Effect of early childhood malnutrition on tooth eruption in Haitian adolescents

W. Psoter, B. Gebrian, S. Prophete, B. Reid, Ralph Katz

Research output: Contribution to journalArticle

Abstract

Objective: The objective of this retrospective cohort study was to determine the effects of early childhood protein-energy malnutrition (EC-PEM) and current nutritional status as defined by anthropomorphic measures on the exfoliation and eruption patterns of teeth among adolescents. Methods: Oral clinical examinations were conducted in 2005 using World Health Organization (WHO) diagnostic criteria on 498 11- to 13-year-old Haitians for whom early childhood malnutrition data were available. Anthropomorphic records (weight-for-age) from the Haitian Health Foundation computerized database on children from birth through 5-years old were utilized. Current heights and weights were ascertained. Both sets of data were converted to z-scores based on the National Center for Health Statistics (NCHS) referent database. Based upon these z-scores, EC-PEM and current malnutrition categories were developed for this study. The analyses separately regressed the number of primary and permanent teeth on age, gender, EC-PEM status and current nutritional status. Results: Both a delayed exfoliation of primary teeth and a delayed eruption of permanent teeth were associated with EC-PEM and current stunting in adolescence. The observed associations were either direct and statistically significant or indirectly demonstrated by presenting evidence of confounding. The overall interpretation of the models is that malnutrition beginning in the earliest years and extending throughout childhood influences the exfoliation and eruption of teeth. Conclusion: These findings present evidence of an association between tooth exfoliation/eruption patterns and both EC-PEM and nutritional insufficiency (stunting) throughout childhood. This observed delay in the exfoliation of the primary dentition and in the eruption of the permanent dentition has practical significance in interpreting age-specific dental caries data from populations with different malnutrition experiences.

Original languageEnglish (US)
Pages (from-to)179-189
Number of pages11
JournalCommunity Dentistry and Oral Epidemiology
Volume36
Issue number2
DOIs
StatePublished - Apr 2008

Fingerprint

Tooth Eruption
Protein-Energy Malnutrition
Malnutrition
Tooth Exfoliation
Deciduous Tooth
Growth Disorders
Nutritional Status
Databases
National Center for Health Statistics (U.S.)
Permanent Dentition
Weights and Measures
Oral Diagnosis
Dental Caries
Cohort Studies
Retrospective Studies
Parturition
Health
Population

Keywords

  • Eruption
  • Exfoliation
  • Malnutrition
  • Permanent teeth
  • Protein-energy malnutrition

ASJC Scopus subject areas

  • Dentistry(all)

Cite this

Effect of early childhood malnutrition on tooth eruption in Haitian adolescents. / Psoter, W.; Gebrian, B.; Prophete, S.; Reid, B.; Katz, Ralph.

In: Community Dentistry and Oral Epidemiology, Vol. 36, No. 2, 04.2008, p. 179-189.

Research output: Contribution to journalArticle

Psoter, W. ; Gebrian, B. ; Prophete, S. ; Reid, B. ; Katz, Ralph. / Effect of early childhood malnutrition on tooth eruption in Haitian adolescents. In: Community Dentistry and Oral Epidemiology. 2008 ; Vol. 36, No. 2. pp. 179-189.
@article{4d473e9283bc4103a1cd685a26487a5a,
title = "Effect of early childhood malnutrition on tooth eruption in Haitian adolescents",
abstract = "Objective: The objective of this retrospective cohort study was to determine the effects of early childhood protein-energy malnutrition (EC-PEM) and current nutritional status as defined by anthropomorphic measures on the exfoliation and eruption patterns of teeth among adolescents. Methods: Oral clinical examinations were conducted in 2005 using World Health Organization (WHO) diagnostic criteria on 498 11- to 13-year-old Haitians for whom early childhood malnutrition data were available. Anthropomorphic records (weight-for-age) from the Haitian Health Foundation computerized database on children from birth through 5-years old were utilized. Current heights and weights were ascertained. Both sets of data were converted to z-scores based on the National Center for Health Statistics (NCHS) referent database. Based upon these z-scores, EC-PEM and current malnutrition categories were developed for this study. The analyses separately regressed the number of primary and permanent teeth on age, gender, EC-PEM status and current nutritional status. Results: Both a delayed exfoliation of primary teeth and a delayed eruption of permanent teeth were associated with EC-PEM and current stunting in adolescence. The observed associations were either direct and statistically significant or indirectly demonstrated by presenting evidence of confounding. The overall interpretation of the models is that malnutrition beginning in the earliest years and extending throughout childhood influences the exfoliation and eruption of teeth. Conclusion: These findings present evidence of an association between tooth exfoliation/eruption patterns and both EC-PEM and nutritional insufficiency (stunting) throughout childhood. This observed delay in the exfoliation of the primary dentition and in the eruption of the permanent dentition has practical significance in interpreting age-specific dental caries data from populations with different malnutrition experiences.",
keywords = "Eruption, Exfoliation, Malnutrition, Permanent teeth, Protein-energy malnutrition",
author = "W. Psoter and B. Gebrian and S. Prophete and B. Reid and Ralph Katz",
year = "2008",
month = "4",
doi = "10.1111/j.1600-0528.2007.00386.x",
language = "English (US)",
volume = "36",
pages = "179--189",
journal = "Community Dentistry and Oral Epidemiology",
issn = "0301-5661",
publisher = "Blackwell Munksgaard",
number = "2",

}

TY - JOUR

T1 - Effect of early childhood malnutrition on tooth eruption in Haitian adolescents

AU - Psoter, W.

AU - Gebrian, B.

AU - Prophete, S.

AU - Reid, B.

AU - Katz, Ralph

PY - 2008/4

Y1 - 2008/4

N2 - Objective: The objective of this retrospective cohort study was to determine the effects of early childhood protein-energy malnutrition (EC-PEM) and current nutritional status as defined by anthropomorphic measures on the exfoliation and eruption patterns of teeth among adolescents. Methods: Oral clinical examinations were conducted in 2005 using World Health Organization (WHO) diagnostic criteria on 498 11- to 13-year-old Haitians for whom early childhood malnutrition data were available. Anthropomorphic records (weight-for-age) from the Haitian Health Foundation computerized database on children from birth through 5-years old were utilized. Current heights and weights were ascertained. Both sets of data were converted to z-scores based on the National Center for Health Statistics (NCHS) referent database. Based upon these z-scores, EC-PEM and current malnutrition categories were developed for this study. The analyses separately regressed the number of primary and permanent teeth on age, gender, EC-PEM status and current nutritional status. Results: Both a delayed exfoliation of primary teeth and a delayed eruption of permanent teeth were associated with EC-PEM and current stunting in adolescence. The observed associations were either direct and statistically significant or indirectly demonstrated by presenting evidence of confounding. The overall interpretation of the models is that malnutrition beginning in the earliest years and extending throughout childhood influences the exfoliation and eruption of teeth. Conclusion: These findings present evidence of an association between tooth exfoliation/eruption patterns and both EC-PEM and nutritional insufficiency (stunting) throughout childhood. This observed delay in the exfoliation of the primary dentition and in the eruption of the permanent dentition has practical significance in interpreting age-specific dental caries data from populations with different malnutrition experiences.

AB - Objective: The objective of this retrospective cohort study was to determine the effects of early childhood protein-energy malnutrition (EC-PEM) and current nutritional status as defined by anthropomorphic measures on the exfoliation and eruption patterns of teeth among adolescents. Methods: Oral clinical examinations were conducted in 2005 using World Health Organization (WHO) diagnostic criteria on 498 11- to 13-year-old Haitians for whom early childhood malnutrition data were available. Anthropomorphic records (weight-for-age) from the Haitian Health Foundation computerized database on children from birth through 5-years old were utilized. Current heights and weights were ascertained. Both sets of data were converted to z-scores based on the National Center for Health Statistics (NCHS) referent database. Based upon these z-scores, EC-PEM and current malnutrition categories were developed for this study. The analyses separately regressed the number of primary and permanent teeth on age, gender, EC-PEM status and current nutritional status. Results: Both a delayed exfoliation of primary teeth and a delayed eruption of permanent teeth were associated with EC-PEM and current stunting in adolescence. The observed associations were either direct and statistically significant or indirectly demonstrated by presenting evidence of confounding. The overall interpretation of the models is that malnutrition beginning in the earliest years and extending throughout childhood influences the exfoliation and eruption of teeth. Conclusion: These findings present evidence of an association between tooth exfoliation/eruption patterns and both EC-PEM and nutritional insufficiency (stunting) throughout childhood. This observed delay in the exfoliation of the primary dentition and in the eruption of the permanent dentition has practical significance in interpreting age-specific dental caries data from populations with different malnutrition experiences.

KW - Eruption

KW - Exfoliation

KW - Malnutrition

KW - Permanent teeth

KW - Protein-energy malnutrition

UR - http://www.scopus.com/inward/record.url?scp=40649112862&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=40649112862&partnerID=8YFLogxK

U2 - 10.1111/j.1600-0528.2007.00386.x

DO - 10.1111/j.1600-0528.2007.00386.x

M3 - Article

C2 - 18333882

AN - SCOPUS:40649112862

VL - 36

SP - 179

EP - 189

JO - Community Dentistry and Oral Epidemiology

JF - Community Dentistry and Oral Epidemiology

SN - 0301-5661

IS - 2

ER -