European Archives of Paediatric Dentistry

, Volume 12, Issue 3, pp 133–138 | Cite as

Prevalence of dental caries and dental care utilisation in preschool urban children enrolled in a comparative-effectiveness study

  • D. T. Kopycka-KedzierawskiEmail author
  • R. J. Billings


AIM: To assess dental caries prevalence and dental care utilisation in pre-school children enrolled in urban childcare centres that participated in a comparative-effectiveness study. STUDY DESIGN: Cross-sectional study. METHODS: Caries prevalence was determined in a cohort of children 12–60 months of age. Eligible children were randomised into two groups: group one received a traditional visual/tactile oral examination and group two received a teledentistry examination. Questionnaires were administered to the children’s parents/guardians to gather demographics and information about using dental and medical services. RESULTS: Of 234 children examined, approximately 28% had caries experience. The mean dfs score was 1.56 with a range of 0–34 carious surfaces. The mean dfs score for the children examined by means of teledentistry was 1.75 and for the children examined by means of the traditional visual/tactile method mean dfs was 1.40; the means between the two groups were not significantly different. Twenty-six children showed evidence of being treated for dental caries. According to the parents, 31.5% of the children had never had a dental check-up before, only 3% of the children were lacking dental insurance and majority of the parents (92%) did not perceive accessing dental care for the children as a problem. STATISTICS: The Wilcoxon Mann-Whitney test and the Kruskal-Wallis test were used to assess statistical differences among groups of children. CONCLUSIONS: The data showed that 28% of the children had caries and, of these, 61% had never been treated for caries, thus indicating that continued efforts are needed to improve oral health care utilisation by inner-city preschool children.

Key Words

Early childhood caries utilisation of oral health care Teledentistry comparative-effectiveness study 


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  1. Acs G, Shulman R, Ng MW et al. The effect of dental rehabilitation on the body weight of children with early childhood caries. Pediatr Dent 1999;21:109–113.PubMedGoogle Scholar
  2. American Academy of Pediatric Dentistry, Definition of Early Childhood Caries (ECC). In: Reference Manual Pediatric Dentistry 2004;26:13.Google Scholar
  3. Broadbent JM, Thomson WM, Williams SM. Does caries in primary teeth predict enamel defects in permanent teeth? A longitudinal study. J Dent Res 2005;84:260–264.PubMedCrossRefGoogle Scholar
  4. Centers for disease Control and Prevention (CDC). Surveillance for Dental Caries, Dental Sealants, Tooth Retention, Edentulism, and Enamel Fluorosis-United States, 1988–1994 and 1999–2002. MMWR Surveillance Summaries Aug 26, 2005;54:1–44.Google Scholar
  5. Dye BA, Tan S, Smith V et al. Trends in oral health status:United States, 1988–1994 and 1999–2004. National Center for Health Statistics. Vital Health Stat 2007;11(248).Google Scholar
  6. Gray MM, Marchment MD, Anderson RJ. The relationship between caries experience in deciduous molars at 5 years and in the first permanent molars of the same child at 7 years. Comm Dent Health 1991;8:3–7.Google Scholar
  7. Kopycka-Kedzierawski DT, Billings RJ. Teledentistry in inner-city childcare centers. J Telemed Telecare 2006;12:176–181.PubMedCrossRefGoogle Scholar
  8. Kopycka-Kedzierawski DT, Billings RJ, McConnochie KM. Dental screening of preschool children using teledentistry:a feasibility study. Pediatr Dent 2007;29:209–213.PubMedGoogle Scholar
  9. Kopycka-Kedzierawski DT, Bell CH, Billings RJ. Prevalence of Dental Caries in early Head Start Children as Diagnosed Using Teledentistry. Pediatr Dent 2008;30:211–215.Google Scholar
  10. Newacheck PW, Hughes DC, Hung YY et al. The Unmet Health Needs of America’s Children. Pediatrics 2000;105:989–997.PubMedCrossRefGoogle Scholar
  11. Tinanoff N, Reisine S. Update on Early Childhood Caries Since the Surgeon General’s Report. Acad Pediatr 2009;9:396–403.PubMedCrossRefGoogle Scholar
  12. Tomar SL, Reeves AF. Changes in the Oral Health of US Children and Adolescents and Dental Public Health Infrastructure Since the Release of the Healthy People 2010 Objectives. Acad Pediatr 2009;9:388–395.PubMedCrossRefGoogle Scholar
  13. USA census. Accessed 10/13/2010.

Copyright information

© European Archives of Paediatric Dentistry 2011

Authors and Affiliations

  1. 1.Eastman Institute for Oral HealthUniversity of RochesterRochesterUSA

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