Evaluation of a Combination of Self-Administered Fluoride Procedures for Control of Dental Caries in a Non-Fluoride Area: Findings after 2 Years

Horowitz, Herschel S.; Heifetz, Stanley B.; Meyers, Rhea J.; Driscoll, William S.; Korts, David C.

doi:10.1159/000260265

Cited by 14 publications

(6 citation statements)

References 5 publications

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“…Because school officials believed that it was too difficult to conduct mouthrinsing at the senior high level, these students (ages 14-17) practiced only the daily fluoride tablet regimen at school and brushed their teeth ad libitum with a fiuoride-containing dentifrice at home. Details of study methods and findings for the combined fiuoride regimen have been published elsewhere (1)(2)(3)(4)(5).…”

Section: Methodsmentioning

confidence: 99%

“…In 1983, after 11 yr of a school-based fiuoride program in Nelson County, Virginia, the overall prevalence of dental caries was 65"/o lower than in 1972 (1). As demonstrated at each follow-up examination (2)(3)(4)(5), caries reductions were greater on smooth (mesiodistal) than on pit and fissure surfaces (occlusal and buccolingual). Also in 1983, approximal caries constituted only 8' !4i of the total decayed, missing, and filled surfaces (DMES), whereas caries on pit and fissure surfaces accounted for 92% of the remaining dental decay among the participants.…”

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confidence: 97%

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Evaluation after 4 years of the combined use of fluoride and dental sealants

Selwitz¹,

Nowjack‐Raymer²,

Driscoll³

et al. 1995

Comm Dent Oral Epid

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This study evaluates the caries-preventive potential in permanent teeth of dental sealants when combined with an ongoing, school-based fluoride program. The investigation was designed as a sequential, cross-sectional comparison. Dental caries findings in 1987 for 416 children ages 7-11 and 14-17 who received dental sealants and fluorides were compared with corresponding data derived from 1983 baseline examinations of children who received fluoride therapy only. In addition, sealant retention status was determined. Overall mean DMFS scores in 1987 for children in two age groups combined were 51% lower than in 1983. Also, a surface-specific treatment effect was demonstrated in pit and fissures for both older and younger age groups. The overall proportion of sealants retained on occlusal surfaces of first molars after an average of 2 yr (92%) compared favorably with similar figures cited in the scientific literature. The results of this study suggest that pit and fissure sealants confer additional caries-preventive benefits beyond those of fluoride therapy alone.

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Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 97%

Evaluation after 4 years of the combined use of fluoride and dental sealants

Selwitz¹,

Nowjack‐Raymer²,

Driscoll³

et al. 1995

Comm Dent Oral Epid

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show abstract

“…Dietary fluoride supplements were part of a comprehensive fluoride regimen provided to schoolchildren, 5-17 years of age in Nelson County, Virginia, from 1972-1983 (19)(20)(21)(22)(23). In addition to using a fluoride tablet daily in school, children were given fluoride toothpaste for use at home and participants in elementary and junior high school (essentially ages 5-14) also rinsed once a week in school with a 0.2 percent sodium fluoride solution.…”

Section: Previous Studies Of Effectiveness Of School-based Programs Omentioning

confidence: 99%

Effectiveness of School Water Fluoridation and Dietary Fluoride Supplements in School‐aged Children

Horowitz¹

1989

J Public Health Dent

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School water fluoridation and school-based fluoride tablet programs both have been shown in many studies to be effective in preventing dental caries. These studies indicate that school water fluoridation reduces dental decay by approximately 40 percent and school-based fluoride tablet programs by about 30 percent. However, nearly all the studies were done when the prevalence of caries among US schoolchildren was greater than it is today, which makes it difficult to assess their current effectiveness. Data from dental surveys of school-aged children conducted during the past 30 years indicate that overall caries prevalence has declined by more than 75 percent and that of approximal tooth surfaces by more than 90 percent. Recent national data indicate the difference in caries prevalence between children with lifetime residence in either fluoridated or nonfluoridated areas has also diminished, which raises questions about the cost effectiveness of initiating school-based fluoride programs for all areas. There are still groups of children, however, seriously affected by dental caries. It is safe to assume that implementation of school water fluoridation or fluoride tablet programs will result in traditionally reported benefits among these children. Ongoing school-based fluoride programs should not be discontinued until it is known what impact their cessation will have on dental disease.

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“…Public health administrators must seek to maximize caries reduction, while minimizing dental fluorosis. [4] According to some reports, [5][6][7] the caries prevalence tends to reduce with increasing fluoride levels in the drinking water, thus indicating a negative association between fluoride and dental caries. However, some studies have indicated no relation [8] or a positive relation [9,10] between the fluoride concentration in the drinking water and dental caries.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of dental caries and dental fluorosis among 12 and15 year-old school children in an endemic fluoride area of Nalgonda district, Andhra Pradesh, India

Sukhabogi

Parthasarathi

Anjum

et al. 2013

Ann Trop Med Public Health

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Introduction:The published literature on the prevalence of dental caries and luorosis in Nalgonda district, an endemic luoride belt in India was scanty. Objective: To determine the prevalence of dental caries and dental luorosis among 12 and 15 years old school children in relation to luoride concentration in Nalgonda district. Materials and Methods: Strati ied random sampling technique was employed to select 20 schools from Nalgonda district. These areas were divided into four categories, low, medium, high and very high luoride areas based on the luoride concentration. The oral examination for dental caries and luorosis among children who ful illed the inclusion and exclusion criteria were conducted by a single trained and calibrated examiner using mouth mirror and CPI (Community Periodontal Index) probe under natural daylight. The data analysis was done using Statistical Package for Social Sciences SPSS version 16. Results: The prevalence of dental caries among 12 and 15 year old school children was 42.6% and 48.6% respectively. The prevalence was more among females (56.9%) than males (34.2%). The prevalence was more in low luoride area (67%) followed by very high luoride area (56.1%). The lowest prevalence was in medium luoride area (20.5%). The prevalence of dental luorosis increased with increasing luoride concentration with no difference in the gender and age distribution. Conclusion: De luoridation of water in areas where the concentration of luoride is more than optimal is an immediate need as dental luorosis is a major public health problem in these areas.

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Evaluation of a Combination of Self-Administered Fluoride Procedures for Control of Dental Caries in a Non-Fluoride Area: Findings after 2 Years

Cited by 14 publications

References 5 publications

Evaluation after 4 years of the combined use of fluoride and dental sealants

Evaluation after 4 years of the combined use of fluoride and dental sealants

Effectiveness of School Water Fluoridation and Dietary Fluoride Supplements in School‐aged Children

Prevalence of dental caries and dental fluorosis among 12 and15 year-old school children in an endemic fluoride area of Nalgonda district, Andhra Pradesh, India

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