|
|
|
|
LEADER |
03074nam a2200457Ia 4500 |
001 |
10.1186-s12903-018-0514-6 |
008 |
220706s2018 CNT 000 0 und d |
020 |
|
|
|a 14726831 (ISSN)
|
245 |
1 |
0 |
|a Comparative effectiveness of school-based caries prevention: A prospective cohort study
|
260 |
|
0 |
|b BioMed Central Ltd.
|c 2018
|
856 |
|
|
|z View Fulltext in Publisher
|u https://doi.org/10.1186/s12903-018-0514-6
|
520 |
3 |
|
|a Background: Dental caries is the world's most prevalent childhood disease. School-based caries prevention can reduce the risk of childhood caries by increasing access to care. However, the optimal mix of treatment services, intensity, and frequency of care is unknown. Methods: Data were derived from two prospective cohorts of US children participating in two caries prevention programs with different treatment intensities. One program provided primary and secondary prevention (glass ionomer sealants and interim therapeutic restorations) and one primary prevention only (glass ionomer sealants), both given twice yearly in six-month intervals. Primary study outcomes included untreated decay and the total observed caries experience. Analysis used generalized additive models to estimate nonlinear effects and trends over time. Results were compared to those estimated using generalized estimating equations and mixed-effects multilevel Poisson regression. Results: Primary and secondary prevention combined did not significantly reduce total caries experience compared to primary prevention alone, but did reduce the risk of untreated decay on permanent dentition. Additionally, the rate of new caries experience was slower in the primary and secondary prevention group. Nonlinear trends for dental caries across both programs were statistically significant from zero (p <.001). Conclusion: Caries prevention consisting of primary and secondary prevention agents may be more effective than primary prevention alone in reducing the risk of tooth decay over time. Results suggest that the impact of caries prevention may not be constant over the medium- and long-term, suggesting reduced effectiveness with continued treatments. © 2018 The Author(s).
|
650 |
0 |
4 |
|a Caries prevention
|
650 |
0 |
4 |
|a child
|
650 |
0 |
4 |
|a Child
|
650 |
0 |
4 |
|a Child, Preschool
|
650 |
0 |
4 |
|a comparative effectiveness
|
650 |
0 |
4 |
|a Comparative effectiveness
|
650 |
0 |
4 |
|a Comparative Effectiveness Research
|
650 |
0 |
4 |
|a Dental Care for Children
|
650 |
0 |
4 |
|a dental caries
|
650 |
0 |
4 |
|a Dental Caries
|
650 |
0 |
4 |
|a dental procedure
|
650 |
0 |
4 |
|a female
|
650 |
0 |
4 |
|a Female
|
650 |
0 |
4 |
|a human
|
650 |
0 |
4 |
|a Humans
|
650 |
0 |
4 |
|a male
|
650 |
0 |
4 |
|a Male
|
650 |
0 |
4 |
|a Oral health
|
650 |
0 |
4 |
|a preschool child
|
650 |
0 |
4 |
|a procedures
|
650 |
0 |
4 |
|a program evaluation
|
650 |
0 |
4 |
|a Program Evaluation
|
650 |
0 |
4 |
|a Prospective Studies
|
650 |
0 |
4 |
|a prospective study
|
650 |
0 |
4 |
|a school health service
|
650 |
0 |
4 |
|a School Health Services
|
700 |
1 |
|
|a Niederman, R.
|e author
|
700 |
1 |
|
|a Ruff, R.R.
|e author
|
773 |
|
|
|t BMC Oral Health
|