COMPARATIVE ANALYSIS OF ECC AND S-ECC AMONG 4–5-YEAR-OLD CHILDREN: ASSESSING CAVITATED AND NON-CAVITATED LESIONS USING THE ICDAS

Minh Khánh Nguyễn, Trọng Hùng Hoàng, Uyên Châu Ngô, Quang Khải Đào, Trung Chánh Lê

Main Article Content

Abstract

Background: Early Childhood Caries (ECC) and Severe Early Childhood Caries (S-ECC) are common in preschool children. Studies relying only on cavitated lesions may underestimate disease burden. Objective: To compare ECC and S-ECC prevalence in 4–5-year-old children based on cavitated and non-cavitated lesions using ICDAS. Methods: A cross-sectional study of 619 children (323 boys, 296 girls) from 12 kindergartens in Vinh Long Province, Vietnam. Caries were recorded by ICDAS-II; ECC and S-ECC defined by AAPD 2013. Data were analyzed with Chi-square and independent t-test. Results: ECC prevalence was 96.8% (d₁) and 76.9% (d₃); S-ECC was 87.4% (d₁) and 49.3% (d₃). No significant differences were found across areas or genders (p > 0.05). Mean dmft-r scores: 14.6±5.8 (d₁), 6.4±5.8 (d₃); mean dmft-s scores: 38.6±25.9 (d₁), 16.1±18.4 (d₃). All differences between thresholds were significant (p < 0.001). Conclusion: ECC and S-ECC are highly prevalent in 4–5-year-old children in Vinh Long. ICDAS allows early detection of non-cavitated lesions, providing a comprehensive estimate of caries burden and supporting preventive strategies.

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References

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