Document Detail


Current understanding of the epidemiology mechanisms, and prevention of dental caries in preschool children.
MedLine Citation:
PMID:  12528947     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The seriousness and societal costs of dental caries in preschool children are enormous. National data shows that caries is highly prevalent in poor and near poor US preschool children, yet this disease is infrequently treated. The etiology includes elevated colonization levels of mutans streptococci, high frequency sugar consumption, and developmental defects on primary teeth. A necessary first step in preventing dental caries in preschool children is evaluating the child's caries risk factors that include socioeconomic status, previous carious experience, presence of white spot lesions, presence of visible plaque, perceived risk by dental professionals, and microbiologic testing for the presence or quantity of mutans streptococci. Based on this knowledge, different preventive strategies, as well as different intensities of preventive therapies, can be employed. Caries preventive strategies in preschool children include diet modifications to reduce high frequency sugar consumption, supervised tooth brushing with fluoridated dentifrice, systemic fluoride supplements to children living in a nonfluoridated area that are at risk for caries, professional topical fluoride with fluoride varnish, and sealants for primary molars.
Authors:
Norman Tinanoff; Michael J Kanellis; Clemencia M Vargas
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Pediatric dentistry     Volume:  24     ISSN:  0164-1263     ISO Abbreviation:  Pediatr Dent     Publication Date:    2002 Nov-Dec
Date Detail:
Created Date:  2003-01-16     Completed Date:  2003-04-15     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  7909102     Medline TA:  Pediatr Dent     Country:  United States    
Other Details:
Languages:  eng     Pagination:  543-51     Citation Subset:  D; IM    
Affiliation:
Department of Pediatric Dentistry, Dental School, University of Maryland, Baltimore, USA. ntinanoff@dental.umaryland.edu
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MeSH Terms
Descriptor/Qualifier:
Cariostatic Agents / therapeutic use
Child, Preschool
DMF Index
Dental Caries / epidemiology*,  etiology,  prevention & control
Dental Caries Susceptibility
Dental Enamel / abnormalities
Dental Plaque / epidemiology
Dentifrices / therapeutic use
Dietary Sucrose / adverse effects
Fluorides / therapeutic use
Fluorides, Topical / therapeutic use
Food Habits
Humans
Pit and Fissure Sealants / therapeutic use
Poverty / statistics & numerical data
Prevalence
Risk Assessment
Risk Factors
Social Class
Streptococcus mutans / physiology
Tooth, Deciduous / abnormalities
Toothbrushing
United States / epidemiology
Chemical
Reg. No./Substance:
0/Cariostatic Agents; 0/Dentifrices; 0/Dietary Sucrose; 0/Fluorides; 0/Fluorides, Topical; 0/Pit and Fissure Sealants

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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