title: Infant dental enucleation in an East African population in Sweden: a cross-sectional study on dental records.
abstract: OBJECTIVE
  To examine the prevalence of infant dental enucleation (IDE) of primary canines, an East African traditional remedial procedure, in a multiethnic population of children in Sweden.
  
  
  METHODS
  A cross-sectional study was conducted of dental records of 1133 patients (mean age 4.6 years, SD ± 1.4) attending one public dental service clinic in Sweden. The clinic was located in an area with a large multiethnic community. All were born within the years 2002-2006 and had received a check-up in one of the years 2007-2009. A registry was made of missing primary canines where no reason could be found. In documented cases, information about ethnic origin was extracted. Statistical grouping was made according to known East African ethnicities.
  
  
  RESULTS
  At least 36 ethnicities were recorded. Twenty-four (2.1%) patients were missing one or more canines according to the criteria for IDE. Significant difference was seen when comparison was made between patients of known East African ethnicities, of whom 20.8% (21/101) manifested findings consistent with the criteria, and the rest of the population (3/1032; P < 0.001).
  
  
  CONCLUSIONS
  Prevalence of cases suggestive of IDE among patients of East African origin points to a need for increased awareness within dental and healthcare communities.
authors.affiliation: Västmanland County Council, Public Dental Service, Västerås, Sweden; School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
authors.forename: Jir
authors.initials: J
authors.lastname: Barzangi
authors.forename: Lennart
authors.initials: L
authors.lastname: Unell
authors.forename: Björn
authors.initials: B
authors.lastname: Söderfeldt
authors.forename: Jasmin
authors.initials: J
authors.lastname: Bond
authors.forename: Ifrah
authors.initials: I
authors.lastname: Ahmed Musse
authors.forename: Kristina
authors.initials: K
authors.lastname: Arnrup
mesh_terms: D000351:Africa, Eastern / Q000208:ethnology; D002648:Child; D003430:Cross-Sectional Studies; D003792:Dental Records; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D012189:Retrospective Studies; D013548:Sweden; D014081:Tooth Extraction