Evidence map›Paper›PMID 34001640›Full record

GuidelinePediatrics2021

Early Childhood Caries in Indigenous Communities.

Steve Holve, Patricia Braun, James D Irvine, Kristen Nadeau, Robert J Schroth, AMERICAN ACADEMY OF PEDIATRICS COMMITTEE ON NATIVE AMERICAN CHILD HEALTH AND SECTION ON ORAL HEALTH, CANADIAN PAEDIATRIC SOCIETY FIRST NATIONS, INUIT, AND MÉTIS HEALTH COMMITTEE

Open access · greenAbstract readPractice Guideline
In one paragraph

Guideline in Pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.5field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. Indigenous oral health equity: The path forward.Canadian journal of dental hygiene : CJDH = Journal canadien de l'hygiene dentaire : JCHD · 2025
    Review
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  8. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 2 countries.

Steve HolveTuba City Regional Health Care Corporation, Tuba City, Arizona; sholve55@gmail.com.
Patricia BraunDenver Health and Hospital, Denver, Colorado.
James D IrvineUniversity of Saskatchewan, LaRonge, Saskatchewan, Canada.
Kristen NadeauMentored Scholarly Activity Longitudinal Research Course and Colorado Clinical and Translational Sciences Institute Scientific Advisory and Review Committee, Anschutz Medical Campus, University of Colorado and Children's Hospital Colorado, Aurora, Colorado.
Robert J Schroth
AMERICAN ACADEMY OF PEDIATRICS COMMITTEE ON NATIVE AMERICAN CHILD HEALTH AND SECTION ON ORAL HEALTH, CANADIAN PAEDIATRIC SOCIETY FIRST NATIONS, INUIT, AND MÉTIS HEALTH COMMITTEE
Children's Hospital Colorado · USTuba City Regional Health Care · USUniversity of Colorado Anschutz Medical Campus · USUniversity of Saskatchewan · CAWinnipeg Regional Health Authority · CA

Funding

The Next Generation of Innovative Cardiovascular Clinical/Translational ResearchersK24HL145076 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI NADEAU, KRISTEN JANE · 2019 to 2023
$574k
NHLBI NIH HHS K24 HL145076
6 · The paper itself

Abstract

The oral health of Indigenous children of Canada (First Nations, Inuit, and Métis) and the United States (American Indian and Alaska native) is a major child health disparity when compared with the general population of both countries. Early childhood caries (ECC) occurs in Indigenous children at an earlier age, with a higher prevalence, and at much greater severity than in the general population. ECC results in adverse oral health, affecting childhood health and well-being, and may result in high rates of costly surgical treatment under general anesthesia. ECC is an infectious disease that is influenced by multiple factors, but the social determinants of health are particularly important. This policy statement includes recommendations for preventive and clinical oral health care for infants, toddlers, preschool-aged children, and pregnant women by primary health care providers. It also addresses community-based health-promotion initiatives and access to dental care for Indigenous children. This policy statement encourages oral health interventions at early ages in Indigenous children, including referral to dental care for the use of sealants, interim therapeutic restorations, and silver diamine fluoride. Further community-based research on the microbiology, epidemiology, prevention, and management of ECC in Indigenous communities is also needed to reduce the dismally high rate of caries in this population.

Indexed as

Dental CariesIndians, North AmericanIndigenous CanadiansAge FactorsCanadaChildChild, PreschoolHumansInfantUnited States

Identifiers

PMID34001640
PMCPMC8893228
OpenAlexW3162985843

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.