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Biomedical subjects

T Rebich

Publications and source records attributed to T Rebich.

12 recordsLinked to original sources
PubMed1985

Dental caries and tetracycline-stained dentition in an American Indian population.

Complaints of enamel defects in American Indian children residing on the St. Regis reservation in New York State prompted an epidemiological study. The results of that study, reported earlier (Rebich et al., 1983), indicated that over one-fifth of the American Indian children had discoloration of the dentition due to ingestion of tetracycline during the years of tooth formation. These data also provided an ideal opportunity to examine the link between tetracycline staining and caries which has been postulated by previous authors. American Indian children, ages 7-18, were found to have a higher caries experience than other children and a lower rate of dental service utilization, as evidenced by the filled component of the DMFS index (FS/DMFS). Within the American Indian population, however, no indication was found of any association between tetracycline staining and dental caries.

Adolescent↗
PubMed1983

Supervised weekly rinsing with a 0.2% neutral NaF solution: results after 5 years.

The effect on caries prevalence of the permanent dentition was evaluated after 5 years of weekly rinsing (130 scheduled rinses) with a 0.2% neutral NaF solution. The program was conducted in the Three Village Central School District, New York, U.S.A. (F less than or equal to 0.1 part/10(6). First to sixth grade children who rinsed from 1 to 5 years respectively had a caries prevalence reduction of 45.3% (DMFT) and 47.4% (DMFS) compared to baseline scores of children who were examined before the rinsing program began. The highest caries reduction, 81.3%, was found on proximal surfaces. Two variables influenced the cariostatic benefits associated with fluoride rinsing. The younger that children entered the program and the longer that they rinsed, the greater were the accumulated benefits.

Child↗
PubMed1983

Supervised weekly rinsing with a 0.2 percent neutral NaF solution: final results of a demonstration program after six school years.

The results of a school-based fluoride mouthrinsing program in the elementary schools of a Long Island, New York community (F less than or equal to 0.1 ppm) was described. Children enrolled in this continuing program rinse once a week for 60 seconds with a 0.2 percent neutral NaF solution. Kindergarteners rinse with 5.0 ml.; children in the first through sixth grade rinse with 10 ml. Program personnel mix and distribute the rinse to the classrooms. Rinsing is supervised by homeroom teachers. A random sample of 125 children from each grade level (approximately 750 children) annually receive visual-tactile caries examinations from the same examiner. Mean caries prevalence scores after participation in the rinsing program are compared to the caries prevalence of children that were examined in 1975, before the program began. There has been 170 scheduled rinse sessions during six years. By the sixth-year examinations, first graders rinsed for one year (as kindergarteners), second graders for two years, etc. All children who were examined began participation in the program as kindergarteners. The findings after six years of the rinsing program included: 1. There was a 54.1 percent reduction in the mean DMFT caries prevalence score and a 55.2 percent reduction in the mean DMFS score. 2. The greatest percentage caries reduction, 68.8 percent, occurred for proximal surfaces, and the greatest absolute reduction occurred for occlusal surfaces. 3. The percentage of children with a caries-free permanent dentition increased from 43.5 percent to 66.3 percent. Of those children with caries, more were in the low caries category (DMFS = 1-4) compared to children who were examined before the rinsing program began.

Child↗
PubMed1983

The St. Regis environmental health issue: assessment of dental defects.

A descriptive epidemiologic study was undertaken to determine the nature, extent, and severity of defects of the dentition alleged to be fluorosis in Native American children. An examination of 520 Native American children living on the St. Regis Reservation, and 248 non-Native American children living in adjacent areas, disclosed a much higher prevalence of generalized pigmentation of the dentition in the former (114, 22%) as compared with the latter group (13, 5.2%). The pattern of enamel pigmentation, opacity, and hypoplasia observed was not typical of fluorosis. After careful consideration of various etiologic factors, use of the antibiotic tetracycline was determined to be the probable causative agent in 112 (21.5%) cases, of which 73 (14%) were classified as esthetically objectionable according to the tetracycline severity index devised. Confirmation of incorporation of the drug into the teeth was made possible in selected cases by histopathologic analysis of extracted teeth.

Adolescent↗
PubMed1982

The need for dental health screening and referral programs.

School-based dental health screening and referral programs can have a tremendous impact on a community. They provide examinations to children, some of whom have never seen a dentist, and refer those in need of treatment. When coordinated with other dental health activities, these programs can also raise the overall consciousness about oral health and need for health care in children and parents alike. By their concern for dental health and encouragement to the children to participate in the screening programs and follow through on referrals, school officials can serve as role models to the children and further reinforce the importance of dental health. By conducting the screenings on a local level, the problem is seen as a community one, and is more likely to be meaningfully addressed. School officials, health personnel and teachers are instrumental in initiating and conducting these programs and are thus responsible for the benefits the children derive from the screenings.

Adolescent↗