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This study aims to identify early life exposures to metals and chemicals by measuring the concentration of metals and organic compounds in shed primary teeth. The researchers will also investigate associations between the presence of these chemicals in teeth and children's social, emotional, and neuro-development.
Since children begin shedding their primary teeth around age 6, the investigators will enroll children who will be turning 6 in the next two years. First, the investigators will follow up with the children's development by conducting a battery of non-invasive neurodevelopmental tests. Also, the parents will be asked to complete a questionnaire called the Child Behavior Checklist, which assesses behavioral problems. Then, each child's parent will be asked to send the research team 2-3 teeth that their child has shed, or to send teeth as they are shed over the next three years. Dr. Stroustrup's collaborator, Dr. Manish Arora, will perform a temporal analysis of chemical distribution for each tooth to determine each child's environmental exposures during the perinatal and neonatal periods.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| NICU Tooth Study Cohort | All study subjects will have been cared for in the Mount Sinai NICU and have had the same hospital environment exposure. |
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| Measure | Description | Time Frame |
|---|---|---|
| Chemical Concentration in deciduous teeth | Teeth will be analyzed by a dentist and researcher trained in laser ablation inductively coupled plasma mass spectroscopy technology | up to 5 years |
| Measure | Description | Time Frame |
|---|---|---|
| Child Behavior Checklist | An assessment Developmental Outcomes measured using this assessments | up to 3 years |
| Wechsler Preschool and Primary Scale of Intelligence | Developmental Outcomes measured using this assessments |
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Inclusion Criteria:
Exclusion Criteria:
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Children who were cared for as neonates in the Mount Sinai NICU
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| Name | Affiliation | Role |
|---|---|---|
| Annemarie Stroustrup, MD,MPH | Ichan School of Medicine at Mount Sinai | Principal Investigator |
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| up to 3 years |
| Development Neuropsychological Assessment (NEPSY) | Developmental Outcomes measured using this assessments | up to 3 years |