Dental Caries Incidence in North and South Dakota Indian School Children during 30 Years

Ship, Irwin I.

doi:10.1177/00220345660450022401

Cited by 5 publications

(1 citation statement)

References 6 publications

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“…The same clinical examination techniques were used in the two studies to designate decayed, missing or filled teeth (DMFT) in the permanent dentition; comparisons for the youngest age group (under age 8) showed a tripling of DMFT (0.45 in 1932 and 1.76 in 1961) with a 1.31 DMFT increase between the two time points (Ship, 1966). Ship (1966) speculated that while dietary/nutritional changes, abnormalities in dental structure, or changes in fluoride exposure may explain some of the increase in caries prevalence, a longitudinal study would be necessary to understand the etiologic reasons for the changes observed. Jones and Phipps (1992) (Jones and Phipps, 1992).…”

Section: Dental Caries In Native American Childrenmentioning

confidence: 99%

Geographic trends in severe early childhood dental caries of Native American children

Slashcheva¹

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This study investigated the effect of geographic location on Severe Early Childhood Caries (S-ECC) in Native American Children three years of age from a Norther Plains Tribal Community. Geographic location of study participants was ascertained by postal district and categorized into geographic regions as well as dental clinic accessibility, defined as dental services present or absent in that district. The association of location category and dental caries (dmfs) was evaluated cross-sectionally at 36 months of age. Descriptive statistics demonstrated differences in dental caries distribution by geographic region and accessibility category. Bivariate analysis of disease by location showed a significant difference in dmfs between 4 geographic regions (p=0.0159) but not between accessibility categories (p=0.0687). Multivariable regression modeling for geographic region demonstrated the unique effect of geographic region on dental caries experience as well as five other key risk factors. Incident Rate Ratios (IRR) were computed for each of the risk factors, including number of erupted teeth (IRR=1.89, p=0.0147), fluoride exposure from tap water (IRR=1.70, p=0.0173), annual family income (IRR=1.58, p=0.0392), maternal DMFS (IRR=1.02, p=0.0040), and Mean Adequacy Ratio (IRR=1.05, p=0.1042). This study demonstrated statistically significant variation in cumulative dental caries experience of Native American children aged 36 months among geographic regions and identified the specific unites of association through multivariate modeling. These findings can be used for local dental caries prevention programs and contribute to a broader understanding of S-ECC among very young Native American children. v PUBLIC ABSTRACT Native American children experience higher levels of dental decay than children of other races and ethnicities in the U.S. This study investigated the role of geographic location in experience of dental decay in Native American children aged 36 months. Geographic location was designated based on participants' postal district address. Two location categories were created: 1) geographic region, and 2) accessibility (presence or absence of a dental clinic in that district). The study evaluated the relationship between the number of tooth surfaces with dental decay and each location category. Several other important demographic and risk factors were also included in these comparisons. Dental decay differed with statistical significance among four geographic regions but did not differ with statistical significance among two accessibility categories. When adjusting for other important factors, the anticipated dental decay rate resulting from geographic region was quantified. The anticipated contribution of five other key risk factors to anticipated dental decay rate was also quantified. These factors included the number of erupted teeth of the child, whether fluoride was present in the household tap water, the annual family income, the extent of mothers' dental decay, and a measure of nutritional intake. This study ...

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Section: Dental Caries In Native American Childrenmentioning

confidence: 99%

Geographic trends in severe early childhood dental caries of Native American children

Slashcheva¹

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Diabetes and Kidney Disease in American Indians: Potential Role of Sugar-Sweetened Beverages

Yracheta

Lanaspa

et al. 2015

Mayo Clinic Proceedings

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Since the early 20th century, a marked increase in obesity, diabetes, and chronic kidney disease has occurred in the American Indian population, especially the Pima Indians of the Southwest. Here, we review the current epidemic and attempt to identify remediable causes. A search was performed using PubMed and the search terms American Indian and obesity, American Indian and diabetes, American Indian and chronic kidney disease, and American Indian and sugar or fructose, Native American, Alaska Native, First Nations, Aboriginal, Amerind, and Amerindian for American Indian for articles linking American Indians with diabetes, obesity, chronic kidney disease, and sugar; additional references were identified in these publications traced to 1900 and articles were reviewed if they were directly discussing these topics. Multiple factors are involved in the increased risk for diabetes and kidney disease in the American Indian population, including poverty, overnutrition, poor health care, high intake of sugar, and genetic mechanisms. Genetic factors may be especially important in the Pima, as historical records suggest that this group was predisposed to obesity before exposure to Western culture and diet. Exposure to sugar-sweetened beverages may also be involved in the increased risk for chronic kidney disease. In these small populations in severe health crisis, we recommend further studies to investigate the role of excess added sugar, especially sugar-sweetened beverages, as a potentially remediable risk factor.

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A Comparison of Dental Caries Experience in Native American and Caucasian Children in Oklahoma

Grim¹,

Broderick²,

Jasper³

et al. 1994

J Public Health Dent

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Dental Caries Incidence in North and South Dakota Indian School Children during 30 Years

Cited by 5 publications

References 6 publications

Geographic trends in severe early childhood dental caries of Native American children

Geographic trends in severe early childhood dental caries of Native American children

Diabetes and Kidney Disease in American Indians: Potential Role of Sugar-Sweetened Beverages

A Comparison of Dental Caries Experience in Native American and Caucasian Children in Oklahoma

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