Dental caries trends in primary teeth among third-grade children in Harris County, Texas.

Abstract

PURPOSE: The purpose of this study was to assess trends in dental caries in the primary dentition of third-grade children in suburban Harris County, Texas. METHODS: The study populations for the 2 cross-sectional surveys consisted of 1,584 third-grade children in 1991 and 1,039 in 1998. Trained dentists collected data on decayed and filled tooth surfaces (dfs). Chi-square tests analyzed the differences in proportions of children with and without dental caries experience in 1991 and 1998 by demographic subgroups: (1) gender; (2) ethnicity; and (3) socioeconomic status (SES). Student's t test investigated the differences in mean dfs scores in subgroups. RESULTS: The prevalence of caries decreased significantly from 59% to 54% between 1991 and 1998 (P = .01). The caries prevalence was lower in 1998 than 1991 in certain subgroups: 1) females; 2) Caucasians; and 3) low SES. The mean dfs score decreased significantly from 4.81 to 3.16, and lower dfs scores were seen in certain demographic subgroups between the 2 studies (P < .05). Children from a low SES had high levels of untreated caries in both studies. CONCLUSIONS: Despite a decline in primary teeth caries of study participants, intergroup disparities exist, emphasizing the need for preventive strategies, especially for the low SES children.