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Dental caries experience of children in Northland/Te Tai Tokerau

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Authors:
Summary:

These researchers detail the dental caries experience of children from four Northland communities; Kaitaia, Kaikohe, Kawakawa/Moerewa and Dargaville. Of 369 5–6-year-olds and 171 12–13-year-olds who underwent dental examinations, approximately two-thirds were Māori. Almost 88% of 5–6-year-olds had experienced dental caries, and this was lower among the Pakeha/Other group, those attending higher-decile schools, and those from Dargaville. Overall caries experience was higher among Māori children, those attending lower-decile schools, and those from Kaikohe, Kawakawa/ Moerewa or Kaitaia, as was the number of untreated decayed surfaces. Almost one in four children had lost at least one tooth due to caries, and this was higher among Māori children and those from schools in more deprived areas, and lower among children from Dargaville. Caries experience was greatest among the second molars in either arch, and lowest among the mandibular incisors. Among the 12–13-year-olds, 85% had experienced dental caries. The number of untreated surfaces with decay (more than 3, on average) was considerably lower among children from Dargaville. Caries experience was greatest among the first molars in either arch (followed by the second premolars), and absent among the mandibular incisors.

Comment:
Oranga niho and inequalities in dental health between Māori and non-Māori is a major concern. The prevalence of dental caries is much higher in our communities; it is also a leading cause of hospitalisation. The opportunity to address oranga niho is pertinent and will be supported by the government’s focus on Whānau Ora, including interdisciplinary care, and ‘better, sooner, more convenient’ primary health care that will reduce acute demand at hospitals.
Reference: N Z Dent J 2009;105(4):116-20.
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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