scholarly journals Longitudinal caries prevalence in a comprehensive, multi-component, school-based prevention program

2020 ◽  
Author(s):  
Jacqueline R. Starr ◽  
Ryan R. Ruff ◽  
Joseph Palmisano ◽  
J. Max Goodson ◽  
Omair M. Bukhari ◽  
...  
Keyword(s):  
Prevention Program ◽  
Phase 1 ◽  
Clinical Effectiveness ◽  
Caries Prevention ◽  
Dental Hygienists ◽  
Glass Ionomer ◽  
Caries Prevalence ◽  
School Based ◽  
Free Care ◽  
Untreated Caries

AbstractBackgroundGlobally, children’s caries prevalence exceeds 30% and has not markedly changed in 30 years. School-based caries prevention programs may be an effective method to reduce caries prevalence, obviate traditional barriers to care, and use aerosol-free interventions. The objective of this study was to explore the clinical effectiveness of a comprehensive school-based, aerosol-free, caries prevention program.MethodsWe conducted a 6-year prospective open cohort study in 33 U.S. public elementary schools, providing care to 6,927 children in communities with and without water fluoridation. Following a dental examination, dental hygienists provided twice-yearly prophylaxis, glass ionomer sealants, glass ionomer interim therapeutic restorations, fluoride varnish, toothbrushes, fluoride toothpaste, oral hygiene instruction, and referral to community dentists as needed. We used generalized estimating equations to estimate the change in the prevalence of untreated caries over time.ResultsThe prevalence of untreated caries decreased by greater than 50%: from 39% to 18% in phase 1, and from 28% to 10% in phase 2. The per-visit adjusted odds ratio of untreated decay was 0.79 (95% CI: 0.73, 0.85).Conclusions and Practical ImplicationsWe show that a school-based comprehensive caries prevention program was associated with substantial reductions in children’s caries, supporting the concept of expanding traditional practices to include office- and community-based aerosol-free care.

scholarly journals Clinical Evaluation of the Retention of Resin and Glass Ionomer Sealants Applied as a Part of School-Based Caries Prevention Program

2019 ◽  
Vol 7 (23) ◽  
pp. 4127-4130
Author(s):  
Asem Alkhodairi ◽  
Moahmmad Alseweed ◽  
Sulaiman Alwashmi ◽  
Ramy Elmoazen
Keyword(s):  
Clinical Evaluation ◽  
Prevention Program ◽  
Contralateral Side ◽  
Caries Prevention ◽  
Glass Ionomer ◽  
School Based ◽  
Permanent Molars ◽  
Resin Sealant ◽  
Pits And Fissures ◽  
First Permanent Molars

BACKGROUND: Using of sealant on pits and fissures is likely one of the most generally well-known strategies by the new cavity-prevention systems. AIM: The purpose of this research is to measure the retentiveness of sealants of resin-modified ionomer glass cement (GIC) and resin pits and fissures, on the first permanent molars of special patients as a part of caries prevention program in schools. METHODS: The sample was comprised by 60 molars. Resin-based sealants on one side and glass-ionomer sealant on the contralateral side of the mouth. The molars were examined in three and six months after application for retention with three standards: TR: Totally Retained; PR: Partially Retained; and CL: Completely Lost. RESULTS: by the end of the study 60% of resin sealant was present. While 55% of GIC were retentive after 6 months. CONCLUSION: Resin sealants are more retentive than glass ionomer sealants in school-based carries prevention program.

scholarly journals Longitudinal caries prevalence in a comprehensive, multicomponent, school-based prevention program

2021 ◽  
Vol 152 (3) ◽  
pp. 224-233.e11
Author(s):  
Jacqueline R. Starr ◽  
Ryan R. Ruff ◽  
Joseph Palmisano ◽  
J. Max Goodson ◽  
Omair M. Bukhari ◽  
...  
Keyword(s):  
Prevention Program ◽  
Caries Prevalence ◽  
School Based

Cost-Effectiveness through the Dental-Health FRAMM Guideline for Caries Prevention among 12- to 15-Year-Olds in Sweden

2019 ◽  
Vol 53 (3) ◽  
pp. 339-346 ◽  
Author(s):  
Eva-Karin Bergström ◽  
Thomas Davidson ◽  
Ulla Moberg Sköld
Keyword(s):  
Cost Effectiveness ◽  
Dental Health ◽  
Caries Prevention ◽  
Caries Prevalence ◽  
School Based ◽  
Caries Increment ◽  
Dental Records ◽  
Caries Lesions ◽  
Approximal Caries ◽  
Approximal Surfaces

Since 2008, FRAMM has been a guideline for caries prevention for all 3- to 15-year-olds in the Västra Götaland Region in Sweden and a predominant part is school-based fluoride varnish applications for all 12- to 15-year-olds. The aims were to evaluate dental health-economic data among 12- to 15-year-olds, based on the approximal caries prevalence at the age of 12, and to evaluate cost-effectiveness. Caries data for 13,490 adolescents born in 1993 who did not take part and 11,321 adolescents born in 1998 who followed this guideline were extracted from dental records. Those with no dentin and/or enamel caries lesions and/or fillings on the approximal surfaces were pooled into the “low” subgroup, those with 1–3 into the “moderate” subgroup and those with ≥4 into the “high” subgroup. The results revealed that the low subgroup had a low approximal caries increment compared with the moderate and high subgroups during the 4-year study period. In all groups, there were statistically significant differences between those who took part in the guideline and those who did not. The analysis of cost-effectiveness revealed the lowest incremental cost-effectiveness ratio (ICER) for the high subgroup for decayed and/or filled approximal surfaces (DFSa) and approximal enamel lesions together and the highest ICER for the low subgroup for DFSa alone. To conclude, the FRAMM Guideline reduced the caries increment for adolescents with low, moderate and high approximal caries prevalence. The subgroup with the most favourable cost-effectiveness comprised those with a high caries prevalence at the age of 12.

Longitudinal Caries Prevalence in a Comprehensive, Multi-Component, School-Based Prevention Program: An Open Cohort Study

2019 ◽  
Author(s):  
Jacqueline R. Starr ◽  
Ryan R. Ruff ◽  
Joseph Palmisano ◽  
J. Max Goodson ◽  
Omair M. Buhkari ◽  
...  
Keyword(s):  
Cohort Study ◽  
Prevention Program ◽  
Caries Prevalence ◽  
School Based

“Don’t Let Nobody Bring You Down”

2018 ◽  
Vol 2 (1) ◽  
pp. 57 ◽  
Author(s):  
LeConte J. Dill ◽  
Bianca Rivera ◽  
Shavaun Sutton
Keyword(s):  
New York ◽  
Violence Prevention ◽  
Narrative Analysis ◽  
Prevention Program ◽  
Black Girls ◽  
West African ◽  
Relationship Violence ◽  
Ethnographic Interviews ◽  
School Based ◽  
Violence Prevention Program

This paper explores the engagement of African-American, Caribbean-American, and immigrant West African girls in the critical analysis and writing of poetry to make sense of their multi-dimensional lives. The authors worked with high-school aged girls from Brooklyn, New York who took part in a weekly school-based violence prevention program, and who became both ‘participants’ in an ethnographic research study with the authors and ‘poets’ as they creatively analyzed themes from research data. The girls cultivated a practice of reading and writing poetry that further explored dating and relationship violence, themes that emerged from the violence prevention program sessions and the ethnographic interviews. The girls then began to develop ‘poetic knowledge’ grounded in their lived experiences as urban Black girls. The authors offer that ‘participatory narrative analysis’ is an active strategy that urban Black girls enlist to foster individual and collective understanding and healing.

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