Rural and urban disparities in caries prevalence in children with unmet dental needs: the New England Children's Amalgam Trial

Journal of Public Health Dentistry
Nancy Nairi MaserejianFelicia Trachtenberg

Abstract

To compare the prevalence of caries between rural and urban children with unmet dental health needs who participated in the New England Children's Amalgam Trial. Baseline tooth and surface caries were clinically assessed in children from rural Maine (n = 243) and urban Boston (n = 291), who were aged 6 to 10 years, with two or more posterior carious teeth and no previous amalgam restorations. Statistical analyses used negative binomial models for primary dentition caries and zero-inflated models for permanent dentition caries. Urban children had a higher mean number of carious primary surfaces (8.5 versus 7.4) and teeth (4.5 versus 3.9) than rural children. The difference remained statistically significant after adjusting for sociodemographic factors and toothbrushing frequency. In permanent dentition, urban children were approximately three times as likely to have any carious surfaces or teeth. However, rural/urban dwelling was not statistically significant in the linear analysis of caries prevalence among children with any permanent dentition caries. Covariates that were statistically significant in all models were age and number of teeth. Toothbrushing frequency was also important for permanent teeth. Within this population ...Continue Reading

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Citations

Oct 25, 2012·Primary Health Care Research & Development·Judith OrtizThomas T H Wan
Sep 7, 2012·BMC Oral Health·Elizabeth A KandelCatherine J Binkley
Jul 3, 2015·Acta Odontologica Scandinavica·Ann-Catrin André KramerAnna-Lena Östberg
Sep 11, 2008·Community Dentistry and Oral Epidemiology·Nancy Nairi MaserejianFelicia L Trachtenberg
Oct 23, 2010·Social Science & Medicine·Kate A LevinNigel B Pitts
Jun 5, 2012·Polski przeglad chirurgiczny·Robert SzycaKrzysztof Leksowski
Jul 12, 2013·Cadernos de saúde pública·Gerardo MaupomeBrittany Carlton

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