Using electronic dental records to establish a surveillance system for dental decay in rural Western Alaska
OBJECTIVES: Previous surveys have demonstrated high rates of early childhood caries (ECC) in the Alaska Native (AN) population of western Alaska. There are many challenges to providing dental care in this road-less Yukon-Kuskokwim Delta region. The regional Tribal Health Organization implemented an...
Published in: | Journal of Public Health Dentistry |
---|---|
Main Authors: | , , , , , , , |
Format: | Text |
Language: | English |
Published: |
2020
|
Subjects: | |
Online Access: | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8337052/ http://www.ncbi.nlm.nih.gov/pubmed/33283270 https://doi.org/10.1111/jphd.12435 |
id |
ftpubmed:oai:pubmedcentral.nih.gov:8337052 |
---|---|
record_format |
openpolar |
spelling |
ftpubmed:oai:pubmedcentral.nih.gov:8337052 2023-05-15T17:05:40+02:00 Using electronic dental records to establish a surveillance system for dental decay in rural Western Alaska Thomas, Timothy K Lenaker, Dane Day, Gretchen M Wilson, Jennifer C Holck, Peter Newman, Jonathan Bruden, Dana Hennessy, Thomas W 2020-12-06 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8337052/ http://www.ncbi.nlm.nih.gov/pubmed/33283270 https://doi.org/10.1111/jphd.12435 en eng http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8337052/ http://www.ncbi.nlm.nih.gov/pubmed/33283270 http://dx.doi.org/10.1111/jphd.12435 J Public Health Dent Article Text 2020 ftpubmed https://doi.org/10.1111/jphd.12435 2021-09-26T00:22:05Z OBJECTIVES: Previous surveys have demonstrated high rates of early childhood caries (ECC) in the Alaska Native (AN) population of western Alaska. There are many challenges to providing dental care in this road-less Yukon-Kuskokwim Delta region. The regional Tribal Health Organization implemented an electronic dental record (EDR) system in the late 1990s. We explored use of the EDR to establish an oral health surveillance system in children. METHODS: We contracted with EDR software developers to implement calculation of a summary count of decayed (d), missing (m) or filled (f) primary (dmft) score for each individual. We calculated the yearly average dmft scores for 2011–2019 for children aged 3 and 5 years with a comprehensive exam in a given year. We also assessed the number of children undergoing full mouth dental rehabilitation (FMDR). We used US census data population estimates for these age groups to calculate rates. RESULTS: Over the 9-year period, 2,427 3-year-old children (47 percent of all 3-year olds over this period), received a comprehensive exam; increasing from 24 percent in 2011 to 62 percent in 2019. Their average dmft score over the 9-years was 6.4 with a significant annual decline over this period. Seventy percent of AN children who turned 6 between 2015 and 2019 had received at least one FMDR. CONCLUSIONS: An oral health surveillance system has been established in western Alaska using the Electronic Dental Record. High rates of ECC and FMDR were observed. This surveillance system will allow assessments of ECC prevalence and impact of dental interventions. Text Kuskokwim Alaska Yukon PubMed Central (PMC) Yukon Journal of Public Health Dentistry 81 3 224 231 |
institution |
Open Polar |
collection |
PubMed Central (PMC) |
op_collection_id |
ftpubmed |
language |
English |
topic |
Article |
spellingShingle |
Article Thomas, Timothy K Lenaker, Dane Day, Gretchen M Wilson, Jennifer C Holck, Peter Newman, Jonathan Bruden, Dana Hennessy, Thomas W Using electronic dental records to establish a surveillance system for dental decay in rural Western Alaska |
topic_facet |
Article |
description |
OBJECTIVES: Previous surveys have demonstrated high rates of early childhood caries (ECC) in the Alaska Native (AN) population of western Alaska. There are many challenges to providing dental care in this road-less Yukon-Kuskokwim Delta region. The regional Tribal Health Organization implemented an electronic dental record (EDR) system in the late 1990s. We explored use of the EDR to establish an oral health surveillance system in children. METHODS: We contracted with EDR software developers to implement calculation of a summary count of decayed (d), missing (m) or filled (f) primary (dmft) score for each individual. We calculated the yearly average dmft scores for 2011–2019 for children aged 3 and 5 years with a comprehensive exam in a given year. We also assessed the number of children undergoing full mouth dental rehabilitation (FMDR). We used US census data population estimates for these age groups to calculate rates. RESULTS: Over the 9-year period, 2,427 3-year-old children (47 percent of all 3-year olds over this period), received a comprehensive exam; increasing from 24 percent in 2011 to 62 percent in 2019. Their average dmft score over the 9-years was 6.4 with a significant annual decline over this period. Seventy percent of AN children who turned 6 between 2015 and 2019 had received at least one FMDR. CONCLUSIONS: An oral health surveillance system has been established in western Alaska using the Electronic Dental Record. High rates of ECC and FMDR were observed. This surveillance system will allow assessments of ECC prevalence and impact of dental interventions. |
format |
Text |
author |
Thomas, Timothy K Lenaker, Dane Day, Gretchen M Wilson, Jennifer C Holck, Peter Newman, Jonathan Bruden, Dana Hennessy, Thomas W |
author_facet |
Thomas, Timothy K Lenaker, Dane Day, Gretchen M Wilson, Jennifer C Holck, Peter Newman, Jonathan Bruden, Dana Hennessy, Thomas W |
author_sort |
Thomas, Timothy K |
title |
Using electronic dental records to establish a surveillance system for dental decay in rural Western Alaska |
title_short |
Using electronic dental records to establish a surveillance system for dental decay in rural Western Alaska |
title_full |
Using electronic dental records to establish a surveillance system for dental decay in rural Western Alaska |
title_fullStr |
Using electronic dental records to establish a surveillance system for dental decay in rural Western Alaska |
title_full_unstemmed |
Using electronic dental records to establish a surveillance system for dental decay in rural Western Alaska |
title_sort |
using electronic dental records to establish a surveillance system for dental decay in rural western alaska |
publishDate |
2020 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8337052/ http://www.ncbi.nlm.nih.gov/pubmed/33283270 https://doi.org/10.1111/jphd.12435 |
geographic |
Yukon |
geographic_facet |
Yukon |
genre |
Kuskokwim Alaska Yukon |
genre_facet |
Kuskokwim Alaska Yukon |
op_source |
J Public Health Dent |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8337052/ http://www.ncbi.nlm.nih.gov/pubmed/33283270 http://dx.doi.org/10.1111/jphd.12435 |
op_doi |
https://doi.org/10.1111/jphd.12435 |
container_title |
Journal of Public Health Dentistry |
container_volume |
81 |
container_issue |
3 |
container_start_page |
224 |
op_container_end_page |
231 |
_version_ |
1766060363599577088 |