title: Dental caries experience and association to risk indicators of remote rural populations.
abstract: BACKGROUND
  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.
  
  
  OBJECTIVE
  This study aims to test dental caries risk indicators for significant associations with caries severity.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  DMFS and dmfs were high in each village, significantly different between villages, and associated with specific risk indicators.
authors.affiliation: Private Practice, Newburgh, Indianapolis, IA 47629, USA. drcook@jus4kids.com
authors.forename: Sean L
authors.initials: SL
authors.lastname: Cook
authors.forename: E Angeles
authors.initials: EA
authors.lastname: Martinez-Mier
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Dean
authors.forename: James A
authors.initials: JA
authors.lastname: Weddell
authors.forename: Brian J
authors.initials: BJ
authors.lastname: Sanders
authors.forename: Hafsteinn
authors.initials: H
authors.lastname: Eggertsson
authors.forename: Susan
authors.initials: S
authors.lastname: Ofner
authors.forename: Karen
authors.initials: K
authors.lastname: Yoder
mesh_terms: D000293:Adolescent; D001628:Beverages / Q000009:adverse effects; D002327:Cariostatic Agents / Q000008:administration & dosage; D002648:Child; D002675:Child, Preschool; D004245:DMF Index; D003731:Dental Caries / Q000453:epidemiology* / Q000209:etiology / Q000473:pathology; D004037:Diet, Cariogenic; D004040:Dietary Carbohydrates / Q000009:adverse effects; D005260:Female; D005459:Fluorides / Q000008:administration & dosage; D006801:Humans; D008297:Male; D008800:Mexico / Q000453:epidemiology; D009910:Oral Hygiene / Q000706:statistics & numerical data; D015995:Prevalence; D012307:Risk Factors; D012424:Rural Population / Q000706:statistics & numerical data*; D012737:Sex Factors; D012923:Social Class; D011795:Surveys and Questionnaires
chemical_list: D002327:Cariostatic Agents; D004040:Dietary Carbohydrates; D005459:Fluorides