Dental caries experience in northern Manhattan adolescents

被引:20
作者
Mitchell, DA
Ahluwalia, KP
Albert, DA
Zabos, GP
Findley, SE
Trinh-Shevrin, CB
Marshall, SE
Lamster, IB
Formicola, AJ
机构
[1] Columbia Univ, Sch Dent & Oral Surg, Div Community Hlth, New York, NY 10032 USA
[2] Columbia Univ, Mailman Sch Publ Hlth, New York, NY 10027 USA
关键词
oral health; dental caries; adolescents; school-based dentistry;
D O I
10.1111/j.1752-7325.2003.tb03498.x
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Objective: The study sought to document dental caries among adolescents residing in northern Manhattan, New York, by race, sex, and community. Methods: Clinical and demographic data were collected from children aged 12-17 years at five school-based dental clinics in northern Manhattan. Data on dental caries were collected by calibrated examiners using the National Institute of Dental and Craniofacial Research criteria for oral examinations. Results: A total of 566 children participated in the study. They were predominantly Hispanic (64%) or African American (28916). Compared to data from the National Health and Nutrition Examination Survey III, mean DMFT (3.36 vs 2.53, P<.01) and the prevalence of untreated disease (36% vs 16%; P<.01) were significantly higher for northern Manhattan adolescents. Of the adolescents evaluated, 13 percent had at least one severely carious tooth with pulpal involvement that required either extraction or endodontic therapy. Conclusions:Adolescents in northern Manhattan have higher caries prevalence and higher levels of untreated caries than their national counterparts. Carious lesions progress to pulpal involvement in a high percentage of northern Manhattan children and require extraction or root canal therapy as treatment There is an urgent need for affordable and available dental primary care services targeted to economically disadvantaged communities.
引用
收藏
页码:189 / 194
页数:6
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