Andrew Pierce1, John Zimmer2, Allison Levans3, Robert J Schroth4. 1. Mr. Pierce is a research assistant, Department of Preventive Dental Science, Dr. Gerald Niznick College of Dentistry, Rady Faculty of Health Sciences, University of Manitoba, and a research assistant, Children's Hospital Research Institute of Manitoba. 2. Dr. Zimmer is a pediatric dentist, Woodrow Wilson Keeble Memorial Health Care Center, Sisseton, S.D., USA. 3. Dr. Levans is a general dentist, Watonga Indian Health Centre, Watonga, Okla., USA. 4. Dr. Schroth is a professor and clinician Scientist Department of Preventive Dental Science, Dr. Gerald Niznick College of Dentistry, Rady Faculty of Health Sciences, University of Manitoba, Research Scientist, Children's Hospital Research Institute of Manitoba, and Section Head of Pediatric Dentistry, Winnipeg Regional Health Authority, all in Winnipeg, Manitoba, Canada;, Email: robert.schroth@umanitoba.ca.
Abstract
Purpose: To determine the prevalence of developmental defects of enamel (DDE) among American Indian (AI) children and whether DDE are associated with caries experience and rehabilitative treatment under general anesthesia (GA). Methods: This retrospective study reviewed charts of 557 AI children, between 12 and 84 months of age, served by one Indian Health Service clinic in Sisseton, SD, USA. Analyses included descriptive and bivariate statistics, including odds ratios (OR). P ≤ 0.05 was considered significant. Results: The overall prevalence of DDE was 32.5% (mean equals 0.87±1.59 per child). The presence of DDE was associated with significantly higher mean decayed, extracted and filled (deft) scores (7.94±5.06 versus 4.84±5.14; P<0.001), predicting adverse clinical outcomes. Children with DDE had 3.8, 4.2, and 3.4 times the odds of having caries, early-childhood-caries (ECC), and severe early-childhood-caries (S-ECC), respectively, than those without DDE. DDE were also associated with higher odds of treatment under GA (OR equals 4.4). Conclusions: DDE were prevalent in this cohort of AI children and found to be significantly associated with a higher caries burden and dental rehabilitation under GA. Early recognition of DDE in infants and toddlers along with targeted prevention programs may help reduce the incidence of caries and subsequent treatment under GA.
Purpose: To determine the prevalence of developmental defects of enamel (DDE) among American Indian (AI) children and whether DDE are associated with caries experience and rehabilitative treatment under general anesthesia (GA). Methods: This retrospective study reviewed charts of 557 AI children, between 12 and 84 months of age, served by one Indian Health Service clinic in Sisseton, SD, USA. Analyses included descriptive and bivariate statistics, including odds ratios (OR). P ≤ 0.05 was considered significant. Results: The overall prevalence of DDE was 32.5% (mean equals 0.87±1.59 per child). The presence of DDE was associated with significantly higher mean decayed, extracted and filled (deft) scores (7.94±5.06 versus 4.84±5.14; P<0.001), predicting adverse clinical outcomes. Children with DDE had 3.8, 4.2, and 3.4 times the odds of having caries, early-childhood-caries (ECC), and severe early-childhood-caries (S-ECC), respectively, than those without DDE. DDE were also associated with higher odds of treatment under GA (OR equals 4.4). Conclusions: DDE were prevalent in this cohort of AI children and found to be significantly associated with a higher caries burden and dental rehabilitation under GA. Early recognition of DDE in infants and toddlers along with targeted prevention programs may help reduce the incidence of caries and subsequent treatment under GA.
Authors: Eswara Uma; Nadzurah Hanim Binti Mazalan; Nur Adila Binti Ramlan; Nur Amirah Binti Adnan; Htoo Htoo Kyaw Soe Journal: Int J Appl Basic Med Res Date: 2021-07-19
Authors: Sara Castañeda-Sarmiento; Karin Harumi Uchima Koecklin; Mayra Belen Barahona Hernandez; Gary Pereda Santos; Julio César Bruno Luyo; Julio César Sánchez Sotomayor; Catherine Ruiz-Yasuda; Zenaida Rojas Apaza; David Paredes Adasme; Dayhanne Alexsandra Torres Ricse; Marycielo Evelin Mendoza Ballena; Abad Salcedo; Laura Ricardina Ramirez-Sotelo; Daniel José Blanco-Victorio; Jessica Arieta-Miranda; Gilmer Torres-Ramos Journal: Heliyon Date: 2022-08-30