Prevalence of Early Childhood Caries in 3- to 6-Year-Old Children in Serbia: A National Pathfinder Study

This study aimed to assess dental caries status of 3- to 6-year-old preschool children in the Republic of Serbia. Stratified cluster sampling was implemented. Children were examined in four administrative regions of Serbia. Dental caries indices (decayed, missing, and filled) for deciduous teeth and...

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Main Authors: Tamara Peric, Evgenija Markovic, Jovan Markovic, Bojan Petrovic, Biljana Kilibarda, Ana Vukovic, Dejan Markovic
Format: Article
Language:English
Published: MDPI AG 2025-05-01
Series:Children
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Online Access:https://www.mdpi.com/2227-9067/12/6/692
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author Tamara Peric
Evgenija Markovic
Jovan Markovic
Bojan Petrovic
Biljana Kilibarda
Ana Vukovic
Dejan Markovic
author_facet Tamara Peric
Evgenija Markovic
Jovan Markovic
Bojan Petrovic
Biljana Kilibarda
Ana Vukovic
Dejan Markovic
author_sort Tamara Peric
collection DOAJ
description This study aimed to assess dental caries status of 3- to 6-year-old preschool children in the Republic of Serbia. Stratified cluster sampling was implemented. Children were examined in four administrative regions of Serbia. Dental caries indices (decayed, missing, and filled) for deciduous teeth and the first permanent molar were recorded at the tooth level (dmft, DMFT) and surface level (dfs, DFS). In addition to cavitated caries lesions (ICDAS 3-6), visual changes in enamel (ICDAS 1-2) were recorded. This study included 1060 3-year-old and 1820 6-year-old children in Serbia. Fifty-six percent of 3-year-olds and 21% of 6-year-olds were caries-free. The mean dmft was 2.11 ± 3.45 for 3-year-olds and 4.46 ± 3.69 for 6-year-olds. The mean dfs was 2.62 ± 5.56 for 3-year-olds and 6.06 ± 6.33 for 6-year-olds. The decayed component was dominant in dmft/dfs. The prevalence of surfaces with initial lesion was 8% for 3-year-olds and 13% for 6-year-olds. Among children diagnosed with early childhood caries, 54% of 3-year-olds and 37% of 6-year-olds had a severe form. The mean DMFT was 0.15 ± 0.55, with only the first permanent molars being affected. Dental caries remains a significant public dental health issue among preschool children in Serbia. There is a noticeable trend of increasing numbers of decayed teeth as children progress through their preschool years. It is imperative to take corrective action enhance the existing oral health prevention program in Serbia with the aim of achieving better dental health among preschool children.
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spelling doaj-art-40ae7d3422734603a00c15968ec186692025-08-20T02:24:37ZengMDPI AGChildren2227-90672025-05-0112669210.3390/children12060692Prevalence of Early Childhood Caries in 3- to 6-Year-Old Children in Serbia: A National Pathfinder StudyTamara Peric0Evgenija Markovic1Jovan Markovic2Bojan Petrovic3Biljana Kilibarda4Ana Vukovic5Dejan Markovic6Clinic of Pediatric and Preventive Dentistry, School of Dental Medicine, University of Belgrade, 11000 Belgrade, SerbiaClinic of Orthodontics, School of Dental Medicine, University of Belgrade, 11000 Belgrade, SerbiaClinic of Orthodontics, School of Dental Medicine, University of Belgrade, 11000 Belgrade, SerbiaDepartment of Pediatric and Preventive Dentistry, Dentistry Clinic of Vojvodina, Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, SerbiaInstitute of Public Health of Serbia “Dr. Milan Jovanovic Batut”, 11000 Belgrade, SerbiaClinic of Pediatric and Preventive Dentistry, School of Dental Medicine, University of Belgrade, 11000 Belgrade, SerbiaClinic of Pediatric and Preventive Dentistry, School of Dental Medicine, University of Belgrade, 11000 Belgrade, SerbiaThis study aimed to assess dental caries status of 3- to 6-year-old preschool children in the Republic of Serbia. Stratified cluster sampling was implemented. Children were examined in four administrative regions of Serbia. Dental caries indices (decayed, missing, and filled) for deciduous teeth and the first permanent molar were recorded at the tooth level (dmft, DMFT) and surface level (dfs, DFS). In addition to cavitated caries lesions (ICDAS 3-6), visual changes in enamel (ICDAS 1-2) were recorded. This study included 1060 3-year-old and 1820 6-year-old children in Serbia. Fifty-six percent of 3-year-olds and 21% of 6-year-olds were caries-free. The mean dmft was 2.11 ± 3.45 for 3-year-olds and 4.46 ± 3.69 for 6-year-olds. The mean dfs was 2.62 ± 5.56 for 3-year-olds and 6.06 ± 6.33 for 6-year-olds. The decayed component was dominant in dmft/dfs. The prevalence of surfaces with initial lesion was 8% for 3-year-olds and 13% for 6-year-olds. Among children diagnosed with early childhood caries, 54% of 3-year-olds and 37% of 6-year-olds had a severe form. The mean DMFT was 0.15 ± 0.55, with only the first permanent molars being affected. Dental caries remains a significant public dental health issue among preschool children in Serbia. There is a noticeable trend of increasing numbers of decayed teeth as children progress through their preschool years. It is imperative to take corrective action enhance the existing oral health prevention program in Serbia with the aim of achieving better dental health among preschool children.https://www.mdpi.com/2227-9067/12/6/692oral healthcaries experiencepreschool childrenSerbia
spellingShingle Tamara Peric
Evgenija Markovic
Jovan Markovic
Bojan Petrovic
Biljana Kilibarda
Ana Vukovic
Dejan Markovic
Prevalence of Early Childhood Caries in 3- to 6-Year-Old Children in Serbia: A National Pathfinder Study
Children
oral health
caries experience
preschool children
Serbia
title Prevalence of Early Childhood Caries in 3- to 6-Year-Old Children in Serbia: A National Pathfinder Study
title_full Prevalence of Early Childhood Caries in 3- to 6-Year-Old Children in Serbia: A National Pathfinder Study
title_fullStr Prevalence of Early Childhood Caries in 3- to 6-Year-Old Children in Serbia: A National Pathfinder Study
title_full_unstemmed Prevalence of Early Childhood Caries in 3- to 6-Year-Old Children in Serbia: A National Pathfinder Study
title_short Prevalence of Early Childhood Caries in 3- to 6-Year-Old Children in Serbia: A National Pathfinder Study
title_sort prevalence of early childhood caries in 3 to 6 year old children in serbia a national pathfinder study
topic oral health
caries experience
preschool children
Serbia
url https://www.mdpi.com/2227-9067/12/6/692
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