Browsing by Author "Klein, Arthur Irving, 1922-2004"
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Item Correlation between caries prevalence and socioeconomic status in children ages 6 to 36 months(2000) Ching, Brent Bing Yee; Weddell, James A. (James Arthur), 1949-; Sanders, Brian J.; Tomlin, Angela; Dean, Jeffrey A.; Klein, Arthur Irving, 1922-2004The purpose of this study was to evaluate the status of a sample of children ages 6 to 36 months with regard to prevalence of tooth decay in a community with an optimum fluoridated water supply. It was determined whether a relation existed between these data and the socioeconomic level of the family. One hundred and fifty children ages 6 to 36 months born and reared in Marion County, Indiana were examined with a dental mirror, explorer and a portable light. Parents/legal guardians of these children were given a questionnaire to obtain family history. Caries prevalence for children ages 6 to 12, 13 to 18, 19 to 24, 25 to 30, and 31 to 36 months were 4%, 0%, 22%, 23%, and 26%, respectively. Age, mother's educational attainment, and Medicaid experience remained significant predictors of caries experience: the odds of caries were 1.1 times for each monthly increase in age. Gender, father's educational attainment, family household income, and single parent status remained marginally significant predictors of caries experience. Results for similar correlation studies between caries prevalence and socioeconomic status for children ages 6 to 36 months are inconsistent. Further research is needed for children ages 6 to 36 months. Caries experience begins before age one. Patients, parents, and health care professionals need to be aware that the caries process begins at an early age, and prevention should begin as early as 6 months of age.Item An evaluation of tetracycline stain removal by bleaching vital rabbit incisors(1974) Fleege, Patrick A.; Roche, James R., 1924-; Klein, Arthur Irving, 1922-2004; Katz, Simon, 1920-1987; Koerber, Leonard G.; Mitchell, David F.This study evaluated the effectiveness of bleaching tetracycline-stained teeth by measuring the loss of fluorescent intensity from teeth that were bleached. Nineteen male New Zealand white rabbits, with 58 incisors stained with oxytetracycline and 16 incisors as unstained controls, were used. Three rabbits were sacrificed to determine whether the tetracycline stain was comparable between incisors in the same jaw. Of the remaining 16 animals, 6 were bleached once and 10 were bleached twice. One maxillary and one mandibular incisor were bleached in each jaw with 30 percent hydrogen peroxide and heat for ten minutes per tooth; the other incisors were protected with a rubber dam. The animals were sacrificed 24 hours after the last bleach. The fluorescent intensity of 374 select ground sections 100 ± 5 microns thick from the incisal, middle and gingival thirds of the teeth were measured with an ultraviolet light microscope coupled to a television electronic measurement system. These measurements were statistically analyzed by t-test, and observations correlated. The dentin of tetracycline-stained maxillary incisors which were bleached twice and the dentin in the incisal one-third of the mandibular incisors which were bleached twice had a significantly (P ≤ 0.001, P ≤ 0.005) lower tetracycline fluorescent intensity than the dentin of unbleached tetracycline-stained teeth. The greatest loss of fluorescent intensity of tetracycline occurred in dentin closest to the dentino-enamel junction and varied from about 150 to 350 microns from the outer enamel surface. Clinical Kodachromes indicate that the loss of tetracycline pigment is associated with the loss of tetracycline fluorescence; The ground sections showed that the tetracycline fluorescence was never totally removed by two bleaches.Item The relationship between visual motor integration and oral hygiene in children(1984) Preisch, James William; Jones, James E. (James Earl), 1950-; Smith, Ernest; Englander, Meryl E.; Barton, Paul; Klein, Arthur Irving, 1922-2004This investigation examined the relationship between oral hygiene scores and visual motor integration scores (developmental age) in five- to eleven-year-old children. A total of 128 subjects were given the Beery test of visual motor integration to determine their developmental age. A pre- and post-brushing plaque score was obtained as a measure of each subject's oral hygiene ability. Statistical analysis of the data revealed that chronological age was not a statistically significant predictor of oral hygiene ability, while developmental age as determined by the Beery test was found to be a statistically significant predictor of oral hygiene ability (p < .006).Item A socioeconomic correlation of oral disease in six to thirty-six month old children(1980) Weddell, James A. (James Arthur), 1949-; Avery, David R.; Beiswanger, Bradley B.; Gish, Charles W., 1923-; Hennon, David Kent, 1933-; Koerber, Leonard G.; Klein, Arthur Irving, 1922-2004; Vargus, BrianA survey of 441 children between the ages of 6 and 36 months, born and reared with a fluoridated water supply, revealed dental caries in 2.5 percent of those 6 to 17 months of age, 9.1 percent of those 18 to 23 months of age, and in 38.7 percent of the children 24 to 26 months of age. No significant differences were found in defs and deft relative to sex, race, or socioeconomic status. Caries prevalence is affected by method of feeding; children who had prolonged bottle-feeding (more than 15 months) had significantly increased caries. In 299 Caucasian children, gingivitis was present in 13.2 percent of those 6 to 17 months of age, 33.9 percent of those 18 to 23 months of age, and in 38.5 percent 24 to 36 months of age. There was little difference in the severity of the gingivitis, although significant difference in the frequency of gingivitis was demonstrated. The prevalence of gingivitis increased with age. Young children with dental caries also showed an increased prevalence of gingivitis. The presence of gingivitis, the presence of dental caries, and the absence of professional dental care in these young children all illustrate the necessity for prevention and treatment of oral disease in children under 36 months of age.