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101 records – page 1 of 11.

A 2-year community-randomized controlled trial of fluoride varnish to prevent early childhood caries in Aboriginal children.

https://arctichealth.org/en/permalink/ahliterature157658
Source
Community Dent Oral Epidemiol. 2008 Dec;36(6):503-16
Publication Type
Article
Date
Dec-2008
Author
Herenia P Lawrence
Darlene Binguis
Jan Douglas
Lynda McKeown
Bonita Switzer
Rafael Figueiredo
Audrey Laporte
Author Affiliation
Community Dentistry Discipline, Department of Biological and Diagnostic Sciences, Faculty of Dentistry, University of Toronto, Toronto, ON, Canada. herenia.lawrence@utoronto.ca
Source
Community Dent Oral Epidemiol. 2008 Dec;36(6):503-16
Date
Dec-2008
Language
English
Publication Type
Article
Keywords
Caregivers - education
Cariostatic Agents - administration & dosage - therapeutic use
Child, Preschool
Cluster analysis
DMF Index
Dental Caries - epidemiology - prevention & control
Female
Fluorides, Topical - therapeutic use
Health Education, Dental
Health Status Disparities
Humans
Incidence
Indians, North American
Infant
Logistic Models
Male
Ontario - epidemiology
Prevalence
Sodium Fluoride - administration & dosage
Tooth, Deciduous
Abstract
To measure the effectiveness of fluoride varnish (FV) (Duraflor), 5% sodium fluoride, Pharmascience Inc., Montréal, QC, Canada) and caregiver counseling in preventing early childhood caries (ECC) in Aboriginal children in a 2-year community-randomized controlled trial.
Twenty First Nations communities in the Sioux Lookout Zone (SLZ), Northwest Ontario, Canada were randomized to two study groups. All caregivers received oral health counseling, while children in one group received FV twice per year and the controls received no varnish. A total of 1275, 6 months to 5-year-old children from the SLZ communities were enrolled. In addition, a convenience sample of 150 primarily non-Aboriginal children of the same age were recruited from the neighboring community of Thunder Bay and used as comparisons. Longitudinal examinations for the dmft/s indices were conducted by calibrated hygienists in 2003, 2004 and 2005.
Aboriginal children living in the SLZ or in Thunder Bay had significantly higher caries prevalence and severity than non-Aboriginal children in Thunder Bay. FV treatment conferred an 18% reduction in the 2-year mean 'net' dmfs increment for Aboriginal children and a 25% reduction for all children, using cluster analysis to adjust for the intra-cluster correlation among children in the same community. Adjusted odds ratio for caries incidence was 1.96 times higher in the controls than in the FV group (95% CI = 1.08-3.56; P = 0.027). For those caries-free at baseline, the number (of children) needed to treat (NNT) equaled 7.4.
Findings support the use of FV at least twice per year, in conjunction with caregiver counseling, to prevent ECC, reduce caries increment and oral health inequalities between young Aboriginal and non-Aboriginal children.
PubMed ID
18422711 View in PubMed
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[Acceptance and effects of fluoride gel treatment among school-children]

https://arctichealth.org/en/permalink/ahliterature40974
Source
Tandlaegebladet. 1980 Aug;84(13):427-31
Publication Type
Article
Date
Aug-1980

Adolescents' experiences of a two-year oral health intervention programme in two Swedish secondary schools.

https://arctichealth.org/en/permalink/ahliterature113112
Source
Int J Dent Hyg. 2013 Nov;11(4):244-52
Publication Type
Article
Date
Nov-2013
Author
E. Hedman
P. Gabre
D. Birkhed
M. Lepp
Author Affiliation
Department of Preventive Dentisty, Public Dental Health, Uppsala County Council, Uppsala, Sweden; Department of Cariology, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Source
Int J Dent Hyg. 2013 Nov;11(4):244-52
Date
Nov-2013
Language
English
Publication Type
Article
Keywords
Adolescent
Attitude to Health
Cariostatic Agents - therapeutic use
Communication
Dental Hygienists
Dental Prophylaxis
Female
Fluorides, Topical - therapeutic use
Focus Groups
Health Education, Dental
Humans
Intervention Studies
Interviews as Topic
Longitudinal Studies
Male
Oral Health
Patient Participation
Peer Group
Personal Satisfaction
Professional-Patient Relations
School Dentistry
Self Concept
Sweden
Time Factors
Trust
Abstract
To describe adolescents' experiences of participating in a school-based oral health intervention programme for 2 years containing education about oral health and fluoride varnish treatment at the school clinic.
Sixteen adolescents aged 13-16 were interviewed in three focus group sessions. A phenomenographic approach was used for analysis.
The results are presented as three themes and seven descriptive categories. The three themes were 'Seeing the dental hygienist', 'Treatments at the dental hygiene clinic' and 'Education about oral health in class'. The results demonstrate satisfaction with the intervention, such as accessibility, time gain and expanding knowledge. On the other hand, feelings of vulnerability in the treatment sessions were expressed. The fluoride varnish treatment was given both positive and negative reviews. The contact between the participants and the dental hygienist was important, and the opportunity to ask questions about oral health issues was emphasized.
Both positive and negative experiences of the programme were found. Adolescence is a transitional period of life, and for this reason, it is important to create a good working alliance between students and the dental hygienist in future school-based oral health interventions.
PubMed ID
23763634 View in PubMed
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Adoption of fluoride-based caries preventive innovations in a public dental service.

https://arctichealth.org/en/permalink/ahliterature38556
Source
Community Dent Oral Epidemiol. 1988 Feb;16(1):5-10
Publication Type
Article
Date
Feb-1988
Author
O. Haugejorden
Author Affiliation
Department of Community Dentistry, University of Bergen, Norway.
Source
Community Dent Oral Epidemiol. 1988 Feb;16(1):5-10
Date
Feb-1988
Language
English
Publication Type
Article
Keywords
Adolescent
Child
Communication
Comparative Study
Decision Making
Dental Caries - prevention & control
Dental Clinics
Diffusion of Innovation
Fluorides - therapeutic use
Fluorides, Topical - therapeutic use
Humans
Mouthwashes
Norway
Retrospective Studies
School Dentistry
Toothbrushing
Abstract
In dentistry comparative studies of diffusion of disease preventive innovations are rare and usually atheoretical. For these reasons the present study was designed 1) to determine whether or not normal distribution assumptions applied to decisions to adopt caries preventive fluoride programs in a public dental service; 2) to compare rates of adoption of two school-based and one clinic-based fluoride program, and 3) to look for evidence indicating which type of decision-making may have been involved. The programs studied were school-based fluoride brushing 4-5 times per year, fluoride mouthrinsing at least once a month, and professional topical fluoride applications at least once a year. Data were collected by postal questionnaires from public dental officers in Norway in 1972, 1977 and 1982. To determine the length of time which had elapsed from the time of innovation of the technologies to adoption, the dental literature was reviewed. The adoption curves for school-based fluoride brushing and rinsing, as well as for clinic-based topical fluoride application did not comply with the normal distribution assumption. The time lapse from innovation to adoption was in excess of 10 yr and the rates of adoption differed between programs. Decision-making would appear to have been primarily individual or collective. It was concluded that generalization beyond the innovations studied and the social and organizational setting of this particular investigation is inadmissible. Consequently, there is a need for more and larger scale comparative analytical studies to increase our understanding of diffusion and adoption of innovations in dentistry.
PubMed ID
3422620 View in PubMed
Less detail
Source
Int Dent J. 1973 Jun;23(2):364-71
Publication Type
Article
Date
Jun-1973

Anti-caries effect of a 2% Na2PO3F-dentifrice in a Danish fluoride area.

https://arctichealth.org/en/permalink/ahliterature42423
Source
Community Dent Oral Epidemiol. 1976 Jan;4(1):7-14
Publication Type
Article
Date
Jan-1976
Author
O P Lind
F R von der Fehr
M J Larsen
I J Möller
Source
Community Dent Oral Epidemiol. 1976 Jan;4(1):7-14
Date
Jan-1976
Language
English
Publication Type
Article
Keywords
Child
DMF Index
Dental Caries - prevention & control
Dentifrices
Fluoridation
Fluorides, Topical - therapeutic use
Follow-Up Studies
Humans
Tooth
Abstract
A 3-year experimental toothbrushing study was conducted in a natural fluoride area in Denmark to evaluate the anti-caries effect of a 2% sodium monofluorophosphate dentifrice. In a previous report the results for the total population of 1,407 schoolchildren, representing a broad age-span (7-12 years), at the commencement of the study in 1970 were given. In the present report results are presented for two subpopulations of "8-year-olds" and "11-year-olds" at the commencement of the study. Differential analysis of the effect of the test dentifrice on defined types of surfaces for the two subpopulations is given. The evaluation was performed using both the conventional DMF-indices and the recently published ECSI-Index6. The evaluation showed that the test dentifrice had a valuable anti-caries effect in both age groups, above and beyond the effect of the waterborne fluoride. Proximal surfaces were affected most baneficially by the active agent both in relative and absolute terms. However, an appreciable caries-preventive effect was also found on the "pit and fissure" surfaces.
PubMed ID
1061652 View in PubMed
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Approximal caries increment in adolescents in a low caries prevalence area in Sweden after a 3.5-year school-based fluoride varnish programme with Bifluorid 12 and Duraphat.

https://arctichealth.org/en/permalink/ahliterature263023
Source
Community Dent Oral Epidemiol. 2014 Oct;42(5):404-11
Publication Type
Article
Date
Oct-2014
Author
Eva-Karin Bergström
Dowen Birkhed
Christina Granlund
Ulla Moberg Sköld
Source
Community Dent Oral Epidemiol. 2014 Oct;42(5):404-11
Date
Oct-2014
Language
English
Publication Type
Article
Keywords
Adolescent
Calcium Fluoride - therapeutic use
Cariostatic Agents - therapeutic use
DMF Index
Dental Caries - epidemiology - prevention & control
Female
Fluorides, Topical - therapeutic use
Humans
Male
Prevalence
School Health Services
Sodium Fluoride - therapeutic use
Sweden - epidemiology
Abstract
To evaluate approximal caries increment among 12- to 16-year-olds in a low caries prevalence area in Sweden after a 3.5-year school-based fluoride (F) varnish programme with Bifluorid 12 and Duraphat.
The design was a RCT study with 1365 adolescents, divided into following four groups: Group 1 Bifluorid 12 two applications/year; Group 2 Duraphat two applications/year; Group 3 Bifluorid 12 four applications/year and Group 4 no F varnish at school. 1143 children (84%) completed the study. Approximal caries was registered on bitewing radiographs.
There were no statistically significant differences in caries prevalence among the groups either at baseline or after 3.5 years . The caries increment for Group 1 was 1.34 ± 2.99 (mean ± SD), 1.24 ± 2.84 for Group 2, 1.07 ± 2.66 for Group 3 and 1.25 ± 2.75 for Group 4, with no statically significant differences either between Bifluorid 12 and Duraphat with the same frequency of F varnish applications or between the F groups and the control group.
In an area with low caries prevalence in Sweden, the supplementary caries-preventive effect of school-based F varnish applications, to regular use of F toothpaste at home and to regular caries prevention given at the Public Dental Clinics, appears to be nonsignificant regarding approximal caries increment.
PubMed ID
24865129 View in PubMed
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Approximal caries increment in relation to baseline approximal caries prevalence among adolescents in Sweden with and without a school-based fluoride varnish programme.

https://arctichealth.org/en/permalink/ahliterature287232
Source
Community Dent Health. 2016 Dec;33(4):281-285
Publication Type
Article
Date
Dec-2016
Author
U M Sköld
Source
Community Dent Health. 2016 Dec;33(4):281-285
Date
Dec-2016
Language
English
Publication Type
Article
Keywords
Adolescent
Cariostatic Agents - therapeutic use
Dental Caries - epidemiology - prevention & control
Dental Caries Susceptibility
Disease Progression
Female
Fluorides, Topical - therapeutic use
Humans
Incidence
Male
Prevalence
Risk factors
School Dentistry
Sweden - epidemiology
Treatment Outcome
Abstract
Approximal surfaces are a focal point for caries prevention among adolescents in Sweden and the aims of this study were therefore to evaluate approximal caries incidence and caries progression among adolescents with and without a three-year school-based fluoride varnish programme in relation to approximal caries prevalence at baseline.
In all, 758 (89%) 13-year-olds completed the three-year randomised controlled trial. They all used fluoride toothpaste at home and had regular dental check-ups at the public dental clinics.
The mean approximal caries incidence for the adolescents who were caries free on these surfaces at baseline was 0.13 (SD 0.54) in the fluoride varnish group and 0.79 (1.93) in the control group. The corresponding values for those who had caries at baseline in these groups were 1.29 (2.21) and 2.62 (3.22) respectively. The latter two groups also had 0.34 (1.00) and 0.70 (1.13) approximal enamel lesions that progressed. All differences were statistically significant (p?0.001). Among those individuals who had approximal caries at baseline, double the number of early approximal enamel lesions in the control group progressed compared with the fluoride varnish group.
The school-based fluoride varnish programme inhibited new approximal lesions to a great extent and effectively kept approximal enamel lesions within the enamel among 13-16-year-olds. It is therefore recommended that such a programme is warranted when the approximal surfaces are still caries free in order to keep these surfaces free from caries and keep upcoming approximal enamel lesions within the enamel.
PubMed ID
28537365 View in PubMed
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Approximal caries progression in 13- to 15-year-old Danish children.

https://arctichealth.org/en/permalink/ahliterature37941
Source
Acta Odontol Scand. 1989 Dec;47(6):347-54
Publication Type
Article
Date
Dec-1989
Author
J. Bille
K. Carstens
Author Affiliation
Department of Cariology and Endodontics, Royal Dental College, Copenhagen, Denmark.
Source
Acta Odontol Scand. 1989 Dec;47(6):347-54
Date
Dec-1989
Language
English
Publication Type
Article
Keywords
Adolescent
Denmark
Dental Caries - physiopathology - prevention & control - radiography
Dental Enamel - radiography
Dental Prophylaxis
Dental Restoration, Permanent
Dentin - radiography
Fluorides, Topical - therapeutic use
Humans
Oral Hygiene
Research Support, Non-U.S. Gov't
Sodium Fluoride - administration & dosage
Abstract
A total of 278 children aged 13 years in 1980, who lived in an area where preventive programs and professional attitudes towards restorative treatment had changed over a 10-year period, were dentally examined in 1980, 1981, and 1982. Different preventive treatments were given to the children, to decrease the variation in dental caries. The development of new lesions and the rate of progression of existing lesions were studied by means of bitewing radiographs. Ninety-four per cent of the surfaces remained unchanged. Of the surfaces diagnosed as carious at 13 years of age no progression had occurred in 63%, and 86% of enamel lesions remained within the enamel. Although caries progression was slow in this population, the variation in dental caries was only slightly altered.
PubMed ID
2692378 View in PubMed
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Assessment of quality of public oral health care on the basis of patient records.

https://arctichealth.org/en/permalink/ahliterature224062
Source
Community Dent Oral Epidemiol. 1992 Apr;20(2):102-5
Publication Type
Article
Date
Apr-1992
Author
M. Vehkalahti
I. Rytömaa
S. Helminen
Author Affiliation
Department of Cariology, University of Helsinki, Finland.
Source
Community Dent Oral Epidemiol. 1992 Apr;20(2):102-5
Date
Apr-1992
Language
English
Publication Type
Article
Keywords
Adolescent
Counseling
DMF Index
Dental Care
Dental Caries - prevention & control
Dental Plaque - diagnosis
Dental Records
Female
Finland
Fluorides, Topical - therapeutic use
Health Education, Dental
Health status
Humans
Male
Oral Health
Oral Hygiene
Periodontal Diseases - prevention & control
Public Health Dentistry
Quality Assurance, Health Care
Time Factors
Abstract
The quality of public oral health care, especially the quality of preventive treatment in relation to patients' oral health, was investigated. The population studied consisted of 367 subjects representing the 15-yr-olds living in Helsinki in 1986. Data were taken from the patients' oral health charts, obtained from municipal dental clinics. Clinical examination of the teeth and periodontium had been adequately documented in 98% of cases. In 84% of cases, status recordings matched those recorded previously. Preventive treatment, on the whole, seemed insufficient and stereotyped. Of all patients 55%, and of those in high risk groups only 57 congruent to 60% had had a topical application of fluoride at least once during treatment. Periodontal treatment was insufficient and did not correlate with recorded clinical findings. The results indicate that the concept of prevention and its selective use had not been fully adopted as routine.
PubMed ID
1555386 View in PubMed
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101 records – page 1 of 11.