Can government‐supported preventive fluoride varnish application service reduce pulp‐involved primary molars?

Yang, Lin; Lin, Po‐Yen; Wang, Jui; Chu, Yu Roo; Chang, Yung Ming

doi:10.1111/jphd.12319

Cited by 5 publications

(4 citation statements)

References 28 publications

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“…The Taiwan National Health Insurance programme is a compulsory programme that provides medical and dental health care coverage to more than 99% of the 23.5 million residents of Taiwan. Government‐supported fluoride varnish application services, mainly provided in dental clinic settings, are offered to all preschoolers younger than 6 years who are eligible for biannual or quarterly dental examinations 14 …”

Section: Methodsmentioning

confidence: 99%

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Association between sugary drinks consumption and dental caries incidence among Taiwanese schoolchildren with mixed dentition

Lin

Lee

Hsu

et al. 2021

Comm Dent Oral Epid

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Objectives: Dental caries is a multifactorial disease, and a sugary diet can generate an acidic plaque environment that advances its development. However, the specific effect of sugary drinks on the subsequent oral health of schoolchildren with mixed dentition is unclear. In this study, we investigated the association between the consumption of sugary drinks and 1 year incidence rate of caries in permanent teeth among Taiwanese schoolchildren with mixed dentition. Methods:A longitudinal 1 year follow-up study was conducted among Taiwanese schoolchildren aged 8-9 years. A questionnaire collected information regarding the parents' oral health status and their children's demographic background, oral healthrelated behaviours and consumption habits of sugary drinks, including handmade drinks (specifically bubble tea and pearl milk tea) and carbonated drinks. Dental caries was recorded through standardized oral examinations. The number of dental services received was retrieved from the Taiwan National Health Insurance Research Database. Multivariate Cox proportional hazards models and zero-inflated negative binomial models were used to estimate the association between the consumption of sugary drinks and the incidence rate of caries in permanent teeth after 1 year. Results:The study involved 494 children. During the 1 year follow-up period, 117 children developed new dental caries in their permanent teeth, yielding a caries incidence rate of 0.183 per person-year. After adjustments for confounding factors, children who preferred having sugar-rich beverages were associated with having a 4.3 times higher (95% confidence interval [CI] = 1.2-15.7) risk of developing caries than did those who preferred nonsugary drinks (P < .05). Additionally, children who often consumed handmade drinks were associated with having a 1.7 times higher (95% CI = 1.1-2.9) risk of developing caries than those who seldom consumed (P < .05). Conclusions:The findings suggest that the consumption of sugary drinks during the mixed dentition stage might be a major etiological factor for caries in permanent teeth. These findings could be valuable to paediatricians, dentists, nutritionists and policymakers.

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Section: Methodsmentioning

confidence: 99%

“…Government-supported fluoride varnish application services, mainly provided in dental clinic settings, are offered to all preschoolers younger than 6 years who are eligible for biannual or quarterly dental examinations. 14…”

Section: Link To Database For Fluoride Varnish Application Servicementioning

confidence: 99%

Association between sugary drinks consumption and dental caries incidence among Taiwanese schoolchildren with mixed dentition

Lin

Lee

Hsu

et al. 2021

Comm Dent Oral Epid

Self Cite

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“…In addition to FVA, the treatment also includes clinical examination and oral health education for the parents or caregivers of preschool children. However, the utilisation rate of this service is not high, and 54.2% of eligible children did not receive FVA during the period of 2004–2013 [ 9 ]. Starting in 2014, molar pit and fissure sealant was also applied during the treatment of 6-year-old children.…”

Section: Introductionmentioning

confidence: 99%

Comparing individual-, family-, and community-level effects on the oral health of preschool children: a multilevel analysis of national survey data

et al. 2023

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Background Early childhood is a critical stage for the prevention of dental caries. The prevalence of caries in preschool children is still high in Taiwan, where National Health Insurance covers 99% of the population. The effort to improve the oral health of preschool children should be based on conceptual model that encompasses more than individual-level factors. This study input nationwide survey data in a conceptual model to evaluate the effects of comprehensive factors related to the high prevalence of caries in preschool children. Methods This observation study examined factors related to the oral health of preschool children by employing a comprehensive multilevel model to analyse nationally representative data from the Taiwan Oral Health Survey of Preschool Children (TOHPC) 2017–2018. Individual-level, family-level and community-level contextual effects were evaluated through multilevel analysis in this study. The proportional change in variance (PCV) was used to compare the multilevel model with the null model and individual-level, family-level, and community-level context effects. Results The estimated deft index for preschool children was 1.34 (1.22–1.47) at age 3, 2.20 (2.08–2.32) at age 4, and 3.05 (2.93–3.18) at age 5. The overall prevalence of caries in preschool children in Taiwan was 34.27% (30.76%, 37.78%) at age 3, 51.67% (48.99%, 54.35%) at age 4, and 62.05% (59.66%, 64.44%) at age 5. The model that included the individual-, family-, and community-context levels exhibited the highest reduction of variance (PCV = 53.98%). The PCV was further reduced to 35.61% when only the level of accessibility to dental services for individuals, families, and the community was considered. For the model in which no community-context cofactors were considered and the model considering only the individual level, the PCVs were 20.37% and 5.52%, respectively. Conclusions Our findings indicate the key components that affect oral health in preschool children and can serve as a reference for policy makers. The most notable finding of this study is that to improve the oral health of preschool children, community-level factors should be targeted. To rely solely on dentists for leading oral health education programs for children is impractical and inefficient. Training more professional oral health educators to provide additional community-based oral health promotion campaigns is critical. We suggest training more professional oral health educators to provide more community-based oral health promotion campaigns.

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“…In addition to FVA, the treatment also includes clinical examination and oral health education for the parents or caregivers of preschool children. However, the utilisation rate of this service is not high, and 54.2% of eligible children did not receive FVA during the period of 2004-2013 [9]. Starting in 2014, molar pit and ssure sealant was also applied during the treatment of 6-year-old children.…”

Section: Introductionmentioning

confidence: 99%

Comparing Individual-, Family-, and Community-Level Effects on the Oral Health of Preschool Children: A Multilevel Analysis of National Survey Data

Lin¹,

Huang

Yen

et al. 2022

Preprint

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Background Early childhood is a critical stage for the prevention of dental caries. The prevalence of caries in preschool children is still high in Taiwan, where National Health Insurance covers 99% of the population. The effort to improve the oral health of preschool children should be based on conceptual model that encompasses more than individual-level factors. This study input nationwide survey data in a conceptual model to evaluate the effects of comprehensive factors related to the high prevalence of caries in preschool children. Methods This observation study examined factors related to the oral health of preschool children by employing a comprehensive multilevel model to analyse nationally representative data from the Taiwan Oral Health Survey of Preschool Children (TOHPC) 2017–2018. Individual-level, family-level and community-level contextual effects were evaluated through multilevel analysis in this study. The proportional change in variance (PCV) was used to compare the multilevel model with the null model and individual-level, family-level, and community-level context effects. Results The estimated deft index for preschool children was 1.34 (1.22–1.47) at age 3, 2.20 (2.08–2.32) at age 4, and 3.05 (2.93–3.18) at age 5. The overall prevalence of caries in preschool children in Taiwan was 34.27% (30.76%, 37.78%) at age 3, 51.67% (48.99%, 54.35%) at age 4, and 62.05% (59.66%, 64.44%) at age 5. The model that included the individual-, family-, and community-context levels exhibited the highest reduction of variance (PCV = 53.98%). The PCV was further reduced to 35.61% when only the level of accessibility to dental services for individuals, families, and the community was considered. For the model in which no community-context cofactors were considered and the model considering only the individual level, the PCVs were 20.37% and 5.52%, respectively. Conclusions The most notable finding of this study is that to improve the oral health of preschool children, community-level factors should be targeted. Such community-based programs would effectively improve the oral health knowledge and behaviours of the parents and caregivers of preschool children. We suggest training more professional oral health educators to provide more community-based oral health promotion campaigns.

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Can government‐supported preventive fluoride varnish application service reduce pulp‐involved primary molars?

Cited by 5 publications

References 28 publications

Association between sugary drinks consumption and dental caries incidence among Taiwanese schoolchildren with mixed dentition

Association between sugary drinks consumption and dental caries incidence among Taiwanese schoolchildren with mixed dentition

Comparing individual-, family-, and community-level effects on the oral health of preschool children: a multilevel analysis of national survey data

Comparing Individual-, Family-, and Community-Level Effects on the Oral Health of Preschool Children: A Multilevel Analysis of National Survey Data

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