Disparities in Early Childhood Caries
Tóm tắt
Despite remarkable reduction in the prevalence of dental caries in the United States, dental caries is still a highly prevalent disease among children who are socially disadvantaged (racial/ethnic minority, poor, rural, immigrants). Consequently, caries sequelae such as dental pain, need for dental treatment under general anesthesia, and future orthodontic treatment, are also concentrated among the most socially disadvantaged children. To make the situation more appalling, those children who need treatment the most are the ones least likely to visit the dentist. Low income children are less likely to visit the dentist in part because of family's competing needs for limited resources, shortage of pediatric dentists, and dentists not taking uninsured or publicly insured patients. In the same vein, if these children do not have access to dental care, they are deprived from effective caries preventive measures that are dentist-dependent such as sealants and professionally applied fluoride. Dentistry has done well at devising caries preventive and treatment strategies; but these strategies have missed the most needed segment of society: disadvantaged children. The challenge now is to develop innovative strategies to reach these children.
Tài liệu tham khảo
Current Population Survey: Annual Demographic Survey. 2004, Accessed 3/7/05, [http://pubdb3.census.gov/macro/032005/pov/new01100.01.htm]March Supplement
DHHS: Oral health in America: A report of the Surgeon General. NIH Publication no. 00-4713. 2000, [http://www.surgeongeneral.gov/library/oralhealth/]
Tinanoff N: Introduction to the early childhood caries conference. Community Dent Oral Epidemiol. 1998, 26 (Suppl): 5-7.
AAPD: Definition of Early Childhood Caries (ECC). Classifications, consequences, and preventive strategies. Pediatr Dent. 2004, 25 (suppl): 31-32.
Dye BA, Shenkin JD, Ogden CL, Marshall TA, Levy SM, Kanellis MJ: The relationship between healthful eating practices and dental caries in children aged 2–5 years in the United States, 1988–1994. J Am Dent Assoc. 2004, 135: 55-66.
Vargas CM, Crall JJ, Schneider DA: Sociodemographic distribution of pediatric dental caries: NHANES III, 1988–1994. J Am Dent Assoc. 1998, 129 (9): 1229-1238.
DHHS: Healthy People 2010. 2000, [http://www.healthypeople.gov/Document/tableofcontents.htm]
Shiboski CH, Gansky SA, Ramos-Gomez F, Ngo L, Isman R, Pollick HF: The association of early childhood caries and race/ethnicity among California preschool children. J Public Health Dent. 2003, 63 (1): 38-46.
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 (4): 319-329.
Douglass JM, O'Sullivan DM, Tinanoff N: Temporal changes in dental caries levels and patterns in a Native American preschool population. J Public Health Dent. 1996, 56 (4): 171-175.
Brown LJ, Wall TP, Lazar V: Trends in total caries experience: permanent and primary teeth. J Am Dent Assoc. 2000, 131 (2): 223-231.
Brown LJ, Wall TP, Lazar V: Trends in untreated caries in primary teeth of children 2 to 10 years old. J Am Dent Assoc. 2000, 131: 93-100.
Douglass JM, Montero MJ, Thibodeau EA, Mathieu GM: Dental caries experience in a Connecticut Head Start program in 1991 and 1999. Pediatr Dent. 2002, 24 (4): 309-314.
O'Sullivan DM, Tinanoff N: The association of early childhood caries patterns with caries incidence in preschool children. J Public Health Dent. 1996, 56: 81-83.
Thomson WM, Poulton R, Milne BJ, Caspi A, Broughton JR, Ayers KMS: Socioeconomic inequalities in oral health in childhood and adulthood in a birth cohort. Community Dent Oral Epidemiol. 2004, 32 (5): 345-353. 10.1111/j.1600-0528.2004.00173.x.
Griffin SO, Gooch BF, Beltran E, Sutherland JN, Barsley R: Dental services, costs, and factors associated with hospitalization for Medicaid-eligible children, Louisiana 1996–97. J Public Health Dent. 2000, 60 (1): 21-27.
Ramos-Gomez FJ, Huang GF, Masouredis CM, Braham RL: Prevalence and treatment costs of infant caries in Northern California. ASDC J Dent Child. 1996, 63 (2): 108-112.
Kanellis MJ, Damiano PC, Momany ET: Medicaid costs associated with the hospitalization of young children for restorative dental treatment under general anesthesia. J Public Health Dent. 2000, 60 (1): 28-32.
Tinanoff N, O'Sullivan DM: Early childhood caries: overview and recent findings. Pediatr Dent. 1997, 19: 12-16.
DHHS: Office of the Inspector General: Children's dental services under Medicaid. Access and utilization. 1996
Nainar H, Tinanoff N: Effect of Medicaid reimbursement rates on children's access to dental care. Pediatr Dent. 1997, 19 (5): 315-316.
Mayer ML, Rozier RG: Money illusion among health care providers: should we adjust for inflation in analyses of provider behavior?. Soc Sci and Med. 2000, 51: 395-405. 10.1016/S0277-9536(99)00472-4.
Mofidi M, Rozier RG, King RS: Problems with access to dental care for Medicaid-insured children: what caregivers think. Am J Public Health. 2002, 92 (1): 53-58.
Vargas CM, Monajemy N, Khurana P, Tinanoff N: Oral health status of preschool children attending Head Start in Maryland, 2000. Pediatr De. 2002, 24: 257-63.
Vargas CM, Macek MD, Goodman HS, Wagner ML: Dental pain in Maryland school children. J Public Health Dent. 2005, 65 (1): 3-6.
Siegal MD, Yeager MS, Davis AM: Oral health status and access to dental care for Ohio Head Start children. Pediatr Dent. 2004, 26: 519-525.
Edelstein BA, Vargas CM, Candelaria D, Vemuri M: Characteristics of children visiting emergency rooms at dental schools. In press: Pediatric Dentistry.
Johnsen DC, Gerstenmaier JH, DiSantis TA, Berkowitz RJ: Susceptibility of nursing caries children to future approximal molar decay. Pediatr Dent. 1986, 8: 168-170.
Grindefjord M, Dahllof G, Modeer T: Caries development in children from 2.5 to 3.5 years of age: A longitudinal study. Caries Res. 1995, 29: 449-454.
Milgrom P, Hujoel P, Grembowski D, Ward JM: Making Medicaid child dental services work: a partnership in Washington State. J Am Dent Assoc. 1997, 128 (10): 1440-1446.
Grembowski D, Milgrom PM: Increasing access to dental care for Medicaid preschool children the Access to Baby and Child Dentistry (ABCD) program. Public Health Rep. 2000, 115 (5): 448-459. 10.1093/phr/115.5.448.
Rozier RG, Sutton BK, Bawden JW, Haupt K, Slade GD, King RS: Prevention of early childhood caries in North Carolina medical practices: implications for research and practice. J Dent Educ. 2003, 67 (8): 876-885.
Spisak S, Holt K, Mayer R, Rossetti J: Improving children's access to oral health services: the oral health initiative. Matern Child Health J. 1998, 2 (4): 261-264. 10.1023/A:1022315725053.