Tariq S Ghazal1, Steven M Levy2, Noel K Childers3, Barbara A Broffitt4, Daniel J Caplan4, John J Warren4, Joseph E Cavanaugh5, Justine Kolker6. 1. Department of Preventive and Community Dentistry, College of Dentistry, at the University of Iowa, Iowa City, Iowa, USA. 2. Department of Preventive and Community Dentistry, College of Dentistry, Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, Iowa, USA. 3. Department of Pediatric Dentistry, School of Dentistry, University of Alabama at Birmingham, Birmingham, Ala., USA. 4. Department of Preventive and Community Dentistry, College of Dentistry, University of Iowa, Iowa City, Iowa, USA. 5. Department of Biostatistics, College of Public Health, University of Iowa, Iowa City, Iowa, USA. 6. Department of Operative Dentistry, College of Dentistry, University of Iowa, Iowa City, Iowa, USA.
Abstract
PURPOSE: The purpose of this study was to assess the prevalence and incidence of dental caries in school-age African American children who received semi-annual fluoride varnish applications. METHODS: A cohort of six-year-old high caries-risk African American children (n equals 98) was recruited in Uniontown, Ala., USA, and followed for six years. Oral examinations were done annually by three trained/calibrated dentists. Tooth surfaces with cavitated caries, teeth missing due to caries, and teeth with filled surfaces were recorded using World Health Organization criteria. Also, as part of the study, children received periodic oral health instruction, fluoride varnish applications, and referrals to dentists starting at baseline. RESULTS: The person-level prevalence of decayed, missing, and filled surfaces of primary and permanent teeth (dmfs/DMFS) was: 61.2 percent at mean age of 5.9 years old (n equals 98, mean dmfs/DMFS equals 11.6); 63.8 percent at 6.7 years old (n equals 80, mean dmfs/ DMFS equals 13.2); 70.6 percent at 7.8 years old (n equals 68, mean dmfs/DMFS equals 14.2); 65.7 percent at 8.8 years old (n equals 68, mean dmfs/DMFS equals 11.8); 55.6 percent at 9.7 years old (n equals 63, mean dmfs/DMFS equals 8.8); 40.3 percent at 10.7 years old (n equals 62, mean dmfs/DMFS equals 3.4); and 37.1 percent at 11.7 years old (n equals 62, mean dmfs/DMFS equals 2.3). The six-year person-level incidence of dmfs/DMFS was 32.3 percent (mean dmfs/DMFS equals 1.6) from 5.9 to 11.7 years old (<small>N</small> equals 62). CONCLUSIONS: In spite of the oral health education and fluoride varnish applications, there was substantial new dental caries in this high-risk sample. Additional studies evaluating risk factors for caries development are ongoing.
PURPOSE: The purpose of this study was to assess the prevalence and incidence of dental caries in school-age African American children who received semi-annual fluoride varnish applications. METHODS: A cohort of six-year-old high caries-risk African American children (n equals 98) was recruited in Uniontown, Ala., USA, and followed for six years. Oral examinations were done annually by three trained/calibrated dentists. Tooth surfaces with cavitated caries, teeth missing due to caries, and teeth with filled surfaces were recorded using World Health Organization criteria. Also, as part of the study, children received periodic oral health instruction, fluoride varnish applications, and referrals to dentists starting at baseline. RESULTS: The person-level prevalence of decayed, missing, and filled surfaces of primary and permanent teeth (dmfs/DMFS) was: 61.2 percent at mean age of 5.9 years old (n equals 98, mean dmfs/DMFS equals 11.6); 63.8 percent at 6.7 years old (n equals 80, mean dmfs/ DMFS equals 13.2); 70.6 percent at 7.8 years old (n equals 68, mean dmfs/DMFS equals 14.2); 65.7 percent at 8.8 years old (n equals 68, mean dmfs/DMFS equals 11.8); 55.6 percent at 9.7 years old (n equals 63, mean dmfs/DMFS equals 8.8); 40.3 percent at 10.7 years old (n equals 62, mean dmfs/DMFS equals 3.4); and 37.1 percent at 11.7 years old (n equals 62, mean dmfs/DMFS equals 2.3). The six-year person-level incidence of dmfs/DMFS was 32.3 percent (mean dmfs/DMFS equals 1.6) from 5.9 to 11.7 years old (<small>N</small> equals 62). CONCLUSIONS: In spite of the oral health education and fluoride varnish applications, there was substantial new dental caries in this high-risk sample. Additional studies evaluating risk factors for caries development are ongoing.
Authors: Kyounga Cheon; Stephen A Moser; Howard W Wiener; Jennifer Whiddon; Stephanie S Momeni; John D Ruby; Gary R Cutter; Noel K Childers Journal: Eur J Oral Sci Date: 2013-04-19 Impact factor: 2.612
Authors: Eugenio D Beltrán-Aguilar; Laurie K Barker; María Teresa Canto; Bruce A Dye; Barbara F Gooch; Susan O Griffin; Jeffrey Hyman; Freder Jaramillo; Albert Kingman; Ruth Nowjack-Raymer; Robert H Selwitz; Tianxia Wu Journal: MMWR Surveill Summ Date: 2005-08-26
Authors: Tariq Ghazal; Steven M Levy; Noel K Childers; Barbara Broffitt; Gary Cutter; Howard W Wiener; Mirjam Kempf; John Warren; Joseph Cavanaugh Journal: J Public Health Dent Date: 2014-09-11 Impact factor: 1.821
Authors: Allison Gemmel; Mary Tavares; Susan Alperin; Jennifer Soncini; David Daniel; Julie Dunn; Sybil Crawford; Norman Braveman; Thomas W Clarkson; Sonja McKinlay; David C Bellinger Journal: Environ Health Perspect Date: 2002-10 Impact factor: 9.031
Authors: Tariq S Ghazal; Steven M Levy; Noel K Childers; Knute D Carter; Daniel J Caplan; John J Warren; Justine L Kolker Journal: J Public Health Dent Date: 2018-09-20 Impact factor: 1.821