Effect of health promotion and fluoride varnish on dental caries among Australian Aboriginal children: results from a community-randomized controlled trial

Slade, Gary D.; Bailie, Ross; Roberts‐Thomson, Kaye; Leach, Amanda J.; Raye, Iris Patricia; Endean, C.; Simmons, Bryony; Morris, Peter S.

doi:10.1111/j.1600-0528.2010.00561.x

Cited by 127 publications

(208 citation statements)

References 15 publications

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“…Because of these variations in reporting, the caries-free proportion was calculated from papers that reported caries prevalence (percentage with caries). Data were entered into a 20 Cross-sectional dmft/DMFT Not reported Endean et al (2004) 21 Cross-sectional dmft/DMFT Not reported Armfield (2005) 22 Cross-sectional dmft/DMFT Not reported Blair et al (2005) 23 Cross-sectional dmft/DMFT Not reported Kruger et al (2005) 24 Cross 27 Cross-sectional dmft/DMFT WHO 1997 28 Cross-sectional dmft/DMFT Not reported Hopcraft and Chow (2007) 29 Cross-sectional dmft/DMFT Visually apparent cavitation, discolouration showing through enamel or visual evidence of recurrent caries SiC SiC10 30 Cross-sectional dmft/DMFT Not reported SiC SiC10 Bailie et al (2009) 31 Cross-sectional dmft/DMFT Not reported Spencer et al (2010) 32 Cross-sectional dmft/DMFT Not reported Jamieson et al (2010) 33 Longitudinal cohort dmft/DMFT Untreated decay diagnosed as cavitation of enamel or dentinal involvement or both being present Dogar (2011) 3 Cross-sectional dmft/DMFT WHO 1997 Slade et al (2011) 34 RCT dmfs Cavitation-visible break in the enamel surface Divaris et al (2013) 35 RCT dmfs Cavitation-visible break in the enamel surface Zander et al (2013) 36 Cross-sectional dmft/DMFT Caries diagnosis taken from enamel cavitation Ha, ACPOHR (2014) 37 Cross-sectional dmft/DMFT WHO 1997 Johnson et al (2014) 38 Cross-sectional dmft/DMFT WHO 1997 Lalloo et al (2014) 39 Cross-sectional dmft/DMFT Clinical judgement Microsoft Excel (Redmond, WA, USA) spreadsheet and examined for any duplication of data in studies by the same authors. Rural and urban location was extracted from papers where this was reported.…”

Section: Data Extractionmentioning

confidence: 99%

Flying blind: trying to find solutions to Indigenous oral health

Silva

Martin-Kerry²,

Geale³

et al. 2016

Aust. Health Review

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Objective. The aim of the present study was to identify all published evidence about oral health in Indigenous children in Australia and to determine trends in Indigenous oral health over time.Methods. PubMed was used to search for published peer-reviewed articles that reported caries (decay) prevalence rates and/or caries experience (based on caries indices) in Indigenous children. Studies included in the analysis needed to report clinical oral health data (not self-reported dental experiences), and articles were excluded if they reported caries in only a select, specific or targeted sample (e.g. only children undergoing hospital admissions for dental conditions).Results. The review identified 32 studies that met the inclusion criteria. These studies reported data from the Northern Territory (n = 14), Western Australia (n = 7), South Australia (n = 7), Queensland (n = 7), New South Wales (n = 1), Australian Capital Territory (n = 1) and Tasmania (n = 1). Of the studies, 47% were in rural locations, 9% were in urban locations and 44% were in both rural and urban locations. Data are limited and predominantly for Indigenous children living in rural locations, and there are no published studies on caries in Indigenous children living in Victoria.Conclusions. The present study documents the published prevalence and severity of caries in Indigenous children living in Australia and highlights that limited oral health data are available for this priority population. Although risk factors for oral disease are well known, most of the studies did not analyse the link between these factors and oral disease present. There is also inconsistency in how caries is reported in terms of age and caries criteria used. We cannot rely on the available data to inform the development of policies and programs to address the oral health differences in Indigenous populations living contemporary lives in metropolitan areas.What is known about the topic? Many studies report that Indigenous people have poorer general health in Australia compared with non-Indigenous people.

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Section: Data Extractionmentioning

confidence: 99%

Flying blind: trying to find solutions to Indigenous oral health

Silva

Martin-Kerry²,

Geale³

et al. 2016

Aust. Health Review

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“…Community-based health promotion and disease prevention approaches, such as the promotora model, hold potential to address this need, with a growing body of literature documenting promising efficacy for promoting child nutrition and preventing common childhood illnesses, inclusive of dental caries [24, 43,44]. In their role as both health promoter and community member, they possess unique contextual and cultural knowledge that can prove invaluable for ensuring prevention efforts penetrate into medically-underserved regions, particularly in the context of obesogenic and cariogenic environments (e.g., rapid access to stores selling junk food).…”

Section: Implications For Addressing Oral Health and Malnutrition In mentioning

confidence: 99%

Early Childhood Dental Caries, Mouth Pain, and Malnutrition in the Ecuadorian Amazon Region

So¹,

Ellenikiotis²,

Husby³

et al. 2017

Preprint

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Malnutrition and dental caries in early childhood remain persistent and intertwined global health challenges, particularly for indigenous and geographically-remote populations. To examine the prevalence and associations between early childhood dental caries, parent-reported mouth pain and malnutrition in the Amazonian region of Ecuador, we conducted a cross-sectional study of the oral health and nutrition status of 1,407 children from birth through age 6 in the "Alli Kiru" program (2011Kiru" program ( -2013. We used multivariate regression analysis to examine relationships between severe caries, parent-reported mouth pain measures, and nutritional status. The prevalence of dental caries was 65.4%, with 44.7% of children having deep or severe caries, and 33.8% reporting mouth pain.The number of decayed, missing and filled teeth dmft) increased dramatically with age.Malnutrition was prevalent, with 35.9% of children stunted, 1.1% wasted, 7.4% underweight, and 6.8% overweight. As mouth pain increased in frequency, odds for severe caries increased. For each unit increase in mouth pain frequency interfering with sleeping, children had increased odds for underweight (AOR: 1.27; 95% CI: 1.02 -1.54) and decreased odds for overweight (AOR: 0.76; 95% CI: 0.58 -0.97). This relationship was most pronounced among 3-6 year-olds. Early childhood caries, mouth pain and malnutrition were prevalent in this sample of young children.Parent-reported mouth pain was associated with severe caries, and mouth pain interfering with sleeping was predictive of poor nutritional status. We demonstrate the utility of a parsimonious parent-reported measure of mouth pain to predict young children's risk for severe early childhood caries and malnutrition, which has implications for community health interventions.

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“…Fluoride varnishes have gained popularity due to their high concentration and safety during application (8). A number of studies have demonstrated that fluoride varnishes are able to remineralize incipient carious lesions as well as prevent decay when used with other preventive measures, such as diet control and reduction of dental biofilm (9)(10)(11)(12).…”

Section: Introductionmentioning

confidence: 99%

Therapeutic potential of Brazilian fluoride varnishes: an in vivo study

et al. 2011

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The aim of this study was to assess in vivo the therapeutic effect of three fluoride varnishes available in the Brazilian market on the performance of white spot lesions (WSL). The sample included 36 children aged 7 to 13 years old, with a total of 67 active WSL in permanent anterior teeth. The children were randomly divided into 3 groups, according to fluoride varnish used: FL-Fluorniz (n=24), DUO -Duofluorid XII (n=22) and DF -Durafluor (n=21). Maximum WSL dimensions (mesiodistal and incisogingival) were measured in millimeters by a previously calibrated single examiner using a periodontal probe. WSL were also assessed regarding lesion activity. Initial and final S-OHI (Simplified Oral Hygiene Index) scores were recorded. Pearson's chi-square test revealed no statistically significant differences (p>0.05) in the performance of the varnishes. At the end of the 5th week, FL had 6 active and 18 inactive WSL; DUO had 7 active and 15 inactive WSL; and DL had 6 active and 15 inactive WSL. Taking into account all lesions, there was a 45.7% reduction in WSL dimensions. Paired Student's t-test revealed a statistically significant difference (p<0.05) between the initial size (1.88) and final size (1.02). After four applications, all varnishes obtained similar clinical results.

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Effect of health promotion and fluoride varnish on dental caries among Australian Aboriginal children: results from a community-randomized controlled trial

Cited by 127 publications

References 15 publications

Flying blind: trying to find solutions to Indigenous oral health

Flying blind: trying to find solutions to Indigenous oral health

Early Childhood Dental Caries, Mouth Pain, and Malnutrition in the Ecuadorian Amazon Region

Therapeutic potential of Brazilian fluoride varnishes: an in vivo study

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