Anemia, iron-deficiency and early childhood caries: Literature review

Authors

  • Luis Antonio Vicuña Huaqui Universidad Nacional Mayor de San Marcos
  • Roxana Patricia López Ramos Universidad Peruana Cayetano Heredia https://orcid.org/0000-0003-4374-9575
  • Jorge Guillermo Castro Pérez

DOI:

https://doi.org/10.31984/oactiva.v8i2.670

Keywords:

Early childhood Caries; Iron-deficiency, anemia; Preschool

Abstract

The objective of this review is to describe the bidirectional relationship between early childhood caries (ECC) and iron-deficiency anemia. Were consulted databases such as Medline, Scielo, Science Direct, Scopus and Taylor & Francis Group; were included cross sectional, case control, case reports and in vitro studies with topics related to early childhood caries and iron deficiency anemia. ECC generates an inflammation that increases the level of cytokines (IL-6 and IL-1) that disrupt iron regulation, the pain of carious lesions reduces chewing efficiency. In addition, in some cases the habit of prolonged consumption of dairy products inhibits intestinal iron absorption; iron forms in enamel an acid layer resistant to demineralization and bacterial colonization, replaces calcium in hydroxyapatite; reduction of iron at the stomatological level alters the functioning of salivary glands and dental pigmentation process. It is concluded that ECC is associated with a higher risk of iron-deficiency anemia. The iron seems to play a fundamental role on the activity of dental caries and it is still necessary to develop further longitudinal section studies that look for a bidirectional association between ECC and iron-deficiency anemia

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References

Schwendicke F, Frencken JE, Bjørndal L, Maltz M, Manton DJ, Ricketts D, et al. Managing Carious Lesions: Consensus Recommendations on Carious Tissue Removal. Adv Dent Res. [Internet]. 2016;28(2):58–67. DOI: 10.1177/0022034516639271

Banerjee A, Frencken JE, Schwendicke F, Innes NPT. Contemporary operative caries management: consensus recommendations on

minimally invasive caries removal. Br Dent J. [Internet]. 2017;223(3):215–22. DOI: 10.1038/sj.bdj.2017.672

American Academy of Pediatric Dentistry. Policy on Early Childhood Caries (ECC): Consequences and Preventive Strategies [Internet]. 2021. Disponible en: https://www.aapd.org/research/oral-health-policies--recommendations/early-childhood-caries-classifications-consequences-and-preventive-strategies/

Cappellini MD, Motta I. Anemia in Clinical Practice-Definition and Classification: Does Hemoglobin Change with aging? Semin Hematol. [Internet]. 2015;52(4):261–9. DOI: 10.1053/j.seminhematol.2015.07.006

Ministerio de Desarrollo e Inclusión Social. Más de 43 mil niños y niñas dejaron atrás la anemia en el país Plataforma digital única del Estado Peruano. [Internet]. 2020. Disponible en: https://www.gob.pe/institucion/midis/noticias/81192-mas-de-43-mil-ninos-y-ninas-dejaron-atras-la-anemia-en-el-pais

Ministerio de Salud. Guía de Práctica Clínica para la Prevención, Diagnóstico y Tratamiento de la Caries Dental en Niñas y Niños

Plataforma digital única del Estado Peruano. [Internet]. 2017. Disponible en: https://www.gob.pe/institucion/minsa/informes-publicaciones/280858-guia-de-practica-clinica-para-la-prevencion-diagnostico-y-tratamiento-de-la-caries-dental-en-ninas-y-ninos-guia-tecnica

Chaparro CM, Suchdev PS. Anemia epidemiology, pathophysiology, and etiology in low- and middle-income countries. Ann N Y Acad Sci. [Internet]. 2019;1450(1):15–31. DOI: 10.1111/nyas.14092

Venkatesh Babu NS, Bhanushali PV. Evaluation and association of serum iron and ferritin levels in children with dental caries. J Indian Soc Pedod Prev Dent. [Internet]. 2017;35(2):106–9. DOI: 10.4103/JISPPD.JISPPD_71_16

Collado V, Pichot H, Delfosse C, Eschevins C, Nicolas E, Hennequin M. Impact of early childhood caries and its treatment under general anesthesia on orofacial function and quality of life: A prospective comparative study. Med Oral Patol Oral Cirugia Bucal. [Internet]. 2017;22(3):e333–41. DOI: 10.4317/medoral.21611

Janakiram C, Antony B, Joseph J. Association of undernutrition and early childhood dental caries. Indian Pediatr. [Internet]. 2018;55(8):683–5. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30218516/

Folayan MO, Arije O, El Tantawi M, Kolawole KA, Obiyan M, Arowolo O, et al. Association between early childhood caries and malnutrition in a sub-urban population in Nigeria. BMC Pediatr. [Internet]. 2019;19(1):433. DOI: 10.1186/s12887-019-1810-2

Torres G, Blanco D, Anticona C, Ricse R, Antezana V. Gastos de atención odontológica de niños con caries de infancia temprana, ocasionados a la familia y al Estado Peruano, representado por el Instituto Nacional de Salud del Niño. Rev Estomatológica Hered. [Internet]. 2014;25(1):36–43. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1019-43552015000100006&lng=es.

López R, García C. Calidad de vida y problemas bucales en preescolares de la provincia de Huaura, Lima. Rev Estomatológica Hered. [Internet]. 2013;23(3):139–47. Disponible en: https://revistas.upch.edu.pe/index.php/REH/article/view/24

Navajas A. Alteraciones del metabolismo del hierro. [Internet]. 2005;18(2): 54-56. [aprox. 15p.] Disponible en: http://www.avpap.org/documentos/jornadas2005/anavajas.htm

Sermini CG, Acevedo MJ, Arredondo M. Biomarcadores del metabolismo y nutrición de hierro. Rev Peru Med Exp Salud Pública. [Internet]. 2017;34(4):690–8. DOI: 10.17843/rpmesp.2017.344.3182

Álvarez P. El hierro en la alimentación. Farm Prof. [Internet]. 2004;18(2):54–7. Disponible en: https://www.elsevier.es/es-revista-farmacia-profesional-3-pdf-13057675

Bastian TW, von Hohenberg WC, Mickelson DJ, Lanier LM, Georgieff MK. Iron Deficiency Impairs Developing Hippocampal Neuron

Gene Expression, Energy Metabolism, and Dendrite Complexity. Dev Neurosci. [Internet]. 2016;38(4):264–76. DOI: 10.1159/000448514

Bahdila D, Markowitz K, Pawar S, Chavan K, Fine DH, Velliyagounder K. The effect of iron deficiency anemia on experimental dental caries in mice. Arch Oral Biol. [Internet]. 2019; 105:13–9. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31226577/

Cappellini MD, Musallam KM, Taher AT. Iron deficiency anaemia revisited. J Intern Med. [Internet]. 2020;287(2):153–70. DOI: 10.1111/joim.13004

Hassan TH, Badr MA, Karam NA, Zkaria M, El Saadany HF, Abdel Rahman DM, et al. Impact of iron deficiency anemia on the function of the immune system in children. Medicine (Baltimore). [Internet]. 2016;95(47):e5395. DOI: 10.1097/MD.0000000000005395

Pitts N, Baez R, Diaz-Guallory C. Caries de la primera infancia: La Declaración de Bangkok del IAPD. Rev Odontol Pediátrica. [Internet]. 2020;19(1):45–8. DOI: 10.33738/spo.v19i1.118

Tinanoff N, Baez RJ, Diaz Guillory C, Donly KJ, Feldens CA, McGrath C, et al. Early childhood caries epidemiology, aetiology, risk

assessment, societal burden, management, education, and policy: Global perspective. Int J Paediatr Dent. [Internet]. 2019;29(3):238–48. DOI: 10.1111/ipd.12484

Castillo JL, Palma C, Cabrera-Matta A. Early Childhood Caries in Peru. Front Public Health. [Internet]. 2019; 7:337. DOI: 10.3389/fpubh.2019.00337

Xiao J, Alkhers N, Kopycka-Kedzierawski DT, Billings RJ, Wu TT, Castillo DA, et al. Prenatal Oral Health Care and Early Childhood Caries Prevention: A Systematic Review and Meta-Analysis. Caries Res. [Internet]. 2019;53(4):411–21. DOI: 10.1159/000495187

Xiao J, Fiscella KA, Gill SR. Oral microbiome: possible harbinger for children’s health. Int J Oral Sci. [Internet]. 2020;12(1):12. DOI:

1038/s41368-020-0082-x

Organización Mundial de la Salud. Concentraciones de ferritina para evaluar el estado de nutrición en hierro en las poblaciones [Internet]. 2011. Disponible en: https://www.who.int/vmnis/indicators/serum_ferritin_es.pdf

Seow WK. Early Childhood Caries. Pediatr Clin North Am. [Internet]. 2018;65(5):941–54. DOI: 10.1016/j.pcl.2018.05.004

Páez MC, Cioccia AM, Hevia P. Papel de la hepcidina y la ferroportina en la regulación hormonal de la homeostasis del hierro. (Revisión). Vitae Acad Bioméd Digit. [Internet]. 2014;59(1):1–21. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=6463028

Schroth RJ, Levi J, Kliewer E, Friel J, Moffatt ME. Association between iron status, iron deficiency anaemia, and severe early childhood caries: a case–control study. BMC Pediatr. [Internet]. 2013;13(22):1–7. DOI: 10.1186/1471- 2431-13-22

Murphy M. Malabsorción: causas y consecuencias. Elsevier [Internet]. 2020. Disponible en: https://www.elsevier.com/es-es/connect/medicina/edu-trastornos-digestivos-malabsorcion-causas-y-consecuencias

Tang R-S, Huang M-C, Huang S-T. Relationship between dental caries status and anemia in children with severe early childhood caries. Kaohsiung J Med Sci. [Internet]. 2013;29(6):330–6. DOI: 10.1016/j.kjms.2012.10.003

Lönnerdal B. Calcium and Iron Absorption - Mechanisms and Public Health Relevance. Int J Vitam Nutr Res. [Internet]. 2013;80(4):293–9. ISSN: 0300-9831

Henríquez-D’Aquino E, Echeverría-López S, Espinosa-Cereceda S, Quintana-Carvajal C, Henríquez-D’Aquino E, Echeverría-López S, et al. Estudio de los Valores de Hemograma en Niños con Caries Temprana de la Infancia Severa. Int J Odontostomatol. [Internet]. 2019;13(4):452–7. DOI: 10.4067/S0718-381X2019000400452

Bansal K, Goyal M, Dhingra R. Association of severe early childhood caries with iron deficiency anemia. J Indian Soc Pedod Prev Dent. [Internet]. 2016;34(1):36–42. DOI: 10.4103/0970-4388.175508

Nur BG, Tanrıver M, Altunsoy M, Atabay T, Intepe N. The prevalence of iron deficiency anemia in children with severe early childhood caries undergoing dental surgery under general anesthesia. Pediatr Dent J. [Internet]. 2016;26(2):83–7. DOI: 10.1016/j.pdj.2016.04.002

Canatan D, Akdeniz SK. Saliva iron and ferritin levels in patient with thalassemia and iron deficiency anemia. Mediterr J Hematol Infect Dis. [Internet]. 2012;4(1): e2012051–e2012051. DOI: 10.4084/mjhid.2012.051

Johansson I, Fagernäs C. Effect of iron-deficiency anaemia on saliva secretion rate and composition in the rat. Arch Oral Biol. [Internet]. 1994;39(1):51–6. DOI: 10.1016/0003-9969(94)90034-5

Easwaran HN, Annadurai A, Muthu MS, Sharma A, Patil SS, Jayakumar P, et al. Early Childhood Caries and Iron Deficiency Anaemia: A Systematic Review and Meta-Analysis. Caries Res. [Internet]. 2021;575–85. DOI: 10.1159/000520442

Ji S-Q, Han R, Huang P-P, Wang S-Y, Lin H, Ma L. Iron deficiency and early childhood caries: a systematic review and meta-analysis. Chin Med J (Engl). [Internet]. 2021;134(23):2832–7. DOI: 10.1097/CM9.0000000000001729

Gawaly A, El-Naby AbdAY, Alghazaly G. Serum and salivary ferritin levels in iron-deficiency anemia − is there a difference? Egypt

J Haematol. [Internet]. 2020;45(3):156. DOI: 10.4103/ejh.ejh_23_20

Alves KMRP, Franco KS, Sassaki KT, Buzalaf MAR, Delbem ACB. Effect of iron on enamel demineralization and remineralization in vitro. Arch Oral Biol. [Internet]. 2011;56(11):1192–8. DOI: 10.1016/j.archoralbio.2011.04.011

Hashemi A, Bahrololoomi Z, Salarian S. Relationship Between Early Childhood Caries and Anemia: A Systematic Review. Iran J Pediatr Hematol Oncol [Internet]. 2018;8(2):126–38. Disponible en: http://ijpho.ssu.ac.ir/article-1-377-en.html

Flink H. Studies on the prevalence of reduced salivary flow rate in relation to general health and dental caries, and effect of iron supplementation. Swed Dent J Suppl. [Internet]. 2007;(192):3–50. Disponible en: https://pubmed.ncbi.nlm.nih.gov/18274060/

Sharifi R, Tabarzadi MF, Choubsaz P, Sadeghi M, Tadakamadla J, Brand S, et al. Evaluation of Serum and Salivary Iron and Ferritin Levels in Children with Dental Caries: A Meta-Analysis and Trial Sequential Analysis. Child-Basel. 2021 Nov;8(11):1034. DOI:10.3390/children8111034

Delimont NM, Carlson BN, Nickel S. Dental Caries Are Associated with Anemia in Pediatric Patients: A Systematic Literature Review.

J Allied Health. [Internet]. 2021;50(1):73–83. PMID: 33646253

Mohamed WE, Abou El Fadl RK, Thabet RA, Helmi M, Kamal SH. Iron deficiency anaemia and early childhood caries: a cross-sectional study. Aust Dent J. [Internet]. 2021;66 Suppl 1: S27–36. DOI: 10.1111/adj.12842

Deane S, Schroth RJ, Sharma A, Rodd C. Combined deficiencies of 25-hydroxyvitamin D and anemia in preschool children with severe early childhood caries: A case-control study. Paediatr Child Health. [Internet]. 2018;23(3): e40–5. DOI: 10.1093/pch/pxx150

Rajkumaar J, Mathew MG. Association of severe early childhood caries with salivary ferritin. J Fam Med Prim Care. [Internet]. 2020;9(8):3991–3. DOI: 10.4103/jfmpc.jfmpc_9_20

Faheem S, Maqsood S, Hasan A, Imtiaz F, Shaikh F, Farooqui WA. Associations of early childhood caries with salivary beta defensin-3 and childhood anemia: a case-control study. Bmc Oral Health. [Internet]. 2021;21(1):445. DOI: 10.1186/s12903-021-01810-x

Kotian N, Gurunathan D. Estimation of salivary ferritin in children with childhood caries – a cross sectional study. Braz Dent Sci. [Internet]. 2021;24(2). DOI: 10.14295/bds.2021. v24i2.2143

Jayakumar A, Gurunathan D. Estimation of ferritin levels in children with and without early childhood caries - A case–control study.

[Internet]. 2017;7(1):15–7. Disponible en: https://japer.in/article/estimation-of-ferritin-levels-in-children-with-and-without-early-childhood-caries-a-casecontrol-study

Abdallah MA, Abed HH, Hamza G, Alsahafi EN. The association between dmft index and haemoglobin levels in 3–6 year-old Saudi children with anaemia: A cross sectional study. J Taibah Univ Med Sci. [Internet]. 2016;11(1):72–6. DOI: 10.1016/j.jtumed.2015.11.008

Iranna Koppal P, Sakri MR, Akkareddy B, Hinduja DM, Gangolli RA, Patil BC. Iron Deficiency in Young Children: A Risk Marker for Early Childhood Caries. Int J Clin Pediatr Dent. [Internet]. 2013;6(1):1–6. DOI: 10.5005/jp-journals-10005-117654. Sadeghi M, Darakhshan R, Bagherian A. Is there an association between early childhood caries and serum iron and serum ferritin levels? Dent Res J. [Internet]. 2012;9(3):294–8. ISSN: 1735-3327

Raj R, Mani G. An Estimation of Haemoglobin Levels in Children with Early Childhood Caries- A Retrospective Study. Indian J Forensic Med Toxicol. [Internet]. 2020;14(4):6080–8. DOI: 10.37506/ijfmt.v14i4.12553

Published

2023-05-05
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How to Cite

Vicuña Huaqui, L. A., López Ramos, R. P., & Castro Pérez, J. G. (2023). Anemia, iron-deficiency and early childhood caries: Literature review. Odontología Activa Revista Científica, 8(2), 43–52. https://doi.org/10.31984/oactiva.v8i2.670

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