TODENTJ-25-03-2019_TODENTJ-7-175 1553505499 Bentham Open doi@benthamopen.net Bentham Open The Open Dentistry Journal TODENTJ 1874-2106 12 13 2013 7 1 Paola R. Uceda Lauren A. Sanzone Ceib L. Phillips Michael W. Roberts Dental caries is a multifactorial disease that includes behavioral and cultural components. The study’s purpose was to determine the caries experienced (as measured by dmft) in a group of 2-5 y/o children, assess their family and home environment including consumption of fluoridated drinking water, use of a fluoride containing dentifrice, and level of caregiver formal education. Parents of children referred for dental treatment under general anesthesia and who either spoke and read English or Spanish were recruited and consent obtained. Selected information on the family home, parental education and selected fluoride contact data was obtained. An oral clinical examination of the child assisted by intraoral radiographs was completed and the number of decayed, missing, filled primary teeth (dmft) recorded for each child. Bitewings were obtained if posterior or anterior teeth contacts were closed but only periapical radiographs were obtained if contacts were open. Children of English speaking caregivers had statistically more dmft after controlling for the effect of the child’s age and years of parental education (p=0.04). English speaking families had lived in their current home longer and the parent had more formal education than did the Spanish speaking parent. When available, the English children drank municipal tap water more often than did the Spanish children. Spanish speaking parents often chose bottled drinking water. No difference between the two groups was found in the use of tap water for cooking or the use of fluoridated dentifrice. In conclusion, increased parent education, language spoken by the parents and time living in the current home were not associated with lower dmft. Drinking fluoridated drinking water did not affect the dmft. However, using fluoridated water when available to cook and using fluoride containing dentifrice by both groups may have been mutually beneficial. 12 13 2013 175 180 TODENTJ-7-175 1 10.2174/crossmark_policy opendentistryjournal.com benthamopen.com true Peer Reviewed Single blind Checked with iThenticate 2013-8-26 2013-10-31 2013-11-11 2013-12-13 http://creativecommons.org/licenses/by-nc/3.0/ 10.2174/1874210601307010175 1553505499 https://opendentistryjournal.com/VOLUME/7/PAGE/175/ https://opendentistryjournal.com/contents/volumes/V7/TODENTJ-7-175/TODENTJ-7-175.pdf https://opendentistryjournal.com/contents/volumes/V7/TODENTJ-7-175/TODENTJ-7-175.pdf https://opendentistryjournal.com/contents/volumes/V7/TODENTJ-7-175/TODENTJ-7-175.pdf https://opendentistryjournal.com/contents/volumes/V7/TODENTJ-7-175/TODENTJ-7-175.pdf https://opendentistryjournal.com/contents/volumes/V7/TODENTJ-7-175/TODENTJ-7-175.pdf https://opendentistryjournal.com/contents/volumes/V7/TODENTJ-7-175/TODENTJ-7-175.pdf https://opendentistryjournal.com/contents/volumes/V7/TODENTJ-7-175/TODENTJ-7-175.pdf https://opendentistryjournal.com/contents/volumes/V7/TODENTJ-7-175/TODENTJ-7-175.xml Eur J Oral Sci Bratthall D 104 416 1996 Bratthall D, Hänsel PG, Sundberg H. Reasons for the caries decline: what do the experts believe? Eur J Oral Sci 1996; 104 : 416-22. Fluoridation: nature s way to prevent tooth decay. Available at: www.cdc.gov/Fluoridation/pdf/natures_way.pdf (Accessed June 20 2012 Centers for Disease Control and Prevention and the American Dental Association Fluoridation: nature s way to prevent tooth decay Available at: wwwcdcgov/Fluoridation/pdf/natures_waypdf (Accessed June 20 2012. Public Health Rep Edelstein BL 110 522 1995 Edelstein BL, Douglass CW. Dispelling the myth that 50 percent of U S school children have never had a cavity Public Health Rep 1995; 110 : 522-30. Public Health Rep Tang JM 112 319 1997 Tang JM, Altman DS, Robertson DC, O’Sullivan DM, Douglass JM, Tinanoff N. Dental caries prevalence and treatment levels in Arizona preschool children Public Health Rep 1997; 112 : 319-29. Rockville MD DHHS 2000 U S Department of Health and Human Services (DHHS).Oral Health in America A Report of the Surgeon General Rockville MD DHHS 2000. J Am Dent Assoc Vargas CM 129 1229 1998 Vargas CM, Crall JJ, Schneider DA. Sociodemographic distribution of pediatric dental caries: NHANES III. 1988-1994. J Am Dent Assoc 1998; 129 : 1229-38. J Dent Res Fontana M 90 209 2011 Fontana M, Jackson R, Eckert G, et al. Identification of caries risk factors in toddlers J Dent Res 2011; 90 : 209-14. Eur J Oral Sci Oliveira LB 116 37 2008 Oliveira LB, Sheiham A, Bönecker M. Exploring the association of dental caries with social factors and nutritional status in Brazilian preschool children Eur J Oral Sci 2008; 116 : 37-43. Available at http://2010.census.gov/news/releases/operations/cb11-cn146 .html Accessed November 19 2012 U S Census Bureau News 2010 Census shows Nation’s Hispanic population grew four times faster than total U S population Available at http://2010censusgov/news/releases/operations/cb11-cn146 html Accessed November 19 2012. J Dent Res Kaste LM 75(Spec) 631 1996 Kaste LM, Selwitz RH, Oldakowski RJ, Brunelle JA, Winn DM, Brown LJ. Coronal caries in the primary and permanent dentition of children and adolescents 1-17 years of age.United States 1988-1991 J Dent Res 1996; 75(Spec) : 631-41. MMWR Surv Summaries Beltrán-Aguilar ED 54 1 2005 Beltrán-Aguilar ED, Barker LK, Canto MT, et al. Surveillance for dental caries. dental sealnts.tooth retention edentulism and enamel fluorosis United States 1988-1994 and 1992-2002 MMWR Surv Summaries 2005; 54 (03) : 1-44. Acad Pediatr Tinanoff N 9 396 2009 Tinanoff N, Reisine S. Update on early childhood caries since the Surgeon General’s Report Acad Pediatr 2009; 9 : 396-403. J Public Health Dent O’Sullivan DM 56 81 1996 O’Sullivan DM, Tinanoff N. The association of early childhood caries patterns with caries incidence in pre-school children J Public Health Dent 1996; 56 : 81-3. Public Health Rep Edelstein BL 110 522 1995 Edelstein BL. Dispelling the myth that 50% of U S school children have never had a cavity Public Health Rep 1995; 110 : 522-30. United States Centers for Disease Control and Prevention. Available at http://www.cdc.gov/Features/dsUntreatedCavitiesKids/. Accessed January 9 2013 Untreated Dental Caries (Cavities) in Children Ages 2-19 United States Centers for Disease Control and Prevention Available at http://wwwcdcgov/Features/dsUntreatedCavitiesKids/ Accessed January 9 2013. Pediatr Dent 33 (spec issue) 47 2011 American Academy of Pediatric Dentistry.Policy on Early Childhood Caries (ECC) classifications con-sequences and preventive strategies Pediatr Dent 2011; 33 (spec issue) : 47-9. Microbiol Rev Loesche WJ 50 353 1986 Loesche WJ. Role of Streptococcus mutans in human dental decay Microbiol Rev 1986; 50 : 353-80. Available at http://www/modcr/moj/gpv/DataStatistics/FindDataByTopic/DentalCaries/DentalCariesChildren2-11. Accessed January 9 2013 Dental Caries (Tooth Decay) in Children (Age 2-11) National Institute of Dental and Craniofacial Research Available at http://www/modcr/moj/gpv/DataStatistics/FindDataByTopic/DentalCaries/DentalCariesChildren2-11 Accessed January 9 2013. Office of Minority Health. Available at http://minorityhealth.hhs.gov/templates/browse.aspx?lvl=3-lvlid=209. Accessed January 9 2013 Racial and Etnic Specific Oral Health Data U S Department of Health and Human Services Office of Minority Health Available at http://minorityhealthhhsgov/templates/browseaspx?lvl=3-lvlid=209 Accessed January 9 2013. Public Health Rep Tang JM 112 319 1997 Tang JM, Altman DS, Robertson DC, O’Sullivan DM, Douglass JM, Tinanoff N. Dental caries prevalence and treatment levels in Arizona preschool children Public Health Rep 1997; 112 : 319-. Pediatr Dent Sheller B 25 546 2003 Sheller B, Williams BJ, Hays K, Mancl L. Reasons for repeat dental treatment under general anesthesia for the healthy child Pediatr Dent 2003; 25 : 546-2. Anesth Prog Hicks CG 59 3 2012 Hicks CG, Jones JE, Saxen MA, et al. Demand in pediatric dentistry for sedation and general anesthesia by dentist anesthesiologists a survey of directors of dental anesthesiologist and pediatric dentistry residences Anesth Prog 2012; 59 : 3-11. Pediatr Dent White HR 30 70 2008 White HR, Lee JY, Rozier RG. The effect of general anesthesia legislation on operating room visits by preschool children undergoing dental treatment Pediatr Dent 2008; 30 : 70-4. J Dent Child Enger DJ 52 36 1985 Enger DJ, Mourino AP. A survey of 20 pediatric dental general anesthesia cases J Dent Child 1985; 52 (1) : 36-41. levelandc-lin-ic.org/services/anesthesia/hic_asa_physical_classification_system.aspx. Accessed on June 20 2012 ASA physical status classification system: http://my levelandc-lin-icorg/services/anesthesia/hic_asa_physical_classification_systemaspx Accessed on June 20 2012. American Society of anesthesiologists.Relative Value uide code 99140 p.xii. Daniel WW, Ed. Biostatistics a foundation for analysis in the health sciences New York: Wiley Publishing 1995. J Public Health Dent Horowitz HS 56 253 1996 Horowitz HS. The effectiveness of community water fluori-dation in the United States J Public Health Dent 1996; 56 (5) : 253-8. Int Dent J Shellis RP 44 263 1994 Shellis RP, Duckworth RM. Studies on the cariostatic mechanisms of fluoride Int Dent J 1994; 44 ( suppl 1) : 263-73. J Clin Pediatr Dent Stannard JG 16 38 1991 Stannard JG, Shim YS, Kritsineli M, Labropoulou P, Tsamtsouris A. Fluoride levels and fluoride contamination of fruit juices J Clin Pediatr Dent 1991; 16 : 38-40. J Dent Res Levy SM 74 1399 1995 Levy SM, Kohout FJ, Guha-Chowdhury N, Kiritsy MC, Heilman JR, Wefel JS. Infants fluoride intake from drinking water alone. and from water added to forula.beverages., and food J Dent Res 1995; 74 : 1399-407. J Public Health Dent Levy SM 55 39 1995 Levy SM, Kiritsy MC, Warren JJ. Sources of fluoride intake in children J Public Health Dent 1995; 55 : 39-52. J Am Dent Assoc Levy SM 126 1625 1995 Levy SM, Kohout FJ, Kiritsy MC, Heilman JR, Wefel JS. Infants fluoride ingestion from water supplements and dentifrice J Am Dent Assoc 1995; 126 : 1625-32. J Am Dent Assoc Kiritsy MC 127 895 1996 Kiritsy MC, Levy SM, Warren JJ, Guha-Chowdhury N, Heilman JR, Marshall T. Assessing fluoride concentrations of juices and juice-flavored drinks J Am Dent Assoc 1996; 127 : 895-902. Pediatr Dent Van Winkle S 17 305 1995 Van Winkle S, Levy SM, Kiritsy MC, Heilman JR, Wefel JS, Marshall T. Water and formula fluoride concentrations Significance for infants fed formula Pediatr Dent 1995; 17 : 305-10. J Am Dent Assoc Heilman JR 128 857 1997 Heilman JR, Kiritsy MC, Levy SM, Wefel JS. Fluoride concentrations of infant foods J Am Dent Assoc 1997; 128 : 857-63. A 6-year analytical cohort study Acta Odontol Scand Haugejorden O 55 173 1997 Haugejorden O, Nord A, Klock KS. Direct evidence concerning the major role of fluoride dentifrices in the caries decline A 6-year analytical cohort study Acta Odontol Scand 1997; 55 (3) : 173-80.