Fluoride rinsing and dental health inequalities in 11‐year‐old children: an evaluation of a supervised school‐based fluoride rinsing programme in Edinburgh

Levin, Kate Ann; Jones, Colwyn; Wight, Christine; Valentine, Carolyn; Topping, Gail; Naysmith, Robert

doi:10.1111/j.1600-0528.2008.00445.x

Cited by 20 publications

(33 citation statements)

References 25 publications

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“…Notably, the results obtained in the Swedish study were obtained in a 'low to medium caries risk area' with selfreported use of fluoride toothpaste twice daily and annual Sköld et al, 2005]. Another interesting observation from Scotland was that the mean prevalence of cavitated lesions was higher for non-rinsing subjects than for fluoride rinsers in all socioeconomic categories [Levin et al, 2009]. One study in adults investigated daily rinses with 0.09% NaF in institutionalized elderly and the net incidence of both crown and root caries was significantly reduced over a 2-year period [Wyatt and MacEntee, 2004].…”

Section: Fluoride Mouth Rinsementioning

confidence: 51%

Fluoride Rinses, Gels and Foams: An Update of Controlled Clinical Trials

Twetman

Keller²

2016

Caries Res

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Aim: The aim of this conference paper was to systematically review the quality of evidence and summarize the findings of clinical trials published after 2002 using fluoride mouth rinses, fluoride gels or foams for the prevention of dental caries. Methods: Relevant papers were selected after an electronic search for literature published in English between 2003 and 2014. The included papers were assessed for their risk of bias and the results were narratively synthesized due to study heterogeneity. The quality of evidence was expressed according to GRADE. Results: A total of 19 papers were included (6 on fluoride mouth rinse, 10 on fluoride gel and 3 on fluoride foam); 6 had a low risk of bias while 2 had a moderate risk. All fluoride measures appeared to be beneficial in preventing crown caries and reversing root caries, but the quality of evidence was graded as low for fluoride mouth rinse, moderate for fluoride gel and very low for acidulated fluoride foam. No conclusions could be drawn on the cost-effectiveness. Conclusions: This review, covering the recent decade, has further substantiated the evidence for a caries-preventive effect of fluoride mouth rinse, fluoride gel and foam, previously established in systematic reviews. The lack of clinical trials free from bias is, however, still a concern, especially for fluoride mouth rinses and fluoride foam. There is also a scientific knowledge gap on the benefit and optimal use of these fluoride supplements in combination with daily tooth brushing with fluoride toothpaste.

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Section: Fluoride Mouth Rinsementioning

confidence: 51%

Fluoride Rinses, Gels and Foams: An Update of Controlled Clinical Trials

Twetman

Keller²

2016

Caries Res

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“…Levin et al reported that rinsing with fluoride was effective in lowering DMFT levels in socioeconomically depressed areas [23,24]. According to a review regarding fluoride mouth rinses, they are often empirically recommended for CSHCNs [25].…”

Section: Discussionmentioning

confidence: 99%

Preventive Oral Health Care in a School for Children with Special Health Care Needs

Sireerat¹,

Samnieng²

2018

Proceedings of the 11th International Dentistry Scientific Meeting (IDSM 2017)

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Abstract. Purpose: The objectives of this study were 1. To examine the oral health status of children with special health care needs and 2. To evaluate a preventive oral health care program for these children. Method: Subjects included 32 children in a special health care needs school who were given an oral examination. The DMFT/dmft and DI-S indices were used to assess their oral health status. A preventive oral health care program was developed by focus group discussion (teachers, parents, caregivers, and dental students). The children's oral health status was evaluated 1 year after the initiation of a preventive oral health program. Result: In the year 2015, the average DMFT and dmft scores were 3.2 and 2.23, respectively, and DI-S score was 2.15. The preventive oral health care program consisted of the following: 1. A policy for fruit or non-sugar or low-sugar between-meal snacks; 2. Instruction for the children to brush their teeth after meals; and 3. Routine fluoride mouth rinsing after snack time. After the preventive oral health program, the average DMFT and dmft scores in the year 2016 were 1.4 and 1.6, respectively, and the average DI-S score was 2.1. Conclusion: The oral health status of children with special health care needs was poor. A preventive oral health care program was effective at improving the oral health of children with special needs. Participation of all stakeholders was important.

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“…The effect of school-based FMR on the incidence of caries in children has been investigated during the past four decades in a large number of clinical trials. A caries decline of 20%~50% due to FMR has been reported [3][4][5][6][7] . A Cochrane review also concluded that the use of FMR by children is associated with a clear reduction in the caries increment.…”

Section: Introductionmentioning

confidence: 99%

“…Caries, which might be associated with general health and nutrition status, is the main dental problem in children 9) , particularly those in socially deprived communities 10,11) . A school-based FMR program targeted to children in a deprived community may be an effective method to reduce the prevalence in caries and inequalities in dental health 6) . Furthermore, considering that children of low socioeconomic status have a disproportionately high share of dental caries, a school-based FMR program could be more effective to children in a deprived community 6,12) .…”

Section: Introductionmentioning

confidence: 99%

“…A school-based FMR program targeted to children in a deprived community may be an effective method to reduce the prevalence in caries and inequalities in dental health 6) . Furthermore, considering that children of low socioeconomic status have a disproportionately high share of dental caries, a school-based FMR program could be more effective to children in a deprived community 6,12) . Mongolia has a gross national product (GNP) of 1,486 USD, which is the 121st in the world.…”

Section: Introductionmentioning

confidence: 99%

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Effect of School-Based Fluoride Mouth Rinsing Program in a Socially Deprived Community

Lee¹,

Ha²,

Yeo³

et al. 2014

Journal of Korean Dental Science

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cc This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/ by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.Purpose: The objective of this study was to evaluate the caries prevention effect of school-based fluoride mouth rinsing (FMR) program implemented in the Hanuul district of Mongolia, which has a very low socioeconomic status and extremely poor infrastructure for oral health. Materials and Methods:One hundred and seventy children aged from 6 to 8 years of the FMR school and 187 children aged from 6 to 8 years of the control school completed the baseline survey. Children from the FMR school rinsed with 0.05% sodium fluoride everyday under supervision, while those from the control school did not. Adjusted caries preventive fraction (CPF) for 2 years were calculated to evaluate the effect of the FMR program.Result: After 2 years, 288 schoolchildren remained in the study. Decayed, missing or filled permanent teeth (DMFT) and index of the FMR and the control schools at baseline were 0.11 and 0.12, respectively, and the average DMFT increment of the FMR and the control schools after 2 years were 0.35 and 0.65, respectively. The adjusted CPF of DMFT was 48.5%. Conclusion:These findings show that a school-based FMR is an effective caries preventive program in a socially deprived community with poor infrastructure for oral health.

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Fluoride rinsing and dental health inequalities in 11‐year‐old children: an evaluation of a supervised school‐based fluoride rinsing programme in Edinburgh

Abstract: Fluoride rinsing can be effectively targeted at children from deprived areas through school-based initiatives. There are some difficulties in recruiting all children from the more deprived backgrounds, but overall reductions in D(3)MFT were observed.

Cited by 20 publications

References 25 publications

Fluoride Rinses, Gels and Foams: An Update of Controlled Clinical Trials

Fluoride Rinses, Gels and Foams: An Update of Controlled Clinical Trials

Preventive Oral Health Care in a School for Children with Special Health Care Needs

Effect of School-Based Fluoride Mouth Rinsing Program in a Socially Deprived Community

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