title: Dental caries experience and use of dental services among preschool children in Ajman, UAE.
abstract: OBJECTIVE
  The aim of this study was to estimate the prevalence and severity of dental caries in the primary dentition of young children in Ajman, UAE, and investigate its association with sociodemographic characteristics and use of dental services.
  
  
  METHODS
  A cluster-sampling approach was used to randomly select children aged 5 or 6 years who were enrolled in public or private schools. Clinical examinations for caries were conducted by a single examiner using World Health Organization criteria. Parents completed questionnaires seeking information on socioeconomic background and dental service utilization. Zero-inflated negative binomial (ZINB) regression modelling was used to identify risk markers and risk indicators for caries experience.
  
  
  RESULTS
  The prevalence of dental caries in the sample was high 76.1%. The average dmfs score 10.2. Caries severity was greater among older children and among male children of less educated mothers. Emirati (local) children had higher caries severity than others. Children who had higher level of caries visited the dentist more frequently than other children whose visits were for check-up only.
  
  
  CONCLUSIONS
  Dental caries prevalence and severity in young children in Ajman are high, and socioeconomic characteristics and dental utilization are important determinants of their dental caries experience. There is an urgent need for oral health programmes targeted at the treatment and underlying causes of dental caries in these children.
authors.affiliation: Ajman University, Ajman, UAE. raghad69@yahoo.co.nz
authors.forename: R
authors.initials: R
authors.lastname: Hashim
authors.forename: W M
authors.initials: WM
authors.lastname: Thomson
authors.forename: K M S
authors.initials: KM
authors.lastname: Ayers
authors.forename: J D
authors.initials: JD
authors.lastname: Lewsey
authors.forename: M
authors.initials: M
authors.lastname: Awad
mesh_terms: D000367:Age Factors; D018912:Arabs / Q000706:statistics & numerical data; D002648:Child; D002675:Child, Preschool; D004245:DMF Index; D019140:Dental Care for Children / Q000706:statistics & numerical data*; D003731:Dental Caries / Q000453:epidemiology*; D004522:Educational Status; D005006:Ethnicity / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007182:Income; D008297:Male; D009035:Mothers / Q000193:education; D011203:Poverty; D015995:Prevalence; D012307:Risk Factors; D012737:Sex Factors; D012959:Socioeconomic Factors; D014094:Tooth, Deciduous / Q000473:pathology; D014479:United Arab Emirates / Q000453:epidemiology