Dental caries experience and association to risk indicators of remote rural populations

Sean L. Cook, E. Angeles Martinez-Mier, Jeffrey A. Dean, James A. Weddell, Brian J. Sanders, Hafsteinn Eggertsson, Susan Ofner, Karen Yoder

Research output: Contribution to journalArticle

37 Scopus citations


Dental caries continues to be the most common infectious disease of childhood; however, it is no longer pandemic, but endemic in specific sectors of populations. Therefore, it is important to identify and target patients at risk of developing caries in order to develop specific preventive measures. Aim. This study aims to test dental caries risk indicators for significant associations with caries severity. Design. Five separate, small, isolated rural villages in Mexico with varying degrees of caries prevalence were selected for this observational study. A total of 248 children were examined. Risk indicators were assessed via questionnaire and water and salt fluoride analysis. Caries severity was measured by the International Caries Detection and Assessment System (ICDAS-I). Results. Prevalence of caries ranged from 95% to 100% for the five villages. Mean total DMFS (decayed, missing, or filled surfaces-permanent teeth) and dmfs (decayed, missing, or filled surfaces-primary teeth) scores ranged from 2.5 to 5.0 and from 11.3 to 16.9, respectively. Multivariable models showed age and drinking soda between meals to be significantly associated with DMFS, and drinking juice and being female were significantly associated with dmfs. Conclusion. DMFS and dmfs were high in each village, significantly different between villages, and associated with specific risk indicators.

Original languageEnglish (US)
Pages (from-to)275-283
Number of pages9
JournalInternational Journal of Paediatric Dentistry
Issue number4
StatePublished - Jul 1 2008

ASJC Scopus subject areas

  • Dentistry(all)

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