Haitian orphan population and protective factors against caries
DOI:
https://doi.org/10.5195/d3000.2015.40Keywords:
Dental Caries, Enamel Discoloration, Dental TraumaAbstract
Objective In Haiti, families were torn apart and children were left orphans after the 2010 earthquake. In the aftermath of this natural disaster many children were relocated to orphanages across the country and adopted internationally. Years later these children find themselves catching up in growth physically, mentally and emotionally after an extremely traumatic event during a crucial time in their health development. Another important marker of development is the primary dentition and the presence of caries. We report estimates of early childhood caries (ECC) frequency, risk factors and quality of health among Haitian children. Methods Medical and dental professionals conducted a descriptive cross sectional study through the Pittsburgh Kids Foundation and their partnership with IDADEE children’s home, EBAC orphanage and New Vision Children’s home. Vital signs were taken and recorded to create a health/growth history for each child. Brief dental screenings were conducted and topical fluoride treatments were administered. Risk factors and quality of health information was obtained from discussions with the caregivers present. The children and caregivers were given oral hygiene education and supplies (i.e. toothbrushes, toothpaste, floss). Results Physical exams and dental screenings were conducted on the 40 children ages 3-10 years of age living in the IDADEE children’s home. Two children had cavitated teeth. Eight children had teeth that were stained. Four children had evidence of dental trauma. 26 out of the 40 children had otherwise healthy dentition. Conclusion The IDADEE children’s home and New Vision Children’s home have hopes to expand their capacity with new construction scheduled to be finished in 2016. As more children enter these homes action is needed to educate caregivers on ways to identify high-risk children to prevent ECC and ways they can be treated before irreversible damage is done to the developing permanent dentition.
References
McLean HS, Price DT. Failure to thrive. In: Kliegman RM, Stanton BF, St. Geme JW III, et al., eds. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, Pa: Elsevier Saunders; 2011:chap 38.
Growth Charts - Homepage. Cdcgov. 2016. Available at: http://www.cdc.gov/growthcharts. Accessed March 14, 2016.
Pittsburgh Kids Foundation - HAITI. Pittsburghkidsfounda-tionorg. 2016. Available at: http://www.pittsburghkidsfoundation.org/haiti/. Accessed March 14, 2016.
Nowak AJ, Casamassimo PS. The Handbook of Pediatric Dentistry. American Academy of Pediatric Dentistry, 2011
Dean J, McDonald R, Avery D. Mcdonald And Avery's Dentistry For The Child And Adolescent. St. Louis, Missouri: Elsevier; 2016.
Dental caries in pre-school chil-dren: associations with social class, toothbrushing habit and consumption of sugars and sugar-containing foods. Further analysis of data from the National Diet and Nutrition Survey of children aged 1.5-4.5 years. Gibson S, William S. Caries Res. 1999;33(2):101-13. PMID: 9892777
An investigation into the use of restriction endonuclease analysis for the study of transmission of mutans streptococci. Kulkarni GV, Chan KH, Sandham HJ. J Dent Res. 1989;68(7):1155–61. PMID: 2632600
Early childhood caries is associ-ated with genetic variants in enamel formation and immune response genes. Abbasoğlu Z, Tanboğa İ, Küchler EC, Deeley K, Weber M, Kaspar C, Korachi M, Vieira AR. Caries Res. 2015;49(1):70-7. PMID: 25531160
Vieira, Alexandre R (January 2016) Genetic Influences on Den-tal Caries. In: eLS. Wiley & Sons, Ltd: Chichester. DOI:10.1002/9780470015802.a0024258
Downloads
Published
Issue
Section
License
Authors who publish with this journal agree to the following terms:
- The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
- Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
- The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
- Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site;
- The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
- Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
- The Author represents and warrants that:
- the Work is the Author’s original work;
- the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
- the Work is not pending review or under consideration by another publisher;
- the Work has not previously been published;
- the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
- the Work contains no libel, invasion of privacy, or other unlawful matter.
- The Author agrees to indemnify and hold Publisher harmless from Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.
Revised 7/16/2018. Revision Description: Removed outdated link.