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J Community Health. 2016 Jun;41(3):535-40. doi: 10.1007/s10900-015-0127-9.

A Comparative Analysis of Oral Health on the Santo Domingo Pueblo Reservation.

Author information

1
Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, 13055 E 17th Avenue, F800, Aurora, CO, 80045, USA. terry.batliner@ucdenver.edu.
2
School of Dental Medicine, Children's Hospital Colorado, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA.
3
Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, 13055 E 17th Avenue, F800, Aurora, CO, 80045, USA.
4
Bates College, 2 Andrews Road, Lewiston, ME, 04240, USA.

Abstract

The study was done to compare oral health data from a tribe in a relatively accessible location between Santa Fe and Albuquerque, New Mexico to national American Indian data and broader US data sets. Participants (N = 399) were recruited via random sampling of housing units. Dental health measures included DMFT/dmft and dental sealants. Comparisons were made using data from large-scale oral health surveillance studies. There was no difference in oral health for 3-5 year olds compared to a recent study of AI/AN preschool children. Compared to the general US population, Santo Domingo Pueblo children and adults showed higher prevalence of untreated decay. Children ages 5-19 had higher rates of sealant retention on permanent teeth, and adults showed lower prevalence of complete tooth retention. The children ages 5-19 and 12-19 with at least one sealant have significantly lower DMFT and less untreated decay than those without sealants. However, the percentage of children with and without sealants who had untreated decay was still more than two times higher than the general US population. Oral health of American Indian children and adults in Santo Domingo Pueblo was worse compared to the general US population but similar to previous results reported for the same Indian Health Service Area even though their location is less isolated than many other tribes.

KEYWORDS:

American Indian; Dental decay; Dental sealants; Health care disparities; Oral health

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