Permanent tooth emergence: Timing and sequence in a sample of Black Southern African children.

OBJECTIVES: This study investigates mean age, sequence, and temporal trends of permanent tooth emergence in Black Southern African children and compares the findings with other population samples. MATERIALS AND METHODS: This community-based cross-sectional study involved 639 Black Southern African children between 5 and 20 years of age. Probit analysis was used to derive the mean age at emergence of the permanent teeth. Sex and cross-population comparisons were undertaken to determine similarities and differences in emergence timing and sequence. RESULTS: Females emerged all teeth earlier except for M3s (p < .05). Black Southern Africans have earlier mean ages of emergence compared to population samples from the USA, Europe, Australia, and Asia. Sexual dimorphism was detected in the mandibular I1/M1 emergence sequence (females, M1 I1 ; males, I1 M1 ). The sequence in males is similar in both jaws to males from other sub-Saharan African, USA, and European samples. Females show a similar sequence pattern in the maxilla with other sub-Saharan African, and also Australian and US females of European ancestry. There is a high frequency of polymorphism in the P1P2C1 emergence sequence, with significantly more P2P1C1 maxillary sequences seen among males. Polymorphic variation was common for the I1 M1 sequence in both males and females. DISCUSSION: Mean age of tooth emergence among Black Southern African children is similar to children from most other sub-Saharan African populations. No temporal change was seen in the mean age of emergence. Earlier permanent tooth emergence in Black Southern Africans is part of a general sub-Saharan pattern that is distinct from European and Asian populations.

Prevalence of Early Childhood Caries Among Preschool Children in Johannesburg, South Africa.

PURPOSES: (1) To determine the prevalence of dental caries among preschool children in the metropolitan area of Johannesburg; (2) to determine the dental caries status and unmet treatment needs of four- to six-year-old children; (3) to compare their dmft/DMFT scores with the significant caries index (SiC) for similar age cohorts; and (4) to compare their dental caries prevalence with those of similar age cohorts, as reported in the National Children's Oral Health Survey (NCOHS). METHODS: This cross-sectional study included 10 preschools. Stratified randomized sampling of the participating children was done and schools were stratified by regions. RESULTS: A total of 459 children, with a mean age of 4.8 years, were examined. The overall caries prevalence (CP) was 44 percent, with a mean dmft score of 2.3±3.4 (standard deviation [SD]). Among four- to five-year-old children, the CP was 49 percent (dmft 2.4 ±3.4 SD versus 2.38 NCOHS, SiC=6.41; P<0.00001). The CP for six-year-old children was 51 percent (dmft 2.38, ±3.4 SD versus 2.9 NCOHS, SiC = 5.35; P<0.00001). Ninety-seven percent of the children did not have their dental needs met. CONCLUSION: There is high caries prevalence among preschool children in Johannesburg.