Callum
Durward, the dean of Dental Health Sciences from the International University,
Cambodia spoke to Khmer Times about children’s dental health in Cambodia.
What are the dental health statistics for
children in Cambodia?
Close to
100 percent of children that have dental decay develop it by the age of six –
the average child in Cambodia has nine decayed teeth. So it starts at a very
young age and of all these children, 95 percent do not get treatment. When
children lose their baby teeth early, the permanent teeth will grow in closer
together so they end up with orthodontic problems as well.
often experience toothaches, infections and have difficulty eating food that
needs to be chewed, such as vegetables and meat, which can affect their general
health. Some studies have shown that the body weight of children with decay is
lower than other children with healthy teeth.
Why do you think so many children have dental
problems here?
Firstly
the early introduction of tooth brushing with fluoride toothpaste is vital for
children and unfortunately in Cambodia many children do not start brushing
their teeth until they get to school. Brushing should actually start as soon as
the teeth come up with a small soft brush and just a smear of toothpaste.
The
second one is related to diet. The weaning foods here often contain a lot of
sugar, so from a very young age many children have a lot of sugar in their
diet. That sugar, combined with plaque on the teeth, turns into acid and they
get caries (dental decay).
Then we
have the bottle feeding. Of course now everybody promotes breast feeding, which
is very important, but in Cambodia there are still quite a number of mothers
who are bottle feeding.
This
isn’t so bad if they stop bottle feeding at one year of age. Studies in
Cambodia and internationally show that children who go to bed with a bottle,
especially if it is continuing over a few years, will get dental decay.
This is
called early childhood caries (ECC). It starts with the upper front teeth and
then spreads to the back teeth. Many children in Cambodia have this condition.
What is the key takeaway for parents?
Brush
children’s teeth at least twice a day with fluoride toothpaste.
In
Cambodia, we recommend adult toothpaste as it has a higher level of fluoride.
There is no fluoride in the water in Phnom Penh and most of Cambodia so having
that additional fluoride is very helpful considering the high decay rate. For a
preschool child, just a little paste on the toothbrush is sufficient.
Try not
to give young children a lot of sweet snacks and drinks especially between
meals. If they are having something sweet, it is better to have it at a meal
time.
If a
child has decay, sugar-free chewing gum especially Xylitol gum helps prevent
against caries.
Mouthwashes
that contain chlorhexidine are also regarded as better for helping to remove
decay.
Lastly
parents should help to brush their children’s teeth up till five years of age,
to ensure the teeth are thoroughly cleaned.
Karen
Owens, R.N.
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