Policy statement - Early childhood caries in indigenous communities

Sam Wong, William Abelson, Anna Banerji, Lola Baydala, Radha Jetty, Heide Schroter, Kelly Roberta Moore, Joseph T. Bell, Ryan David Brown, Ruth Ann Etzel, William Frederick Green, Benjamin D. Hoffman, Sara Juanita Jumping Eagle, Stephen Winfield Ponder, Mark M. Redding, Brian Edward Volck, Debra B. Waldron

Research output: Contribution to journalReview articlepeer-review

34 Scopus citations


The oral health of Indigenous children of Canada (First Nations, Inuit, and Métis) and the United States (American Indian, Alaska Native) is a major child health issue: there is a high prevalence of early childhood caries (ECC) and resulting adverse health effects in this community, as well as high rates and costs of restorative and surgical treatments under general anesthesia. ECC is an infectious disease that is influenced by multiple factors, including socioeconomic determinants, and requires a combination of approaches for improvement. This statement includes recommendations for preventive oral health and clinical care for young infants and pregnant women by primary health care providers, community-based health-promotion initiatives, oral health workforce and access issues, and advocacy for community water fluoridation and fluoride-varnish program access. Further communitybased research on the epidemiology, prevention, management, and microbiology of ECC in Indigenous communities would be beneficial.

Original languageEnglish (US)
Pages (from-to)1190-1198
Number of pages9
Issue number6
StatePublished - Jun 2011
Externally publishedYes


  • American Indians
  • Dental caries
  • Early childhood caries
  • First nations
  • Indigenous
  • Oral health

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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