ETYOLOGY OF CIRCULAR CARIES

In everyday dental practice, because of the incorrect diet and the absence of oral hygiene in the earliest childhood age, we increasingly face the problem of diagnosing circular cavities in the advanced developmental phase. The aim of the research was to show whether the diseases and complications which occur during the pregnancy period of the mother, and the child’s health condition immediately after the birth, affect the appearance and predisposition of the circular caries. Our examines were children 2-3 years old, where during the standard check-ups we diagnosed starting phases of circular caries-initial lesion (white spot) and superficial form. A questionnaire prepared in advance was given to the mothers of the children diagnosed with circular caries, where we inserted the data for the period of pregnancy (pathologic pregnancy, premature birth with complications and normal pregnancy without any complications) as well as the diseases of the children during the first year of their life (bronchitis, pneumonias, infective diseases). After elaborating the data from the questionnaire, we got the number of 28.21% mothers who had pathological pregnancy and 18.80% had premature birth accompanied with complications. In the first year of the age 35.38% of the children had bronchitis, pneumonias and very often 10% infective diseases. The analysis of the results showed that the circular caries so called early childhood caries is present more often at children whose mothers had pathological pregnancy, premature born children and children who were often ill during the first year of age. These results prove that the fact that problematic pregnancy and the child’s state of health immediately after the birth are factors of predisposition to the appearance of the early childhood caries.