds. Early childhood caries, mouth pain and malnutrition were prevalent in this sample of young children. Parent-reported mouth pain was associated with severe caries, and mouth pain interfering with sleeping was predictive of poor nutritional status. We demonstrate the utility of a parsimonious parent-reported measure of mouth pain to predict young children's risk for severe early childhood caries and malnutrition, which has implications for community health interventions.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.