P. Domoto et al., WHITE SPOTS CARIES IN MEXICAN-AMERICAN TODDLERS AND PARENTAL PREFERENCE FOR VARIOUS STRATEGIES, Journal of dentistry for children, 61(5-6), 1994, pp. 342-346
One hundred and thirty Mexican-American children ages nine to thirty-f
our months (Mean = 17.1 months), and their parents/caretakers were stu
died at a farmworkers clinic in rural Washington. Parents/caretakers p
articipated in a bilingual interview; then each child received a denta
l examination, and a cotton swab was used to collect plaque for a cari
es activity test (Cariostat). Results showed that 7 percent had at lea
st one maxillary incisor decayed and 30.4 percent had at least one inc
isor with a white spot lesion. The Cariostat was related to dental age
, but not to disease. Forty percent of the parents/caretakers whose ch
ildren had disease were aware of the problem. Immediate substitution o
f cup for bottle and the elimination of extra nighttime feedings were
the least likely interventions endorsed by the subjects. Other interve
ntions, including periodic visits for fluoride applications were much
more likely.