The limitations of a ‘high‐risk’ approach for the prevention of dental caries

Batchelor, Paul; Sheiham, Aubrey

doi:10.1034/j.1600-0528.2002.00057.x

Cited by 87 publications

(75 citation statements)

References 18 publications

(18 reference statements)

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“…During recent years, prevention provided by dental health personnel has moved towards a high risk strategy with the limitation that it fails to reach a majority in the population [Batchelor and Sheiham, 2002]. The data from 2002 point to the necessity of preserving and developing population-based strategies for young children.…”

Section: Discussionmentioning

confidence: 99%

Caries Experience and Background Factors in 4-Year-Old Children: Time Trends 1967–2002

2004

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In cross-sectional studies conducted in 1967, 1971, 1976, 1980, 1987, 1992, 1997 and 2002, 4-year-old children in Umeå, a city in northern Sweden, were examined for dental caries and background factors such as oral hygiene habits, use of fluorides, and sugar consumption. The same methods and criteria have been used in each of the studies from 1967 to 2002. The number of children with caries had declined from 87% in 1967 to 42% in 1987, but then the decline levelled out. In 2002, 46% of the children had caries with a mean dmfs value of 2.0 ± 3.6. Six percent of the children had 10 or more dmfs. Immigrant children had a higher caries prevalence (p < 0.01). A significant difference in the dmfs values was found in children according to tooth-brushing frequency (p < 0.01). Although the consumption of sugary products between meals increased between 1987 and 1997, no changes were noted from 1997 to 2002. In conclusion, no important changes in caries prevalence have taken place during the last 15 years. The frequency of tooth-brushing and immigrant background had a significant association with caries prevalence.

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Section: Discussionmentioning

confidence: 99%

Caries Experience and Background Factors in 4-Year-Old Children: Time Trends 1967–2002

2004

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“…Therefore, in BC and other jurisdictions with a similar pattern of disparities in children's dental caries, interventions that solely target 'at risk' individuals or the most socio-economically disadvantaged areas are not sufficient to address the social gradient in dental health. 33,34 A combination of universal and targeted approaches are needed.…”

Section: Discussionmentioning

confidence: 99%

Dental caries disparities in early childhood: A study of kindergarten children in British Columbia

Poon

Holley

Louie³

et al. 2015

Can J Public Health

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OBJECTIVE: The objective of this paper was to describe results of a public health-administered, provincial dental survey of children aged 4-6 years old in British Columbia, and assess the changes in rates of dental caries geographically and by neighbourhood socio-economic status between baseline (2006/07) and follow-up data collection (2009/10). METHOD:The study design involved two retrospective cohorts of kindergarten children who received a public health-administered dental assessment in the years 2006/07 and 2009/10. Neighbourhood socio-economic status was measured by an index created from Canadian Census and Tax Filer data sets. The dental outcomes included previous decay experience, untreated visible decay, and urgent treatment needs. RESULTS:The analysis comprised dental outcomes for 35,602 kindergarten children in 2006/07 and 35,215 children in 2009/10. There was a modest decrease in dental decay rates between surveys, with rates of decay experience -previous and untreated -of 38.9% and 36.7% respectively. However, there were disparities, with almost 50% of children with dental decay in the most socio-economically disadvantaged neighbourhoods, and approximately 30% with dental decay in the least disadvantaged areas. CONCLUSION:The kindergarten dental survey had extensive coverage, was at the population level, and enabled analysis of change in early childhood dental decay rates over time and by geography. Although overall rates improved, dental health inequalities persisted in both survey years at both regional and neighbourhood levels.KEY WORDS: Dental caries; oral health; child; trends; surveillance; British Columbia La traduction du résumé se trouve à la fin de l'article.

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“…Problems of patient selection and under-treatment can be limited by risk adjustment of the per capita fee 9 . If patient groups with high-levels of treatment needs can be identified [10][11][12] , then these characteristics can be used in order to differentiate the per capita fee. The differentiation must not be based on characteristics that the dentist can manipulate.…”

Section: Fee-per-item Remunerationmentioning

confidence: 99%