Prevalence and incidence of early childhood caries among African-American children in Alabama

Tariq Ghazal; Steven M Levy; Noel K Childers; Barbara Broffitt; Gary Cutter; Howard W Wiener; Mirjam Kempf; John Warren; Joseph Cavanaugh

doi:10.1111/jphd.12069

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Prevalence and incidence of early childhood caries among African-American children in Alabama

Journal article

Open access

Peer reviewed

Prevalence and incidence of early childhood caries among African-American children in Alabama

Tariq Ghazal, Steven M Levy, Noel K Childers, Barbara Broffitt, Gary Cutter, Howard W Wiener, Mirjam Kempf, John Warren and Joseph Cavanaugh

Journal of public health dentistry, Vol.75(1), pp.42-48

2015

DOI: 10.1111/jphd.12069

PMCID: PMC4355321

PMID: 25213319

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https://www.ncbi.nlm.nih.gov/pmc/articles/4355321View

Open Access

Abstract

This study aims to assess the prevalence and incidence of early childhood caries (ECC) in African-American children. A cohort of 96 African-American children approximately 1 year of age at baseline were recruited in Uniontown, Alabama, and followed for 3 years. Oral examinations were conducted annually by one of three trained/calibrated dentists using portable equipment, without radiographs, following WHO criteria. The prevalence of decayed/missing/filled surfaces (dmfs) was: 1.1 percent (all d) at approximately age 1 (n = 90, six children were excluded for having no erupted teeth); 12.8 percent (d = 10.5 percent & f = 4.7 percent) at age 2 (n = 86); 39.3 percent (d = 21.4 percent, m = 2.4 percent & f = 22.6 percent) at age 3 (n = 84); and 65.8 percent (d = 28.8 percent, m = 5.5 & f = 46.6 percent) at age 4 (n = 73). The percentages of incisors, canines, first molars, and second molars with dmfs were: 0.1 percent, 0.0 percent, 0.0 percent, and 0.0 percent, at age 1; 2.4 percent, 0.1 percent, 0.8 percent, and 0.6 percent at age 2; 8.2 percent, 0.8 percent, 7.6 percent, and 6.3 percent at age 3; and 10.2 percent, 2.2 percent, 12.6 percent and 16.7 percent at age 4, respectively. The three, 1-year, person-level incidence rates were 12.8 percent (age 1 to age 2), 38.6 percent (age 2 to age 3), and 56.2 percent (age 3 to age 4). From baseline, the 2-year incidence was 39.3 percent and 3-year incidence was 65.8 percent, whereas the 2-year caries incidence from age 1 to age 3 was 66.7 percent (n = 72). The majority of children developed caries during the 3-year follow-up, which is much higher than the 32 percent prevalence of caries among African-American children under age 6 years in National Health and Nutrition Examination Survey from 1999 to 2002.

Prevalence

Dental Caries - epidemiology

Humans

African Americans

Child, Preschool

Alabama - epidemiology

Female

Infant

Male

Incidence

Details

Title: Subtitle: Prevalence and incidence of early childhood caries among African-American children in Alabama
Creators: Tariq Ghazal - College of Dentistry, Preventive and Community Dentistry, The University of Iowa, Iowa City, IA, USA
Steven M Levy
Noel K Childers
Barbara Broffitt
Gary Cutter
Howard W Wiener
Mirjam Kempf
John Warren
Joseph Cavanaugh
Resource Type: Journal article
Publication Details: Journal of public health dentistry, Vol.75(1), pp.42-48
DOI: 10.1111/jphd.12069
PMID: 25213319
PMCID: PMC4355321
NLM abbreviation: J Public Health Dent
ISSN: 0022-4006
eISSN: 1752-7325
Publisher: United States
Grant note: R01 DE016684 / NIDCR NIH HHS R01-DE016684 / NIDCR NIH HHS
Language: English
Date published: 2015
Academic Unit: Statistics and Actuarial Science; Preventive and Community Dentistry; Epidemiology; Biostatistics; Injury Prevention Research Center
Record Identifier: 9983917770402771

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