Peculiarities of Medical and Social Prevention of Dental Diseases in Preschool-Aged Children



Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Scientific data show the importance of implementing primary, secondary, and tertiary preventive measures against dental diseases beginning from the antenatal period. Dental diseases remain prevalent among children worldwide and are a substantial economic burden on public health systems. A comprehensive dental prevention program for pediatric populations should be based on early initiation (starting from the antenatal period), an interdisciplinary and intersectoral approach, and monitoring of program effectiveness. Countries with high pediatric dental disease prevalence are developing and implementing national programs for preventing early childhood caries and other dental diseases. Primary prevention of early childhood caries is crucial to reduce disease prevalence in children and adults. Secondary prevention focuses on stopping disease progression and promoting dental hard tissue remineralization. Tertiary prevention includes orthodontic and prosthetic treatment to restore dental arch defects. The Russian Ministry of Health has approved a clinical protocol for treating pediatric dental diseases, including the prevention of dental caries, periodontal diseases, and oral mucosal conditions. This protocol outlines treatment strategies such as nutritional correction (e.g., prescribing multivitamins and calcium supplements) and specifies follow-up intervals based on caries severity and comorbid conditions. A regional dental care model has been established in the Republic of Tatarstan, prioritizing prevention and development of socially oriented dental programs for vulnerable groups, including individuals with disabilities and children from disadvantaged backgrounds, tailored to regional patterns of dental morbidity.

About the authors

Madina N. Khadyeva

Kazan State Medical University

Author for correspondence.
Email: madina-565@mail.ru
ORCID iD: 0009-0002-0643-0418
SPIN-code: 6211-9000

MD, Cand. Sci. (Medicine), Assistant Lecturer, Depart. of Therapeutic Dentistry

Russian Federation, Kazan

References

  1. Yanushevich OO, Kuzmina EM, Kuzmina IN. Preventive Dentistry. Textbook. Moscow: Practical Medicine; 2024. 540 p. (In Russ.) ISBN: 978-5-98811-771-1
  2. Arzumanyan AG, Fomina AV. Study of the prevalence and structure of dentition anomalies among children and adolescents. Herald of New Medical Technologies. 2019;1:14–18. doi: 10.24411/1609-2163-2019-16244 EDN: VXDJXB
  3. Akhrorkhodjaev NS, Tadjiev JB, Murtazaev SS. Stomatological status of preschool children in certain regions of the Republic of Uzbekistan. International scientific review. 2020:102–106. Available from: https://cyberleninka.ru/article/n/stomatological-status-of-preschool-children-in-certain-regions-of-the-republic-of-uzbekistan
  4. Rozakova LSh, Khamadeeva AM, Avraamova OG, et al. Epidemiological rationale for community-based programs of caries prevention of permanent teeth for children of Samara city. Stomatologiya. 2020;99(1):66–69. doi: 10.17116/stomat20209901166 EDN: WHBLRM
  5. Raхmatova DS. A Method for Improving the Prevention of Dental Caries in Children Using the Device «Aerodent». Open Herald: Periodical of Methodical Research. 2024;2(2):36–40. Available from: https://academiaone.org/index.php/6/article/view/594
  6. Kamalova MK, Atavullaev MZh. Optimization of the prevention and treatment of dental caries in preschool children based on a comprehensive medical and social analysis. Journal of Biomedicine and Practice. 2020;719–725. doi: 10.26739/2181-9300-2020-SI-86
  7. Brailer C, Robison V, Barone L. Protect Tiny Teeth Toolkit: An Oral Health Communications Resource for Providers of Pregnant Women and New Mothers. J Womens Health. 2019;28(5):568–572. doi: 10.1089/jwh.2019.7657
  8. Gupta SK, Gupta S, Gojanur S, et al. Pediatricians' view on early childhood caries and oral health in a north region of India: A cross-sectional study. J Family Med Prim Care. 2019;8(1):220–224. doi: 10.4103/jfmpc.jfmpc_201_18
  9. Yusupov ShA. Ways to improve the effectiveness of orthodontic treatment in Bukhara region to prevent the development of caries. Carjis. 2022;3:457–464. doi: 10.24412/2181-2454-2022-3-457-464
  10. Alshunaiber R, Alzaid H, Meaigel S, et al. Early childhood caries and infant's oral health; pediatricians' and family physicians' practice, knowledge and attitude in Riyadh city, Saudi Arabia. Saudi Dent J. 2019;31(Suppl):S96-S105. doi: 10.1016/j.sdentj.2019.01.006
  11. Chen KJ, Gao SS, Duangthip D, et al. Early childhood caries and oral health care of Hong Kong preschool children. Clin Cosmet Investig Dent. 2019;11:27–35. doi: 10.2147/CCIDE.S190993
  12. ElKarmi R, Aljafari A, Eldali H, Hosey MT. Do expectant mothers know how early childhood caries can be prevented? A cross-sectional study. Eur Arch Paediatr Dent. 2019;20(6):595–601. doi: 10.1007/s40368-019-00442-8 EDN: TMUWXC
  13. Urquhart O, Tampi MP, Pilcher L, et al. Nonrestorative Treatments for Caries: Systematic Review and Network Meta-analysis. J Dent Res. 2019;98(1):14–26. doi: 10.1177/0022034518800014
  14. Moiseeva NS, Kunin AA, Kharitonov DY, Stepanov IV. Clinical and laboratory assessment of the effectiveness of the electromagnetic field application to improve the quality of treatment and caries prevention. The Journal Of Scientific Articles Health And Education Millennium. 2019;21(2):25–28. doi: 10.26787/nydha-2226-7425-2019-21-2-25-28 EDN: ZXTQUX
  15. Toumba KJ, Twetman S, Splieth C, et al. Guidelines on the use of fluoride for caries prevention in children: an updated EAPD policy document. Eur Arch Paediatr Dent. 2019;20(6):507–516. doi: 10.1007/s40368-019-00464-2
  16. Nagarajappa R, Satyarup D, Naik D, Dalai RP. Feeding practices and early childhood caries among preschool children of Bhubaneswar, India. Eur Arch Paediatr Dent. 2020;21(1):67–74. doi: 10.1007/s40368-019-00449-1 EDN: CQCMLP
  17. Ferro R. Survey of Caries Experience in 3- to 5-year-old Children in Northeast Italy in 2011 and Its Trend 1984–2011. Oral Health Prev Dent. 2017;15(5):475–481. doi: 10.3290/j.ohpd.a38976
  18. Tiwari T, Jamieson L, Broughton J, et al. Reducing Indigenous Oral Health Inequalities: A Review from 5 Nations. J Dent Res. 2018;97(8):869–877. doi: 10.1177/0022034518763605
  19. Xu N, Deng S, Liang Y, et al. Impact of migration on oral health outcomes of children in multi-beneficial kindergartens in Nanning, Southern China: a cross-sectional study. BMC Oral Health. 2023;23(1):507. doi: 10.1186/s12903-023-03212-7 EDN: MWRUVD
  20. Peres KG, Chaffee BW, Feldens CA, et al. Breastfeeding and Oral Health: Evidence and Methodological Challenges. J Dent Res. 2018;97(3):251–258. doi: 10.1177/0022034517738925
  21. Shashmurina AB, Mishutina OL, Shashmurina VR. Assessment of the drinking water quality for planning endogenic prevention of dental caries. Pediatric dentistry and dental prophylaxis. 2021;21(2):88–93. doi: 10.33925/1683-3031-2021-21-2-88-93
  22. Stevens C. Eliminating early childhood caries. Br Dent J. 2019;226(8):548. doi: 10.1038/s41415-019-0289-4
  23. Macpherson LM, Ball GE, King P, et al. Childsmile: the chlld oral health improvement programme in Scotland. Prim Dent J. 2015;4(4):33–37. doi: 10.1308/205016815816682236
  24. Alves APS, Rank RCIC, Vilela JER, et al. Efficacy of a public promotion program on children's oral health. J Pediatr. 2018;94(5):518–524. doi: 10.1016/j.jped.2017.07.012
  25. Samami M, Farrahi H, Alinia M. The relationship between dental anxiety and oral health literacy with oral health-related quality of life. BMC Oral Health. 2024;24(1):567. doi: 10.1186/s12903-024-04359-7 EDN:MLGNVY
  26. Kodirov MMU. Early methods of prevention of caries in children's teeth. Academic research in educational sciences. 2021;2(4):1887–1890. doi: 10.24411/2181-1385-2021-00814
  27. Khamadeeva AM, Goryacheva VV, Nogina NV. Results of 30-year implementation of prevention programs in dentistry and prospects for maintaining children's dental health in Samara. Pediatric dentistry and prevention. 2017;(4):73–76. (In Russ.) EDN: YNXJGM
  28. Khamadeeva AM, Nogina NV, Luchsheva LF, Baimuratova LR. Features of dental health of children in a region with an unfavorable environmental situation on the example of Chapaevsk, Samara Region. Far Eastern Medical Journal. 2018;1:67–72. EDN: XMLFTV
  29. Oleinik EA, Tsimbalistov AV, Kamalov RH, Gunkina GP. Modernization of the children's dental service of the city of Belgorod. In: XV International Scientific and Practical Conference "Dentistry of the Slavic States", 2016. P. 322–326. (In Russ.)
  30. Ioschenko ES, Brusnitsyna EV, Zakirov TV, Stati TN. Prevention of dental diseases: Textbook-method manual. Ekaterinburg: UGMU; 2022. 118 p. (In Russ.)
  31. Percival T, Edwards J, Barclay S, et al. Early Childhood Caries in 3 to 5 Year Old Children in Trinidad and Tobago. Dent J. 2019;7(1):16. doi: 10.3390/dj7010016
  32. Fang ZL, Harrison TJ, Yang JY, et al. Prevalence of hepatitis B virus infection in a highly endemic area of southern China after catch-up immunization. J Med Virol. 2012;84(6):878–884. doi: 10.5923/j.ajmms.20201011.16
  33. Fleischer GM. Prospects for the development of pediatric dentistry and the profession hygienist dental. Clinical dentistry. 2016;1:4–9. EDN: VQUMQT
  34. Muxamedova MS, Daminova SB, Makhsumova SS, et al. Clinical Picture and Characteristics of the Course of Children'sCaries. Annals of R.S.C.B. 2021;25(3)6766–6771. Available from: http://annalsofrscb.ro/index.php/journal/article/view/2191
  35. Dinkulov DA, Abduazimova LA, Abasova DB, Kuchkarova MK. Innovation approach to caries treatmentamong the children based on algorithmic diagnostics. International Journal of Psychoscial Rehabiltaion. 2020;5(9):593–600. doi: 10.37200/V2419/22722
  36. Badriddinovna DS, Makhsumova SS, Makhsumov SM, et al. Clinical Picture and Characteristics of the Course of Children's Caries. Annals of R.S.C.B. 2021;25(3):6766–6771. Available from: http://annalsofrscb.ro/index.php/journal/article/view/2191/1820
  37. Lumsden C, Wolf R, Contento I, et al. Feasibility, Acceptability, and Short-term Behavioral Impact of the MySmileBuddy Intervention for Early Childhood Caries. J Health Care Poor Underserved. 2019;30(1):59–69. doi: 10.1353/hpu.2019.0007
  38. Xiao J, Alkhers N, Kopycka-Kedzierawski DT, et al. Prenatal Oral Health Care and Early Childhood Caries Prevention: A Systematic Review and Meta-Analysis. Caries Res. 2019;53(4):411–421. doi: 10.1159/000495187 EDN: ESHLLL
  39. Hadjipanayis A, Grossman Z, Del Torso S, et al. Oral health training, knowledge, attitudes and practices of primary care paediatricians: a European survey. Eur J Pediatr. 2018;177(5):675–681. doi: 10.1007/s00431-018-3108-z
  40. Wilde P, Huang Y, Sy S, et al. Cost-Effectiveness of a US National Sugar-Sweetened Beverage Tax With a Multistakeholder Approach: Who Pays and Who Benefits. Am J Public Health. 2019;109(2):276–284. doi: 10.2105/AJPH.2018.304803
  41. Shakavets NV. The results of three-year dental caries prevention in early childhood. Bulletin of Vitebsk State University. 2016;2:93–101. EDN: VURGMD
  42. Terehova TN, Butvilovsky AV, Valadkevich AL, Rublevskaya MV. Evaluation of implementation of dentist''s recommendations by the parents of the preschoolers in the dental caries management system. Medical Journal. 2018;4:95–99. EDN: VOTBIX
  43. Khamadeeva AM, Goryacheva VV, Nogina NV. The results of the 30-years implementation of the preventive programs in dentistry and prospects for conservation of dental health of children in Samara region. Pediatric dentistry and dental prophylaxis. 2017;16(4):73–76. EDN: YNXJGM
  44. Kiselnikova LP, Zueva TE, Karaseva RV, Ogareva AA. Comparative effectiveness of various toothbrushes for children. Pediatric dentistry and dental prophylaxis. 2017;16(1):51-56. EDN: YPCZZD
  45. Abdrashitova AB, Savelyeva OS. Educational and preventive program "healthy smiles" among children of different age groups. In: Youth in science: new arguments. Collection of scientific papers of the IV International Youth Scientific Conference. Volume Part I. Ed. A.V. Gorbenko. Lipetsk: Scientific Partnership "Argument"; 2018. P. 147–150. (In Russ.) EDN: YUWUWA
  46. Smirnova MV, Sokolova LN. "Smile League" — a volunteer squad of the dental faculty. In: Youth, Science, Medicine: Articles of the 64th All-Russian Interuniversity Student Scientific Conference with International Participation; Volume 2. Tver: Tver State Medical Academy; 2018. P. 314–317. (In Russ.) EDN: YRHTMD
  47. Shnaider SA, Salekh AY, Makarenko OA. Caries of The Teeth And Gird — Possibilities Of Prevention. Colloquium journal. 2020;30(82):55–59. doi: 10.24411/2520-6990-2020-12233
  48. Wu J, Chen L, Guan M, et al. Analysis of 5-Year-old children's oral health service utilization and influencing factors in Guizhou Province, China (2019-2020). BMC Oral Health. 2023;23(1):627. doi: 10.1186/s12903-023-03350-y
  49. Duangthip D, Gao SS, Chen KJ, et al. Oral health-related quality of life of preschool children receiving silver diamine fluoride therapy: A prospective 6-month study. J Dent. 2019;81:27–32. doi: 10.1016/j.jdent.2018.12.004
  50. Zharkova OA. Educational and preventive program "Healthy smile for children" among preschool institutions and secondary schools in Vitebsk. Dentistry. Aesthetics. Innovation. 2017;1(1):103–110. (In Russ.) EDN: YMQOZU
  51. Atezhanov DO, Supiyev TK. Prevention of dental caries in preschool children with dental domestic funds "remin". Science, new technologies and innovations of Kyrgyzstan. 2017;1:53–56. EDN: YHRIQR
  52. Strochenko EO. Current Trends In Dental Caries Prevention: Literature Overview. Vestnik stomatologii. 2020;3(112):85–87. doi: 10.35220/2078-8916-2020-37-3-85-87
  53. Sheregov AKh, Kharaeva ZF, Mustafaev MSh, et al. Effectiveness of using fermented herbal preparation in complex therapy of periodontitis developed as an orthodontic treatment complication. Russian Open Medical Journal. 2021;10(4):425. doi: 10.15275/rusomj.2021.0425 EDN: CYSSBZ
  54. Akhmedov A, Utesheva I, Ishanova M, et al. Prevalence,prophylaxis and treatment principles of primary teeth erosion in children. International Journal of Psychosocial Rehabilitation. 2020;24(4):2073–2078. doi: 10.37200/IJPR/V24I4/PR201317 EDN: CLMTPW
  55. Giacaman RA, Muñoz-Sandoval C, Neuhaus KW, et al. Evidence-based strategies for the minimally invasive treatment of carious lesions: Review of the literature. Adv Clin Exp Med. 2018;27(7):1009–1016. doi: 10.17219/acem/77022
  56. Hvorostyanskaya DS. Preventive dental caries measures in children. StudNet. 2020;3(10):25. EDN: YHASOF
  57. YakubovaFKh, Ishanova MK, Akhmedov AB, et al. Estimation of the diagnostic value of amino acid composition of oral fluidand blood serum in children with dental arosion and their effectiveness of pathogenetic treatment. International Journal of Pharmaceutical Research. 2021;3155–3161. doi: 10.31838/ijpr/2021.13.01.486
  58. Abduazimova LA, Jalilova SA, Mukhtorova MM, Khojaev SB. Improvement of methods of treatment of tooth decay and its complications. Bulletin of Science and Education 2022;2(1):75–80. doi: 10.24411/2312-8089-2022-10204 EDN: GKRRCN
  59. Korchagina VV. Treatment of children with a high caries risk and low resistance of dental tissues. Pediatric dentistry and dental prophylaxis. 2017;16(3):49–53. EDN: ZGZMJH
  60. Waggoner WF. Restoring primary anterior teeth: updated for 2014. Pediatr Dent. 2015;37(2):163–170. Available from: https://pubmed.ncbi.nlm.nih.gov/25905657
  61. Buldur B, Oguz E. Reliability and validity of the Turkish version of the Oral Health Literacy Assessment Task: Pathways between parental oral health literacy and oral health consequences in children. Int J Paediatr Dent. 2023;33(2):101–112. doi: 10.1111/ipd.13025 EDN: ZZBIOZ
  62. Alzahrani AY, El Meligy O, Bahdila D, et al. The influence of parental oral health literacy on children's oral health: a scoping review. J ClinPediatr Dent. 2024;48(4):16–25. doi: 10.22514/jocpd.2024.074 EDN: BUGEJY

Supplementary files

Supplementary Files
Action
1. JATS XML

© 2025 Eco-Vector