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Article #134: Scientists are warning of childhood tooth decay

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Although most people would not consider dental decay are the result of several
cavities an issue for children who don't factors.
even have all of their teeth yet, Many towns on the shore do not have
scientists and researchers are now fluoridated water, which helps prevent
warning of early childhood dental decay cavities.
is a significant health problem. "Worcester County has the smallest
"We need to get the message out that this percent of its population on fluoridated
is the most common chronic infectious water in the state," Goeller said.
disease in children and it's on the In addition to the lack of local
upswing," said Alexandra Hall, a dental fluoride, most parents are not aware just
hygienist and coordinator for the Eastern how easily their dental health can
Shore Children's Regional Oral Health directly impact their child's dental
Consortium. "It's totally preventable but health.
we need parents on board." In order for a child to get a cavity, he
According to the Centers for Disease or she must first be exposed to the
Control, the percentage of children bacteria that causes cavities, Hall
between 2 and 5 with dental cavities has explained. Once a baby has been exposed
increased from 24 percent from 1988 to to that bacteria, all it needs to develop
1994 to 28 percent from 1999 to 2004. a cavity is a tooth, or part of a tooth,
children even younger than that are and carbohydrates that break down into
having problems with cavities, Hall said. sugar.
She said because the Eastern Shore is a The surprising fact to most adults is
rural, underserved area, dental decay in that it is usually a parent who passes
young children is an increasingly large the cavity-causing bacteria on to an
problem. infant. Anyone who has active dental
Debbie Goeller, of the Worcester County decay in their mouth can pass the germs
Health Department, reported that a recent to a child, through actions such as
screening of Head Start students found kissing or sharing food, Hall said. She
that 33 to 36 percent of children had suggests women visit a dentist when they
class one or class two dental disease. find out they are pregnant so any active
Class one dental disease requires serious decay can be dealt with before
and urgent care, while class two disease childbirth.
means a dentist appointment should be "Infants should only have to be worried
scheduled. about diaper rash, not tooth decay," Hall
Dr. Scott Wolpin, the chief dental said.
officer for the Choptank Community Health Once a child is born, his or her teeth,
Sys-tem, said he has found even more as soon as they start to grow in, should
alarming statistics. be wiped clean after eating, Hall said.
"After screening over a 1,000 school-aged Usually when a child is two, a parent
children of the rural counties of the should start brushing his or her teeth
Eastern Shore, I have found an average of with a rice-sized smear of fluoride
60 percent of all children to have toothpaste.
untreated dental disease and 15 percent "Generally we recommend that at the
are experiencing pain and/or swelling child's first birthday there be a dental
while attending school," he said in an exam," Hall said, "but the trouble is we
e-mail. don't have enough providers to do this.
The high percentages of children with






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