LYON—CONARD—GLASSFORD . .. VOLUME 68, JANUARY 1964 © 53/35 tic enamel lesions in deciduous incisors. According to the local dental practitioners, these conditions, with the exception of the high caries incidence, are common to all Marshallese population groups. Irradiated and Control Populations ° Using local facilities and interpreters, the medicodental team carried out complete physical examinations in Rongelap. Emergency dental treatment was administered during the course of examination procedures. After completing examina- tions in Rongelap, the team proceeded to Uterik to finish the study. RESULTS Patient data were arranged according to age groups (table). Certain aspects re- quire further elaboration, as follows: Cartes and Developmental Growth * 1. Rongelap children ages | to 5 born of irradiated parents: As of March 1959, 16 children had been born of parents receiving the highest total body radiation dose (175 R). One child, born of parents receiving 70 R, was in the third trimester at the time of exposure. Of the irradiated Rongelap group, three children were in utero at the time 3. Rongelap irradiated children, 6 to 18 years old: Of 25 patients, dental caries was present in 16 children (64 per cent}, averaging 3.3 carious teeth each. There was no visible evidence of radiation injury or alteration in morphology in teeth which had erupted since exposure to fallout. 4. Rongelap control children, 6 to 18 years old: Dental caries was present in 18 of the 35 children (51 per cent) in this group. These 18 children averaged 3.2 carious teeth each. 5. Uterik children, ages 1 to 5 years, born of irradiated parents (14 R): Of 21 children examined, dental caries was present in eight subjects (38 per cent). One child had 22 decayed teeth; the remaining seven averaged 4.3 carious teeth each. 6. Irradiated Uterik children (14 R), ages 6 to 18 years: Dental caries was present in 14 of the 36 children examined (39 per cent). The average for these 14 subjects was 3.0 cari- ous teeth each. 7. Rongelap irradiated adults, ages 19 to 35 years: Fifteen (79 per cent) of 19 patients had dental caries with an average of 2.3 decayed teeth each. of initial exposure—two in the third trimester, and one in the first. Of 15 children examined, carious lesions were present in five patients (33 per cent), averaging 3 carious teeth each. No abnor- malities in tooth form, jaw morphology or growth and development of the oral structures that differed from the children of nonirradiated parents were observed in these patients. 2. Rongelap control children, ages 1 to 5 years, born of nonirradiated parents: Dental caries was present in 11 (39 per cent) of the 28 children in this group. These 11 children averaged four carious teeth each. Tooth form, jaw morphology and growth patterns were similar to those in the children born of irradiated parents. Table « Dental caries activity in radiated and nonirradiated patients NUMBER OF POPULATION GROUP AGES I-Sbomof PATIENTS PERCENT NO. LESIONS AVERAGE NO WITH PER PATIENTILESIONS PER: Cares CARES wITH CARIES| PORGROUP 15 5 33 3.0 1.0 sited28 un 39 40 (16 Ocarina| 25 AGES 6-16 16 64 3.3 20 (“mentees| 35 18 Sl 13.2 16 eeesee 2 3 38 65" 25 Coun 360(«d(|«4s«| 39 3.0 2.2 \Teapaten arsa AGES, 19-35 19 13 79 |23 {148 uaa| 35 20 57 |28 16 rodiated parents @75r) | NUMBER WITH dd radiated goreat (14r} AGES 6-18 ® Gas child hod 22 lesions The remaining seven averaged 4.2 etions

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