Rationale for restoration of carious primary teeth: A review

Finucane, David

doi:10.1007/bf03320828

Cited by 92 publications

(69 citation statements)

References 65 publications

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“…1,2 Dental caries can result in various detrimental effects on children, including pain, failure to thrive, poor nutritional status, and behavioral problems. [2][3][4][5][6] Early preventive dental care has been demonstrated to prevent dental disease when administered within the first year of life. 7 Evidence also indicates that children who receive early preventive dental care are less likely to require subsequent restorative or emergency treatment 7 and have lower dental-related health care costs, particularly among high-risk populations.…”

Section: (Continued On Last Page)mentioning

confidence: 99%

Factors Associated With Dental Care Utilization in Early Childhood

et al. 2014

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confidence: 99%

Factors Associated With Dental Care Utilization in Early Childhood

et al. 2014

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“…Despite improvements in child oral health, dental caries continues to affect 28-33% of 5-year olds in the UK, 9,10 and this is a disease that can progress to cause excruciating pain and infection. 11 The lack of clear answers to guide a dentist's decisions is reflected in the low care index with only 10% of decay in 5-year olds is currently restored (ft/dmft) in the UK. 9,10 FiCTION needs to recruit sufficient numbers of children to answer this important clinical question.…”

Section: Introductionmentioning

confidence: 99%

Participant recruitment to FiCTION, a primary dental care trial – survey of facilitators and barriers

et al. 2014

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Participant recruitment to FiCTION, a primary dental care trial -survey of facilitators and barriers Keightley, Alexander; Clarkson, Janet; Maguire, A.; Speed, C.; Innes, Nicola General rightsCopyright and moral rights for the publications made accessible in Discovery Research Portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from Discovery Research Portal for the purpose of private study or research.• You may not further distribute the material or use it for any profit-making activity or commercial gain.• You may freely distribute the URL identifying the publication in the public portal. Take down policyIf you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim. Objective: To identify reasons behind a lower than expected participant recruitment rate within the FiCTION trial, a multi-centre paediatric primary dental care randomised controlled trial (RCT). Subjects (materials) and methods:An online survey, based on a previously published tool, consisting of both quantitative and qualitative responses, completed by staff in dental practices recruiting to FiCTION. Ratings from quantitative responses were aggregated to give overall scores for factors related to participant recruitment. Qualitative responses were independently grouped into themes.Results: 39 anonymous responses were received. Main facilitators related to the support received from the central research team and importance of the research question. The main barriers related to low child eligibility rates and the integration of trial processes within routine workloads. Conclusions:These findings have directed strategies for enhancing participant recruitment at existing practices and informed recruitment of further practices. The results help provide a profile of the features required of practices to successfully screen and recruit participants. Future trials in this setting should consider the level of interest in the research question within practices, and ensure trial processes are as streamlined as possible. Research teams should actively support practices with participant recruitment and maintain enthusiasm amongst the entire practice team.

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“…Dental caries is one of the most common chronic diseases among preschool children worldwide [Selwitz et al, 2007], often resulting in discomfort and pain [Finucane, 2012]. In toddlers experiencing early onset, caries is usually referred to as early childhood caries [Tinanoff, 1998].…”

confidence: 99%

Effectiveness of Early Preventive Intervention with Semiannual Fluoride Varnish Application in Toddlers Living in High-Risk Areas: A Stratified Cluster-Randomized Controlled Trial

Anderson

Dahllöf²,

Twetman³

et al. 2016

Caries Res

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This study evaluated whether toddlers in an extended preventive program of semiannual fluoride varnish applications from 1 year of age had a lower incidence of caries than those undergoing a standard program. A cohort of 1-year-old children (n = 3,403) living in multicultural areas of low socioeconomic standing in Stockholm participated in a cluster-randomized controlled field trial with two parallel arms. The children attended 23 dental clinics. Using the ICDAS II criteria, the examiners recorded caries at baseline and after 1 and 2 years. The children in the reference group received a standardized oral health program once yearly between 1 and 3 years of age. The children in the test group received the same standard program supplemented with topical applications of fluoride varnish every 6 months. We compared the test group and the reference group for the prevalence and increment of caries. At baseline, 5% of the children had already developed caries (ICDAS II 1-6). We reexamined the children after 1 year (n = 2,675) and after 2 years (n = 2,536). Neither prevalence nor caries increment differed between the groups. At 3 years of age, 12% of the children had developed moderate and severe carious lesions (ICDAS II 3-6), with a mean increment of 0.5 (SD 2.4) in the test group and 0.6 (SD 2.2) in the reference group. In conclusion, semiannual professional applications of fluoride varnish, as a supplement to a standard oral health program, failed to reduce caries development in toddlers from high-risk communities.

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Rationale for restoration of carious primary teeth: A review

Cited by 92 publications

References 65 publications

Factors Associated With Dental Care Utilization in Early Childhood

Factors Associated With Dental Care Utilization in Early Childhood

Participant recruitment to FiCTION, a primary dental care trial – survey of facilitators and barriers

Effectiveness of Early Preventive Intervention with Semiannual Fluoride Varnish Application in Toddlers Living in High-Risk Areas: A Stratified Cluster-Randomized Controlled Trial

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