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3-year results of a collaborative school-based oral health program in a remote First Nations community
Rural and Remote Health. 2008 Apr-Jun;8(2):882
Publication Type
Apr-Jun 2008
Macnab, AJ
Rozmus, J
Benton, D
Gagnon, FA
Author Affiliation
University of British Columbia, Department of Pediatrics, Vancouver, British Columbia, Canada
Hartley Bay Nursing Station, Hartley Bay, British Columbia, Canada
Gagnon Research Associates, Surrey, British Columbia, Canada
Rural and Remote Health. 2008 Apr-Jun;8(2):882
Apr-Jun 2008
Geographic Location
Publication Type
Aboriginal children
Collaborative program
Cross-sectional study
Decayed, Missing, and Filled Teeth (DMFT) score
Dental health
Educational presentations
First Nations
Fluoride application
Oral health and knowledge
Recognition/incentive scheme
School-based program
INTRODUCTION: Surveys of dental health among Aboriginal children in Canada, using scales such as the Decayed, Missing, and Filled Teeth (DMFT) score, indicate that Aboriginal children have 2 to 3 times poorer oral health compared with other populations. A remote First Nations community approached requested assistance in addressing the health of their children. The objective was to work with the community to improve oral health and knowledge among school children. The hypothesis formulated was that after 3 years of the program there would be a significant decrease in dmft/DMFT (primary/permanent) score.METHODS: This was a cross-sectional study of all school-aged children in a small, remote First Nations community. Pre- and post- intervention evaluation of oral health was conducted by a dentist not involved in the study. The intervention consisted of a school-based program with daily brush-ins, fluoride application, educational presentations, and a recognition/incentive scheme.RESULTS: Twenty-six children were assessed prior to the intervention, representing 45% of the 58 children then in the community. All 40 children in the community were assessed following the intervention. Prior to the intervention, 8% of children were cavity free. Following 3 years of the intervention, 32% were cavity free. Among the 13 children assessed both pre- and post-intervention, dmft/DMFT score improved significantly (p
PubMed ID
18444770 View in PubMed
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