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Geographic Differences in Tooth Decay Among Children in Texas

Gita G. Mirchandani, PhD, MPH. Geographic Differences in Tooth Decay Among Children in Texas. A.Sayegh, B. Castrucci, G.Gossman, L. Altenhoff Texas Department of State Health Services. Background. Dental caries (tooth decay)--most common chronic childhood disease

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Geographic Differences in Tooth Decay Among Children in Texas

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  1. Gita G. Mirchandani, PhD, MPH Geographic Differences in Tooth Decay Among Children in Texas A.Sayegh, B. Castrucci, G.Gossman, L. Altenhoff Texas Department of State Health Services

  2. Background • Dental caries (tooth decay)--most common chronic childhood disease • Healthy People 2010 oral health indicators • 2 specifically address prevalence of dental caries

  3. Healthy People 2010 Objectives • 21-1 Dental caries experience • 21-1b. Reduce the proportion of children [6-8 years] with dental caries experience in their primary and permanent teeth

  4. Healthy People 2010 Objectives • 21-2 Untreated dental decay • 21-2b. Reduce the proportion of children [6-8 years] with untreated dental decay in primary and permanent teeth

  5. Dental Caries Experience US Target Texas

  6. Untreated Caries (tooth decay) Texas US Target

  7. METHODS

  8. Data • Basic Screening Survey (BSS) • August 2004-May 2006 • Sample of underserved children • School-based: 110 schools with ≥50% of students on free/reduced lunch program • 17,344 Texas school children aged 2-14

  9. Sample

  10. Outcome Measures • Dental Carries Experience:Proportion of children aged 6-8 years with caries experience (treated and untreated tooth decay) • Untreated tooth decay:  Proportion of children aged 6-8 years with untreated tooth decay.

  11. Explanatory Variables • Socioeconomic status • Not poor (Non-Free/Reduced lunch & Non-Medicaid) • Poor (Free/Reduced lunch, Non-Medicaid) • Very poor (Free Lunch & Medicaid)

  12. Explanatory Variables • Border (Yes/No) • 32 county border region designated by the U.S.-Mexico border health commission • Race/Ethnicity

  13. Dental Caries Experience Not Poor Poor Poorest

  14. Dental Caries Experience Non-Border Border

  15. Untreated Caries Poor Not Poor Poorest

  16. Untreated Caries Non-Border Border

  17. Results

  18. Results

  19. Conclusions • Regardless of geography, poorer children had a greater prevalence of ever having any tooth decay (treated & untreated) • Regardless of geography, poor children had a greater prevalence of untreated caries than not poor children, but prevalence decreases in the poorest group, likely due to Medicaid

  20. Conclusions • Regardless of geography, poorer children had a greater prevalence of ever having any tooth decay (treated & untreated) • Regardless of geography,Poor children had a greater prevalence of untreated caries than not poor children, but prevalence decreases in the poorest group, likely due to Medicaid

  21. Extra Slides • EXTRA SLIDES

  22. CSTE/NACDDOral Health Indicators • 1) Dental Visit: % of Adults 18+ who have visited a dentist or dental clinic in the past year. • 2)Teeth Cleaning: % of Adults 18+ who have had their teeth cleaned in the past year (among adults with natural teeth who have ever visited a dentist or dental clinic).

  23. CSTE/NACDDOral Health Indicators • 3) Complete Tooth Loss:%Adults aged 65+ who have lost all of their natural teeth due to tooth decay or gum disease. • 4) Lost 6+ teeth:  % Adults aged 65+ who have lost six or more teeth due to tooth decay or gum disease.

  24. CSTE/NACDDOral Health Indicators • 5) Fluoridation Status:Percentage of people served by public water systems who receive fluoridated water. • 6) Dental Sealants:  Percentage of 3rd grade students with dental sealants on at least one permanent molar tooth.

  25. CSTE/NACDDOral Health Indicators • 7) Carries Experience:Percentage of 3rd grade students with caries experience, including treated and untreated tooth decay • 8) Untreated tooth decay:  Percentage of 3rd grade students with untreated tooth decay.

  26. CSTE/NACDDOral Health Indicators • 9) Cancer of the Oral Cavity & Pharynx

  27. Oral Health Indicators—Children (1) • Carries Experience:Percentage of 3rd grade students with caries experience, including treated and untreated tooth decay • Untreated tooth decay:  Percentage of 3rd grade students with untreated tooth decay.

  28. Oral Health Indicators: Children (2) • Dental Sealants:  Percentage of 3rd grade students with dental sealants on at least one permanent molar tooth.

  29. Background • Dental caries (tooth decay)--most common chronic childhood disease • Oral health indicators developed by CSTE & NACDD • 9 indicators, 3 address children • 2 specifically address prevalence of dental caries

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