Prevention of Dental Caries in Children From Birth Through Age 5 Years: US Preventive Services Task Force Recommendation Statement

Moyer, Virginia A.

doi:10.1542/peds.2014-0483

Cited by 120 publications

(164 citation statements)

References 26 publications

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“…The American Academy of Pediatrics and the USPSTF recommend that physicians apply fluoride varnish as soon as the first tooth erupts on the basis of inferences from studies in dental practitioners. 11,40 Increasing the number of POHS visits per child is essential for promoting oral health because we observed a threshold effect of 4 visits. To prevent and control the development of caries until young children can more easily establish a dental home, NC Medicaid recommends delivery of POHS during already scheduled well-child visits at 6, 9, 12, 15, 18, 24, and 36 months.…”

Section: Discussionmentioning

confidence: 78%

“…No trials have evaluated the effectiveness of parental counseling alone on oral health outcomes. 11,40 In its systematic review of dental caries prevention in children ,5 years of age, the USPSTF identified 2 studies in medical offices that included parental education as part of a multifaceted intervention, both of which showed beneficial results. 40 Among the different types of POHS provided, fluoride varnish has the strongest available evidence of a preventive effect for the primary dentition.…”

Section: Discussionmentioning

confidence: 99%

“…11,40 Pediatricians can identify children with cavitated lesions with an acceptable level of accuracy, but they are less accurate in identifying and assessing individual risk factors 13,14,44,45 and tend to underrefer. 46,47 Nationally, approximately half of pediatricians screen most patients for caries.…”

Section: Discussionmentioning

confidence: 99%

“…11,12 Several states reimburse physicians through their public insurance programs for dental screenings and oral health counseling, and almost all reimburse physicians for the application of fluoride varnish. 12,13 The literature suggests that physicians will adopt these services and provide quality care that is effective in increasing access to preventive services, reducing treatment needs, averting hospitalizations, and lowering Medicaid costs.…”

Section: What This Study Addsmentioning

confidence: 99%

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Effects of Physician-Based Preventive Oral Health Services on Dental Caries

2015

PEDIATRICS

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Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: What This Study Addsmentioning

confidence: 99%

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Effects of Physician-Based Preventive Oral Health Services on Dental Caries

2015

PEDIATRICS

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“…Embora a dieta e a higiene bucal sejam os principais fatores associados ao desenvolvimento da doença (SHEIHAM;JAMES, 2015;PERES et al, 2016), outros fatores de risco contribuem para a alta prevalência, incluindo a baixa condição socioeconômica, pertencer a um grupo étnico minoritário, alto consumo de açúcares, uso inadequado de mamadeiras, defeitos de desenvolvimento do esmalte, baixo fluxo salivar, história prévia de cáries (pais, irmãos e a própria criança), falta de acesso a serviços odontológicos e falta de acesso a medidas preventivas (CONGIU et al, 2014;MOYER;FORCE, 2014;LIMA et al, 2016). Portanto, ações preventivas para a doença incluem estratégias educacionais, alimentação adequada, melhoria das condições socioeconômicas e melhoria das condições gerais de saúde, além do atendimento odontológico.…”

Section: Introductionunclassified

Projeto Integra – Ação Sorriso: Programa De Saúde Bucal Em Grupos Sociais Vulneráveis

et al. 2018

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Resumo: O projeto Integra -Ação Sorriso é desenvolvido por graduandos e mestrandos em Odontologia -UEL/PR com o objetivo de promover atendimento odontológico em crianças e adolescentes em situação de vulnerabilidade social, atendidas pela Instituição Casa Acolhedora Mãe e Senhora de Todos os Povos, Londrina-PR, e instruir quanto à prevenção de doenças e promoção de saúde, principalmente a saúde bucal. Os alunos promoveram ações culturais e educativas com 85 crianças e familiares, incluindo atendimento odontológico, instrução de higiene bucal e fornecimento de material de higiene bucal. Foram oferecidas também orientações por oficinas sobre saúde bucal, instrução quanto à gravidez na adolescência e doenças sexualmente transmissíveis, alimentação saudável, tabagismo e traumatismo dentário. Também foram desenvolvias atividades educativas e culturais, como o Trote Solidário dos calouros do Curso de Odontologia e comemoração de datas festivas, chamando a atenção para a temática de saúde, além de arrecadação de material escolar e brinquedos. A integração de alunos com a comunidade permitiu a formação de profissionais capacitados para atuar em prevenção e conscientes de seu papel na atenção às demandas sociais. Foi possível ainda perceber a necessidade de estender o atendimento odontológico para atendimento aos pais, devido ao progresso dos tratamentos das crianças e adolescentes.Palavras chave: Extensão comunitária; cárie dentária; crianças; prevenção; saúde coletiva. Abstract: The 'Integra' project -Smile Action is developed by undergraduate and Master's degree students in Dentistry -UEL/PR with the objective of promoting dental care for children in situation of social vulnerability assisted by the institution Casa Acolhedora Mãe e Senhora de Todos os Povos-Londrina-PR. The students promoted cultural and educational actions with 85 children and their families, including dental care, oral hygiene instruction and supply of oral hygiene materials. Workshops were organized addressing oral health, pregnancy and sexually transmitted diseases, diet, smoking and dental trauma. The students developed educational and cultural activities, such as the Solidarity campaign at the beginning of the school semester and celebration of festive dates with the purpose of drawing attention to health lifestyle and collecting school material and toys. The integration of undergraduate and graduate students with the community allowed the training of professionals in prevention and raised awareness of their role in addressing social demands. It was also possible to identify that it is necessary to extend dental care to parents, due to the progress of children's and adolescents' treatments.

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Screening and Interventions to Prevent Dental Caries in Children Younger Than 5 Years

Chou

Pappas

Dana

et al. 2021

JAMA

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IMPORTANCE A 2014 review for the US Preventive Services Task Force (USPSTF) found that oral fluoride supplementation and topical fluoride use were associated with reduced caries incidence in children younger than 5 years. OBJECTIVE To update the 2014 review on dental caries screening and preventive interventions to inform the USPSTF. DATA SOURCES Ovid MEDLINE, the Cochrane Central Register of Controlled Trials, and the Cochrane Database of Systematic Reviews (to September 2020); surveillance through July 23, 2021.STUDY SELECTION Randomized clinical trials (RCTs) on screening, preventive interventions, referral to dental care; cohort studies on screening and referral; studies on diagnostic accuracy of primary care oral examination or risk assessment; and a systematic review on risk of fluorosis included in prior USPSTF reviews.DATA EXTRACTION AND SYNTHESIS One investigator abstracted data; a second checked accuracy. Two investigators independently rated study quality.RESULTS Thirty-two studies (19 trials, 9 observational studies, and 4 nonrandomized clinical intervention studies [total 106 694 participants] and 1 systematic review [19 studies]) were included. No study evaluated effects of primary care screening on clinical outcomes. One study (n = 258) found primary care pediatrician examination associated with a sensitivity of 0.76 (95% CI, 0.55 to 0.91) and specificity of 0.95 (95% CI, 0.92 to 0.98) for identifying a child with cavities, and 1 study found a risk assessment tool associated with sensitivity of 0.53 and specificity of 0.77 (n = 697, CIs not reported) for a child with future caries. No new trials of dietary fluoride supplementation were identified. For prevention, topical fluoride compared with placebo or no topical fluoride was associated with decreased caries burden (13 trials, n = 5733; mean caries increment [difference in decayed, missing, and filled teeth or surfaces], −0.94 [95% CI, −1.74 to −0.34]) and likelihood of incident caries (12 trials, n = 8177; RR, 0.80 [95% CI, 0.66 to 0.95]; absolute risk difference, −7%) in higher-risk populations or settings, with no increased fluorosis risk. Evidence on other preventive interventions was limited (education, xylitol) or unavailable (silver diamine fluoride), and no study directly evaluated primary care dentistry referral vs no referral. CONCLUSIONS AND RELEVANCEThere was no direct evidence on benefits and harms of primary care oral health screening or referral to dentist. Dietary fluoride supplementation and fluoride varnish were associated with improved caries outcomes in higher-risk children and settings.

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Prevention of Dental Caries in Children From Birth Through Age 5 Years: US Preventive Services Task Force Recommendation Statement

Cited by 120 publications

References 26 publications

Effects of Physician-Based Preventive Oral Health Services on Dental Caries

Effects of Physician-Based Preventive Oral Health Services on Dental Caries

Projeto Integra – Ação Sorriso: Programa De Saúde Bucal Em Grupos Sociais Vulneráveis

Screening and Interventions to Prevent Dental Caries in Children Younger Than 5 Years

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