Early childhood caries in Indigenous communities: A joint statement with the American Academy of Pediatrics

J. D. Irvine, S. Holve, D. Krol, R. Schroth, Sam Wong, William Abelson, Anna Banerji, Lola Baydala, Radha Jetty, Heide Schröter, 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 VolckDebra B. Waldron

Research output: Contribution to journalReview articlepeer-review

37 Scopus citations


The oral health of Indigenous children of Canada (First Nations, Inuit and Métis) and the United States (American Indian and Alaska Native) is a major child health issue. This is exemplified by the high prevalence of early childhood caries (ECC) with resulting adverse health effects, 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. The present statement includes recommendations for oral health preventive 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 community-based research on the epidemiology, prevention, management and microbiology of ECC in Indigenous communities would be beneficial.

Original languageEnglish (US)
Pages (from-to)351-357
Number of pages7
JournalPaediatrics and Child Health
Issue number6
StatePublished - 2011


  • 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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