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  • Title: Social and biological factors contributing to caries of the maxillary anterior teeth.
    Author: O'Sullivan DM, Tinanoff N.
    Journal: Pediatr Dent; 1993; 15(1):41-4. PubMed ID: 8233991.
    Abstract:
    Caries prevalence among 3- to 4-year-old Head Start children and psychosocial information from their parents were obtained. The prevalence of maxillary anterior caries in the 369 children was 16%, with the most severely affected tooth surfaces being the mesial surfaces of the central incisors. Approximately 90% of parents whose children were found to have maxillary anterior caries knew that allowing their child to take a bottle to bed would harm the child's teeth. Significant differences were found in mutans streptococci levels between children with and without the anterior caries pattern. Although 86% of children with anterior caries were reported to have taken a bottle to bed, 69% of those children who did not have anterior caries also were reported to have taken a bottle to bed. Of the children with maxillary anterior caries, 87% had posterior caries, suggesting that anterior caries subsequently may contribute to an increased caries risk in other teeth.
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