Prevalence of odontogenic infections and clinical consequences of untreated dental caries in Iraqi preschool children: cross sectional study


Aim: the aim of this study was to report the prevalence of untreated dental caries andtheir clinical consequences and odontogenic infections in primary teeth of (3-6)year’s old preschool Iraqi children.Materials and Methods: cross sectional study consisted of 238 children (128 male,110 female) were at preschool age of (3 – 6) years who were selected from threeprimary health centers at new Baghdad city complaining from dental pain and/orfrom abscess as present as a localized area of dental sepsis. The clinicalconsequences of untreated dental caries were measured using pufa index of Monseet al included four components: pulpal involvement (p), ulceration (u), fistula (f),and abscess (a).Results: the total children were divided according to age into three groups: (3-4) yearsold group (3 years to 4 years and 11 months), (n=56, 23.52%), (5) years old group(5 years to 5 years and 11 months), (n=98, 41.18%) and (6) years old group (6years to 6 years and 11 months), (n=84, 35.29%). (4660) primary teeth of the totalchildren were examined and (n=1645, 35.30%) were the untreated dental caries.The mean pufa and prevalence for the total children was (1.33±1.63, 77.51%) andthe “p” component showed the higher mean value and prevalence (3.22±2.19,46.63%), and other components including “u” (0.62±0.85, 8.94%), “f” (0.97±0.27,13.98%) and “a” (0.55±0.50, 7.96%) also showed high results. Prevalence’sdifferences of the total pufa between the age groups showed a nearly results butsignificant high pufa prevalence was at (3-4) years old children (78.81%)(p=0.000), “p” component showed the significant high prevalence at (3-4) yearsold children (49.63%) (p=0.000), “u” component showed the significant highprevalence at (6) years old (9.37%) (p=0.000), “f” component showed significanthigh prevalence at (5) years old children (15.04%) (p=0.000), and “a” componentshowed significant high prevalence at (6) years old children (8.56%) (p=0.000).Conclusions: high prevalence of the clinical consequences of the untreated dentalcaries in Iraqi preschool children required urgent intervention program and theopportunities to offer such preventive measures in the Iraqi health system.