Oral Health Status and Practices of 5 and 12 Year Old Indian Tribal Children

To assess oral health status and practices of 5- and 12-year-old Tribal school children. Methods: A total of 418, 5-year-old children and 327, 12-year-old children were enrolled. Information on demographic characteristics of participants along with oral health behavior was collected. Clinical data were collected on dental fluorosis, periodontal status, dental caries and treatment needs. Dean’s index criterion was used to assess dental fluorosis. Community Periodontal Index (CPI) for periodontal conditions and Dentition status and treatment needs for dental caries were recorded. Results: Between meal sugar consumption was high (100%). None of the children in both the age groups had visited trained health personnel for dental treatment. Dental fluorosis prevalence in 5- and 12-year olds was 11.9% and 22.9% respectively. Bleeding on probing and calculus was common between both the age groups. A low mean number of healthy sextants were found and this decreased with age. Mean dmft/DMFT values for 5- and 12-year olds were 4.13 ± 3.90 and 1.15 ± 1.62. Significant caries index (SIC) scores for 5- and 12-year olds were 7.17 ± 4.30 and 3.78 ± 3.21 respectively. Conclusion: The present study reveals high sugar consumption, dental fluorosis, poor oral hygiene, and untreated dental disease of tribal children. Under these circumstances, the implementation of preventive programs including restriction of sweets in school premises for the tribal children is the key to good oral health.

Tribal children, Koragas, Adivasi, Dental caries, Oral health status.

1. Mohandas Karamchand Gandhi (1968), The Selected Works of Mahatma Gandhi: Satyagraha in South Africa, Navajivan Publishing House, 2008.

2. Government of India. Scheduled Tribes, Scheduled Areas and Tribal Areas in India. Ministry of Social Justice and Empowerment. (Tribal Division), 1998.

3. Sharma, Dash P. Anthropology of Primitive Tribes in India.; In: The Koraga: A Primitive Tribal Group of Karnataka. Akhi Books Pvt. Ltd. 1st Edition, New Delhi, 2006.

4. The Scheduled Tribes: Census of India, Karnataka. Source: Office of the Registrar General, India, 2001.

5. PK Mohanty. Encyclopaedia of Primitive Tribes in India. Kalpaz, 1st Edition, New Delhi, 2004.

6. The Karnataka Koragas (Prohibition of Ajalu Practice) Act. Karnataka Act No. 30. Published in Karnataka Gazette Extraordinary, 2000.

7. Chen MS. Oral health of disadvantaged populations. In: Cohen LK, Gift HC, editors. Disease prevention and oral health promotion. Sociodental sciences in action. Copenhagen: Munksgaard, 153–212, 1995.

8. K. Pandit, A. T. Kannan, A. Sarana and K. Aggarwal. Periodontal disease and dental caries in primary school children in rural areas of Delhi. Indian Journal of Pediatrics, 525–529, 1986.

9. Rao SP, Bharambe MS: Dental caries and periodontal diseases among urban, rural and tribal school children. Indian Pediatr, 30(6): 759–64, 1993.

10. Jalili VP, Sidhu SS, Kharbanda OP: Status of dental caries and treatment needs in tribal children of Mandu (Central India). J Pierre Fauchard Acad, 7(1): 7–15, 1993.

11. Oral health surveys – Basic methods. 4th ed. Geneva: World Health Organization; 1997.

12. Baelum V, Fejerskov O, Karring T. Oral hygiene, gingivitis, and periodontal breakdown in Tanzanians J. Periodontol Res, 21: 221–232, 1986.

13. Cutress TW, Powell RN, Ball ME. Differing profiles of periodontal diseases in two similar South Pacific island populations. Community Dent Oral Epidemiol, 10: 193–203, 1982.

14. Bali RK, Mathur VB, Talwar PP, Chanana HB. National oral health survey and fluoride mapping 2002-2003 India. New Delhi: Dental Council of India, 2004.

15. Vaish RP. Prevalence of dental caries among tribal school children in Phulbani District, Orissa. JIDA, 55: 455–457, 1983.

16. Villalobos-Rodelo JJ, Medina-Solis CE, Maupome G, VallejosSanchez AA, Lau-Rojo L, de Leon-Viedas MV. Socioeconomic and sociodemographic variables associated with oral hygiene status in Mexican school children aged 6 to 12 years. J Peridontol, 78(5): 816–22, 2007.

17. Jamieson LM, Armfield JM, Roberts-Thomson KF. Oral health inequalities among indigenous and nonindigenous children in the Northern Territory of Australia. Community Dent Oral Epidemiol, 34(4): 267–76, 2006.

18. Parker EJ, Jamieson LM. Oral health comparisons between children attending an Aboriginal health service and a Government school dental service in a regional location. Rural Remote Health, 7(2): 625, 2007.

19. Adewakun AA. Caries status of children in Eastern Trinidad, West Indies. Oral Health Prev Dent, 3(4): 249–61, 2005.

20. Retnakumari N. Prevalence of dental caries and risk assessment among primary school children of 6-12 years in the Varkala municipal area of Kerala. J Indian Soc Pedo Prev Dent, 17: 135–42, 1999.

21. Tewari S, and Tewari S. Caries experience in 3-7 year-old children in Haryana (India). J Indian Soc Pedo Prev Dent, 19(2): 52–56, 2001.

22. Saravanan S, Anuradha KP, Bhaskar DJ. Prevalence of dental caries and treatment needs among school going children of Pondicherry, India. J Indian Soc Pedo Prev Dent, 21(1): 1–12, 2003.

23. Bolin AK, Bolin A, Koch G. Children’s dental health in Europe: caries experience of 5- and 12- year old children from eight EU countries. Int J Paediatr Dent, 6(3):155–62, 1996.

24. Pitts NB, Boyles J, Nugent ZJ, Thomas N, Pine CM. The dental caries experience of 5- year old children in Great Britain (2005/6). Surveys coordinated by the British Association for the study of community dentistry. Community Dent Health, 24(1): 59–63, 2007.

25. Petersen PE, Aarhus NH, Hatyai WA. Oral health status and oral health behaviour of urban and rural school children in Southern Thailand. Int Dent J, 51: 95–102, 2001.

26. Viqild M, Skougaard M, Hadi RA, al- Zaabi F, al- Yasseen I. Dental caries and dental fluorosis among 4-, 6-, 12- and 15-year-old children in kindergartens and public schools in Kuwait. Community Dent Health, 13(1): 47–50, 1996.

27. Zusman SP, Natapov H. Caries prevalence in Ashkelon children in 1994. ASDC J Dent Child, 64(5): 359–61, 1997.

28. Peng B, Petersen PE, Fan MW, Tai BJ. Oral health status and oral health behaviour of 12-year old urban schoolchildren in the People’s Republic of China. Community Dent Health, 14(4): 238–44, 1997.

29. Dowsett SA, Archila L, Segreto VA et al. Periodontal disease status of an indigenous population of Guatemala, Central America. J Clin Periodontol, 28: 663–671, 2001.