title: Native Language Spoken as a Risk Marker for Tooth Decay.
abstract: OBJECTIVE
  The purpose of this study was to assess dmft, the number of decayed, missing (due to caries), and/ or filled primary teeth, of English-speaking and non-English speaking patients of a hospital based pediatric dental clinic under the age of 72 months to determine if native language is a risk marker for tooth decay.
  
  
  METHODS
  Records from an outpatient dental clinic which met the inclusion criteria were reviewed. Patient demographics and dmft score were recorded, and the patients were separated into three groups by the native language spoken by their parents: English, Spanish and all other languages.
  
  
  RESULTS
  A total of 419 charts were assessed: 253 English-speaking, 126 Spanish-speaking, and 40 other native languages. After accounting for patient characteristics, dmft was significantly higher for the other language group than for the English-speaking (p<0.001) and Spanish-speaking groups (p<0.05), however the English-speaking and Spanish-speaking groups were not different from each other (p>0.05).
  
  
  CONCLUSIONS
  Those patients under 72 months of age whose parents' native language is not English or Spanish, have the highest risk for increased dmft when compared to English and Spanish speaking patients. Providers should consider taking additional time to educate patients and their parents, in their native language, on the importance of routine dental care and oral hygiene.
authors.forename: J
authors.initials: J
authors.lastname: Carson
authors.forename: L A
authors.initials: LA
authors.lastname: Walker
authors.forename: B J
authors.initials: BJ
authors.lastname: Sanders
authors.forename: J E
authors.initials: JE
authors.lastname: Jones
authors.forename: J A
authors.initials: JA
authors.lastname: Weddell
authors.forename: A M
authors.initials: AM
authors.lastname: Tomlin
mesh_terms: D002675:Child, Preschool; D004245:DMF Index; D003731:Dental Caries / Q000208:ethnology; D003733:Dental Caries Susceptibility; D005260:Female; D006801:Humans; D007223:Infant; D007802:Language; D008297:Male; D012189:Retrospective Studies; D012307:Risk Factors; D014094:Tooth, Deciduous / Q000473:pathology*
keywords: caries; communication; immigration; language barrier