Quantitative evaluation of variance in secondary dentition eruption among ethnic groups in Hawai'i

Though little scientific evidence existed to support the belief among dentists who treat Pacific Islander populations that many children of the region erupt secondary teeth earlier and at an eruption rate which exceeds Caucasian children. Based upon a data set created in Hawai'i during the 1998-1999 school year, of 26,097 public school children, the opportunity presented itself to examine for variance in eruption timing and sequence. Hawai'i is an ethnic diverse community, with a majority population comprised of Asians and Pacific Islanders. Children, 5 through 9 years of age, were examined for gender and ethnic variance. In the aggregate, at all ages, girls erupted teeth earlier than boys, however, while generally true among individual tooth types, that variance was not always statistically significant. By ethnic group, African Americans exhibited earlier eruption by contrast with Caucasians, however, Caucasian children caught up by nine years of age. Native Hawaiian, Samoan and Tongan children exhibited earlier and high rates of secondary dentition eruption than Caucasian or African American children. Children of various Asian cohorts did not exhibit significant variance by contrast with Caucasians. Based upon these findings, the authors recommend that dietary fluoride supplementation of Native Hawaiian, Samoan and Tongan children begin at birth rather than six months of age and that these children be targeted for pit & fissure sealants as early as five years of age.